Impulse Transmission

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Nichole Weaver
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Study Tools For Impulse Transmission

Synaptic Cleft (Image)
Basic Neuron (Image)
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Outline

Overview

Impulse transmission in neurons, controlled by neurotransmitters.

Nursing Points

General

  1. Parts of Neuron
    1. Body – houses nucleus
    2. Axon
      1. Myelin sheath – insulates nerve from impulse
      2. Nodes of Ranvier – between myelin, speeds up impulse
    3. Dendrites
      1. Finger-like extensions
      2. Contain synapses
  2. Impulse Transmission
    1. Neuron body → axon → axon terminal → synapse → dendrite → neuron body
  3. Neurotransmitters
    1. Facilitate impulse transmission
    2. Require enzyme to inactivate
    3. Examples
      1. Noradrenaline – noradrenergic receptors
      2. Dopamine – dopaminergic receptors
      3. Histamine – histaminergic receptors
      4. Serotonin – serotonergic receptors
      5. Acetylcholine – cholinergic receptors
        1. Inactivated by cholinesterase
  4. Synapse Activity
    1. Neurotransmitters released from vesicles
    2. Cross synaptic cleft
    3. Bind with like receptors
    4. Create action potential, which continues down the rest of the neuron
    5. Removed from receptor by enzyme

**Disclaimer – In the video, it states that the order of nerve impulse is Neuron body → axon → dendrite → synapse → dendrite → neuron body which is incorrect. The correct order is neuron body → axon → axon terminal → synapse → dendrite → neuron body

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Transcript

In this lesson we’re going to talk about nerve impulse transmission.

The functional unit of the nervous system is the neuron. All impulses, also called action potentials, will travel down the neuron. It initiates in the neuron body, which is where the nucleus is, and gets sent down the axon, the long part you see here. Around the axon, we have the myelin sheath which helps insulate the axon from damage and between each of these is the node of ranvier. What happens is the impulse is actually able to skip across from node to node because of this myelin sheath, so it helps to speed up the transmission. Then the impulse gets to the end of the neuron into these finger-like projections called dendrites. That dendrite will be in contact with another neuron – that’s called a synapse. The impulse will cross the synapse and into the next neuron and then it will continue from neuron to neuron until it reaches its destination. It’s like doing the wave at a baseball game – it moves from one section to another and makes its way all the way around. If any section doesn’t do its part, the whole wave stops.

So how does it get across that synapse from one neuron to another? Neurotransmitters. These are chemicals that help to facilitate transmission across the synapse. They are housed in these little vesicles at the end of the dendrites and when the action potential comes, they are released into the synaptic cleft – that’s this space here. They travel across the synaptic cleft and bind with receptors on the next nerve. When that receptor is activated, it initiates the next action potential. In order for that receptor to be inactivated, an enzyme will come and inactivate the neurotransmitter. Each neurotransmitter has its own specialized receptors. Noradrenaline has noradrenergic receptors. Dopamine has dopaminergic receptors. Histamine and serotonin have their own receptors as well. And Acetylcholine has cholinergic receptors. Let’s look at an example impulse transmission with acetylcholine.

So here’s our synaptic cleft. An action potential shows up and releases the acetylcholine out of the vesicles to cross the synaptic cleft. Once one of them binds with the cholinergic receptor site, it stimulates the receptor and initiates a new action potential. To avoid overstimulation, the enzyme called cholinesterase (the -ase tells you it’s an enzyme) will then come in and remove acetylcholine from this receptor – therefore inactivating it. This happens over and over as long as the action potentials keep arriving. As long as we have a good balance of acetylcholine and cholinesterase, the system remains beautifully balanced. If we give a drug that affects any of these steps, we change the result. It could increase the amount of neurotransmitters, it could block or activate the receptors, or it could affect the enzyme activity. It just depends on what our desired outcome is.

Key points to remember. Neurons function to transmit impulses throughout the nervous system. The myelin sheath and nodes of ranvier help to insulate and speed up the transmission. Neurotransmitters are chemicals that facilitate the movement of impulses across synapses. The synaptic cleft is where all transmission must cross – this is where you’ll find many receptors that drugs will actually block or activate to create their effects.

So those are the basics of nerve impulse transmission. Let us know if you have any questions. Happy nursing!

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Study Plan Lessons

Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Fractures
Integumentary (Skin) Course Introduction
Integumentary (Skin) Module Intro
Burn Injuries
Pressure Ulcers/Pressure injuries (Braden scale)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Skin Cancer
Hematology/Oncology/Immunology Course Introduction
Hematology Module Intro
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Thrombocytopenia
Integumentary (Skin) Important Points
Oncology Module Intro
Leukemia
Lymphoma
Oncology Important Points
Immunology Module Intro
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Lyme Disease
Systemic Lupus Erythematosus (SLE)
Metabolic/Endocrine Course Introduction
Metabolic & Endocrine Module Intro
Addisons Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Diabetes Mellitus (DM) Module Intro
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Diabetes Management
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Genitourinary Course Introduction
Upper Gastrointestinal (GI) Module Intro
GERD (Gastroesophageal Reflux Disease)
Hiatal Hernia
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Lower Gastrointestinal (GI) Module Intro
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Crohn’s Disease
Liver/Gallbladder Module Intro
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Acute Renal (Kidney) Module Intro
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Chronic Renal (Kidney) Module Intro
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Dialysis & Other Renal Points
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Testicular Torsion
Varicocele
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
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Nursing Care and Pathophysiology for Menopause
Respiratory Course Introduction
Respiratory A&P Module Intro
Lung Sounds
Alveoli & Atelectasis
Gas Exchange
Lung Diseases Module Intro
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Respiratory Infections Module Intro
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology of Pneumonia
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Oxygen Delivery Module Intro
Hierarchy of O2 Delivery
Artificial Airways
Airway Suctioning
Vent Alarms
Respiratory Trauma Module Intro
Blunt Chest Trauma
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Chest Tube Management
Respiratory Procedures Module Intro
Bronchoscopy
Thoracentesis
Neuro Course Introduction
Neuro A&P Module Intro
Neuro Anatomy
Impulse Transmission
Cerebral Metabolism
Blood Brain Barrier (BBB)
Neuro Assessment Module Intro
Levels of Consciousness (LOC)
Routine Neuro Assessments
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Neuro Disorders Module Intro
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Brain Tumors
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Seizures Module Intro
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Neuro Trauma Module Intro
Neurological Fractures
Spinal Cord Injury
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Cardiac Course Introduction
Cardiac A&P Module Intro
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Nursing Care and Pathophysiology for Aortic Aneurysm
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Shock Module Intro
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Distributive Shock
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