Barbiturates Flashcards
which barbiturates are ultra-short, short, and long acting
ultra: methohexital (oxybarbituate) and thiopental (thiobarbituate)
short: pentobarbital (oxy.)
long: phenobarbital (oxy.)
how rapid a barbiturate takes effect and for how long depends on
lipid solubility (the more soluble the faster the onset of action; passes to brain quicker)
how drug goes from the brain to other areas of the body
moves down concentration gradients
do barbiturates cause analgesia
no
effects on CNS
depresses (causes excitement in lower doses and slower administration)
becase barbiturates have high lipid solubility they move to the brain and take effect (slowly/quickly) and leave brain (slowly/quickly)
quickly/ quickly
cardiac effects
decreased CO, hypotension (observe MM), arrythmia in stressed animals bc stimulation of symp NS
Respiratory effects
decreased RR, decreased tidal volume, can cause apnea after induction if given too fast or too high of a dose, resp arrest.
perivascular leakage of barbiturates causes
tissue irritation, pain, swelling, necrosis, slouhging tissue
pentobarbital uses
treat status epilepticus, anes agent
drug in euthanasia solutions
pentobarbital
ultra-short acting barbiturates
thiopental, methohexital
short acting barbiturates
pentobarbital
long acting barbiturates
phenobarbital
thiopental duration
10-15 min
methohexital duration
5-10min
caution cases for barbiturates
thin animals like sighthounds (v little fat so stays in brain longer), hypotensive, hepatic/renal disease (is metabolized and excreted eventually), hypothermic or critically ill (slow metabolism prolonging effects)
phenobarbital uses
anticonvulsant, sedative, stop status epilepticus (IV), PO prevents seizures long term
which barbiturate causes no anesthesia
Phenobarbital`
route of admin for pentobarbital
IV, can also be given via intraperitoneal or intracardiac injection if anesthetized
how long it takes for methohexital and thiopental to take effect
30-60 sec
how we adminster methohexital or thiopental to effect
start at half dose, then titrate the rest to effect
why we dont inject air into a bottle of barbiturate
precipitate may form
what happens if we give a pregnant animal a barbiturate
is able to cross placenta and anesthetize babies (greater effects on fetus than mother)