ch 5 Flashcards

(36 cards)

1
Q

what are the two major control systems?

A

-nervous system
-endocrine system

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2
Q

what two systems make up the nervous system

A

-Central nervous system
-peripherial nervous system

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3
Q

describe the role of the central nervous system

A

-core of decision making
-consist of:
*brain=command center–>sending out instructions
*spinal cord=conduit for transmitting messages b/w brain and body

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4
Q

what makes up the peripheral nervous system and their functions?

A

-bridges the cap b/w brain,spinal cord, limbs

Somatic neurons-voluntary movements picking up a cup

*autonomic neurons-involuntary *HR, RR, digestion

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5
Q

what two divisions make up the autonomic system?

A

-parasympathetic-rest and digest
-sympathetic-fight or flight

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6
Q

where does the parasympathetic nerve fibers originate from

A

cranial and sacral portion of the spinal cord

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7
Q

where does the sympathetic fibers arise from

A

thoracic/lumbar regions of spinal cord

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8
Q

what is the parasympathetic nervous system role

A

-“rest and digest’
control day-to-day, energy conserving
*decrease HR
*miosis
*increase motility/digestive activity
*increase mucus /secretion
*bronchoconstriction

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9
Q

what is the role of the sympathetic nervous system

A

‘fight or flight’
prepares body for stressful or emergency situations. heightens everything
*increase HR
*increase BP
*increase RR
*dialated pupils:mydriasis
*decrease motility
*expands lung capacity
*bronchodilation

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10
Q

what symptoms characterize overstimulation of parasympathetic nervous system?

A

SLUD
salivation, lacrimation, urination, defecation

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11
Q

what is the primary neurotransmitter of the parasympathetic nervous system>

A

acetycholine

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12
Q

what is the primary neurotransmitter of the sympathetic nervous system?

A

*pre-ganglionic- acetylcholine
*post ganglionic -norepinerphine- prepares the body for rapid action in stress

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13
Q

how are nerve impulses conducted throughout the body?

A

-electrical and chemical

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14
Q

what are the two types of nerve fibers and their role?

A

efferent-sends command from brain–>body, to react quickly to situations *think E for exit

afferent-carry sensory information from body–>CNS *think A for Arrive

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15
Q

define parasympathomimetic

A

its a cholinergic agent
*mimic parasympathetic nervous system *it does everything parasympathetic does
*decreases HR,
*vasodilationBP,RR
*increase motility
*pupil-miosis
*increase mucus/ secretions
*bronchoconstiction

ex methycholine, agonist mimic acetycholine and activate muscarinic receptors :M1,M2,M3

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16
Q

define parasympatholytic

A

its an anticholinergic agent
-inhibits parasympathetic nervous system
*increases Hr
*slow down bowel movements, slows down digestion
*decreases saliva, secretions.mucus
*bronchodilation
*vasconstriction
*blocks acetylcholine

ex. ipatroprium bromide,

17
Q

explain how acetylcholine is inactivated at parasympathetic terminal receptor site

A

inactivated by enzyme: cholinesterase
- stops acetylcholine from overstimulation body (SLUD)

18
Q

what are the two receptors found in the parasympathetic system and where are they located

A

-muscarinic
*m1-CNS and gastric
*M2-located in heart
*M3-found in smooth muscle and submucosal glands

-nicotinic -influence breathing patterns under stress

19
Q

what happens when acetylcholine binds to M1, M2, and M3 receptors ?

A

m1-increase secretions in the stomach, increasing digestion
M2- decreases HR
M3- causes bronchoconstriction

20
Q

identify a direct acting cholinergic agent used in bronchial challenge test?

21
Q

define sympathomimetic

A

its an adrenergic
*mimics the sympathetic nervous system
*increases HR
*increase BP
*bronchodilation
*vasoconstriction
*increases glucose levels
ex. abuteral

22
Q

define sympatholytics

A

its an antiadrenergic
*inhibits the effect of the sympathetic nervous system
*lowers HR
*lowers BP

ex. propranolol

23
Q

describe the termination process of the neurotransmitter noreponephrine

A

-reuptake-reabsorbed back into nerve ending
- enzymes that break down norepinephrine
*catechol O methyltransferase (COMT)
*monoamine oxidase (MAO)

24
Q

what are the sympathetic receptor types?

A

alpha receptors
*alpha 1

beta receptors
*beta 1- heart
*beta 2- lungs

25
which receptor sites does epinephrine stimulate what does it do?
alpha 1- vasoconstriction beta 1- increase HR beta 2- bronchodilation
26
how are drugs that block acetylcholine receptors classified?
anticholinergic agents
27
identify agents that inhibit the sympathetic nervous system
sympatholytic agents-antiadenergic
28
what cardiovascular effects should you monitor after administering an adrenergic bronchodilator?
heart rate-tachycardia
29
which part of a physical examination are likely affected by atropine or similar parasympatholytic agents?
Gi tract, neurological system, cardiovascular
30
recommend a type of drug to treat bradycardia
sympathomimetic
31
what effect does adrenergic stimulation have on bronchial smooth muscle
bronchodilation and vasoconstriction
32
which receptors are responsible for bronchial smooth muscle relaxation
beta 2 receptors
33
suggest another type of aerosolized drug that could complement albuterol in treating bronchospasm
anticholinergic agent
34
what actions are mimicked by adrenergic bronchodilators
epinephrine
35
which receptors are found on airway smooth muscle and submucosal glands
m3
36
which branch of the nervous system can cause relaxation of airway smooth muscle?
sympathetic nervous system