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Neurotransmitters
(How it works?)
By:
Pamela M. Veroy, RN, MAN
Is your brain this size?
ANATOMY & PHYSIOLOGY
NERVOUS SYSTEM (NS)
• CENTRAL NS
– BRAIN & SPINAL CORD
• PERIPHERAL NS
– CRANIAL & SPINAL NERVES
• AUTONOMIC
– SYMPATHETIC - THORACO- LUMBAR
– PARASYMPATHETIC – S2,3,4
ANATOMY & PHYSIOLOGY
BRAIN:
• CEREBRUM
• DIENCEPHALON
• BRAIN STEM
• CEREBELLUM
ANATOMY & PHYSIOLOGY
CEREBRUM
• HEMISPHERES
• LOBES
• CORPUS CALLOSUM
• BASAL GANGLIA
• FRONTAL
• PARIETAL
• TEMPORAL
• OCCIPITAL
ANATOMY & PHYSIOLOGY
FRONTAL LOBE:
• PERSONALITY, BEHAVIOR
• HIGHER INTELLECTUAL FUNCTIONING
• PRECENTRAL GYRUS: MOTOR FXN
• BROCA’S AREA – MOTOR SPEECH
WERNICKE’S AREA OF TEMPORAL: SENSORY SPEECH
PARIETAL LOBE:
POST CENTRAL GYRUS : GENERAL SENSATION
INTEGRATES SENSORY INFO
BROO---M
ANATOMY & PHYSIOLOGY
TEMPORAL LOBE
• HEARING, TASTE & SMELL
• WERNICKE’S AREA – SENSORY SPEECH
BROCA’S AREA OF FRONTAL LOBE – MOTOR SPEECH
OCCIPITAL LOBE
VISION
BASAL GANGLIA
REGULATE & INTEGRATE MOTOR ACTIVITY
PART OF EPS
ANATOMY & PHYSIOLOGY
DIENCEPHALON
• THALAMUS
• HYPOTHALAMUS
BRAINS STEM
MIDBRAIN, PONS, MEDULLA
NUCLEI OF CN’s - 12
VITAL CENTERS OF: REPIRATORY, VASOMOTOR & CARDIAC
FXNS
CEREBELLUM
MUSCLE TONE & EQUILIBRIUM
PRIMITIVE EMOTIONS: RAGE & FEAR
CONTROL CENTER FOR PITUITARY
REGULATION OF VITAL FXN : BP, SLEEP, FOOD INTAKE, BODY TEMP
ANATOMY & PHYSIOLOGY
SPINAL CORD
• GRAY MATER
– H SHAPED
– INTERIOR
• WHITE MATER
– EXTERIOR
• CENTER OF REFLEX
ACTIONS
• 31 SEGMENTS :
– 8 CERVICAL
– 12 THORACIC
– 5 LUMBAR
– 5 SACRAL
– 1 COCCYGEAL
ANATOMY & PHYSIOLOGY
MENINGES
• SEROUS MEMBRANE OF
CRANIOSPINAL CAVITY
• 3 LAYERS:
– DURA
– ARACHNOID
– PIA
-CS FLUID
ANATOMY & PHYSIOLOGY
NERVES
• FIBERS WHICH EXTEND
BEYOND CNS
• NEURON
-BASIC UNIT
REFLEX ARC
BASIC FXNAL UNIT OF N.S.
SENSORY/MOTOR
MIXED
PERIPHERAL
Neurotransmitters
• Approximately 100 billion brain cells form groups
of neurons, or nerve cells that are arranged in
networks.
• These neurons communicate information with
each other by sending electrochemical messages
from neuron to neuron, a process called
neurotransmission
• These electrochemical messages
pass from the dendrites
(projections from the cell body),
through the cell body, down the
axon (long, extended structures),
and across the gaps between cells
(synapse) to the dendrite of the
next neuron.
• In the nervous system, the
electrochemical cross the gaps or
synapse between neural cells by
way of special chemical messenger
called neurotransmitters.
• Neurotransmitters are the chemical substances
manufactured in the neuron that aid in the
transmission of information throughout the
body.
• They either excite or stimulate an action in the
cells (excitatory) or inhibit or stop an action
(inhibitory).
• These neurotransmitters fit into specific
receptor cells embedded in the membrane of
the dendrite, just like a certain key shape fits
into a lock.
• After neurotransmitters are released into the
synapse and relay the message to the
receptor cells, they are either transported
back from the synapse to the axon to be
stored for later used (reuptake) or are
metabolized and inactive by enzymes,
primarily monoamine oxidase (MAO) (Lewis
2000)
The Neurotransmitters
• Major transmitters
have been found to
play a role in
psychiatric illnesses
are well an actions
and side effects of
psychotropic drugs.
• Dopamine and
serotonin have
received the most
attention in terms
of the study and
treatment of
psychiatric
disorders (Tecott,
2000).
• These
neurotransmitters
are necessary in
just the right
proportions to
relay messages
across the
synapse.
• Studies are
beginning to show
that there is a
difference in the
amount of some
neurotransmitters
available in the brain
of persons with
certain mental
disorders compared
with persons with no
signs of mental
illness.
• The following is a discussion of the major
neurotransmitters that have been associated
with mental disorders.
Type of
transmitter
Mechanism
of action
Physiologic effects
Dopamine Excitatory Controls complex
movements, motivation,
cognition; regulates
emotional response
Norepinephrine
(noradrenaline)
Excitatory Changes in attention,
learning and memory,
sleep and wakefulness,
mood
Type of
transmitter
Mechanism of
action
Physiologic effects
Epinephrine
(Adrenaline)
Excitatory Fight-or-flight response
Serotonin Inhibitory Control of food intake, sleep
and wakefulness, temperature
regulation, pain control, sexual
behaviors, regulation of
motions
Histamine Neuromodulat
or
Alertness, control of gastric
secretions, cardiac stimulation,
peripheral allergic response
Acetylcholine Excitatory or
inhibitory
Sleep and wakefulness cycle;
signals muscles to become
alert
Type of
transmitter
Mechanism
of action
Physiologic effects
Neuropeptides Neuromodu
lators
Enhance, prolong, inhibit,
or limit the effects of
principal
neurotransmitters
Glutamate
Gamma-amino
butyric acid
(GABA)
Excitatory Neurotoxicity results if
levels are too high
Modulates other
neurotransmitters
• Histamine
• The role of histamine in
mental illness is under
investigation.
• It is involved in producing
peripheral allergic
responses, control of
gastric secretions, cardiac
stimulation, and alertness.
• Some psychotropic drugs
block histamine, resulting
in weight gain, sedation,
and hypotension.
• Acetylcholine
• Acetylcholine is a neurotransmitter found in the brain,
spinal cord, and peripheral nervous system,
particularly at the neuromuscular junction of skeletal
muscle.
• It can be excitatory or inhibitory. It is synthesized
from dietary choline found in red meat and
vegetables and has been found to affect the
sleep/wake cycle and signals muscles to become
active.
• Studies have shown that persons with Alzheimer’s
disease have a decreased number of acetylcholine-
secreting neurons
• Persons with myasthenia gravis (a muscular disorder
in which impulses fail to pass the myoneural junction,
causing muscle weakness) have a reduced number of
acetylcholine receptors.
• Gamma-amino butyric Acid (GABA)
• GABA, an amino acid, is the major inhibitory
neurotransmitter in the brain and has been found to
modulate other transmitter systems rather than
providing a direct
• Drugs that increase GABA function, such as
benzodiazepines, are used to treat anxiety and
induce sleep.
• Glutamate is an excitatory amino acid that at high
levels can have major neuro-toxic effects.
• Glutamate has been implicated in the brain damage
caused by stroke, hypoglycemia, sustained hypoxia
or ischemia, and some degenerative diseases such
as Huntington’s or Alzheimer’s disease.
Brain Imaging Technology
Procedure Imaging Method Results Duration
Computed
tomography(
CT) Magnetic
resonance
imaging
Serial X-rays of
brain
Radio waves
from brain
detected from
magnet
Structural
Image
Structural
Image
20-4
minutes
45 minutes
Position
emission
tomography
(PET)
Radioactive
tracer injected
into bloodstream
and monitored as
client perform
activities
Functional 2-3 hours
Procedure Imaging Method Results Duration
Single
photon
emission
computed
tomography
(SPECT)
Same as PET Functional 1-2 hours
Limitations of brain Imaging techniques
• The use of radioactive substances in PET and
SPECT limits the number of time as person can
undergo these tests.
• There is the risk that the client will have an
allergic reaction to the substances.
• Some clients may find receiving intravenous
does of radioactive material frightening or
unacceptable.
• Imaging equipment is expensive to purchase and
maintain, so availability can be limited. A PET
camera cost about $2.5 million; a SPECT camera
cost about $ 500,000.
• Some person cannot tolerate these
procedures because of fear or claustrophobia.
• Researchers are finding that many of the
changes that occur in disorders such as
schizophrenia are at the molecular and
chemical level and cannot be detected with
current imaging techniques.
• Find as
many as
you can
the
neurotrans
mitters in
the word
puzzle box.
• Clue- there
are 19.
Answers

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Neurotransmitters

  • 2. Is your brain this size?
  • 3. ANATOMY & PHYSIOLOGY NERVOUS SYSTEM (NS) • CENTRAL NS – BRAIN & SPINAL CORD • PERIPHERAL NS – CRANIAL & SPINAL NERVES • AUTONOMIC – SYMPATHETIC - THORACO- LUMBAR – PARASYMPATHETIC – S2,3,4
  • 4. ANATOMY & PHYSIOLOGY BRAIN: • CEREBRUM • DIENCEPHALON • BRAIN STEM • CEREBELLUM
  • 5. ANATOMY & PHYSIOLOGY CEREBRUM • HEMISPHERES • LOBES • CORPUS CALLOSUM • BASAL GANGLIA • FRONTAL • PARIETAL • TEMPORAL • OCCIPITAL
  • 6. ANATOMY & PHYSIOLOGY FRONTAL LOBE: • PERSONALITY, BEHAVIOR • HIGHER INTELLECTUAL FUNCTIONING • PRECENTRAL GYRUS: MOTOR FXN • BROCA’S AREA – MOTOR SPEECH WERNICKE’S AREA OF TEMPORAL: SENSORY SPEECH PARIETAL LOBE: POST CENTRAL GYRUS : GENERAL SENSATION INTEGRATES SENSORY INFO BROO---M
  • 7. ANATOMY & PHYSIOLOGY TEMPORAL LOBE • HEARING, TASTE & SMELL • WERNICKE’S AREA – SENSORY SPEECH BROCA’S AREA OF FRONTAL LOBE – MOTOR SPEECH OCCIPITAL LOBE VISION BASAL GANGLIA REGULATE & INTEGRATE MOTOR ACTIVITY PART OF EPS
  • 8. ANATOMY & PHYSIOLOGY DIENCEPHALON • THALAMUS • HYPOTHALAMUS BRAINS STEM MIDBRAIN, PONS, MEDULLA NUCLEI OF CN’s - 12 VITAL CENTERS OF: REPIRATORY, VASOMOTOR & CARDIAC FXNS CEREBELLUM MUSCLE TONE & EQUILIBRIUM PRIMITIVE EMOTIONS: RAGE & FEAR CONTROL CENTER FOR PITUITARY REGULATION OF VITAL FXN : BP, SLEEP, FOOD INTAKE, BODY TEMP
  • 9. ANATOMY & PHYSIOLOGY SPINAL CORD • GRAY MATER – H SHAPED – INTERIOR • WHITE MATER – EXTERIOR • CENTER OF REFLEX ACTIONS • 31 SEGMENTS : – 8 CERVICAL – 12 THORACIC – 5 LUMBAR – 5 SACRAL – 1 COCCYGEAL
  • 10. ANATOMY & PHYSIOLOGY MENINGES • SEROUS MEMBRANE OF CRANIOSPINAL CAVITY • 3 LAYERS: – DURA – ARACHNOID – PIA -CS FLUID
  • 11. ANATOMY & PHYSIOLOGY NERVES • FIBERS WHICH EXTEND BEYOND CNS • NEURON -BASIC UNIT REFLEX ARC BASIC FXNAL UNIT OF N.S. SENSORY/MOTOR MIXED PERIPHERAL
  • 12. Neurotransmitters • Approximately 100 billion brain cells form groups of neurons, or nerve cells that are arranged in networks. • These neurons communicate information with each other by sending electrochemical messages from neuron to neuron, a process called neurotransmission
  • 13. • These electrochemical messages pass from the dendrites (projections from the cell body), through the cell body, down the axon (long, extended structures), and across the gaps between cells (synapse) to the dendrite of the next neuron. • In the nervous system, the electrochemical cross the gaps or synapse between neural cells by way of special chemical messenger called neurotransmitters.
  • 14. • Neurotransmitters are the chemical substances manufactured in the neuron that aid in the transmission of information throughout the body. • They either excite or stimulate an action in the cells (excitatory) or inhibit or stop an action (inhibitory).
  • 15. • These neurotransmitters fit into specific receptor cells embedded in the membrane of the dendrite, just like a certain key shape fits into a lock. • After neurotransmitters are released into the synapse and relay the message to the receptor cells, they are either transported back from the synapse to the axon to be stored for later used (reuptake) or are metabolized and inactive by enzymes, primarily monoamine oxidase (MAO) (Lewis 2000)
  • 17. • Major transmitters have been found to play a role in psychiatric illnesses are well an actions and side effects of psychotropic drugs. • Dopamine and serotonin have received the most attention in terms of the study and treatment of psychiatric disorders (Tecott, 2000).
  • 18. • These neurotransmitters are necessary in just the right proportions to relay messages across the synapse.
  • 19. • Studies are beginning to show that there is a difference in the amount of some neurotransmitters available in the brain of persons with certain mental disorders compared with persons with no signs of mental illness.
  • 20.
  • 21. • The following is a discussion of the major neurotransmitters that have been associated with mental disorders. Type of transmitter Mechanism of action Physiologic effects Dopamine Excitatory Controls complex movements, motivation, cognition; regulates emotional response Norepinephrine (noradrenaline) Excitatory Changes in attention, learning and memory, sleep and wakefulness, mood
  • 22. Type of transmitter Mechanism of action Physiologic effects Epinephrine (Adrenaline) Excitatory Fight-or-flight response Serotonin Inhibitory Control of food intake, sleep and wakefulness, temperature regulation, pain control, sexual behaviors, regulation of motions Histamine Neuromodulat or Alertness, control of gastric secretions, cardiac stimulation, peripheral allergic response Acetylcholine Excitatory or inhibitory Sleep and wakefulness cycle; signals muscles to become alert
  • 23. Type of transmitter Mechanism of action Physiologic effects Neuropeptides Neuromodu lators Enhance, prolong, inhibit, or limit the effects of principal neurotransmitters Glutamate Gamma-amino butyric acid (GABA) Excitatory Neurotoxicity results if levels are too high Modulates other neurotransmitters
  • 24. • Histamine • The role of histamine in mental illness is under investigation. • It is involved in producing peripheral allergic responses, control of gastric secretions, cardiac stimulation, and alertness. • Some psychotropic drugs block histamine, resulting in weight gain, sedation, and hypotension.
  • 25. • Acetylcholine • Acetylcholine is a neurotransmitter found in the brain, spinal cord, and peripheral nervous system, particularly at the neuromuscular junction of skeletal muscle. • It can be excitatory or inhibitory. It is synthesized from dietary choline found in red meat and vegetables and has been found to affect the sleep/wake cycle and signals muscles to become active. • Studies have shown that persons with Alzheimer’s disease have a decreased number of acetylcholine- secreting neurons • Persons with myasthenia gravis (a muscular disorder in which impulses fail to pass the myoneural junction, causing muscle weakness) have a reduced number of acetylcholine receptors.
  • 26. • Gamma-amino butyric Acid (GABA) • GABA, an amino acid, is the major inhibitory neurotransmitter in the brain and has been found to modulate other transmitter systems rather than providing a direct • Drugs that increase GABA function, such as benzodiazepines, are used to treat anxiety and induce sleep. • Glutamate is an excitatory amino acid that at high levels can have major neuro-toxic effects. • Glutamate has been implicated in the brain damage caused by stroke, hypoglycemia, sustained hypoxia or ischemia, and some degenerative diseases such as Huntington’s or Alzheimer’s disease.
  • 27. Brain Imaging Technology Procedure Imaging Method Results Duration Computed tomography( CT) Magnetic resonance imaging Serial X-rays of brain Radio waves from brain detected from magnet Structural Image Structural Image 20-4 minutes 45 minutes Position emission tomography (PET) Radioactive tracer injected into bloodstream and monitored as client perform activities Functional 2-3 hours
  • 28. Procedure Imaging Method Results Duration Single photon emission computed tomography (SPECT) Same as PET Functional 1-2 hours
  • 29. Limitations of brain Imaging techniques • The use of radioactive substances in PET and SPECT limits the number of time as person can undergo these tests. • There is the risk that the client will have an allergic reaction to the substances. • Some clients may find receiving intravenous does of radioactive material frightening or unacceptable. • Imaging equipment is expensive to purchase and maintain, so availability can be limited. A PET camera cost about $2.5 million; a SPECT camera cost about $ 500,000.
  • 30. • Some person cannot tolerate these procedures because of fear or claustrophobia. • Researchers are finding that many of the changes that occur in disorders such as schizophrenia are at the molecular and chemical level and cannot be detected with current imaging techniques.
  • 31. • Find as many as you can the neurotrans mitters in the word puzzle box. • Clue- there are 19.