Test #3 Flashcards

(67 cards)

1
Q

Neuropharmacology

A
  • The study of drugs that alter processes controlled by the nervous system.
  • constitutes a large family of important drugs.
  • Essientially anything that can control a bodily process such as sneezing, dilation or constriction of blood vessels….Why do I have a snotty nose. Uterus contractions ect.. anything that can be controlled by the brain.
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2
Q

What is located between the Pre-Ganglonic Neuron and the Post-Ganglionic Neuron?

A

The Ganglian

Nerve endings….nerve cells

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3
Q

What is located at the end of the Post-Ganglonic Neuron?

A

The Post Ganglionic Nerve Terminal

This is where Neurotransmitters are stored inside vessicles

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4
Q

Where are neurotransmitters released into?

A

The Synapse

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5
Q

After the neurotransmitters are released into the synapse, what do they do next?

A

They interact with their target cell specifically at the receptor.

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6
Q

True or False

All we can do is manipulate what God already placed in us, We cannot create new functions.

A

True

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7
Q

Axonal Conduction in the neuron-

A

The process of an action potential being delivered down the axon.

It heads down the axon towards the nerve terminals

There is only one class of drugs that effect this and it is local anesthetics

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8
Q

What is an action Potential

A

it is an electrical process or a burst

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9
Q

Synaptic Transmission

A

Where information is transferred across the synaptic gap between the neuron and the target cell.

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10
Q

What are the steps in synaptic transmission?

A
  1. Transmitter synthesis
  2. Transmitter Storage (vessicles)
  3. Transmitter release
  4. Receptor Binding **
  5. Termination of Transmission
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11
Q

Transmitter synthesis

A

Where neurotransmitters are synthesised by precursor molecules.

drugs can increase or decrease or cause production of other neurotransmitters

Potential target for drug therapy.

You can wipe out a neurotransmitter completely by taking away the precursor molecules. The body cannot synthesis the neurotransmitters without the precursor molecules to do so.

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12
Q

Neurotransmitter storage

A

Once the neurotransmitter is synthesised, it is set to be stored in the vessicles.

If we alter the bodies ability to store neurotransmitters, we could compromise the bodies ability to have a bunch of those cells to be released.

This is another potential target for drug therapy

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13
Q

Neurotrnasmitter release-

A

After an action potential reaches the post-ganglionic nerve terminal (where neurotransmitters are stored within the vessicles), it will release the neurotransmitter into the synaptic gap.

AP —> down axon to Nerve Terminal —> Release of NT into SG

This is another potential target for drug therapy

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14
Q

Receptor Binding- ***

A

When a neurotransmitter diffuses across the synaptic gap, it interacts with specific receptors.

The bodies own natural neurotransmitters are always a reversible binding process.It wont sit on the receptor site forever. It will get on there and get off.

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15
Q

True or False

We can make drugs that are irreversible

A

True

But they are very rare

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16
Q

True or False

The bodies own natural neurotransmitters are always a reversible binding process.

A

true

It wont sit on the receptor site forever. It will get on there and get off.

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17
Q

Termination of Transmission

A

once the neurotransmitter disassociates it has 1 of 3 options:

  1. It can be recycled- restored and reused
  2. It can degraded by enzymes
  3. It can be diffused and float away.

so Recycled, Degraded, Diffused

But there are drugs that can alter this process

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18
Q

Once Acetylcholine Dissassociates from the target cell what happens?

A

It is degraded by enzymes very quickly

But if we wipe out the enzymes that degrade it by using drug therapy, it will accumulate very quickly and will react with the receptors over and over again.

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19
Q

Drug Effects

A

Ultimately, the impact of the drug on a neuronally regulated process is dependant on the ability of that drug to directly or inditectly influence receptor activity on target cells

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20
Q

True or false

Every nerve in the body has different axons

A

False

Every nerve in the body has the SAME axon.

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21
Q

If you created a drug that took out the axon what would result from that?

A

It would wipe out the whole nervous system because all axons are the same

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22
Q

What is the MOA of a local anesthetic?

A

It is a temporary axonal inhibitor. It shuts down your entire nervous system in that local area.

examples- xylocaine, anything “caine”

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23
Q

Where does most of the drug therapy target

A

The synaptic Transmission

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24
Q

What disease state is associated with low levels of norepinephrine and serotonin?

A

Depression

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25
Agonists
stimulate receptor sites they look a lot like a neurotransmitter and will elicit a response from the target cell
26
Antagonists
Block the receptor sites on the target cell
27
What happens when Beta 1 cells are stimulated
it increases heart rate and contractility enhances the electrical conduction through your heart
28
Beta Blockers
- Decrease heart rate - Decrease contractility - Decrease electrical conduction through your heart Used for patients who have an elevated HR, have HTN, and have arrithmias side effects: could have heart failure
29
What are the divisions of the nervous system?
The CNS- Central Nervous System PNS- Peripheral Nervous System
30
What does the CNS consist of
The Brain The Spinal Cord
31
What does the PNS Consist of
The Somatic (Volunary) and Autonomic (Involuntary) ^ Parasympathetic Sympathetic
32
Drug effects
How we manipulate the target cell
33
Cholenergic primary neurotransmitter
Acetylcholine
34
Beta 1 stimulation
Increases contractility and heart rate Sympathetic. Adenergic
35
Muscarinic receptors
Parasympathetic Decreases hr contractility
36
Parasympathetic
Decreases heart rate and contractility
37
Sympathetic
Increases heart rate and contractility
38
Autonomic tone
When parasympathetic and sympathetic are in opposition of each other. Which one is in control? Most of the time the parasympathetic is in control
39
Complementary
Erection is stimulated by parasympathetic Whereas ejaculation is stimulated by sympathetic They complement each other
40
Vascular system is solely controlledby the
Sympathetic nervous system
41
If you rid the body of acetylcholine you would essentially shut down the
Parasympathetic and sympathetic ns
42
Acetylcholine is the neurotransmitter for the
Parasympathetic ns
43
Gun shows -
Acetylcholine is the neurotransmitter for the somatic motor nervous system which is skeletal muscle.
44
Acetylcholine is not the post ganglionic neurotransmitter in the sympathetic except for one organ system...
Sweat glands
45
The neurotransmitter for the sympathetic ns except for sweat glands is
Norepinephrine
46
Epinephrine or adrenalin
Is out flight or flight response which is released from the kidneys
47
Primary cns neurotransmitter is
Dopamine Dilates the kidney. Enhances blood flow
48
Cholinergic receptors are stimulated by
Acetylcholine Primarily pns
49
What are the three types of cholinergic receptors
Nicotinic N- nerves- pns and sns Nicotinic M- muscles. Somatic Muscarinic. On target organs. The locks. Key is acetylcholine.
50
Muscarinic agonists
``` Increase sweat Increase spit Myosis- small pupil Decreases heart rate Wheezing Increases secretions Go potty Increases gi Erection Vasodilation ```
51
Agenergic receptors
Sympathetic ``` Alpha 1 Alpha 2 Beta 1 Beta 2 Dopamine ```
52
Alpha 1
Vaso constriction Alpha 1 blockade used for bph
53
Whoa receptor
Alpha 2 Shuts Down additional release of neurotransmitters
54
Beta 1
On heart. Increases conduction, contraction, rate
55
Beta 2
Arteries. Dilation Sympathetic Lungs- cause bronchi dilation- albuterol Liver- glycogen breakdown Skeletal muscle- enhances contraction
56
Albuterol
Beta 2 agonist
57
Epinephrine stimulates
Alpha 1 Alpha 2 Beta 1 Beta 2
58
Norepinephrine stimulates
Alpha 1 Alpha 2 Beta 1
59
Dopamine stimulates
Alpha 1 Beta 1 Dopamine
60
Acetylcholine is broken down by
Acetylcholinesterase
61
Norepinephrine is
Recycled in the nerve terminal Or broken down by monoaminoxydase
62
Epi
Disassociates and floats away and is metabolized by the liver
63
Bethanechol
Cholinergic agonists Makes muscarinic man Their competition is acetylcholine Use in chronic constipation Urinary retention Xerostomia Glaucoma
64
Atropine
The antidote to muscarinic overdose
65
Atropine is anticholinergic
Used for pre-anesthesia
66
Tubocurarine and atracurium
Block nic m receptors Does not effect cns Antidote is physostigmine
67
Physostigmine
Antidote give atropine