ANS- Sympathetic Flashcards
(55 cards)
What neurotransmitter is used in the SNS
Norepinephrine
What are the receptors for NE?
Alpha-adrenergic & Beta-adrenergic receptors
What are the 2 exceptions that use Ach instead of NE?
Adrenal medulla & sweat glands
What enzymes metabolize NE & epinephrine?
Catechol-o-methyl transferase (COMT) & monoaminoxidase
What are drugs that activate alpha- and beta- adrenergics called?
Sympathomimetics (adrenergic agonist)
What are the drugs that inhibit alpha- and beta- adrenergics called?
Sympatholytics (adrenergic blockers)
What chemical does NE come from?
Dopamine
What inhibits the reuptake of NE?
Cocaine & imipramine
Does Amphetamine cause a strong release of NE and epinephrine?
Yes
Where are alpha-1 receptors (stimulatory) located?
The eye and vascular smooth muscle
where are alpha-2 receptors located and what do they do?
In the pancreas, GIT & platelets
Inhibits the release of NE
Location of beta-1 receptors? (= affinity for NE & epinephrine)
Cardiac tissue & juxtaglomerular cells
Location of beta-2 receptors? (higher affinity for epinephrine than NE)
Respiratory, liver, vascular skeletal muscle & uterus
What are beta-3 receptors involved in?
Lipolysis & the detrusor muscle of the bladder
What are the effects of activated alpha-1 receptors?
Vasoconstriction, increased peripheral resistance, increased BP, mydriasis & increased contraction of bladder sphincters
What are the effects of activated alpha-2 receptors?
Inhibits NE release
Inhibits Ach release
Inhibits insulin release
What are the effects of activated beta-1 receptors?
Increased HR, increased lipolysis, increased myocardial contractility & increased renin
What are the effects of activated beta-2 receptors?
Vasodilation, decreased peripheral resistance, bronchodilation, increased glycogenolysis, increased glucagon release & relaxes uterine smooth muscle
How does adrenaline effect the heart (beta-1 receptors)?
It has positive ionotropic (increases heart contractility) & chronotropic (increases HR) effects on the heart
How does adrenaline effect the vascular beds (alpha receptors)?
Causes vasoconstriction (increases BP)
What are indications for adrenaline (epinephrine)?
-Anaphylaxis
-In combination with local anaesthetics
-During cardiac arrest
What are contraindications for adrenaline?
Tachyarrhythmias
Pheochromocytoma (tumor on adrenal medulla, causing over-stimulation of the SNS)
How is adrenaline administered?
IM. IV, SC
What are adverse effects of adrenaline?
Peripheral vasoconstriction (over time can cause necrosis/gangrene), angina, hypertension, tachycardia, ventricular arrythmias