Drugs Affecting Blood Flashcards

1
Q

Hematinics

A

Increase biosynthesis of Hb
Vitamin B12/ complexes, Folic acid, Iron, copper, cobalt

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2
Q

Microcytic Anemia

A

Iron deficiency anemia of baby pigs
Protein deficiency in diet
Copper deficiency

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3
Q

Macrocytic anemia

A

Vitamin B12 deficiency
Cobalt deficiency in ruminants

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4
Q

Vitamin B12: Cobalamine

A

Acquired from diet (meats) and GIT microbes (large intestine)
Needed for DNA synthesis

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5
Q

Cobalamine formulations

A

Pure cyanocobalamin- synthetic form (oral, inj or nasal spray)
Hydroxycobalamine: IM/ IV for severe deficiencies
Intracellular forms (methyl and adenosylcobaminine)

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6
Q

Feline B12 deficiency effects

A

Irritable bowel syndrome and pancreatic insufficiency

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7
Q

Erythropoietin (EPO/ rhEPO)

A

Endogenous glycoprotein hormone
Source: liver and kidney cells
Precautions: cases of hypertension

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8
Q

Epoetin alfa uses

A

IV/SC- dogs and cats with renal disease/ chronic anemia (decreased EPO)

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9
Q

Iron therapy

A

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

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10
Q

Ferrous sulfate

A

Oral iron preparation (tablets or drops)
Replenishes Fe stores

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11
Q

Iron Dextran

A

Parenteral prep of Fe
IM: treat prophylaxis of iron deficiency in neonatal food animals
Dogs, cats and swine

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12
Q

4 types of coagulation modifers

A

Anticoagulants
Hemostatics
Thrombolytics/ fibrolytics
Antiplatelet agents

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13
Q

Anticoagulants

A

Prevent venous and arterial clot formation
Inhibits specific clotting factors
Drug: heparin, Vit. K antagonist (coumarin)

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14
Q

Hemostatics

A

Promote clot stability
Inhibits fibrin destruction
Drug: topical agents, vitamin K, desmopressin acetate, protamine

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15
Q

Thrombolytics/ fibrinolytics

A

Removal of existing clot
Dissolution of fibrin clot by drug action

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16
Q

Antiplatelet Agents

A

Prevents arterial clot formation
Inhibition of platelet actions
Drugs: Clopidogrel, Ticlopidine, Dipyrimadole, Aspirin

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17
Q

Acid citrate dextrose (ACD)

A

Blood transfusions: anticoagulant
Maintains high levels of erythrocytes post-transfusion (20 days in dogs)

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18
Q

Heparin LMW

A

Molecular weight: 5,000
Safe: only binds to AT- inhibits Xa, less IIa

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19
Q

Heparin clinical uses

A

Management of DIC
Arterial thrombi in cats
Low dose to decrease complication of HW adulticide treatment
Pulmonary thromboembolism

20
Q

Heparin adverse effects

A

Transient thrombocytopenia, hypersensitivity, hemorrhage and anaphylaxis

21
Q

Contraindicated heparin

A

Bleeding disorders, severe hypertension
Recent trauma (intra-cranial hemorrhage)
Bacterial endocarditis

22
Q

Reversal agent of Heparin

A

Protamine sulfate, IV

23
Q

Dicumoarol and Warfarin

A

Vit. K antagonists/ Courmarin derivatives
Inhibits synthesis of Vit. K- dependent clotting factors
Reversed with IV/PO Vit. K

24
Q

Dicumoarol and Warfarin uses

A

Main: rodenticides
Rarely used in cats for thromboembolism

25
Q

Thromboplastin (TH)

A

Promotes prothrombin to thrombin conversion
Local hemostatic, measure PT time

26
Q

Thrombin (TH)

A

Promotes fibrinogen to fibrin conversion
Controls bleeding
Adhesive skin graft

27
Q

Fibrinogen

A

Converted by thrombin to fibrin
Skin graft adhesive
Restores norm. plasma fibrinogen

28
Q

Fibrin foam (TH)

A

Applied directly with pressure to stop hemorrhage

29
Q

Absorbable Gelatin Sponge (TH)

A

Soaked in thrombin and absorbs bleeding after closing operating wounds
Used in capillary or venous bleeding

30
Q

Microcrystalline collagen (TH)

A

Adheres to wet surfaces
Controls hemostasis or venoarterial anastomosis or surgery of spleen and liver

31
Q

Epinephrine and NE (TH)

A

Local control of bleeding from small vessels

32
Q

Styptics (TH)

A

Oldest blood clotting drugs
Ex: ferric sulphate, alum, tannic acids, zince chloride

33
Q

Oxidized Cellulose (TH)

A

Aids in coagulation between Hb and celluosic acid forming the gummy matrix for clot formation

34
Q

Vitamin K

A

Systemic hemostatic drug
Treats vit. K antagonist rodenticide intoxication
Aids in production of clotting factors

35
Q

3 forms of Vitamin K

A

K1- Phytonadione (plant)
K2- Menaquinone (microorganisms)
K3- Menadione (Synthetic)

36
Q

How vit. K given

A

Orally and SC

37
Q

Why shouldn’t you give Vit. K in other ways

A

IM: fatal hemorrhage
IV: anaphylactic rx

38
Q

What does vit. K do in birds?

A

Coccidiosis treatment by sulfonamides by destroying intestinal microorganisms

39
Q

What does vit. K do in pigs

A

Treat low levels of vit. K with in swine porcine hemorrhagic syndrome in weaned pigs

40
Q

What does vit. K do in cats?

A

Treats heredity vit. K deficiency in Devon Rex Cats

41
Q

Desmopressin Acetate (SH)

A

Controls bleedings in animals with low Wilebrand factor (dobermans, shepherds, pinschers, retrievers)
Given SC

42
Q

Protamine (SH)

A

Neutralizes acidic heparin
Treats heparin overdosing
Derived sperm of salmon

43
Q

How are antiplatelet agents used clinically?

A

Prevent thrombotic diseases
Prevents thrombi (feline cardiomyopathy)
Reduce pulmonary endateritis (HW disease)
Laminitis and naviculae disease in horses

44
Q

Aspirin/ Acetyl salicylic acid

A

NSAID, inhibition of primary hemostasis and thromboxane syntheisis in platelets
Prevents platelet aggregation

45
Q

What does aspirin do at low doses?

A

Anti-inflammatory and anticoagulant:
1.DIC
2. Pulmonary arterial disease secondary to heart worm infestation
3. Cardiomyopathy in cats
4. Adjunctive treatment of glomerular disease