Anesthesia and Analgesia Flashcards

1
Q

Sevo + soda lime = ? and what are the clinical impacts

A

Compound A, nephrotoxic in rats

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2
Q

What drugs can be given to counteract bradycardia caused by opioids?

A

Anticholinergics (atropine and glycopyrrolate)

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3
Q

Antagonist for opioids

A

Naloxone

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4
Q

What class of drugs are xylazine and medetomidine? What are the reversal agents?

A

-a2-adrenergic agonists
-Reversal for xylazine = yohimbine and reversal for medetomidine = atipamezole

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5
Q

What drug class are diazepam and midazolam in? What is the reversal?

A

Benzodiazepines, flumazenil

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6
Q

Drug class of acepromazine. Contraindication?

A

Phenothiazine tranquilizers; should not be used in dehydrated or hemorrhaging patients d/t vasodilation

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7
Q

Reversals for neuromuscular blocking agents

A

Neostigmine and physostigmine

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8
Q

Drug name of Avertin

A

Tribromoethanol

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9
Q

What drug class is unfavorable for fetal sx in rodents? Why?

A

ALpha2-adrenergic agonists (xylazine, medetomidine) b/c reduce uterine blood flow and increase uterine contractility

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10
Q

Some rabbits have high levels of ___ which makes ___ ineffective

A

Atropinesterase; atropine (use gycopyrrolate instead)

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11
Q

____ is nephrotoxic in rabbits and should not be used

A

Telazol

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12
Q

Order reflexes in descending order of usefulness in monitoring rabbit anesthesia

A

Pinna > Pedal withdrawal > Corneal > Palpebral

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13
Q

2nd and 3rd degree heart block is common in what species and should be assessed for pre-operatively

A

Ferrets

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14
Q

_____ causes methemoglobinemia in sheep and goats

A

Benzocaine

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15
Q

At high doses ____ is nephrotoxic to NHPs (proximal tubular necrosis)

A

Sevoflurane

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16
Q

Define transduction, transmission, projection and modulation

A

-Transduction = Converting noxious thermal, mechanical or chemical stimuli into action potentials
-Transmission = The process by which primary afferent sensory neurons propagate action potentials to the spinal cord
-Projection = Process of conveying info through the spinal cord (starting in the dorsal horn) to the brain
-Modulation = Process by which nociceptive info from primary afferent neurons is inhibited or augmented

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17
Q

C vs A-delta vs A-beta sensory neuron fibers

A

-C: Unmyelinated axons, slow conduction, dull and slower onset pain
-A-delta: Myelinated, intermediate conduction, rapid sensation
-A-beta: Transmit innocuous mechanical stimuli, myelinated with fast conduction velocity

18
Q

Primary tract by which nociceptive information reaches the brain

A

Spinothalamic tract

19
Q

Primary excitatory neurotransmitter

20
Q

Primary inhibitory neurotransmitter

A

GAMA (gamma-amino-butyric acid)

21
Q

Define neuropathic pain

A

Pain initiated or caused by a primary lesion or dysfunction in the nervous system

22
Q

Hargreaves’ Test

A

Thermal pain assay; light beam focused onto hindpaw until paw is lifted, shaken or licked

23
Q

Randall-Selitto test

A

Withdrawal from pressure applied to paw (mostly used in rat)

24
Q

Tail-clip test

A

Clip applied to tail base and measure latency to lick, bite, grab or bring nose w/in 1 cm of clip; very sensitive to repeated testing

25
Formalin test
SC injection of 1-5% formalin in dorsal or plantar surface of hind paw; licking and biting scored for 40-90 minutes after injection
26
Abdominal constriction test
-Model of visceral pain -Acetic acid injected IP and score for presence/absence of writhing for 30-40 min
27
Administration of ___ directly into a joint is a model of rheumatoid and osteoarthritis
CFA
28
Mechanism of action of barbiturates
Decrease rate of GABA dissociation with receptor --> Increased duration of Cl- ion transfer (GABA agonist)
29
IP administration of chloral hydrate causes ____ in rats
Adynamic ileus
30
Mechanism of action of benzodiazepines (diazepam, midazolam, zolazopam)
Enhance affinity for GABA (no effect if GABA not present --> ceiling effect)
31
Mechanism of action of ketamine
NMDA receptor antagonism (glutamate analog that noncompetitively inhibits glutamate activation channel)
32
____ causes severe myositis and paralysis in rabbits
Chlorpromazine
33
Mechanism of action of local anesthetics
Block conduction of sodium ions in voltage-gated sodium channels
34
____ causes methemoglobinemia in rabbits, cats and ferrets
Bupivacaine
35
Which inhalant anesthetic is explosive at anesthetic concentrations?
Ether
36
Contraindication for halothane
Head trauma (d/t increased cerebral blood flow)
37
Inhalant anesthetic that requires a heated vaporizer
Desflurane
38
What analgesic causes methemoglobinemia in cats and why
Acetaminophen b/c cats lack ability to metabolize through glucuronidation
39
What classes of anesthetics cause hyperglycemia?
Alpha2-adrenergic agonists, phenothiazines (ace) and inhalants
40
Which barbiturate causes short anesthesia and death in rabbits
Thiobutabarbital/Inactin
41
Do male or female mice sleep longer when given pentobarbital?
Male
42
Which strain of mice has a narrow safety margin for pentobarbital?
BALB/c