Ch. 14

Ch. 14
99問 • 1年前
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    問題一覧

  • 1

    What are the nervous divisions?

    CNS & PNS

  • 2

    What makes up the CNS?

    Brain & spinal cord

  • 3

    What makes up the PNS?

    Nerves & ganglia (collections of cell bodies)

  • 4

    Sensory (afferent) nerves -

    carry sensory info into brain/spinal cord

  • 5

    Somatic sensory nerves -

    signals from skin, muscles, joints, special senses

  • 6

    Visceral sensory nerves -

    signals from body organs

  • 7

    Motor (efferent) nerves -

    carry motor info from CNS to effectors

  • 8

    Somatic motor nerves -

    signals to skeletal muscles, voluntary

  • 9

    Visceral motor nerves -

    signals to smooth muscle, cardiac muscle, glands, involuntary

  • 10

    Sympathetic division

    “fight or flight”

  • 11

    Parasympathetic division

    “rest and digest”

  • 12

    Autonomic means:

    self-governed & fully independent

  • 13

    What does autonomic NS regulate?

    Fundamental states & life processes (heart rate, BP, & body temp)

  • 14

    Who dedicated his career to studying the ANS?

    Walter Cannon

  • 15

    Autonomic nervous system (visceral motor system) -

    a motor nervous system that controls glands, cardiac muscle, & smooth muscle; involuntary

  • 16

    Primary organs of the ANS

    • Viscera of thoracic & abdominal cavities • Some structures of body wall (cutaneous blood vessels vasodilation/constriction, sweat glands, arrector pili muscles)

  • 17

    How does the ANS carry out actions?

    Involuntarily

  • 18

    Visceral effectors ___ on the ANS to function; only to adjust their activity to the body’s changing needs

    do not depend

  • 19

    Visceral Reflexes 1. 2. 3. 4.

    1. High blood pressure detected by arterial stretch receptors 2. afferent neruon carries signal to CNS 3. efferent neruon signals travel to the heart 4. heart slows reducing blood pressure

  • 20

    Visceral Reflexes steps

    1. Baroreceptors sense increased blood pressure 2. Glossopharyngeal nerve transmits signals to medulla oblongata 3. Vagus nerve transmits inhibitory signals to cardiac pacemaker 4. Heart rate decreases

  • 21

    ANS has components in both the ___ nervous systems

    central & peripheral

  • 22

    What does the ANS control?

    Control nucleus in the hypothalamus & other brainstem regions

  • 23

    Hypothalamus sends a ___, other areas carry out the operation! How it sends the ___ is important & different!

    message

  • 24

    Somatic motor pathway (voluntary control) -

    A motor neuron from the Brainstem or spinal cord has a myelinated axon that reaches all the way to the skeletal muscle

  • 25

    Autonomic pathway

    - Signal must travel across two neurons to get to the target organ - Must cross a synapse where these two neurons meet in an autonomic ganglion

  • 26

    What is part of the autonomic system?

    - Presynaptic (preganglionic) neuron - Synapses with a postganglionic neuron

  • 27

    Presynaptic (preganglionic) neuron -

    The first neuron has a soma in the Brainstem or spinal cord

  • 28

    Synapses (with postganglionic neuron)

    Their axon extends the rest of the way to the target cell

  • 29

    ANS -

    Two neurons from CNS to effectors

  • 30

    Presynaptic neuron cell body in is ___

    CNS

  • 31

    Postsynaptic neuron cell body is in ___

    peripheral ganglion

  • 32

    ANS is broken down into two parts:

    Sympathetic & parasympathetic nervous system

  • 33

    What does the sympathetic division prepare the body for?

    Action: exercise, trauma, arousal, competition, anger, or fear (fight or flight)

  • 34

    Bodily reaction of the sympathetic division:

    • Increases heart rate, BP, airflow (bronchiole dilation), blood glucose levels, etc (whole body to cells) • Reduces blood flow to the skin & digestive tract

  • 35

    Parasympathetic division -

    Calms many body functions reducing energy expenditure & assists in bodily maintenance (rest & digest) - Digestion & waste elimination - “Resting & digesting” state

  • 36

    Dual innervation -

    Most viscera receive nerve fibers from both parasympathetic & sympathetic divisions

  • 37

    What are the two effects of dual innervation?

    Antagonistic & cooperative

  • 38

    Antagonistic effect:

    oppose each other

  • 39

    Cooperative effect:

    Two divisions act on different effectors to produce a unified overall effect

  • 40

    Both divisions do not normally ___ an organ equally

    • Digestive tract: parasympathetic innervation high, sympathetic low • Heart: opposite

  • 41

    Visceral motor division leads to what division?

    Sympathetic division

  • 42

    Somatic motor division leads to what division?

    Parasympathetic division

  • 43

    Antagonistic effects -

    oppose each other two ways

  • 44

    What’s the first way that antagonistic effects exerted?

    Through dual innervation of same effector cells

  • 45

    What are results of antagonistic effects innervation the same effector cells?

    • Heart rate decreases (parasympathetic) • Heart rate increases (sympathetic)

  • 46

    What’s the second way that antagonistic cells are exerted?

    Exerted because each division innervated different cells

  • 47

    What are the results of antagonistic effects innervating different cells?

    • Pupillary dilator muscle (sympathetic) dilated pupil • Constrictor pupillae (parasympathetic) constricts pupil

  • 48

    Cooperative effects -

    when two divisions act on different effectors to produce a unified effect

  • 49

    What are the results of cooperative effects?

    • Parasympathetics increase salivary serous cell secretion • Sympathetics increase salivary mucous cell secretion

  • 50

    What are the divisions of the ANS?

    Autonomic tone, parasympathetic tone, & sympathetic tone

  • 51

    Autonomic tone -

    normal background rate of activity that represents the balance of the two systems according to the body’s changing needs

  • 52

    What are two divisions of autonomic tone?

    Parasympathetic & sympathetic

  • 53

    Parasympathetic tone

    • Maintains smooth muscle tone in intestines • Holds resting heart rate down to about 70 to 80 beats per minute

  • 54

    Sympathetic tone (unique)

    • Keeps most blood vessels partially constricted and maintains blood pressure

  • 55

    Blood pressure blood flow

    • Vasoconstriction - increase in firing frequency • Vasodilation - decrease in firing frequency • Can shift blood flow from one organ to another as needed

  • 56

    Alpha blockers -

    blocks action of sympathetic fibers to treat high blood pressure

  • 57

    Sympathetic division: a dual function

    • prioritizes blood vessels to skeletal muscles and heart in times of emergency • blood vessels to skin vasoconstrict to minimize bleeding if injury occurs during stress or exercise

  • 58

    Steps of Vasoconstriction

    1. Strong sympathetic tone 2. Smooth muscle contraction 3. Vasoconstriction

  • 59

    Steps of Vasodilation

    1. Weaker sympathetic tone 2. Smooth muscle relaxation 3. Vasodilation

  • 60

    Autonomic effects on ___ are often an indirect result of their effect on blood vessels

    glandular secretion

  • 61

    Vasodilation -

    increased blood flow; increased secretion

  • 62

    Vasoconstriction -

    decreased blood flow; decreased secretion

  • 63

    Cholinergic synapse -

    employs acetylcholine (ACh) as its neurotransmitter • ACh excites some postsynaptic cells (skeletal muscles) • Inhibits others (cardiac)

  • 64

    Cholinergic synapse is ___

    direct

  • 65

    How can different autonomic neurons have different effects—constructing some vessels but dilating others?

    Effects determined by types of neurotransmitters released and types of receptors found on target cells

  • 66

    Sympathetic and parasympathetic fibers secrete ___ neurotransmitters

    different

  • 67

    Target cells respond to the same neurotransmitter differently depending upon the type of receptor they have for it

    • All autonomic fibers secrete either acetylcholine or norepinephrine • There are two classes of receptors for each of these neurotransmitters

  • 68

    ANS -

    two neurons from CNS to effectors

  • 69

    Presynaptic neuron cell body is in ___

    CNS

  • 70

    Postsynaptic neuron cell body is in ___

    peripheral ganglion

  • 71

    ACh is secreted by all ___ in both divisions and by the ___

    preganglionic neurons; postganglionic parasympathetic neurons

  • 72

    Other ACh facts

    • Called cholinergic fibers • Any receptor that binds it is called cholinergic receptor

  • 73

    Two types of cholinergic receptors:

    1. Muscarinic receptors 2. Nicotinic receptors

  • 74

    Muscarinic receptors -

    all cardiac muscle, smooth muscle, and gland cells have muscarinic receptors; excitatory or inhibitory due to subclasses of muscarinic responses

  • 75

    Nicotinic receptors -

    • On all ANS postganglionic neurons, in the adrenal medulla, and at neuromuscular junctions of skeletal muscle • Always excitatory when ACh binding occurs

  • 76

    NE is secreted by nearly all ___

    sympathetic postganglionic neurons (called adrenergic fibers)

  • 77

    Two types of adrenergic receptors:

    1. Alpha-adrenergic receptors 2. Beta-adrenergic receptors

  • 78

    Alpha-adrenergic receptors -

    •Usually excitatory • Two subclasses use different second messengers (a1 and a2) • Involved in vasoconstriction •Alpha blockers lead to vasodilation

  • 79

    Beta-adrenergic receptors -

    • Usually inhibitory • Two subclasses with different effects, but both act through cAMP as a second messenger (B1 and B2) • Involved in increasing heart rate • Beta blockers decrease heart rate Post HA

  • 80

    Parasympathetic division -

    Short-lived, highly localized control over effectors (ACh quickly destroyed by acetylcholinesterase)

  • 81

    Sympathetic division -

    Longer-lasting, bodywide effects (sym pathos)

  • 82

    NE sympathetics must be ___ by nerve, diffuses to adjacent tissues, and much passes into bloodstream

    reabsorbed • Effects may last several minutes before the circulating NE is broken down by the liver

  • 83

    NE and epinephrine hormones are also secreted from adrenal gland during sympathetic reaction:

    prolongs effects (increase BP, increased release of NT from glands)

  • 84

    Adrenal medulla, sweat glands, arrector pili muscles, kidneys, and most blood vessels…

    receive only sympathetic fibers

  • 85

    Sympathetic division controls…

    • Thermoregulatory responses to heat • Release of renin from kidneys (regulates blood pressure hormonally) • Metabolic effects (increases metabolic rates of cells, raises blood glucose levels, mobilizes fats for use as fuels) • Prepares muscles to work on a hair trigger (recruitment synchronicity)

  • 86

    Cerebral cortex is found in…

    frontal lobe

  • 87

    Limbic system is found in…

    emotional input

  • 88

    Hypothalamus

    The boss”: overall integration of ANS

  • 89

    Brain stem (reticular formation, etc.)

    Regulates pupil size, heart, blood pressure, airflow, salivation, etc.

  • 90

    Spinal cord

    Reflexes for urination, defecation, erection, and ejaculation

  • 91

    Controls of ANS Functions

    • Hypothalamus - main integration center of ANS activity • Subconscious cerebral input via limbic system structures on hypothalamic centers • Other controls come from cerebral cortex, reticular formation, and spinal cord

  • 92

    Hypothalamic Controls

    • Controls may be direct or indirect (through reticular system) • Centers of hypothalamus control - Heart activity / BP - Body temp, water balance, and endocrine activity - Emotional stages (rage, pleasure) and biological drives (hunger, thirst, sex) - primitive functions - Reactions to fear and activation of “fight-or-flight” system

  • 93

    Cortical controls -

    connections of hypothalamus to limbic system allow cortical influence on ANS

  • 94

    Cerebral cortex has an influence: anger, fear, anxiety

    • Connects sensory and mental experiences with the ANS • Powerful emotions influence the ANS because of the connections between our limbic system and the hypothalamus

  • 95

    Biofeedback

    • Awareness of physiological conditions with goal of consciously influencing them • Biofeedback training allows some to control migraines and manage stress (BP)

  • 96

    Homeostatic imbalances of the ANS

    • Hypertension • Raynaud’s disease • Autonomic dysreflexia

  • 97

    Hypertension (high blood pressure)

    • Overactive sympathetic vasoconstrictor response to stress • Treated with adrenergic receptor - blocking drugs (alpha blockers)

  • 98

    Raynaud’s disease

    • Exaggerated vasoconstriction in fingers and toes - Pale, then cyanotic and painful - Treated with vasodilators - Sympathectomy

  • 99

    Autonomic dysreflexia

    • Uncontrolled activation of autonomic neurons in quadriplegics and those with spinal cord injuries above T • Blood pressure skyrockets (head hurts, flush skin, sweating, nervous anxiety, blurred vision, etc.) • Life-threatening (stroke due to BP)

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    問題一覧

  • 1

    What are the nervous divisions?

    CNS & PNS

  • 2

    What makes up the CNS?

    Brain & spinal cord

  • 3

    What makes up the PNS?

    Nerves & ganglia (collections of cell bodies)

  • 4

    Sensory (afferent) nerves -

    carry sensory info into brain/spinal cord

  • 5

    Somatic sensory nerves -

    signals from skin, muscles, joints, special senses

  • 6

    Visceral sensory nerves -

    signals from body organs

  • 7

    Motor (efferent) nerves -

    carry motor info from CNS to effectors

  • 8

    Somatic motor nerves -

    signals to skeletal muscles, voluntary

  • 9

    Visceral motor nerves -

    signals to smooth muscle, cardiac muscle, glands, involuntary

  • 10

    Sympathetic division

    “fight or flight”

  • 11

    Parasympathetic division

    “rest and digest”

  • 12

    Autonomic means:

    self-governed & fully independent

  • 13

    What does autonomic NS regulate?

    Fundamental states & life processes (heart rate, BP, & body temp)

  • 14

    Who dedicated his career to studying the ANS?

    Walter Cannon

  • 15

    Autonomic nervous system (visceral motor system) -

    a motor nervous system that controls glands, cardiac muscle, & smooth muscle; involuntary

  • 16

    Primary organs of the ANS

    • Viscera of thoracic & abdominal cavities • Some structures of body wall (cutaneous blood vessels vasodilation/constriction, sweat glands, arrector pili muscles)

  • 17

    How does the ANS carry out actions?

    Involuntarily

  • 18

    Visceral effectors ___ on the ANS to function; only to adjust their activity to the body’s changing needs

    do not depend

  • 19

    Visceral Reflexes 1. 2. 3. 4.

    1. High blood pressure detected by arterial stretch receptors 2. afferent neruon carries signal to CNS 3. efferent neruon signals travel to the heart 4. heart slows reducing blood pressure

  • 20

    Visceral Reflexes steps

    1. Baroreceptors sense increased blood pressure 2. Glossopharyngeal nerve transmits signals to medulla oblongata 3. Vagus nerve transmits inhibitory signals to cardiac pacemaker 4. Heart rate decreases

  • 21

    ANS has components in both the ___ nervous systems

    central & peripheral

  • 22

    What does the ANS control?

    Control nucleus in the hypothalamus & other brainstem regions

  • 23

    Hypothalamus sends a ___, other areas carry out the operation! How it sends the ___ is important & different!

    message

  • 24

    Somatic motor pathway (voluntary control) -

    A motor neuron from the Brainstem or spinal cord has a myelinated axon that reaches all the way to the skeletal muscle

  • 25

    Autonomic pathway

    - Signal must travel across two neurons to get to the target organ - Must cross a synapse where these two neurons meet in an autonomic ganglion

  • 26

    What is part of the autonomic system?

    - Presynaptic (preganglionic) neuron - Synapses with a postganglionic neuron

  • 27

    Presynaptic (preganglionic) neuron -

    The first neuron has a soma in the Brainstem or spinal cord

  • 28

    Synapses (with postganglionic neuron)

    Their axon extends the rest of the way to the target cell

  • 29

    ANS -

    Two neurons from CNS to effectors

  • 30

    Presynaptic neuron cell body in is ___

    CNS

  • 31

    Postsynaptic neuron cell body is in ___

    peripheral ganglion

  • 32

    ANS is broken down into two parts:

    Sympathetic & parasympathetic nervous system

  • 33

    What does the sympathetic division prepare the body for?

    Action: exercise, trauma, arousal, competition, anger, or fear (fight or flight)

  • 34

    Bodily reaction of the sympathetic division:

    • Increases heart rate, BP, airflow (bronchiole dilation), blood glucose levels, etc (whole body to cells) • Reduces blood flow to the skin & digestive tract

  • 35

    Parasympathetic division -

    Calms many body functions reducing energy expenditure & assists in bodily maintenance (rest & digest) - Digestion & waste elimination - “Resting & digesting” state

  • 36

    Dual innervation -

    Most viscera receive nerve fibers from both parasympathetic & sympathetic divisions

  • 37

    What are the two effects of dual innervation?

    Antagonistic & cooperative

  • 38

    Antagonistic effect:

    oppose each other

  • 39

    Cooperative effect:

    Two divisions act on different effectors to produce a unified overall effect

  • 40

    Both divisions do not normally ___ an organ equally

    • Digestive tract: parasympathetic innervation high, sympathetic low • Heart: opposite

  • 41

    Visceral motor division leads to what division?

    Sympathetic division

  • 42

    Somatic motor division leads to what division?

    Parasympathetic division

  • 43

    Antagonistic effects -

    oppose each other two ways

  • 44

    What’s the first way that antagonistic effects exerted?

    Through dual innervation of same effector cells

  • 45

    What are results of antagonistic effects innervation the same effector cells?

    • Heart rate decreases (parasympathetic) • Heart rate increases (sympathetic)

  • 46

    What’s the second way that antagonistic cells are exerted?

    Exerted because each division innervated different cells

  • 47

    What are the results of antagonistic effects innervating different cells?

    • Pupillary dilator muscle (sympathetic) dilated pupil • Constrictor pupillae (parasympathetic) constricts pupil

  • 48

    Cooperative effects -

    when two divisions act on different effectors to produce a unified effect

  • 49

    What are the results of cooperative effects?

    • Parasympathetics increase salivary serous cell secretion • Sympathetics increase salivary mucous cell secretion

  • 50

    What are the divisions of the ANS?

    Autonomic tone, parasympathetic tone, & sympathetic tone

  • 51

    Autonomic tone -

    normal background rate of activity that represents the balance of the two systems according to the body’s changing needs

  • 52

    What are two divisions of autonomic tone?

    Parasympathetic & sympathetic

  • 53

    Parasympathetic tone

    • Maintains smooth muscle tone in intestines • Holds resting heart rate down to about 70 to 80 beats per minute

  • 54

    Sympathetic tone (unique)

    • Keeps most blood vessels partially constricted and maintains blood pressure

  • 55

    Blood pressure blood flow

    • Vasoconstriction - increase in firing frequency • Vasodilation - decrease in firing frequency • Can shift blood flow from one organ to another as needed

  • 56

    Alpha blockers -

    blocks action of sympathetic fibers to treat high blood pressure

  • 57

    Sympathetic division: a dual function

    • prioritizes blood vessels to skeletal muscles and heart in times of emergency • blood vessels to skin vasoconstrict to minimize bleeding if injury occurs during stress or exercise

  • 58

    Steps of Vasoconstriction

    1. Strong sympathetic tone 2. Smooth muscle contraction 3. Vasoconstriction

  • 59

    Steps of Vasodilation

    1. Weaker sympathetic tone 2. Smooth muscle relaxation 3. Vasodilation

  • 60

    Autonomic effects on ___ are often an indirect result of their effect on blood vessels

    glandular secretion

  • 61

    Vasodilation -

    increased blood flow; increased secretion

  • 62

    Vasoconstriction -

    decreased blood flow; decreased secretion

  • 63

    Cholinergic synapse -

    employs acetylcholine (ACh) as its neurotransmitter • ACh excites some postsynaptic cells (skeletal muscles) • Inhibits others (cardiac)

  • 64

    Cholinergic synapse is ___

    direct

  • 65

    How can different autonomic neurons have different effects—constructing some vessels but dilating others?

    Effects determined by types of neurotransmitters released and types of receptors found on target cells

  • 66

    Sympathetic and parasympathetic fibers secrete ___ neurotransmitters

    different

  • 67

    Target cells respond to the same neurotransmitter differently depending upon the type of receptor they have for it

    • All autonomic fibers secrete either acetylcholine or norepinephrine • There are two classes of receptors for each of these neurotransmitters

  • 68

    ANS -

    two neurons from CNS to effectors

  • 69

    Presynaptic neuron cell body is in ___

    CNS

  • 70

    Postsynaptic neuron cell body is in ___

    peripheral ganglion

  • 71

    ACh is secreted by all ___ in both divisions and by the ___

    preganglionic neurons; postganglionic parasympathetic neurons

  • 72

    Other ACh facts

    • Called cholinergic fibers • Any receptor that binds it is called cholinergic receptor

  • 73

    Two types of cholinergic receptors:

    1. Muscarinic receptors 2. Nicotinic receptors

  • 74

    Muscarinic receptors -

    all cardiac muscle, smooth muscle, and gland cells have muscarinic receptors; excitatory or inhibitory due to subclasses of muscarinic responses

  • 75

    Nicotinic receptors -

    • On all ANS postganglionic neurons, in the adrenal medulla, and at neuromuscular junctions of skeletal muscle • Always excitatory when ACh binding occurs

  • 76

    NE is secreted by nearly all ___

    sympathetic postganglionic neurons (called adrenergic fibers)

  • 77

    Two types of adrenergic receptors:

    1. Alpha-adrenergic receptors 2. Beta-adrenergic receptors

  • 78

    Alpha-adrenergic receptors -

    •Usually excitatory • Two subclasses use different second messengers (a1 and a2) • Involved in vasoconstriction •Alpha blockers lead to vasodilation

  • 79

    Beta-adrenergic receptors -

    • Usually inhibitory • Two subclasses with different effects, but both act through cAMP as a second messenger (B1 and B2) • Involved in increasing heart rate • Beta blockers decrease heart rate Post HA

  • 80

    Parasympathetic division -

    Short-lived, highly localized control over effectors (ACh quickly destroyed by acetylcholinesterase)

  • 81

    Sympathetic division -

    Longer-lasting, bodywide effects (sym pathos)

  • 82

    NE sympathetics must be ___ by nerve, diffuses to adjacent tissues, and much passes into bloodstream

    reabsorbed • Effects may last several minutes before the circulating NE is broken down by the liver

  • 83

    NE and epinephrine hormones are also secreted from adrenal gland during sympathetic reaction:

    prolongs effects (increase BP, increased release of NT from glands)

  • 84

    Adrenal medulla, sweat glands, arrector pili muscles, kidneys, and most blood vessels…

    receive only sympathetic fibers

  • 85

    Sympathetic division controls…

    • Thermoregulatory responses to heat • Release of renin from kidneys (regulates blood pressure hormonally) • Metabolic effects (increases metabolic rates of cells, raises blood glucose levels, mobilizes fats for use as fuels) • Prepares muscles to work on a hair trigger (recruitment synchronicity)

  • 86

    Cerebral cortex is found in…

    frontal lobe

  • 87

    Limbic system is found in…

    emotional input

  • 88

    Hypothalamus

    The boss”: overall integration of ANS

  • 89

    Brain stem (reticular formation, etc.)

    Regulates pupil size, heart, blood pressure, airflow, salivation, etc.

  • 90

    Spinal cord

    Reflexes for urination, defecation, erection, and ejaculation

  • 91

    Controls of ANS Functions

    • Hypothalamus - main integration center of ANS activity • Subconscious cerebral input via limbic system structures on hypothalamic centers • Other controls come from cerebral cortex, reticular formation, and spinal cord

  • 92

    Hypothalamic Controls

    • Controls may be direct or indirect (through reticular system) • Centers of hypothalamus control - Heart activity / BP - Body temp, water balance, and endocrine activity - Emotional stages (rage, pleasure) and biological drives (hunger, thirst, sex) - primitive functions - Reactions to fear and activation of “fight-or-flight” system

  • 93

    Cortical controls -

    connections of hypothalamus to limbic system allow cortical influence on ANS

  • 94

    Cerebral cortex has an influence: anger, fear, anxiety

    • Connects sensory and mental experiences with the ANS • Powerful emotions influence the ANS because of the connections between our limbic system and the hypothalamus

  • 95

    Biofeedback

    • Awareness of physiological conditions with goal of consciously influencing them • Biofeedback training allows some to control migraines and manage stress (BP)

  • 96

    Homeostatic imbalances of the ANS

    • Hypertension • Raynaud’s disease • Autonomic dysreflexia

  • 97

    Hypertension (high blood pressure)

    • Overactive sympathetic vasoconstrictor response to stress • Treated with adrenergic receptor - blocking drugs (alpha blockers)

  • 98

    Raynaud’s disease

    • Exaggerated vasoconstriction in fingers and toes - Pale, then cyanotic and painful - Treated with vasodilators - Sympathectomy

  • 99

    Autonomic dysreflexia

    • Uncontrolled activation of autonomic neurons in quadriplegics and those with spinal cord injuries above T • Blood pressure skyrockets (head hurts, flush skin, sweating, nervous anxiety, blurred vision, etc.) • Life-threatening (stroke due to BP)