Skeletal muscle relaxants
Skeletal muscle relaxants Physiology of SKM Contraction 1. Motor nerve impulse à 2. Release of ACh à 3. Binds with N M receptors at NMJ à 4. Depolarization & development of EPP at motor end plate (Mainly due to influx of Na + ) à 5. Muscle action potential (MAP) – contraction of SKM à 6. ACh is rapidly inactivated by ChE leading to repolarization à 7. Muscle is ready for a fresh nerve impulse. MECHANISM OF ACTION OF MUSCLE RELAXANTS Centrally acting muscle relaxants - Reduce SKM tone by a selective action in the cerebrospinal axis, without altering consciousness. - They selectively depress spinal and supraspinal polysynaptic reflexes involved in the regulation of muscle tone without significantly affecting monosynaptically mediated stretch reflex. - Polysynaptic pathways in ascending reticula...
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