Lecture 6 - Cholinergic Agonists Flashcards

1
Q

Do nicotinic receptors have preganglia of symp or para?

A

Both

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2
Q

Do nicotinic receptors have postganglia of symp or para?

A

Para

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3
Q

Where are nicotinic receptors found?

A

Skeletal muscle

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4
Q

Even numbered muscarinic receptors are ____

A

Inhibitory

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5
Q

Odd numbered muscarinic receptors are _____

A

Stimulatory

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6
Q

Sweat glands are stimulated by ____ NS but most are _____ synapses

A
  • Symp

- Cholinergic

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7
Q

Do you sweat when symp system is activated?

A

Yes

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8
Q

Do you sweat when cholinergic agonists are used?

A

Yes

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9
Q

In which part of the body are sweat receptors adrenergic?

A

Palms

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10
Q

All preganglionic synapses (para and symp) are ______

A

Cholinergic

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11
Q

What is the major side effect of modulating acetylcholine?

A

Psychological effects

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12
Q

Skeletal muscle works through _____ receptors

A

Acetylcholine

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13
Q

Does acetylcholine cross the BBB as a drug?

A

No

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14
Q

What does acetylcholine activate?

A
  • All autonomic ganglia (para and symp)

- Skeletal muscle receptors

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15
Q

What type of effects does acetylcholine cause?

A

The same effects as stimulating the para system

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16
Q

Is acetylcholine used for systemic use?

A

No, it is too non-specific

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17
Q

What is acetylcholine as a drug used for?

A

Eye surgery

18
Q

What does pilocarpine have a similar effect to?

A

Acetylcholine, except pilocarpine can cross the BBB so has psychological effects

19
Q

Is acetylcholine used more often than pilocarpine?

A

No, pilocarpine is used more often because it crosses the BBB and lasts longer

20
Q

What is pilocarpine primarily used for and why?

A

Severe acute glaucoma because it causes immediate opening of drainage system of the eye

21
Q

What is the function of acetylcholinesterase?

A

Degrades acetylcholine in the synapse

22
Q

What will inhibition of acetylcholinesterase cause?

A

Increased activity of acetylcholine in the synapse

23
Q

Can acetylcholinesterase treat a disease?

A

No, only helps with symptoms

24
Q

What is myasthenia gravis?

A

Autoimmune destruction of acetylcholine receptors at neuromuscular junction (NMJ)

25
What can help the symptoms of myasthenia gravis?
Drugs that increase acetylcholine activity
26
What is alzheimer's disease?
Decreased activity and then death of cholinergic neurons in brain
27
What can help treat some symptoms of alzheimer's disease?
Drugs that increase acetylcholine activity in the brain
28
What are 2 examples of acetylcholinesterase inhibitors?
- Neostigmine | - Donepazil
29
What does neostigmine do?
- Stimulates bladder and GI tract | - Aids symptoms of myasthenia gravis (increases muscular strength and response)
30
What does donepazil do?
Stimulates cholinergic neurons in brain to treat symptoms of Alzheimer's
31
What is an example of a cholinergic antagonist and what does it do?
- Atropine - Increases heart rate and blood pressure - Antispasmodic effects on GI tract - Dilates pupils
32
What is scopolamine do?
- Strong CNS effect | - Most effective anti-nausea drug
33
What is tiotropium used in?
Inhaled bronchodilators
34
What are some side effects of blocking cholinergic system?
- "Sandy eye syndrome" and loss of near vision - Dry, pasty saliva - No gut movement and sustained acid, leading to nausea, vomiting, constipation, and pain - No sweat - Flaccid bladder and contracted sphincter - "No see, no spit, no pee, no shit"
35
When are NMJ blockers used?
In surgery to decrease the amount of anesthesia needed
36
What is the order of muscular paralysis?
1) Eyes 2) Face 3) Fingers 4) Limbs 5) Trunk 6) Diaphragm * Recovery is opposite order
37
What is the effect of NMJ blockers?
Paralysis
38
Are NMJ blockers depolarizing?
Some, while others are non-depolarizing
39
What is the only depolarizing NMJ blocker?
Succinylcholine
40
What does succinylcholine do to the body?
Causes twitching at first, then flaccid paralysis