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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)

                                                           +
                                                      +
                                                   Na  – K  pump
        ▪ For each molecule of ATP expended by the pump  3 Na+ ions are pumped out of the cell

         & 2 K+ ions are pumped into the cell.

        ▪ Role of the pump

          It  maintains  the  concentration  differences  for  Na+  &  K+  by  accumulating  Na+  ions
            outside and K+ ions inside the cell   indirect role in the resting membrane potential

            generation.

                                                  Depolarization:



                  A decrease in the potential difference between the inside & outside of the cell.


                                                Hyperpolarization:



                 An increase in the potential difference between the inside and outside of the cell.


                                                  Repolarization:


                         Returning to the resting membrane potential from either direction.



                              Conduction of the action potential along neuronal axon



        Factors Influencing Conduction Speed of action potential:


                                 Large diameter axons provide a low resistance to current flow within the
         1-  Axon diameter:
                                 axon  speeds up conduction.

                                   Wraps around vertebrate axons  prevents current leak out of

                                     the cells (Acts like an insulator).
         2-  Myelin sheath         However, portions of the axons lack the myelin sheath, and these

                                                                                                            +
                                     are called Nodes of Ranvier.  Contain high concentration of Na
                                     channels (Action potential generated here).













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