Pharmacology I: Autonomic Nervous System Overview
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Questions and Answers

What is the primary function of the autonomic nervous system?

  • Regulates conscious thought processes
  • Controls voluntary movements
  • Enhances muscular strength
  • Mediates involuntary functions (correct)

Which neurotransmitter is primarily associated with the parasympathetic nervous system?

  • Acetylcholine (correct)
  • Norepinephrine
  • Serotonin
  • Dopamine

Which of the following is a characteristic of the sympathetic nervous system?

  • Decreases heart rate
  • Enhances digestion
  • Stimulates the fight or flight response (correct)
  • Promotes calming of nerves

Which type of drug acts by mimicking the parasympathetic nervous system?

<p>Parasympathomimetics (B)</p> Signup and view all the answers

What is the effect of anticholinesterase drugs like physostigmine?

<p>Enhance acetylcholine levels (D)</p> Signup and view all the answers

Which drug is classified as a sympatholytic?

<p>Propranolol (D)</p> Signup and view all the answers

What effect do parasympatholytics like atropine have on the body?

<p>Increases heart rate (C)</p> Signup and view all the answers

Which of the following medications would be categorized as a sympathomimetic?

<p>Adrenaline (B)</p> Signup and view all the answers

What is the primary pharmacological action of pilocarpine on the eyes?

<p>Miosis (A)</p> Signup and view all the answers

What is a therapeutic use of pilocarpine?

<p>Lowering intraocular pressure in glaucoma (D)</p> Signup and view all the answers

Which of the following is a major side effect of pilocarpine?

<p>Weakness and collapse (D)</p> Signup and view all the answers

What type of receptor does pilocarpine primarily act as an agonist for?

<p>Muscarinic receptors (A)</p> Signup and view all the answers

Which of the following ganglionic blockers is classified as a competitive blocker?

<p>Hexamethonium (C)</p> Signup and view all the answers

Which pharmacological action of pilocarpine affects the cardiovascular system?

<p>Irregular rhythm and bradycardia (A)</p> Signup and view all the answers

What mechanism does depolarizing blockers use in relation to nicotinic receptors?

<p>Stimulates the nicotinic receptors (C)</p> Signup and view all the answers

What is a common consequence of pilocarpine use if overdosed?

<p>Asphyxia or cardiac depression (B)</p> Signup and view all the answers

What is the first step in the scheme for identification of drugs acting on the ANS?

<p>Species (B)</p> Signup and view all the answers

Which observation indicates a decrease in motor activity after administration?

<p>Spontaneous motor activity decreases (C)</p> Signup and view all the answers

What effect on narcosis was observed before and after administration?

<p>Narcosis absent both before and after (C)</p> Signup and view all the answers

What response was noted regarding escape behavior after touch?

<p>Escape behavior decreased (D)</p> Signup and view all the answers

Which reflex showed normal response before and after administration?

<p>All of these reflexes (B)</p> Signup and view all the answers

What was the effect on tremors after drug administration?

<p>Tremors absent (C)</p> Signup and view all the answers

Which factor is NOT part of the drug identification scheme?

<p>Age of the subject (C)</p> Signup and view all the answers

What is the effect of miosis on pupil diameter?

<p>Decreases pupil diameter (B)</p> Signup and view all the answers

What was the effect on behavior observed after drug administration?

<p>Behavior decreased (C)</p> Signup and view all the answers

Which of the following is an effect of a Parasympathomimetic drug like Pilocarpine?

<p>Increase in lacrimation (A)</p> Signup and view all the answers

What is a characteristic respiratory response to Nicotine?

<p>Dyspnea (D)</p> Signup and view all the answers

What change is observed in heart rate as a result of miosis?

<p>Decrease in heart rate (C)</p> Signup and view all the answers

Which of these changes is NOT associated with the administration of Pilocarpine?

<p>Decrease in urination (A)</p> Signup and view all the answers

What initial cardiovascular effect is noted after administering Nicotine?

<p>Initial rise of blood pressure followed by a fall (A)</p> Signup and view all the answers

Which detailed change occurs in the eye following Nicotine exposure?

<p>Initially constricted, then dilated pupils (B)</p> Signup and view all the answers

Which of the following is a potential cause of death associated with Nicotine?

<p>Respiratory failure (B)</p> Signup and view all the answers

Flashcards

Sympathetic nervous system

Part of the autonomic nervous system involved in the 'fight or flight' response; responsible for arousal and energy generation.

Parasympathetic nervous system

Part of the autonomic nervous system involved in 'rest and digest'; responsible for calming nerves and normal functioning.

Parasympathomimetics

Drugs that mimic the parasympathetic nervous system; also called cholinergics.

Parasympatholytics

Drugs that block parasympathetic activity.

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Sympathomimetics

Drugs that mimic the sympathetic nervous system.

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Sympatholytics

Drugs that block sympathetic activity.

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Autonomic Nervous System (ANS)

Part of the peripheral nervous system that controls involuntary bodily functions, like heart rate, digestion, and breathing.

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Cholinergics

Drugs affecting the parasympathetic nervous system as it uses acetylcholine (ACh) as the neurotransmitter.

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Species

The animal group being studied. This helps determine drug effects specific to that species.

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Sex

Male or female. This considers potential differences in drug response based on gender.

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Route of administration

The method of giving the drug (oral, injection, etc.). This affects how quickly and how much drug reaches the target.

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Weight

The animal's body mass. This helps calculate the appropriate drug dose.

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Dose calculation

Determining the correct amount of drug to administer based on factors like weight, age, and species.

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Observation: Grip strength

Measures the animal's ability to grasp and hold, indicating potential muscle weakness or paralysis.

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Observation: Locomotion

Tracks the animal's movement, revealing changes in coordination, speed, or ability to move.

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Observation: Spontaneous motor activity

Observes the animal's natural movements, revealing changes in restlessness or lethargy.

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What does Miosis mean?

Miosis refers to the constriction of the pupil of the eye, making it smaller.

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What's the effect of the Drug on Salivation?

The drug increases salivation.

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What is the effect of the drug on Heart Rate?

The drug decreases heart rate.

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What is the drug's effect on Respiration?

The drug decreases the breathing rate.

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What is the drug's effect on Excretions?

The drug stimulates increased urination and defecation.

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What is the Drug's Peculiarity?

The drug causes increased salivation, lacrimation, urination, and defecation

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Nicotine's Effect on Heart Rate?

Nicotine initially increases blood pressure, followed by a decrease.

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What is the Cause of Death in Nicotine Poisoning?

Respiratory failure is the primary cause of death in nicotine poisoning.

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Ganglionic stimulants

Substances that stimulate the ganglia, a cluster of nerve cells.

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Ganglionic blockers (Depolarizing)

Block the nicotinic receptors by strongly depolarizing them, preventing acetylcholine from activating them.

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Ganglionic blockers (Competitive)

Block the nicotinic receptors by competing with acetylcholine for those receptors.

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Pilocarpine

A parasympathomimetic that stimulates the parasympathetic nervous system.

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Pilocarpine's effects on the eyes

Causes miosis (constriction of pupils).

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Therapeutic use : Glaucoma

Used topically to lower intraocular pressure.

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Pilocarpine's therapeutic use in xerostomia

Stimulates salivation in patients with dry mouth.

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Pilocarpine's role in sweat testing

Stimulates sweat glands to measure chloride and sodium levels in sweat.

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Study Notes

Pharmacology I (PPT301) - Fall 2024-2025

  • Course: Pharmacology I (PPT301)
  • University: New Mansoura University
  • Faculty: Faculty of Pharmacy
  • Pharm D Program
  • Intended Learning Outcomes:
    • Distinguish between sympathetic and parasympathetic nervous systems and their effects on the body.
    • Identify autonomic acting drugs and their effects.
    • Schematically identify unknown autonomic acting drugs.

Autonomic Nervous System (ANS)

  • The ANS is part of the peripheral nervous system.
  • It controls visceral functions largely below the level of consciousness.
  • Most ANS actions are involuntary.
  • Controls: Heart rate, salivation, digestion, respiratory rate, perspiration, pupil diameter, urination, and defecation.

Sympathetic Nervous System

  • Fight or flight response
  • Arousal and energy generation
  • Inhibits digestion

Parasympathetic Nervous System

  • Rest and digest
  • Calming of nerves and normal function
  • Enhances digestion

Drugs Affecting the Autonomic Nervous System

  • Parasympathomimetics (cholinergics):

    • Mimic the parasympathetic nervous system.
    • Acetylcholine (ACh) is the neurotransmitter.
    • Act directly on nicotinic or muscarinic receptors, or indirectly by inhibiting cholinesterase or promoting ACh release.
      • Examples: Carbachol, physostigmine, pilocarpine.
  • Parasympatholytics: Atropine

  • Sympathomimetics: Adrenaline and ephedrine

  • Sympatholytics:

    • Alpha blockers: phentolamine
    • Beta blockers: propranolol
  • Ganglionic stimulants: Diluted nicotine

  • Ganglionic blockers:

    • Depolarizing blockers: Concentrated nicotine
    • Competitive blockers: Hexamethonium, Mecamylamine

Parasympathomimetics (Pilocarpine)

  • Pharmacological actions:
    • Eye: Miosis
    • CNS: Tremors and mild convulsions
    • CVS: Irregular rhythm and bradycardia
    • GIT: Salivation, nausea, vomiting, diarrhea
    • Respiration: Labored respiration, Pulmonary edema
    • Skin: Increased sweating
  • Death may occur from asphyxias or cardiac depression.
  • Onset time: 5-10 minutes

Ganglionic Blockers

  • Depolarizing blockers: Strongly depolarize nicotinic receptors; ACh cannot stimulate the receptor. Example: conc nicotine
  • Competitive blockers: Occupies the nicotinic receptor; ACh cannot occupy the receptor. Example: Hexamethonium, Mecamylamine

Nicotine Pharmacological Actions

  • Tremors (especially in frog hind-limbs)
  • Burning sensation in the mouth
  • Nausea, vomiting, diarrhea
  • Abdominal pain
  • Initial rise followed by a fall in blood pressure
  • Convulsions
  • Eye constriction followed by dilation
  • Sweating
  • Dyspnea (Shortness of breath): Respiratory failure

Scheme for Identification of Drugs Acting on ANS

  • Species
  • Sex
  • Route of administration
  • Weight
  • Dose calculation

Observations (Before and After Administration)

  • Grip strength (Locomotion, Stereotypic Behavior)
  • Gait
  • Posture
  • Narcosis
  • Sleeping
  • Tremors
  • Convulsions
  • Catalepsy
  • Escape after touch
  • Righting reflex
  • Corneal reflex
  • Pain reflex

Effects on ANS (Before and After Administration)

  • Pupil size
  • Eyelids
  • Eye ball movements
  • Salivation
  • Sweating
  • Lacrimation
  • Urination
  • Defecation
  • Piloerection
  • Heart Rate
  • Respiratory Rate

Therapeutic Uses (Pilocarpine)

  • Glaucoma treatment (lowers intraocular pressure)
  • Xerostomia treatment (increased salivation)
  • Antidote for atropine and hyoscyamine poisoning
  • Sweat test (measuring chloride and sodium excretion)

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Description

This quiz covers key concepts of the Autonomic Nervous System (ANS) as part of Pharmacology I (PPT301) for the Pharm D program. Learn to distinguish between sympathetic and parasympathetic systems, their functions, and the autonomic acting drugs that influence these systems. Test your understanding of these fundamental pharmacological principles.

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