Ch.23 Chemical Restraint for Standing Procedures Flashcards
Goal of chemical restraint for standing sx
Keep horse calm, sedated, indifferent to noxious and external stimuli and physical stimulation
Starting doses for Medetomidine and Dexmedetomidine
Med - 5 - 7 ug/kg
Dexmed 3 - 5 ug/kg
How are the effects of alpha 2 adrenoreceptor agonists elicited
Activation of alpha 2 Adrenoreceptors located on the Locus Coeruleus in the pons of the brainstem
What is responsible for the increased sensitivity to touch associated with alpha 2 agonists
Modification of activity of the fast conducting non-nociceptive afferent Beta fibres
How long post administration are peak effects of Alpha2 reached after IV
3 - 20 mins
Longer acting such as dobutamine and romifidine may take longer
What dose is advised when reducing alpha 2
1/4 to 1/2 of the initial dose
How do IM does differ for A2
Use twice the IV dose and 30 - 60 mins for peak effect
Sublingual Detomidine dose and time
0.04mg/kg
45 mins
At a dose of 0.02mg/kg iv for a routine dental how many horses were noted to fall down
30%
What dose of Detomidine for a horse following exertion exercise
0.04mg/kg
Normal dose of Detomidine IV
0.01-0.02mg/kg/iv
Dose of romifidine
0.08 - 0.12 mg/kg iv
Recommended dose of Xylazine with Butorphanol
0.5
0.02
Recommended dose of Xylazine with Methadone
0.7
0.1
Recommended dose of Detomidine with Butorphanol
0.01 - 0.03
0.01 - 0.025
Recommended dose of Detomidine with Buprenorphine
0.01
0.005
Effects of A2s on serum insulin
Decrease - hyperglycaemia
Controlling persistent seizures post intra carotid administration of A2
Benzodiazepines
Guaifenesin
Thiopental
Why d stressed horses not sedate well
Production of endogenous catecholamines