Final Exam Quick and Dirty Flashcards

1
Q

Isoflurane

A

Inhalent anesthetic

Most common

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2
Q

Sevoflurane

A

Inhalation anethetic

reacts with soda lime CO2 absorbent

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3
Q

Desflurane

A

Inhalation anesthetic
lowest blood gas coefficient
need special vaporizer $$$

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4
Q

Nitric Oxide

A

Inhalation anesthetic adjuvant GAS
good ANALGESIC
2nd Gas and Fink efx

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5
Q

Stop a seizure in progress

A

benzodiazepines

Diazepam, Midazolmam, Lorazepam

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6
Q

How to benzodiazepines work

A

Brain has many bzd receptors that are part of GABA complex (main inhibitory neurotransmitter in the brain)

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7
Q

How to stop a seizure in progress at home

A

Dispense diazepam to give rectally (or IN) via cannula, don’t put in plastic binds to plastic

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8
Q

How to stop SE

A
Dizepam CRI w/ 5% dextrose/9% saline
Lorazopam- longer duration 
Midazolam- doesn't adhere to plastic 
Levetiracetam (Kepra) 
Phenobarb IV  
Propofol (intubate
Inhalation anesthesia
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9
Q

Phenobarbitol

A
anti-convulsant, DoC in dogs and cats
potentiates GABA-a receptor 
SS: 10-14 days
T1/2: 100 hours 
Cytochrome p450 Induction 
Don't use serum separator tubes during monitoring/dose adjustment
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10
Q

Halothane

A

Inhalent anesthetic

Resp and CV side effects

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11
Q

Bromide

A

Anticonvulsant
Long 1/2 life, 24 days, 4 mo to reach SS
Can use w/ hepatopathy patients
Causes asthma in CATS

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12
Q

Levetiracetum/Keppra

A

Anticonvulsant

770-90% excreted in urine, remainder hydrolyzed in serum

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13
Q

Gabapentin

A

Anticonvulsant
Synthetic analog of GABA
Need frequent dosing, TID-QID
Oral solution contains XYLITOL (toxic in dogs!)

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14
Q

Pregabalin (Lyrica)

A

Anticonvulsant
Synthetic analog of GABA
Used as an add on, potentiates release and actions of GABA

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15
Q

Amide LA

A
Lidocaine
Bupivicaine
Mepivacaine
Ropivicaaine
Prilocaine and dicucaine
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16
Q

Ester LAs

A

Procaine
Proparacaine
Benzocaine, Teracaine, Cocaine

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17
Q

MoA of LA

A

Block VG-Na+ channels (some other MoAs too)

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18
Q

PK of LAs

A

Topical/local infiltration/peripheral nerve block/intra-articular/epidural/intra-thecal/intra-venous regional anesthesia (brier’s block)

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19
Q

What is pattern for onset of blockade for LAs?

A

Onset of blockade: AD fibers (s myelinated) ->C fibers (unmyelinated) -> Aa fibers (motor, l. myelinated)
Pain and sympathetic transmission is blocked before motor transmission

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20
Q

What is Frequency Dependant block?

A

Rapidly firing nerves will be preferentially blocked

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21
Q

How can you increase the potency of a LA?

A

Increase lipid and water solubility of the drug
Lipophilicity=increases penetration into cell and binding with Na channels
Hydrophilicity=increases diffusion to site of action

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22
Q

Adverse effects of LA and how to tx

A

CNS stimulation: muscle twitcing, tremors, seizures. Tx w/ diazepam
CNS/CV depression: unconsioussness, respiratory arrest. Tx w/ artificial respirations

23
Q

Procaine

A

Ester LA
used in penicillan G preperations
Toxic to Horses- CNS stimulation, excitement and seizures

24
Q

Lidocaine

A
Amide LA
rapid onset,medium duration 
Uses: 1B Antiarrhytmic (Vtach), feline intubation, adjunctive analgesic, GI prokinetic/anti-inflammatory 
Banned in europe food animals 
SHEEP most sensitive species
25
Bupivicaine
Uses: infiltration, nerve blocks, epidural Slow onset 20 min, long duration 8 hrs Most cardiogenic of LAs, pro-arrythmogenic
26
Proparacaine
topical ophthalmic formulation rapid onset 30 sec, short duration 10-20 min corneal and conjunctival manipulation less irritating than other eye drops
27
Difference between COX1 and COX2?
Cox 1 is "normal" cox, txa2 promotes platelet aggregation, pge1=gi maintenance and vasodilation in kidney Cox2= inducable, prostaglandins produced during inflammation. Contribute to inflammation and pain, propagating pain signals.
28
Anti-inflammatory effects of nsaids?
Good for acute inflammation | Inhibit synthesis of eicosanoids
29
Analgesic effects of nsaids
decrease PG sensitization of neurons, to bradykinin peripherally, centrally (interactions of PG with nociception)
30
Antipyretic effects of nsaids
Reduce fever- won't reduce normal temp or hyperthermia, works on cytokines
31
Antithrombotic effects of nsaids
inhibition of AS (TXA2) Asprin/Acetylsalicilic acid preferential, irreversible inhibition of COX (TXA2 and PGI2) in platelets increased clotting time
32
Antineoplastic effects of NSAIDS
cox2 expressed by cancers, nsaids inhibit cox commonly transitional cell carcinoma and osteosarcoma piroxicam often used
33
Fluxin Meglumine
NSAID Large animal only no IM, causes muscle necrosis
34
Phenybutazone "Bute"
Horses Banned in dairy cattle tx of MS pain PO only
35
Carprofen
cox-2 preferential nsaid small animal analgesic and anti-inflammatory oral and inj
36
Fibrocoxib
cox2 selective nsaid | oral paste for horses, chew tabs for dogs
37
Robenacoxib
``` cox2 preferential multiple doses (SID for 3 days) in cats ```
38
Tramadol
weak u agonist oral analgesic may lower seizure threshold
39
Pilocarpine
direct acting, causes miosis in 2-6 hrs tx of glaucoma dx of PNS lesions (eg CNIII)
40
Atropine
direct acting Mydiatic onset 1 hr, lasts 120 hrs indications (opth)- reduce pain from orneal or iris dz (uveitis), break up synechea in uveitis Don't use in primary glaucoma, cycloplegia=horse pani, very bitter taste=cats froth
41
Tropicamide
direct acting mydriatic causes mydriasis and cycoplegia faster onset than atropine indication: dilate pupil for eye exam, prevent adhesions post cataract sx cautions- less effective pain control than atropine, less bitter but cats still foam, avoid in gluacoma, may alter schirmer tear test
42
Phenyephrine
Mydriasis Dx horner's syndrome some cv side effects
43
Timolol
opthalmic nonselective b-antagonist used in gluacoma management- prevent glac. in contralateral eye decrease aqeuous formation may cause some miosis Corsopt- timolol + dorzolamide: carbonic anhydrase inhibitor
44
Dorzolamide
Reversable inhibition of CA which decreases aqueous humor production -> decreased pressure in eye
45
Latanoprost
Prostaglandin agonist increases uveoscleral outflow by stimulating FP receptors in the eye tx gluacoma and reduce IOP
46
Tx Canine KCS
Cyclosporine monitor by STT local immunosupression-wear gloves
47
Tacrolimus
Decreases t cell activation alternative to cyclosporine- tx KCS potential cancer-> wear gloves
48
Opthalmic topical steriods
Desamethase, prednisolone | Don't use if corneal ulcer, infection or diabetus
49
Opthalmic topical NSAIDS
Flurbiprofen, Diclofenac manage uveitis and some keratitis manage cataract inflammation (diabetes patients) contraindicated- ulcer, glaucoma and coagulopathies
50
Opthalmic antibiotics
``` aminoglycosides flquinolones chloramphenicol NBP Oxytetracycle ```
51
Proparacaine
ophthalmic topical anesthetic MoA: blocks Na channels preventing axonal depolarization used for tonometry
52
Hydrocodone
Cough suppressive Sometimes formulated with acetominophen Sometimes formulated with homatropine as an abuse deterrent in humans
53
Albuterol
inhalant beta adreneric agonist bronchodilator has b-1 effects
54
Aminophyline and Theophylline
Bronchodilators am- parenteral theo- oral Phosphodiesterase inhibitors, inhibid mast cell degranulation stimulate catecholamine release from adrenals increase cns sensitivity to PCO2 Adverse effects: cardiac stimulation (+ino and chronotrope), Gi irritation, pu/pd