Page 32 - Physiology and Pathophysiology MNU 2024-2025 نظرى
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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)


                               Autonomic control of bladder function




                   During filling of the bladder                         During micturition


             sympathetic control predominates causing.       parasympathetic control predominates causing.

             a.  relaxation of the detrusor muscle           a.  Contraction of the detrusor muscle

             b.  contraction of the internal sphincter       b.  relaxation of the internal sphincter.





























                  Effects of sympathetic and parasympathetic divisions on various organs

                                                   Sympathetic                         Parasympathetic

                   Organ                         Action              Receptor          Action          Receptor


                                                         Heart

             SA node, heart rate                    ↑                    β1               ↓               M2

            AV nodal conduction                     ↑                    β1               ↓               M2

                Contractility                       ↑                    β1         ↓ (atria only)        M2

                                                Vascular Smooth Muscle

              Skin; splanchnic                  Constricts               α1

               Skeletal muscle                   Dilates                 β2


                Endothelium                                                        Releases EDRF          M3


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