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Pharmacology: The Autonomic Nervous System

front 1

Endocrine System

back 1

Sends signals to target tissues by varying the levels of bloodborne hormones

front 2

Nervous System

back 2

Exert its influence by the rapid transmission of electrical impulses over nerve fibers that terminate at effector cells

front 3

Effector cells

back 3

respond to the release of neuromediator substances.

front 4

What are autonomic drugs

back 4

Drugs that produce their primary therapeutic effects by mimicking or altering the function of the autonomic nervous system.

Either stimulate ANS or Block ANS

front 5

Nervous system is divided into how many anatomical divisions?

back 5

2; CNS (Central Nervous System) & PNS (Peripheral Nervous System)

front 6

What is the CNS

back 6

Composed of brain and spinal cords

front 7

What is the PNS

back 7

Its subdivided into:

efferent division- neurons of which carry signals away from brain and spinal cord of peripheral tissues

afferent- bring information from peripheral to CNS
It provides sensory imput to modulate function of efferent division through reflex arcs, or neural pathways that mediate a reflex action

front 8

Efferent portion of PNS is divided into 2 major functional subdivisions. What are they?

back 8

Somatic & Autonomic System

front 9

What is the Somatic system

back 9

thee somatic efferent neurons are involved in voluntary control of functions such as contraction of skeletal muscles essential for locomotion

front 10

What is the Autonomic system

back 10

regulates everyday requirements of vital bodily functions without the conscious participation of the mind

front 11

Because of the involuntary nature of the ANS, as well as its function, its also known as?

back 11

Visceral, Vegetative, or Involuntary Nervous System

front 12

ANS is composed of?

back 12

efferent neurons that innervate smooth muscle of the viscera, cardiac muscle, vasculature, and the exocrine glands; controlling digestion, cardiac output, blood flow, and glandular secretions

front 13

Anatomy of the ANS:
What are Efferent Neurons

back 13

ANS carries nerve impulses fromt he CNS to effector organs by 2 types of efferent neurons:
Preganglionic & Postganglionic

front 14

What are Preganglionic neurons?

back 14

Cell body located within CNS
Emerge from brainstem (spinal cord) and make a synaptic connection in ganglia (collection of nerve cell bodies located in PNS)

front 15

What are the functions of the ganglia

back 15

its a relay station between a preganglionic neuron and second nerve cell called Postganglionic
Collection of nerve cell bodies located in PNS)

front 16

What are Postganglionic neurons?

back 16

Cell body originating in Ganglion
Nonmyelinated & terminates on effector organs; ex. smooth muscles of viscera, cardiac muscle and exocrine glands

front 17

Anatomy of the ANS:
What are Afferent Neurons

back 17

They are important in the reflex regulation.
Ex: Sensing pressure in carotid sinus and aortic arch

Signals CNS to influence the efferent branch of the system to respond

front 18

Efferent ANS is divided into what 3 Nervous systems?

back 18

Sympathetic
Parasympathetic
Enteric

front 19

Anatomy of the Efferent ANS:
Sympathetic Neurons

back 19

Originate in CNS and emerge from 2 different spinal cord regions

Pregangionic neurons (short in comparison to Post) of Sympathetic system come from the thoracic & Lumbar region (T1-L2)

Synapse into 3 cord like chains of ganglia that run close to and in parallel on each side of the spinal cord.

Post gangionic nuerons extend from ganglia to tissues that innervate and regulate

front 20

Anatomy of the Efferent ANS:
The Sympathetic nervous system is also called the?

back 20

Thoracolumbar division (because of its location)

front 21

Anatomy of the Efferent ANS:
Describe the Preganglionic nerves ending of SNS

back 21

highly branched, enabling one pregangionic neuron to interact with many postganglionic neurons

Enables to activate numerous effector organs at the same time

(Adrenal medulla): receive preganglionic fibers from Sympathetic.

The adrenal medulla, in response to stimulation by ganglionic neurotransmitter acetylcholine, influences other organs by secreting the hormone epinphrine

lesser amounts of norepinpherine into the blood

Adrenal Medulla --> acetylcholine ---> epinephrine

front 22

Anatomy of the PNS:
Parasympathetic Neurons; where do they arise?

back 22

Arise from Cranial nerves:

III- oculomotor
VI- Facial
IX- Glossopharyngeal
X- Vagus
Sacral region (S2-S4)
Synapse in ganglia near or on the effector organ

front 23

Anatomy of the PNS:
Parasympathetic Neurons; Vagus Nerves

back 23

Accounts of 90% of preganglionic parasympathetic fibers in the body

Postgangionic from Vagus innervate most organs in thoracic & Abdominal Cavity

front 24

Anatomy of the Efferent ANS:
The Parasympathetic nervous system is also called the?

back 24

Craniosacral Division

Preganglionic fibers are longer and post gangionic are short with the ganglia close to or within the organ innervate

front 25

So Difference between Parasympathetic and Sympathetic Pre & Post ganglionic nerves?

back 25

Sympathetic: Pre = Short
Post = Longer as it extend from
ganglia to tissues that innervate and
regulate)

Para: Pre = Long
Post = Short with ganglia close to or
within organ innervate

front 26

Anatomy of the PNS:
Enteric Neurons

back 26

3rd division of ANS

Collection of nerve fibers that innervate the GI tract, pancreas, & gallbladder

"Brain of the gut"

front 27

Anatomy of the PNS:
Enteric Neurons function

back 27

functions independently of CNS & controls motility, exocrine and endocrine secretions, and microcirculation of GI tract.

Modulated (adapted) by both sympathetic & parasympathetic

front 28

Function of SNS

back 28

Adjust in response to stressful situation; fear, trauma, hypoglycemia, cold, & exercise

front 29

Sympathetic actions of SNS

back 29

Eye: Contract of Iris radial muscle (Pupil dilates)

Trachea & Bronchioles: Dilation

Adrenal Medulla: Secrete epinepherine & norepinephrine

Kidney: secrete renin (Beta increases Alpha decreases)

Ureters & Bladder: Relaxation of detrusor
Contract Trigone & Sphincter

Genitalia: Stimulate ejaculation

Salivary Glands: Thick, viscous secretion

Heart: Increase rate; increase contractility

GI: Decreased muscle motility and tone; contraction of sphincter

Genitalia (Female): Relax of uterus

Blood Vessel (Skeletal muscle): Dilation

Blood Vessels (Skin, mucous membranes, and splanchnic area): Constrict

front 30

Parasympathetic action of SNS

back 30

Eye: Contraction of Iris sphincter muscle (pupil contract) Contract of ciliary muscle (lens accomodate for near vision)

Trachea & Bronchioles: Constriction, increased secretions

Ureters & Bladder: Contraction of detrusor; relaxation of trigon sphincters

Genitalia (Male): Stimulate erection

Lacrimal Glands: Stimulate tears

Salivary glands: Copious, watery secretion

Heart: Decrease rate; decrease contractility

Gastrointestinal: Increase muscle motor & Tone:

front 31

Different Stimulations of Sympathetic & Parasympathetic

back 31

Sympathetic: "Fight or Flight" with sympathetic output (diffuses because postganglionic neurons may innervate more than one organ)

Parasympathetic: "Rest & Digest Stimulus" with parasympathetic output (discrete because postganglionic neurons are not branched, but are directed to a specific organ

Anabolic

front 32

Effects of stimulation of the sympathetic division

back 32

Output = increase HR & BP
mobilize energy stores of the body

increase blood flow to skeletal
muscles & heart while diverting
flow from skin & internal organs

front 33

Symapthetic "Flight or Flight"

back 33

Changes experienced by the body during emergencies:

triggered: direct sympathetic activation of effector by stimulation of adrenal medulla to release epinephrine & less norepinephrine

Function as a unit & often discharges as complete system; (ex. severe exercise/increase reaction to fear)

Helps body handle uncertain situations and unexpected stimuli

not essential for survival

Catabolic

front 34

stimulation of the parasympathetic division

back 34

Maintains homeostasis of body
maintains essential bodily functions; digestive process and elimination of wastes

required for life

acts to OPPOSE or balance actions of sympathetic division and is DOMINATE over sympathetic in "rest & digest situations"

not a functional entity and never discharges as a complete system. If did, massive, undesirable, and unpleasant symptoms (ex; involuntary urination & defecation

activated SEPARATE and system functions to affect specific organs; stomach or eye

front 35

Role of CNS in control of autonomic functions

back 35

does not require sensory input from peripheral structures to provide info on state of affairs in body

feedbacks are from afferent impulses, originating in viscera & other autonomic innervates that travel to CNS (hypothalamus, medulla oblongata, and spinal cord)

sends Efferent reflex impulses via Autonomic nervous system

front 36

Role of CNS: Reflex arcs

back 36

most afferent impulses are translated into reflex response w/o involving consciousness

Ex: Fall in blood pressure causes pressure-sensitive neurons (baroreceptors in heart, vena cava, aortic arch, and carotid sinus) to send fewer impulses to cardiovascular center in brain
It prompts a reflex response of icnrease sympathetic output to heart and vasculature and decrease parasympathetic output to the heart, results in rise in BP and tachcardia

Ex: An example would be a pinprick of the finger. The reflex arcs consist of an afferent (sensory) arm and an efferent (motor) arm

front 37

Emotions from ANS

back 37

Stimuli evokes strong feelings; rage, fear, pleasure, and can modify the activities of ANS

front 38

Innervations by ANS

back 38

Dual: most innervated by both divisions of ANS
Ex: Vagal parasympathetic = slows heart rate
Vagal Sympathetic = increase heart rate

one system usually predominates in controlling the activity of a given organ
Ex: heart, the vagus nerve is predominant factor for controlling rate

front 39

What organs ONLY receive sympathetic innervation?

back 39

adrenal medulla
kidney
pilomotor muscle
sweat glands

front 40

Somatic Nervous system

back 40

efferent somatic nervous system difference from autonomic in that single myelinated motor neuron from cns travels directly to skeletal w.o mediation of ganglia

Somatic nervous system is under voluntary control.
Autonomic nervous system is under involuntary control

Response in somatic are generally faster than ANS

front 41

Summary of differences between Sympathetic & Parasympathetic

back 41

Sympathetic Parasympathetic
widely distributed limited distrib
innervate all effectors circumscribed (1-1
broader influence interaction
synapse large number of anatomical arrangement
postganglionic fibers

front 42

Somatic Nervous system innervates:

back 42

skeletal muscles.
one somatic motor neuron axon is highly branched
each branch innervates a single muscle fiber (1 may intervate 100)
leads to formation of motor unit
when lack of ganglia and myelination of motor nerves, somatic nervous system enables a fast response

front 43

What are some Chemical Signalling between cells

back 43

Nuerotransmission in ANS
Hormones
local Mediators

front 44

Chemical Signalling between cells
Hormones

back 44

Specialized endocrine cells secrete hormones into bloodstream where they travel throughout body

exert effects to target cells in body

front 45

Chemical Signalling between cells
Local Mediators

back 45

most cells secrete chemicals that act locally; on cells in their immediate environment

these chemical signals are rapidly destroyed or removed, they do not enter blood and are not distributed throughout body

Histamine & Prostiglandins

front 46

Neurotransmitters

back 46

Distinct anatomic units with no structual continuity

communications between nerve cells and effector organs occur through release of specific chemical signals

front 47

How is release of neurotransmitters triggered?

back 47

Release of neurotransmitters is triggered by arrival of the action potential which
leads to depolarization.

An increase in calcium ion leads to fusion of synaptic vesicles with presynaptic membranes that release their content

It Rapidly defuses across cleft or space (synapse) moving cleft and expel neurotransmitters which
combine with specific receptors on postsynaptic
cell.

front 48

Membrane receptors of Nuerotransmitters

back 48

too hydrophilic to penetrate the lipid bilayers of target cell plasma membranes
signal than is mediated by binding to specific receptors on the cells surface of a target organ

front 49

what are the types of neurotransmitters (6)

back 49

Norepinephrine
acetylcholine
dopamine
seratonin,
histamine,
gama aminobutyric acid (GABA)

front 50

What 2 neurotransmitters are the primary chemical signals in ANS?

back 50

Acetylcholine & Norepinephrine

front 51

What are the neurotransmitters that are primary chemical signals of the CNS

back 51

dopamine
seratonin
histamine
gama aminobutyric acid (GABA)

front 52

Acetylcholine

back 52

ANS fibers can be divided into 2 groups based on chemical nature of neurotransmitter released

Its a ganglionic transmitter

If transmission by acetylcholine, the neuron is cholinergic

Cholinergic – autonomic nerve fibers which
transmission is mediated by acetylcholine. It mediates transmission of nerve impulses across autonomic ganglia in both sympathetic and
parasympathetic nervous systems

front 53

Acetylcholine continued

back 53

is the neurotransmitter for Adrenal medulla

Transmission from autonomic
postganglionic nerves to effector organs via
acetylcholine

Somatic nervous system is cholinergic

front 54

Norepinephrine & Epinephrine

back 54

when transmitted its adrenergic (another name for epinephrine)
Sympathetic system- norepinephrine mediates nerve impulses from autonomic postganglionic nerves to effector organs

front 55

Transmitters and Receptors:
Sympathetic innervation of adrenal medulla

back 55

Preganglionic transmitter: Acetylcholine

Ganglionic transmitter: Acetylcholine

Ganglionic receptor: Nicotrinic

Postganglionic transmission: Epinephrine
& Norepinephrine released in blood

Receptors in Postganglionic
Effector Organ: Adrenergic receptors

front 56

Transmitters and Receptors:
Sympathetic Nervous System

back 56

Preganglionic transmitter: Acetylcholine

Ganglionic transmitter: Acetylcholine

Ganglionic receptor: Nicotrinic

Postganglionic transmission: Norepinephrine

Receptors in Postganglionic
Effector Organ: Adrenergic receptors

front 57

Transmitters and Receptors:
Parasympathetic Nervous System

back 57

Preganglionic transmitter: Acetylcholine

Ganglionic transmitter: Acetylcholine

Ganglionic receptor: Nicotrinic

Postganglionic transmission: Acetylcholine

Receptors in Postganglionic
Effector Organ:
Muscarinic or Nicotinic receptors

front 58

Transmitters and Receptors:
Somatic Nervous System

back 58

No Ganglia

Acetylcholine dominated

Receptors in Postganglionic Effector Organ
Nicotinic receptor in striated muscle

front 59

All preganglionic fibers of the autonomic nervous system use the neurotransmitter ______________.

back 59

Acetylcholine

front 60

The major neurotransmitter for sympathetic
postganglionic fibers is __________________.

back 60

Norepinephrine

front 61

Stimulation of sympathetic innervation to the eye causes contraction of the ____________ muscle and, therefore, __________ of the pupil

back 61

Radial
dilate

front 62

The rate-limiting step in the synthesis of norepinephrine is ___________.

back 62

formation of DOPA by tyrosine b-hydroxylase

front 63

The major pathway for the termination of the action of norepinephrine is ______________

back 63

Its reuptake

front 64

The actions of acetylcholine released from parasympathetic fibers in viscera are mediated by _______ receptors.

back 64

Muscarinic

front 65

Adrenergic receptors in the heart are predominantly
______________.

back 65

beta 1

front 66

Stimulation of alpha 1 receptors causes predominantly ____________ of blood vessels.

back 66

Constriction

front 67

Stimulation of the sympathetic nervous system causes ___________ in gluconeogenesis and glycogenolysis.

back 67

An increase

front 68

Stimulation of the b2
receptor in the pregnant uterus causes ______________ of the smooth muscle.

back 68

relaxation

front 69

Baroreceptors maintain what?

back 69

Baroreceptors maintain normal blood pressure
by influencing SN and/or PSN