General Pharm Flashcards
ACE Inhibitors: Mechanism
Vasodilation
- Increase bradykinin
Lower blood pressure
- Prevent vasoconstriction
- Reduce sodium retention
- Reduce water retention
Increased cardiac function
- Reduce preload and afterload
- Decrease vascular resistance
- Increase cardiac output
ACE Inhibitors: Examples
Benazepril
Enalapril
Ramipril
ACE Inhibitors: Use
CHF (dogs, cats, ferrets)
Hypertension (dogs, 1st choice)
ACE Inhibitors: Contraindications and Side Effects
Can cause:
Hypotension
GI disturbances
Care: Hypovolaemia Hyponatraemia Acute Kidney Injury Azotaemia
Alpha-2 Agonists: Mechanism
Sympathomimetic
- Act on alpha-2 adrenoreceptors and mimic ligand binding
Leading to:
- Vasoconstriction, hypertension
- Reflex bradycardia
- Analgesia
- Muscle relaxation
- Sedation / anxiolysis
- Diuresis
- Uterine contraction
Alpha-2 Agonists: Examples
Xylazine
Detomidine
Medetomidine
Romifidine
Alpha-2 Agonists: Contraindications + Side Effects
Hyperglycaemia Sedation Mild respiratory depression Gut hypomotility Vomiting Diuresis Hypertension
Caution in: Cardiovascular disease Pregnancy Diabetes V&D
Alpha-2 Agonists: Uses
Sedation
Anaesthetic protocol
Inducing emesis in cats
Benzodiazepines: Mechanism
GABAergic
- Enhance effects of GABA at GABA/Cl- channel complexes
Benzodiazepines: Uses
Anxiety / Anxiolysis Skeletal muscular spasms Anti-convulsant Analgesia (colic) Pre-medication in anaesthesia
Benzodiazepines: Examples
Diazepam
Midazolam
Benzodiazepines: Contraindications + Side Effects
Mild respiratory suppression
Mild cardiovascular suppression
Increase excitement in healthy animals
Caution with:
CNS depression patients
Hepatic dysfunction / encephalopathy
Respiratory depression
Phenothiazines: Examples
Acepromazine
Phenothiazines: Mechanism + Use
CNS Depressant
Peripheral vasodilation
Uses: Sedation Pre-medication for anaesthesia Antiemetic Feline thromboembolism management Increasing laminar perfusion Urethral spasms
Phenothiazines: Contraindications + Side Effects
Hypotension
Cardiovascular disease
Hepatic disease
Anaemia