lecture 3 Flashcards

1
Q

what are the 3 cases of neurotransmitters release in the autonomic nervous system

A
  1. ach if released from the pre-synaptic neuron
  2. ach if released from a parasympathetic post synaptic neuron
  3. NE,E if released from a sympathetic neuron or dopamine if released from a dopaminergic sympathetic neuron
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what kind of receptors are adrenergic receptors

A

g coupled receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the three ways NE can be removed from the synapse

A
  1. COMT- metabolized by post synaptic catechol-o-methyltransferase
  2. can be transported back into the neuron
  3. it can diffuse from the synaptic cleft and be metabolized in the plasma, liver, excreted in urine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the target tissue receptors for the PSNS and the SNS are

A

muscarinic for PSNS and adrenergic for SNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

drugs that act similarly to endogenous catecholamines are called

A

sympathomimetics/ adrenergic agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

alpha 2 agonists are sedatives and analgesics that_____, and are good for?

A

decrease cardiac output

good for premeding
good for standing procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

since alpha 2 agonists decrease cardiac output, can you use them in a patient with compromised CV function? why or why not?

A

no, reducing the dose does not reduce the magnitude of the adverse effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how do alpha 2 agonists provide sedation and analgesia?

A

sedation is due to inhibition of NE release in the brainstem, analgesia is due to reduced NT release and signal transmission in afferent pathways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why do alpha 2 agonist reduce cardiac output

A

since the alpha 2 agonist will initially constrict the vessels, blood pressure increases, responding to high blood pressure the body will want to slow the hard so parasympathetic tone will cause bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is xylazine? what’s it used for? what are it’s side affects? what do you reverse it with? how long does it last?

A

xylazine- alpha 2 agonist
sedative commonly used in horses and ruminants
side effects include- AV block, sweating, reduced GI motility, increased myometrial tone (premature delivery be careful in late pregnant animals)
reversed with yohimbine or atipamezole
half life is 50 min, with full recovery 2-3 hours after sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

the common large animal a2a are xylazine, detomidine, and romifidine, do their sedative effects last longer than their analgesic effects?

A

yes, in these alpha 2 agonist the sedative effects last longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is detomidine? what’s it used for? what are it’s side affects? what do you reverse it with? how long does it last?

A

another alpha 2 agonist
used mostly in horses, can use in cattle, better for more painful standing surgery as it is 50-100x more potent than xylazine
safer use in pregnant animals
can be reversed with a2antagonist like atipamezole
half life of 25 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is dexmedetomidine? what’s it used for? what are it’s side affects? what do you reverse it with? how long does it last?

A

an alpha 2 agonist
the most selective a2a
used commonly in small animals for sedation and reduces maintenance anesthetic needs when used as pre med
reverse with atipamezole
makes cats vomit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is dobutamine? what’s it used for? what are it’s side affects? how long does it last?

A

a beta 1 agonist
positive inotrope that does not increase heart rate
half life is 2 min given as cri
trachycardia at high doses and should not be used in cats as it causes seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is clenbuterol? what’s it used for? what are it’s side affects? what do you reverse it with? how long does it last?

A

beta 2 agonist
bronchodilator sometimes used to treat equine asthma, inhibits uterine tone contractions
BANNED IN FOOD ANIMALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what effects of epinephrine are useful when dealing with anaphylaxis

A

its vasoconstrictive (a1) and its bronchodilatory (b2) effects

17
Q

what is Prazosin? what does it do?

A

alpha 1 ANtagonist
reduces bp as its an arterial and venous vasodilator (maybe used for hf but there are better choices) and treating blocked cats
highly protein bound

18
Q

what is atipamezole? what does it do?

A

alpha 2 antagonist
competitive inhibitor of a 2 receptors
reverses sedation

19
Q

what is atenolol

A

a beta 1 antagonist
negative inotrope
used to treat ventricular tachyarrhythmias and arterial hypertension

20
Q

what is neostigmine

A

a reversible inhibitor of acetylcholinesterase
decreases breakdown of ach
increases gut motility
used in myasthenia gravis treatment

21
Q

atropine and glycopyrrolate are? what do they do?

A

anticholinergics (competitive muscarinic antagonists)
reduce response to parasympathetic nerve impulses

22
Q

what is N-butylscopolammonium bromide? what is it used for?

A

anticholinergic
similar to atropine
only labeled use in horses
used for gas colic (decrease gi motility)