Drugs Affecting Blood Flashcards
Hematinics
Increase biosynthesis of Hb
Vitamin B12/ complexes, Folic acid, Iron, copper, cobalt
Microcytic Anemia
Iron deficiency anemia of baby pigs
Protein deficiency in diet
Copper deficiency
Macrocytic anemia
Vitamin B12 deficiency
Cobalt deficiency in ruminants
Vitamin B12: Cobalamine
Acquired from diet (meats) and GIT microbes (large intestine)
Needed for DNA synthesis
Cobalamine formulations
Pure cyanocobalamin- synthetic form (oral, inj or nasal spray)
Hydroxycobalamine: IM/ IV for severe deficiencies
Intracellular forms (methyl and adenosylcobaminine)
Feline B12 deficiency effects
Irritable bowel syndrome and pancreatic insufficiency
Erythropoietin (EPO/ rhEPO)
Endogenous glycoprotein hormone
Source: liver and kidney cells
Precautions: cases of hypertension
Epoetin alfa uses
IV/SC- dogs and cats with renal disease/ chronic anemia (decreased EPO)
Iron therapy
Corrects physical symptoms and decreased Hb levels
Used when dogs/cats on erythropoietin or darbepoetin therapy
Indicated by blood loss
Toxic effect: microcytic hypochromic anemia
Ferrous sulfate
Oral iron preparation (tablets or drops)
Replenishes Fe stores
Iron Dextran
Parenteral prep of Fe
IM: treat prophylaxis of iron deficiency in neonatal food animals
Dogs, cats and swine
4 types of coagulation modifers
Anticoagulants
Hemostatics
Thrombolytics/ fibrolytics
Antiplatelet agents
Anticoagulants
Prevent venous and arterial clot formation
Inhibits specific clotting factors
Drug: heparin, Vit. K antagonist (coumarin)
Hemostatics
Promote clot stability
Inhibits fibrin destruction
Drug: topical agents, vitamin K, desmopressin acetate, protamine
Thrombolytics/ fibrinolytics
Removal of existing clot
Dissolution of fibrin clot by drug action
Antiplatelet Agents
Prevents arterial clot formation
Inhibition of platelet actions
Drugs: Clopidogrel, Ticlopidine, Dipyrimadole, Aspirin
Acid citrate dextrose (ACD)
Blood transfusions: anticoagulant
Maintains high levels of erythrocytes post-transfusion (20 days in dogs)
Heparin LMW
Molecular weight: 5,000
Safe: only binds to AT- inhibits Xa, less IIa