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Intro to ANS - Pharm
Dr. P intro to ANS
31
Medical
Graduate
08/29/2012

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Cards

Term
Dual innervation is supplied to most organs except what major organ? Which part of the ANS innervates it?
Definition
The blood vessels.
Only have sympathetic innervation
Term
Parasympathetic postganglionic receptors are of what general type?
Definition
muscarinic
Term
Sympathethic postganglionic receptors are of what type?
Definition
adrenergic
Term
neuromuscular junction neurotransmitter is ____ and binds to ____ receptors?
Definition
acetylcholine
Nicotinic
Term
Sweat glands use what NT and what receptor?
Definition
Ach and muscarinic.
Term
Name the excitatory muscarinic receptors and their intracellular signaling pathway
Definition
M1, M3, and M5 (odds)
Operate via Gq activation leading to activation of PLC
Term
Name the Inhibitory muscarinic receptors and their intracellular signaling pathway
Definition
M2, and M4. Operate via Gi and inhibit adenylate cyclase production of cAMP.
Term
Major cardiovascular result of M2 binding and activation? Intracellular path to obtain effects?
Definition
reduced heart rate and conduction via increase K efflux and decrease cAMP via Gi receptor.
Term
M3 mediated effects on smooth muscle, glands, and endothelium
Definition
contraction of smooth muscle (asthma), stimulation of glands, and NO mediated vascular smooth muscle dilation of vessels.
Term
alpha-1 adrenergic receptor action and intracellular effect
Definition
a-1 mediates vasoconstriction via Gq receptor stimulating PLC -->IP3 and DAG.
Term
alpha-2 mediated effects? mechanism of signal transduction?
Definition
inhibits NE release from presynaptic terminals, some vasoconstriction and decrease insulin secretion**
Gi receptor that decreases cAMP
Term
beta-1 mechanism of signal transduction and effects?
Definition
binds to Gs and stimulates production of cAMP, causing increase in HR, contractility, conduction and **renin secretion**
Term
beta-2 mechanism of signal transduction and effects
Definition
binds Gs causing increase in cAMP and **relaxes smooth muscle**, causes glycogenolysis and gluconeogenesis, and increases insulin secretion.
Term
What innervates the ciliary muscle and what does this muscle do when it relaxes? what makes it relax?
Definition
both SNS and PNS innervate the muscle. when in relaxes the ciliary fibers tighten and the lense flattens. that allows you to see far. Sounds crazy. but it's right
Term
what receptor mediates dilation of the pupil?
Definition
alpha 1 receptor on the dilator pupillae
Term
What receptor mediates the constriction of the pupil?
Definition
M3 receptor on the constrictor pupillae.
Term
What produces aqueous humor? normal intraocular pressure
Definition
ciliary epithelium.
12-20 mm Hg
Term
What controls aqueous humor secretion?
Definition
primarily SNS controlled. SNS activation via alpha receptors causes vasoconstriction of the ciliary capillary beds and reduces production. B-2 receptors cause vasodilation and increase secretion.
Term
What drugs increase aqueous humor drainage?
Definition

muscarinic agonists and AchE inhibitors increse the DRAINAGE.

remember that the ciliary epithelium (producers of fluid) are under control of SNS. and thus if you used PNS mediators to vasodilate, you increase drainage w/o effecting production

Term
what two types of receptors are in the lung and what are their actions?
Definition

minimal sympathetic innervation to the lungs. the PNS acts via M3 --> vasoconstriction and via B2 --. bronchodilation (not innervation, just epithelial receptors)

 

Trachial SM, Bronchial SM, and Bronchial glands are under M3 PNS control.

Term
what heart node is innervated primarily by the left vagus? right vagus?
Definition
right --> SA
left --> AV
Term
What node does the sympathetic system primaily innervate?
Definition
SA node
Term
which has greater effect in the heart B1 or B2?
Definition
B1. very little B2 in the heart.
Term
Modulation of the SA node in the heart will effect what cardiovascular quality?
Definition
heart rate. The rest of the heart innervation is to adjust contractility or conduction velocity.
Term
what sympathetic receptor dilates coronary arteries?
Definition
beta 2
Term
for the baroreceptor reflex, what receptors are activated in order to maintain blood pressure after a drop in BP?
Definition
alpha 1
Term
what drugs are contraindicated in a pt with orthostatic hypertension?
Definition
alpha antagonists
Term
what do alpha2 and beta 2 receptors do in the pancreas?
Definition
a2 cause inhibition of insulin secretion
b2 causes stimulation of insulin secretion
Term
innervation of the detrusor muscle?
Definition
PNS contracts via M3
SNS relaxes via B2
Term
Trigone and Sphincter innervation?
Definition
a1 causes contraction
M3 causes relaxation
Term
What are the receptors in the juxtaglomelular apparatus and what do they do?
Definition
B1 causes renin secretion
A1 inhibits renin secretion
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