Exam 1 Flashcards
(53 cards)
Mimetics
Stimulates the system in question
Lytics
Block the system in question
Terminal neurotransmitters of sympathetic neurons is
Norepinephrine (adrenergic)
Terminal neurotransmitters of parasympathetic neurons is
Acetylcholine (cholinergic)
All ganglionic synapses used ______ as does terminal synapses of somatic nerves
Achtylcholine
Medullary Outflow
Organs innervated by cranial CNS
Sacral outflow
Caudal CNS innervates lower organs
Cotransmission
Neurons that can respond to more than one neurotransmitter
Enzyme that breaks down acetylcholine
Achtylcholinesterase
Muscarinic Signs (DUMBELS)
Diarrhea, Urination, Miosis, Bradycardia/Bronchoconstriction, Emesis, Lacrimation, Salivation
Bethanechol
Direct acting parasym.
muscarinic agonist
stimulates detrusor mucsle to contract
Indirect acting Parasympathetic
group of drugs that acts to inhibit acetylcholinesterase
“acetylcholinesterase inhibitors”
Neostigmine
Reversible, indirect acting parasym. mimetic
stimulates GI motility
treat myasthenia gravis
Pyridostigmine
Reversible, indirect acting parasym. mimetic
stimulates GI motility
treat myasthenia gravis
longer acting than Neostigmine
Edrophonium
Reversible, indirect acting parasym. mimetic
“Tensilon test” to differentiate between myasthenia gravis from cirsis
keep atropine on hand
Carbamate
Reversible, indirect acting parasym. Insecticide.
DUMBELS, then CNS excitement. Crosses BBB
Organophosphate
Irreversible indirect acting parasym. Mimetic
DUMBELS, then CNS excitement. Crosses BBB. slow to metabolize
Atropine
Direct acting parasym. lytic.
nonspecific muscarinic antagonist.
treat Bradycardias. treats carbamate and organophosphate toxicity.
Glycopyrrolate
Direct acting parasym. lytic. nonspecific muscarinic antagonist.
Treat Bradycardias
longer duration than atropine. No BBB
Oxybutynin
Direct acting parasym. lytic
urinary antispasmodic
Catecholamines
Endogenous substances that act as hormones and neurotransmitters
Epinephrine
Direct acting symp. mimetcs
activates all adrenergic receptors.
Vasopressor
Norepinephrine
Direct acting symp. mimetcs.
increases MBP, vasoconstrictor
sloughs tissue
Dopamine
Direct acting symp. mimetcs
effects vary by dose.
dilates vascular beds- inotropic and chronotropic on heart- vasoconstriction
very short t1/2, sloughs tissue