The Peripheral Nervous System

The peripheral nervous system (PNS) is the division of the nervous system which contains all nerves which can be found outside of the central nervous system (CNS). Its role is to connect the central nervous system to the organs, muscles and glands found throughout the body.

peripheral nervous system
Retrieved from https://strongfitlibrary.com/knowledge-base/peripheral-nervous-system/ on 12th November 2021

Peripheral Nervous System Tissues

The peripheral nervous system is made up of the following tissues:

  • NERVES – bundles of axons that make up most of the peripheral nervous system tissues. They are classified as sensory, motor, or mixed.
  • GANGLIA – nervous tissues which act as relay stations for signals which are transmitted through nerves of the peripheral nervous system.
peripheral nervous system
Retrieved from http://scscvcepsychology34.weebly.com/divisions-of-the-pns.html on 12th November 2021

The Somatic Nervous System

The somatic nervous system has the ability to sense the external environment and control voluntary movements through signals originating within the cerebral cortex of the brain. In other words, perceptions of the outside world and responses to these perceptions result from the somatic nervous system.

The somatic nervous system consists of:

  • 12 pairs of cranial nerves
  • 31 pairs of spinal nerves

Out of 12 pairs of cranial nerves, 4 participate in both sensory and motor functions as mixed nerves, since they have both sensory and motor neurons.

Cranial Nerves

Cranial nerves, which connect directly to the brain, can be found in the head and neck. Sensory Cranial Nerves sense smells, tastes, light, sounds, and body position. Motor Cranial Nerves have the ability to control muscles of the face, tongue, eyeballs, throat, head, and shoulders, as well as swallowing and salivary glands.

cranial nerves
Retrieved from https://nurseszone.in/nurseszone/40-tips-and-mnemonics-in-remembering-the-12-cranial-nerves/43.html on 12th November 2021
cranial nerves
Retrieved from https://brain.oit.duke.edu/lab04/lab04.html on 12th November 2021

Spinal Nerves

spinal nerves
Retrieved from https://socratic.org/questions/what-are-spinal-nerves on 12th November 2021

Somatic VS Autonomic Nervous System

peripheral nervous system
Retrieved from https://www.pinterest.com.mx/pin/289356344804607523/ on 12th November 2021

Somatic Nervous System

Autonomic Nervous System

The Autonomic Nervous System (ANS) operates without conscious control via reflex arcs in the same way as the Somatic Nervous System. Autonomic sensory neurons can be found in the visceral organs and blood vessels. They trigger continuous nerve impulses that reach the integrating centres in the central nervous system. Impulses within the autonomic motor neurons are then transferred to smooth muscle, cardiac muscle, or glands. Reflexes triggered by the ANS are controlled by centres in the hypothalamus and the brainstem.

AUTONOMIC = AUTOMATIC: NOT CONTROLLABLE

peripheral nervous system
Retrieved from https://slideplayer.com/slide/3720951/ on 12th November 2021

Sympathetic VS Parasympathetic Nervous System

peripheral nervous system
Retrieved from https://americanaddictioncenters.org/health-complications-addiction/nervous-system on 12th November 2021

Condition: Trigeminal Neuralgia


Did you find the above nursing information useful? Follow us on Facebook and fill in your email address below to receive new blogposts in your inbox as soon as they’re published 🙂

Electrical Activity of the Heart

Cardiac muscle cells contract spontaneously, independently, regularly and continuously. Autorhythmic fibres generate action potentials that trigger heart contractions repeatedly, acting as the natural pacemaker of the heart throughout the electrical activity of the heart.

SA Node a.k.a. Sinoatrial Node is the pacemaker of the heart, exactly where cardiac excitation begins. It fires 60-100 electrical impulses per minute (approx. one every 0.8 secs). The SA Node cells DEPOLARISE repeatedly to threshold spontaneously; SPONTANEOUS DEPOLARISATION = PACEMAKER POTENTIAL.

AV Node a.k.a. gatekeeper of the heart acts as an electrical gateway to the ventricles. It fires 40-60 electrical impulses per minute (approx. one every 0.5 secs), evidently having slowed down due to having thinner myocytes with fewer gap junctions over which signals are transmitted. This delay allows the ventricles to fill up with blood before contracting.

The Bundle of His a.k.a. AV Bundle is where action potentials can conduct from the atria to the ventricles, entering both the right and left bundle branches.

Here the Purkinje Fibres conduct the action potential from the apex of the heart up to the rest of they ventricular myocardium, causing the ventricles to contract at the fastest speed of the whole conduction system (4m/s), pushing blood towards the semilunar valves.

Ventricular Myocyte Action Potential

Cardiac myocytes have a stable resting membrane potential of -90mV, depolarising only when stimulated. Ventricular Myocytes’ action potential has 3 phases:

DEPOLARIZATION – a stimulus opens voltage-gated Na+ channels, causing depolarisation as they enter the cells. The threshold voltage opens additional Na+ channels triggering a positive feedback cycle, peaking at almost +30mV. In response the Na+ channels close abruptly, causing the rising phase of the action potential to be very short.

PLATEAU – here is where depolarisation is maintained while the myocytes contract. Voltage-gated slow Ca2+ channels open up allowing small amounts of Ca2+ ions from within the ECF to enter the myocytes. With the binding action of Ca2+ ions to the ligand-gated Ca2+ channels on the sarcoplasmic reticulum, more channels open allowing more Ca2+ ions into the cytoplasm, which then bind to troponin, causing the ventricular myocyte to contract by the stimulus. Finally Ca2+ channels close and K+ channels reopen, causing K+ ions to difuse out of the cell and the Ca2+ ions to return to the ECF.

REPOLARIZATION – The negative resting membrane potential is now restored to -90mV.

Baroreceptors in the Cardiovascular Centre

Baroreceptors are found in the aorta and the internal carotid arteries.

Increase in HR = Increase in CO = Increase in BP = Baroreceptors sense changes & signal to the cardiac centre = cardiac centre Decreases HR.

Decrease in HR = Decrease in CO = Decrease in BP = Baroreceptors sense changes & signal to the cardiac centre = cardiac centre Increases HR & re-stabilises CO & BP.

Chemoreceptors in the Cardiovascular Centre

Chemoreceptors are found in the aortic arch, carotid arteries and the medulla oblongata. These are sensitive to blood pH, Carbon Dioxide and Oxygen.

Chemoreceptors can sense Hypercapnia and Acidosis, which then stimulate the cardiac centre, increasing the HR and restores perfusion of the tissues. Accumulated Carbon Dioxide is then removed.

In response to Hypoxaemia, chemoreceptors lead to a slowing down of the HR.

Below you can find a collection of videos that can help provide a more visual approach to the electrical activity of the heart.

Electrical Activity of the Heart

Ventricular Myocyte Action Potential

Regulation of the Heart Activity Through the ans (autonomic nervous system)

Heart Activity Regulation

role of the cardiovascular centre

baroreceptor reflex

baroreceptor reflex animation

baroreceptors and blood pressure

chemoreceptors

Special thanks to the creators of the featured videos on this post, specifically Youtube Channels Registered Nurse RN, Khan Academy Medicine, DrBruce Forciea, PhysioPathoPharmaco, Khan Academy and Alila Medical Media.

Did you find the above nursing information useful? Follow us on Facebook and fill in your email address below to receive new blogposts in your inbox as soon as they’re published 🙂