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Resting Membrane Potential
• Presented By –
• Dr.R.R.Deshpande
• Prof & HOD
• CARC ,Pune 44
10/15/2015 Prof.Dr.R.R.Deshpande 1
Sharir Kriya Paper 1-Part B –Set 2
• Presented By –
• Dr.R.R.Deshpande
• Prof & HOD
• CARC ,Pune 44
10/15/2015 Prof.Dr.R.R.Deshpande 2
10/15/2015 Prof.Dr.R.R.Deshpande 3 10/15/2015 Prof.Dr.R.R.Deshpande 3
Sharir Kriya -- Paper I –
Part B –Point 2
• Presented By –
• Prof.Dr.R.R.Deshpande (M.D in Ayurvdic
Medicine & M.D. in Ayurvedic Physiology)
• www.ayurvedicfriend.com
• Mobile – 922 68 10 630
10/15/2015 Prof.Dr.R.R.Deshpande 5 10/15/2015 Prof.Dr.R.R.Deshpande 5
Sharir Kriya Hand Book –
1st to last year BAMS
• Best for Fast Revision
• Paper 1,Paper 2
• Practicals
• Instruments
• Histology
• IMP Schlok
• All basics of
Dodha,Dhatu & Mala
10/15/2015 Prof.Dr.R.R.Deshpande 6 10/15/2015 Prof.Dr.R.R.Deshpande 6
Sharikriya Paper Practical Book
• As per Very New Syllabus formed By CCIM IN 2012
• Ayurvedic Practicals like Prakruti,sara,Agni
• Modern Haematological Practicals
• CNS & CVS Examination
10/15/2015 Prof.Dr.R.R.Deshpande 7 10/15/2015 Prof.Dr.R.R.Deshpande 7
Clinical Examination
• Systemic Examination
of 8 systems
• Ayurvedic Srotas
Examination
• Clinical significance of
Lab Tests &
Radiology,USG,2D
Echo
10/15/2015 Prof.Dr.R.R.Deshpande 8 10/15/2015 Prof.Dr.R.R.Deshpande 8
Sharir Kriya Paper 1
• Book in English
• Total CCIM Syllabus
covered
• Chaukhamba Sanskrit
Pratisthan Publication
• Popular Nationwide &
In Germany also
• Dosha & Prakruti
10/15/2015 Prof.Dr.R.R.Deshpande 9 10/15/2015 Prof.Dr.R.R.Deshpande 9
Sharir Kriya Paper 2
• Book in English
• Total CCIM Syllabus
covered
• Chaukhamba Sanskrit
Pratisthan Publication
• Popular Nationwide &
In Germany also
• Dhatu,Mala
10/15/2015 Prof.Dr.R.R.Deshpande 10
Prof.Dr.Deshpande’s
Popular Links on Internet
• Just Start Internet on Desk top or Lap top
or on your mobile . Copy Following Link &
Paste as Web address –URL
• http://www.youtube.com/user/deshpande1
959
• http://www.slideshare.net/rajendra9a/
• http://www.mixcloud.com/jamdadey/
10/15/2015 Prof.Dr.R.R.Deshpande 10
10/15/2015 Prof.Dr.R.R.Deshpande 11
Prof.Dr.Deshpande’s
Popular Links on Internet
• Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL
• http://professordeshpande.blogspot.in
• http://professordrdeshpande.blogspot.in/
• http://www.mixcloud.com/rajendra-deshpande
• https://soundcloud.com/professor-deshpande
10/15/2015 Prof.Dr.R.R.Deshpande 11
10/15/2015 Prof.Dr.R.R.Deshpande 12
Resting Membrane Potential
• Definition –
• The difference in electric potential, that exists
across the cell membrane, when cell is in resting
state.
10/15/2015 Prof.Dr.R.R.Deshpande 13
Resting Membrane Potential
• All negative ions accumulate on the inner side
• All positive ions accumulate on the outer side of
the cell membrane.
• So across the membrane outside will be
positivity, inside will be negativity.
• This is developing a potential gradient across
the membrane = Resting Membrane Potential
10/15/2015 Prof.Dr.R.R.Deshpande 14
Resting Membrane Potential
• This is developed due to K ions (- 94mV),
Na ions (+ 8mV), Na - K pump (- 4mV)
• RMP of brain cells = - 90mV.
10/15/2015 Prof.Dr.R.R.Deshpande 17
What is action potential?
• Series of events occurring in RMP when
cell is stimulated with adequate stimulus,
the events are as follows - Events –
• 1. Application of adequate stimulus
• 2. Depolarization (Na+ influx)
• 3. Repolarization (K+ efflux)
• 4. Hyperpolarization
• 5. Na+ - K+ pump
10/15/2015 Prof.Dr.R.R.Deshpande 18
Graph of action potential
• 1) It is like spike in skeletal muscle
• 2) It is plateau potential in cardiac muscle
(this plateau is because of delayed closure
of Na+ & delayed opening of K+
channels.)
10/15/2015 Prof.Dr.R.R.Deshpande 20
Properties of action potential
• 1) It spreads along the membrane.
Impulse is nothing but self preparatory
action potential
• 2) All or none law - If stimulus is adequate,
there is full AP. But if no adequate
stimulus, there will be no AP.
• Half AP is not possible.
10/15/2015 Prof.Dr.R.R.Deshpande 21
Properties of action potential
• 3) Refractory period - This is the period in
which another AP is possible. (for skeletal
muscle & nerve R. P. is short but for
cardiac muscle R. P. is long.)
• Refractory period indicates fatigability.
Heart has low or no fatigability.
10/15/2015 Prof.Dr.R.R.Deshpande 22
AP & Heart muscle
• For AP, stimulus is must but heart is exception.
• This is because auto rhythmicity of heart muscle
by SA node.
• Here there are P cells & naturally leaky Na
channels are there.
• So natural depolarisation takes place.
• Because of P cells, SA node is called as pace
maker.
10/15/2015 Prof.Dr.R.R.Deshpande 23
Application of membrane physiology
• In the human body cell to cell
communication also takes place.
• This occurs in following ways –
• 1) Neuro hormone (Neurotransmitter)
• 2) Local hormone 3) Through chemicals
10/15/2015 Prof.Dr.R.R.Deshpande 24
Application of membrane physiology
• Cell to communication is either excitory or
inhibitory
• As naturally there are many hyper active
area are in brain, we need inhibitory
signals.
10/15/2015 Prof.Dr.R.R.Deshpande 25
Application of membrane physiology
• At neuromuscular (NM) junction, through
NM synapse, neurotransmitters are
secreted.
• Excitation occurs due to Depolarization or
• Inhibitory action takes place due to
Repolarization
10/15/2015 Prof.Dr.R.R.Deshpande 27
Examples of drugs acting at
Neuromuscular junction
• 1) Cholinomimatic drugs - eg. Pilocarpine
• Pilocarpine eye drops are used in
Glaucoma. This drug will cause
contraction of iris muscle & pupils will be
narrow.
10/15/2015 Prof.Dr.R.R.Deshpande 28
Examples of drugs acting at
neuromuscular junction
• 2) Anti - cholinergic drugs - eg. Atropine
• Inj. Atropine is used when there is a
colicky pain in the abdomen, Atropine
blocks Ach .So muscle contraction or
spasm is prevented.
10/15/2015 Prof.Dr.R.R.Deshpande 29
Examples of drugs acting at
neuromuscular junction
• 3) Competitive inhibitors - eg. Scholine
• Scholine blocks Ach, used for Anesthesia,
to induce temporary muscle relaxation.
10/15/2015 Prof.Dr.R.R.Deshpande 30
Examples of drugs acting at
neuromuscular junction
• 4) Anticholinesterases - eg. Neostigmine
• Neostigmine block cholinesterase (this
enzyme is responsible for destroying Ach)
• Hence it is useful when we required Ach in
more amount. So this is very useful in the
disease Myasthenia gravis (where there
is deficiency of Ach)
10/15/2015 Prof.Dr.R.R.Deshpande 31
Examples of drugs acting at
neuromuscular junction
• 5) Neostigmine is also useful in the
poisoning of Kobra & crait (to prevent
respiratory muscle paralysis).
• Neostigmine will maintain amount of Ach
10/15/2015 Prof.Dr.R.R.Deshpande 32
Drugs regenerating cholinesterase
• eg. PAM –
Insecticides like Endrine block
cholinesterase. Hence there is too much
Ach, which is inhibitory to heart.
In this condition PAM will be useful by
regenerating cholinesterase.