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Resting membrane potential, the action potential and nerve conduction

How ion gradients and potassium permeability set the resting membrane potential, how voltage-gated channels generate and propagate the action potential, and how this explains the effects of potassium and calcium disorders, demyelination, local anaesthetics, sodium channel drugs and channelopathies.

Tier 1Medical sciences concept

Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made

3 questions9 flashcards

At a glance

  • The resting membrane potential (about −70 mV in neurons, −90 mV in skeletal and ventricular muscle) exists because the Na⁺/K⁺-ATPase keeps potassium high inside, and the resting membrane lets potassium leak out far more easily than sodium leaks in.
  • An action potential is an all-or-none event: voltage-gated sodium channels open at threshold (about −55 mV), then inactivate within about 1 ms while potassium channels repolarise the cell.
  • Conduction velocity rises with axon diameter and myelination. Myelinated axons conduct by saltatory conduction between nodes of Ranvier.

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Last updated
14 November 2026
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