1. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 5 The Central and Peripheral Nervous Systems

2. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. The Nervous System  Anatomical description of the autonomic branches  Parasympathetic fibers: arise from cranial/sacral portions of spinal cord  Sympathetic fibers: leave cord primarily from thoracic/lumbar regions

3. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. The Nervous System  Contrasts between parasympathetic and sympathetic regulation  Parasympathetic controls day-to-day bodily functions Overstimulation = SLUD syndrome Overstimulation = SLUD syndrome  Sympathetic reacts as a general alarm system Not essential to life, but allows coping with violent stress Not essential to life, but allows coping with violent stress

4. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. The Nervous System  Neurotransmitters  Acetylcholine  Norepinephrine  Efferent and afferent nerve fibers  Efferent: From brain/spinal cord to neuroeffector sites  Afferent: From periphery to spinal cord

5. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. The Nervous System  Terminology of drugs affecting the nervous system:  Terms based on nerve fiber anatomy: Parasympathomimetic Parasympathomimetic Parasympatholytic Parasympatholytic Sympathomimetic Sympathomimetic Sympatholytic Sympatholytic

6. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. The Nervous System  Terminology of drugs affecting the nervous system:  Terms based on neurotransmitter and receptor: Cholinergic Cholinergic Anticholinergic Anticholinergic Adrenergic Adrenergic Antiadrenergic Antiadrenergic

7. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Parasympathetic Branch  Cholinergic neurotransmitter function  Muscarinic and nicotinic receptors and effects  Muscarinic effects  Nicotinic effects  Subtypes of muscarinic receptors  M 1, M 2, M 3, M 4, M 5

8. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Cholinergic Agents  Direct acting  Indirect acting  Cholinesterase reactivator (Pralidoxime)

9. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Anticholinergic Agents  Atropine as a prototype parasympatholytic agent  Parasympatholytic (antimuscarinic) effects

10. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Sympathetic Branch  Adrenergic neurotransmitter function  Enzyme inactivation  COMT  MAO

11. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Sympathetic Branch  Sympathetic (adrenergic) receptor types  α and β receptors  β 1 and β 2 receptors  α 1 and α 2 receptors  Dopaminergic receptors

12. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Sympathomimetic and Sympatholytic Agents  Sympathomimetics  Stimulate sympathetic system and produce adrenergic effects  Sympatholytics  Block adrenergic effects

13. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Neural Control of Lung Function  Inflammatory cell mediator receptors  Histamine  Prostaglandin  Leukotriene  Platelet-activating factor  Adenosine  Bradykinin

14. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Neural Control of Lung Function  Sympathetic innervation and effects  Airway smooth muscle β Receptors β Receptors α Receptors α Receptors  Lung blood vessels  Mucous glands

15. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Neural Control of Lung Function  Parasympathetic innervation and effects  Muscarinic receptors in the airway M 1 Receptors M 1 Receptors M 2 Receptors M 2 Receptors M 3 Receptors M 3 Receptors  Muscarinic receptors on blood vessels

16. Mosby items and derived items © 2008, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Neural Control of Lung Function  Nonadrenergic, noncholinergic inhibitory nerves  Neither parasympathetic nor sympathetic  Cause relaxation of smooth airway muscle  Nonadrenergic, noncholinergic excitatory nerves  Neither parasympathetic nor sympathetic  Cause contraction of smooth airway muscle