NEUROMUSCULAR DRUGS AND MUSCLE RELAXANTS Flashcards

1
Q

induce temporary paralysis of skeletal muscles

A

muscle relaxant

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2
Q

CENTRAL ACTING MUSCLE RELAXANTS

A
  1. Guaifenesin
  2. Methocarbamol
  3. Meprobamate
  4. Mephenesin
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3
Q

formerly known as glyceryl guaiacolate which is used as an adjunct to anesthesia to produce muscle relaxation and restraint for short procedures

A

guaifenesin

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4
Q

used as an adjunct to rest and physical therapy in the treatment of musculoskeletal injury, muscular spasm associated with tetanus and metaldehyde or strychnine poisoning

A

methocarbamol

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5
Q

SITES OF ACTION OF DRUGS CAUSING MUSCLE RELAXATION

A
  1. CNS
  2. Motor nerve fiber
  3. Motor nerve terminal
  4. Acetylcholine receptors in motor end plate
  5. Skeletal muscle fiber
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6
Q

cause muscle relaxation when applied around muscle fibers but not used for the muscle relaxant effect

A

lidocaine (local anesthetics)

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7
Q

relax skeletal muscles but they are not used routinely for the sole purpose of muscle relaxation

A

General anesthetics (CNS drugs)

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8
Q

no clinically useful muscle relaxants in this group

A

motor nerve terminal

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9
Q

prevent the release of Ach from nerve endings, causing muscle relaxation

A
  1. botulinus toxin
  2. aminoglycoside antibiotics
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10
Q

acuronium dosage

A

Dog and Horse : 0.1 mg/kg under light anesthesia

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11
Q

Dantrolene dosage for dogs

A

2.5 mg/kg IV q.i.d

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12
Q

Dantrolene dosage for horse

A

Prophylactic - 1-2 mg/kg oral q.i.d

Malignant hyperthermia - 1-3 mg/kg IV repeated in 10 minutes

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13
Q

Dantrolene dosage for pigs

A

2-3 mg/kg IV

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14
Q

D-tubocurarine dosage for dogs

A

approx. 0.4 mg/k

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15
Q

D-tubocurarine dosage for pig

A

0.3 mg/kg

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16
Q

D-tubocurarine dosage for horse

A

0.22 - 0.25 mg/kg

17
Q

Gallamine dosage for dogs and cats

A

1 mg/kg IV

18
Q

Gallamine dosage for pig

A

4 mg/kg

19
Q

Gallamine dosage for horse

A

0.5 - 1 mg/kg

20
Q

Pancuronium dosage for dogs under light anesthesia with methoxyflurane

A

0.03 mg/kg IV

21
Q

Succinylcholine dosage for horses

A

0.12 – 0.15 mg/kg (last for 4-5 min)

22
Q

Succinylcholine dosage for cattle

A

0.02 mg/kg (lasts for 6-8 min)

23
Q

vecuronium dosages for dogs

A

0.1 mg/kg IV initially 30 min before proof

may give 0.04 mg/kg IV subsequently

24
Q

Muscle acting on this site are most clinically useful muscle relaxants.

A

Acetylcholine receptors in motor end plate

25
Q

decreases sarcoplasmic free calcium concentration by promoting its uptake into the sarcoplasmic reticulum

A

dantolene

26
Q

compete with Ach for
cholinergic receptors in the end plate

A

Nondepolarizing neuromuscular blocking drugs

27
Q

Nondepolarizing neuromuscular blocking drugs

A

D-Tubocurarine, gallamine, pancuronium, acuronium,
atracurium, vecuronium

28
Q

noncompetitive blockes of
cholinergic receptors in the end plate. There is sustained stimulation
leading to receptor fatigue and muscle paralysis

A

Depolarizing neuromuscular blocking drugs

29
Q

Depolarizing neuromuscular blocking drugs

A

Succinylcholine (suxamenthonium), Decamethonium