Anticholinergics Flashcards

1
Q

preanesthetic agent

A

drugs administered prior to drugs which induce general anesthesia

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2
Q

How do anticholinergics (parasympatholytics) affect the body?

A

blocks action of acetylcholine at muscarinic receptors of parasympathetic nervous system

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3
Q

What areas of the body are controlled by the parasympathetic nervous system?

A

heart, GI tract, bronchi, several secretory glands including salivary and tear glands, iris of the eye

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4
Q

What are two anticholenergic drugs?

A

atropine sulfate, glycopyrrolate

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5
Q

How is atropine sulfate administered?

A

SQ, IM or IV (emergencies)

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6
Q

What is the recommended dosage of atropine sulfate?

A

0.02 mg/lb for dogs, cats, and pigs

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7
Q

What species is atropine sulfate generally not given to?

A

horses, ruminants

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8
Q

What is the duration of action of atropine sulfate?

A

90 minutes

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9
Q

How is glycopyrrolate administered?

A

SQ, IM or IV (for emergencies)

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10
Q

What is the dosage of glycopyrrolate?

A

0.005 mg/lb

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11
Q

What is the duration of glycopyrrolate?

A

2-4 hours

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12
Q

What is the advantage of glycopyrrolate over other anticholinergic drugs?

A

it doesn’t cross the blood-brain or placental barrier

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13
Q

What is the disadvantage of glycopyrrolate over other anticholinergic drugs?

A

cost

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14
Q

What are possible reasons for using anticholinergics?

A

dry salivary secretions, prevent bradyardia from vagal stimulation, or increase heart rate

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15
Q

What effect do all modern gas anaeshtetics share?

A

they all increase parasympathetic effects

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16
Q

What are some other effects of anticholinergic drugs?

A

dialate pupils especially in cats, decrease tear production, decrease intestinal motility, increase bronchodialation (and thus dead space)

17
Q

What may anticholenergic drugs cause in horses and ruminants

A

it may need to colic in horses or bloat in ruminants

18
Q

What are some contraindications for anticholinergic use?

A

preexisting tachycardia, cardiovascular disease, constipation or ilius

19
Q

What are some side effects of anticholinergic drugs?

A

may cause initial bradycardia (IV route), cardiac arrhythmias, colic/bloat, cns depression (atropine)