pharmacology chapter 5 Flashcards

study for test on wednesday... (27 cards)

1
Q

which portion of nervous system is under voluntary control?

A

The skeletal muscle motor nerve portion

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2
Q

what neurotransmitter at each of following sites: autonomic ganglia, neuromuscular junction, and most sympathetic ends?

A

neuromuscular junction- acetycholine
automonic ganglia- acetycholine
most sympathetic end sites- norepinephrine

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3
Q

where the muscarinic receptors are found?

A

at parasympathetic nerve terminal site

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4
Q

what is the effect of cholinergic stimulation of airway smooth muscle?

A

bronchoconstriction

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5
Q

what is effect of adrenergic stimulation on the heart?

A

increase the force and rate of contraction

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6
Q

classify the drugs pilocarpine, physostigmine, propranolol, and epinephrine?

A

pilocarpine-direct-acting cholinergic
physostigmine- - indirect acting cholinergic
propranolol- adrenergic blocking agent
epinephrine- adrenergic agonist

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7
Q

how do indirect-acting cholinergic agonist produce its action?

A

indirect acting parasympathomimetic such as neostigmine, inhibits the enzyme cholinesterase, which increases the amount of acetycholine available to stimulate postsynaptic sites at the nerve terminal

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8
Q

what effect would drug atropine have on the eye and on airway smooth muscle?

A

atropine is a competitive blocking the agent for muscarinic receptor. The drug would block the eye circular iris muscle to dilate the pupil paralyze the ciliary muscle to flatten the lens and antagonize cholinergically induced bronchoconstriction in the airway.

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9
Q

what is general difference between alpha and beta receptor in sympathetic system?

A

the alpha receptors generally cause excitation and constriction. But the beta receptors cause most
likely relaxation and inhibition.

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10
Q

what is primary mechanism for termination the neurotransmitter acetycholine and norepinephrine?

A

acetycholine is metabolize by cholinesterase enzyme, but norepinephrine is reabsorbed back into presynaptic neuron. and inactivated by enzyme of COMT and MAO

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11
Q

what is the predominant sympathetic receptor type found on airway smooth muscle?

A

beta 2 recptor

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12
Q

identify the adrenergic receptor preference for phenylephrine, norepinephrine, and isoproterenol?

A

phenylephrine - alpha receptor
norepinephrine- alpha is more than beta receptors
epinphrine- alpha and beta receptors
isoproterenol- beta receptro

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13
Q

what is the auto regulatory receptor on the sympathetic presynaptic neuron?

A

alpha 2 receptor

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14
Q

classify following drugs by autonomic class and receptor preference: dopamine, ephedrine, albuterol, phentolamine, propranolol, and prazosin?

A
dopamine- sympathomimetic
ephedrine- sympathomimetic
albuterol- sympathomimetic
phentolamine- alpha sympatholytic
pronpranolol- beta sympatholytic
prazonsin - sympatholytic
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15
Q

what is the auto regulatory receptor on the parasympathetic presynaptic neuron at the terminal nerve site?

A

the muscarinin receptor subtype m1

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16
Q

contrast alpha 1 and alpha 2?

A

alpha 1 receptor effects are usually excitory and on the other hand alpha 2 effect is usually inhibitory.

17
Q

what substance maybe in neurotransmitter in NANC inhibitory nervous system in the lungs?

A

Vasoactive intestinal peptide or possibly nitric oxide

18
Q

what substance the neurotransmitter in nanc excitatory nervous system in the lung?

19
Q

sympathetic system

A

has more wide spread effect when stimulated, and short preganglionic effect and long post gangiolic
also helps to cope with stress

20
Q

parasympathetic

A

more discrete and finely regulated

21
Q

neurotransmiter at sympathetic

A

Ach at the ganglionic synapse and norepinephrine at the neuroeffector site

22
Q

adrenergic

A

a drug that stimulates a receptor for nor epinephrine for example isoprateronol

23
Q

muscarinic effect

A

stimulation of cholinergic receptors at the parasympathetic terminal

24
Q

reversible inhibitor

A

are used of myasthenia gravis

25
echothlophate
used permanently to constrict pupil and used for transcription for glaucoma to increase drainage
26
organophosphate
is limite to time for more cholinesterase to be produce, also can be treated with doxime or protopam that will reactivate cholinesterase
27
atropine is _________ to Ach and given to decrease ______ by mucous glands
antagonist, secretion