Neuro Drugs Flashcards
What drug is used in an emergency to stop seizures?
Diazepam (Valium)
What properties does Diazepam (Valium) have?
patent anti-seizure properties
What are some drugs used for preventing/controlling seizures?
Diazepam (Valium), Pentobarbital, Phenobarbital, Bromide (Potassium Bromide), Gabapentin, Levetiracetam (Keppra), Zonisamide
What is the drug of choice for long term epilepsy control?
Phenobarbital
What is a common side effect of Phenobarbital that all clients should know about?
drowsiness
How can Phenobarbital be given?
oral or IV
What is Potassium Bromide?
traditional anticonvulsant used an add-on to Phenobarbital if patient is not responding to Phenobarb alone
How can Diazepam (Valium) be given?
IV or rectally
What are some side effects of anti-seizure medications?
drowsiness, PU/PD, hepatotoxicity (Phenobarbital)
What is Primidone?
converted by the liver primarily to Phenobarbital which accounts for its anticonvulsant activity
How do inhalant anesthetics work?
enter and exit via the lungs with little biotransformation – rapid induction and recovery
What are the types of inhalant anesthetics?
Isoflurane, Sevoflurane, Halothane, Methoxyflurane
What is the biotransformation rate of Isoflurane?
<0.2%
What animals is Sevoflurane ideal for?
ideal for high-risk small animals because of its safety and rapid, smooth induction
What does Halothane cause?
causes cardiac dysrhythmias
What is the biotransformation rate of Sevoflurane?
3%
What is the biotransformation rate of Halothane?
25%
Which inhalant anesthetic has the greatest biotransformation rate of all the inhalants?
Methoxyflurane (50%)
How fast does Propofol work?
rapid onset and lasts 2-5 minutes
How is Propofol given?
IV
What are the clinical uses for Propofol?
induction agent, outpatient procedures, c-section
Why is Propofol used for c-sections?
does not cross placental barrier
What are some side effects of Propofol?
apnea if given too rapidly, prolonged recovery, and/or Heinz body production in cats with repeated use
What is Guaifenesin?
induces anesthesia and muscles relaxation, extends anesthesia of another injectable
What drugs are in the Central Nervous System Stimulants group?
Doxapram
What does Doxapram do?
stimulates respiration and/or heart rate in emergency situations
How is Doxapram used in neonates?
1-2 drops under tongue of newborn into umbilical vein can stimulate respirations
How do pharmacotherapy drugs work?
most work by altering neurotransmitters in the brain
What drugs fall under the antianxiety medication group?
Benzodiazepines - Diazepam (Valium), Alprazolam (Xanax), Lorazepam (Ativan), and Azapirones - Buspirone
What are some uses for antianxiety medications?
fears and phobias, anxiety, aggression, urine marking
What are some side effects of antianxiety medications?
lethargy, hepatic necrosis in cats
What drugs fall under the antidepressant group?
Tricyclic antidepressants - Amitriptyline, Clomipramine (Clomicalm), Serotonin Reuptake inhibitors - Fluoxetine, Trazodone, Monoamine Oxidase-B inhibitors - Selegiline, Miscellaneous - Gabapentin
What are the uses for antidepressant medications?
anxiety, aggression, obsessive disorders
What are some side effects of antidepressants?
sedation
What is Pentobarbital?
pentobarbital sodium alone or in combination with other drugs
euthanasia solution
What is a common side effect of Pentobarbital?
muscle twitching
Which reaction is the parasympathetic nervous system?
decreased heart rate
What drugs fall under the tranquilizer group?
Phenothiazine - Acepromazine, Benzodiazepines - Diazepam (Valium), Midazolam, Alprazolam (Xanax)
What are some uses of Phenothiazine tranquilizers?
sedation, cardiovascular effects
What properties do Phenothiazine tranquilzers have?
antiemetic properties
What are some side effects of tranquilizers?
lowers seizure threshold in epileptic animals, hypotension
What are some uses for Benzodiazepine tranquilizers?
treatment of seizures, sedation, appetite stimulant in cats
What drugs fall under the alpha-2 agonist group?
Xylazine, Detomidine, Medetomidine, Dexmetatimadine, Romifidine
What is the reversal agent of Xylazine?
Yohimbine
What is Xylazine often used in combination with?
Ketamine
What are the clinical uses of Xylazine?
sedation, analgesia
What are some side effects of Xylazine?
bradycardia
What are some clinical uses for Detomidine?
sedation and analgesia in horses
What are some side effects of Detomidine?
bradycardia
What is the reversal agent for Detomidine?
Atipamezole
What is the reversal agent for Medetomidine?
Atipamezole
What are the clinical uses for Medetomidine?
minor surgical procedures that do not require intubation
What are some side effects of Medetomidine?
bradycardia
What is a form of Dexmedetomidine?
Dexdomitor
What are some side effects of Dexmedetomidine?
bradycardia
What is the reversal agent for Dexedetomidine?
Atipamezole
What is a long acting Barbituate?
Phenobarbital
What is a short acting Barbituate?
Pentobarbital
What is an ultra-short acting Barbituate?
Thiopental
What is Phenobarbital used for?
anticonvulsant for epileptic seizures
Is Phenobarbital controlled or uncontrolled?
controlled
What is Pentobarbital used for?
can get 1-2 hours of anesthesia with small doses
Euthanasia drug
Is Pentobarbital controlled or uncontrolled?
controlled
What are the clinical uses for Dissociative agents?
sedation, restraint, analgesia, anesthesia
What are some forms of Opioid Agonists?
Morphine, Oxymorphone, Butorphanol tartrate, Fentanyl, Hydrocodone, Apomorphine, Codeine, Buprenorphine
What receptor does Morphine work on?
Mu receptor agonist
What receptor does Oxymorphone work on?
Mu agonist
What is the reversal agent for Opioids?
Naloxone
What receptor does Butorphanol tartrate work on?
Mu agonist
What are the clinical uses for Butorphanol tartrate?
analgesia and preanesthetic, antitussive properties
What receptor does Morphine work on?
Mu receptor agonist
What Opioid can be given through transdermal patches?
Fentanyl
What is Hydrocodone?
antitussive
What is Apomorphine?
induces vomiting
Is Butorphanol tartrate controlled on uncontrolled?
controlled
Is Fentanyl controlled or uncontrolled?
controlled
Is Hydrocodone controlled or uncontrolled?
controlled
Is Codeine controlled or uncontrolled?
controlled
What is Codeine?
antitussive
What receptor does Buprenorphine work on?
partial Mu agonist/antagonist
How is Buprenorphine absorbed?
transmucosal absorption
What are some side effects of Opioid Agonists?
panting, nausea
What are some clinical uses for Opioid Antagonists?
antagonize opioid effects
What are some forms of Opioid Antagonists?
Naloxone
Cholinergic drugs work with the _________________ system.
parasympathetic system
What are some forms of Cholinergic drugs?
Bethanechol, Pilocarpine, Metoclopramide, Edrophonium, Neostiamine, Pyridostimine
What is Metoclopramide?
Reglan, vomiting control
What Cholinergic is used in the diagnosis of myasthenia gravis?
Edrophonium
What Cholinergic drug is used in the treatment of myasthenia gravis?
Pyridostigmine
What are some side effects of Cholinergic drugs?
bradycardia, hypotension
What are the clinical uses for Anticholinergic drugs?
decreases GI motility, prevents bradycardia
What are some forms of Cholinergic Blocking Agents?
Atropine, Glycopyrrolate, Propantheline, Pralidoxime (2-PAM)
What Cholinergic Blocking Agents treat organophosphate toxicity?
Atropine and 2-PAM
Adrenergic Agents work with the __________ system.
sympathetic system
What are some forms of Adrenergic Agents?
Epinephrine, Norepinephrine, Dopamine, Phenylpropanolamine, Dobutamine
What is Epinephrine?
increases cardiac output
What is Dopamine?
treats shock and congestive heart failure
What is Phenylpropanolamine?
used to treat urinary tract incontinence
What is Dobutamine?
short term treatment of congestive heart failure
What are some side effects of Adrenergic Agents?
tachycardia, hypertension
What are the clinical uses for Adrenergic Blocking Agents?
disrupt the activity of the sympathetic nervous system
What are some forms of Adrenergic Blocking Agents - Alpha blockers?
Phenoxybenzamine, Acepromazine, Prazosin, Yohimbine, Atipamezole
What are some forms of Adrenergic Blocking Agents - Beta blockers?
Propanolol, Timolol, Atenolol
What are some side effects of Adrenergic Blocking Agents?
bradycardia, hypotension
What drugs are used on the Central Nervous System?
depressants, stimulants, euthanasia drugs