neuro influence 1/17 Flashcards

1
Q

action SNS on heart

A
  • increase HR,
    coronary artery vasodilation (to increase HR)
  • increase force myocardial contraction
  • increase myocardial metabolism
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2
Q

sympathetic influences body via what?

A

T1-T4upper thoracic to superior cervical chain ganglia

innervates SA node, AV node, conduction path, myocytes

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3
Q

action PNS on heart

A
  • slow HR, vasocontricion (to slow HR)
  • slow force myocardial contraction
  • decrease myocardial metabolism
    coronary artery
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4
Q

parasympathetic influences body via what?

A

CN X vagus n
cardiac plexus
innervates SA node, AV node, sparsely myocardium

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5
Q

NT for sympathetic stimulation?

A

epinephrine, norepinephrine

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6
Q

NT for parasympathetic stimulation?

A

acetycholine

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7
Q

where para & sympathetic control centers?

A

medulla oblongata
para- cardioinhibitory center
symp - cardioacceleratory center

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8
Q

SNS affect on skin and peripheral vasculature?

A

postganglionic sympathetic innervation

  • vasoconstrict cutaneous arteries
  • sympathetic inhibition allows vasodilation
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9
Q

what are drugs that increase sympathetic function?

A

sympathomimetics

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10
Q

what are drugs that decrease sympathetic function?

A

sympatholytics

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11
Q

what receptors are the main mechanism that controls heart rate?
where are they?
what reflex do they use?

A

baroreceptors, pressoreceptors, mechanoreceptors
in aortic arch, carotid sinus - work via vasomotor center
circulatory/baroreceptor reflex

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12
Q

what does the circulatory reflex cause if?

- increased BP

A
  • PNS stimulation- decrease HR, decrease force cardiac contraction
  • SNS inhibited, allow vasodilation, decrease peripheral resistance
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13
Q

what does the circulatory reflex cause if?

- decreased BP

A
  • SNS stimulation- increased HR, vasodilate coronary arteries to increase HR
    increase BP, vasocontrict peripheral blood vessels
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14
Q

what does the circulatory reflex cause if?

- increased R atrial pressure

A

reflex accelerate HR

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15
Q

what are chemoreceptors sensitive to change?

where are they?

A

change in blood chemicals - O2, CO2, lactic acid

carotid body- bifurcation carotid arteries

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16
Q

chemoreceptors action if

  • increased CO2
  • decreased pH (increased lactic acid)
A

increase HR

17
Q

chemoreceptors action if

- decreased O2

A

increase HR

18
Q

chemoreceptors cause what

- increased O2

A

decrease HR

19
Q

how does HR change?

-increased body temp

A

HR increase

20
Q

how does HR change?

-decreased body temp

A

HR decrease

21
Q

what term - increase concentration potassium?

affect on heart?

A

hyperkalemia

decrease HR, decrease force contraction

22
Q

ECG: wide PR interval and QRS, tall T waves

what ion change?

A

hyperkalemia

23
Q

what term - decrease concentration potassium?

affect on heart?

A

hypokalemia

arryhythmias, may progress to ventricular fibrillation

24
Q

what term - increase concentration calcium?

affect on heart?

A

hypercalcemia

increase heart actions

25
Q

what term - decrease concentration calcium?

affect on heart?

A

hypocalcemia

depress heart action

26
Q

what term - increase concentration magnesium?

affect on heart?

A

hypermagnesemia

- calcium blocker, lead to arrhythmias or cardiac arrest

27
Q

what term - decrease concentration magnesium?

affect on heart?

A

hypomagnesemia

  • ventricular arrhythmias
  • coronary artery vasospasm
  • sudden death
28
Q

ECG: flattened T waves, prolonged PR and QT intervals

what ion change?

A

hypokalemia

29
Q

increased peripheral resistance- how does it change arterial blood volume and pressure?

A

increase

30
Q

decreased peripheral resistance- how does it change arterial blood volume and pressure?

A

decrease

31
Q

what is peripheral resistance influenced by?

A

arterial blood volume
viscosity of blood
diameter of arterioles and capillaries