Pharmacology Flashcards
All information that was taught to me while attending Vanier College's "Animal Health Technology" Program, located in St-Laurent Montreal.
What is a drug
A substance used to diagnose, prevent or treat disease.
What are the drug indications
The specific disease or condition for which the drug product is approved
What are the contraindications
The reasons why you shouldn’t use it. Ie: pregnancy
What is xylotol used for
It is a sugar free solvent for many human drugs. Toxic to dogs
What is the veterinarian-client-patient relationship for rx drugs
The veterinarian has assumed responsibility for making clinical judgement about the health of the animals and the need for treatment.
What does the vet have to do for the animal to get medicine
The vet has sufficient knowledge of the animal to issue a diagnosis. Must have seen the animal recently and must be available for follow up evaluation of the patient
What are the drug sources
Plants, minerals, animals, synthesized
What does xylotol cause in dogs
Causes liver necrosis and hyperglycemia due to insulin release. Aka seizure and death.
What are inactive ingredients
Classified as binders, coatings, colouring agents, disintegrates, emulsifiers, fillers, flavourings, flow agents, humectants, preservatives
Describe prescription drugs
May have toxic effectsHas been approved for specific uses etcHas contraindications. Sometimes has extra label it off label use
What is a drug regimen
Includes the dose, the route of administration, the frequency, the duration
What is a dosage
The general principal
What is a dose
The quantity of specific time
What are the control drugs groups
Five schedules.. According to their potential for abuse. The schedule is designated with a C with a Roman numeral 1,2,3,4,5
Describe schedule 1 drugs
Substances with no accepted medical use and a high potential for abuse. Heroin etc
Describe schedule 2 drugs
Drugs have accepted medical uses but have a high potential for abuse. Codeine etc
Describe schedule 3 drugs
Less potential for abuse
Which drugs have to be kept in a locked cabinet
2-5
What are the technician responsibility for all drugs
Make sure the correct drug is administeredAdminister by correct route Nd correct time Observe animals response to drugsQuestion unclear orders Put labels on containers Explain medicine instructions to clients Put into into medical record
What are pharmacokinetics
Includes the stdy of mechanisms of absorption and distribution of the administered drugs.. The chemical changes of the substances in the metabolism and the effects and routes of excretion of the metabolites of the drug
Where is a drug first absorbed/placed
Into the blood stream
How can a drug move in the blood stream
May bind with a plasma protein or may exist in the free state
Where does a drug go from the bloodstream
Distributes the drug to the capillary level
Where does the drug go from the capillary level
Into the interstitial fluid. It enters the cell or binds with surface receptors
Where does the drug go from the cell
Exits the cell and moves back to the interstitial fluid, reenters the circulation and is transported to the liver for metabolism.
Where does the drug go after it is metabolized in the liver
The metabolite is transported to the kidneys for excretion
What are the routes of administration
OralParenteralInhalationTopical
What does pharmokinetics involve
Routes of administrationDrug absorptionDrug distributionBiotransformation (metabolism)Drug excretion
What does the therapeutic index tell you ?
Lethal Dose 50/ Effective dose 50Safe range for a drug.
What type of drugs does the kidney filter
Water soluble
What type of drugs does the liver excrete
Fat soluble, through the bile
Where else are drugs excreted from other than the kidney or liver
Mammary glands LungsIntestinal tractSweat gland Salivary glands Skin
What is pharmacodynamics
Study of the mechanism by which drugs produce physiologic changes in the body. How a drug works and it’s mechanism of action
What is an antagonist
Blocker
What is an agonist
Activates the receptor
What is a partial agonist
Partially activates the receptor
What are the different types of drug interactions
Pharmacokinetic, pharmacodynamic, pharmaceutic
What is pharmacokinetic
How the drug moves through the body
What is a pharmacodynamic interaction
The action of one drug is altered by another. These reactions occur at the site of drug action.
What is an antagonistic interaction in terms of pharmacodynamic interaction
Ie: a reversal agent.
What is an additive action in terms of pharmacodynamic interaction
Ie: combining to produce two effects
What is synergistic interaction in terms of pharmacodynamic interactions
Helps to aid in an effect
What is pharmaceutic interaction
When physical or chemical changes take place as a result of mixing drugs in a syringe or other container
What is drug compounding
Combine two or more drugs to make something new etcDiluting a drug etc
What is the cba composed of
The brain and the spinal cord
What is the peripheral nervous system composed of
Everything else
What is the peripheral nervous system divided into
Afferent and efferent
What is the peripheral nervous system divided into
Somatic and autonomic nervous system
What is the autonomic nervous system composed of
Efferent nerve cells that carry info from the cns to cardiac muscle, glands and smooth muscle. Involuntary
What are the two divisions of the autonomic nervous system.
Sympathetic and parasympathetic.
How are nerve impulses transmitted
Sodium potassium pump.
What is a synapse
How one nerve cell communicates with another
What are the different types of receptors
Muscarinic, nicotonic and adrenergic
What are the 4 ways that drugs can effect neurotransmitters
Mimicking neurotransmitter Interfering with neurotransmitter release Blocking the attachment of neurotransmitters to receptorsInterferes with the breakdown of neurotransmitters
What are the neurotransmitters
AcetylcholineNorepinephrine DopamineSerotoninGABA
What are the two classes of autonomic nervous system agents
Cholinergic agent and adrenergic agent
What are the types of cholinergic agents
Direct acting cholinergics, indirect acting cholinergics anticholinesterase agent
With both classes of autonomic nervous system agents what are there
Blocking agents. Cholinergic blocking agent and adrenergic blocking agent
What do adrenergic agents act like in the body
Like the sympathetic nervous system i.e. epinephrine
What do cholinergic agents do
Aid in the diagnosis of myasthenia gravis, reduce the inter-ocular pressure of glaucoma, stimulate G.I. motility, treat urinary retention, control vomiting, act as an antidote for neuromuscular blockers.
What are the direct acting cholinergics that are most important
BethanecholPilocarpineMetoclopramide
What does bethanechol do
Is used to treat GI and urinary tract atony
What does pilocarpine do?
Reduces intraocular pressure associated with glaucoma
What does metacopramide do
Metoclopramide is used to control vomiting and to promote gastric tract emptying
What is the most important indirect acting cholinergic agent
Organophosphate compounds that are commonly used in the insecticide dips and may result in toxicity if used inappropriately.
What are the adverse side effects of excessive cholinergic stimulation
Bradycardia, hypotension, heart block, lacrimation, diarrhea, vomiting, increased intestinal activity, intestinal rupture, increased bronchial secretions
What are cholinergic blocking agents
Drugs that block the action of acetylcholine at muscarinic receptors of the sympathetic nervous system
What are the clinical uses of atropine and glycopyrrolate
Treatment of diarrhea and vomiting by decreasing G.I. motility, as a preanesthetic to dry secretions and prevent bradycardia, to dilute the pupils for ophthalmic examination, to relieve ciliary spasm of the eye, to treat sinus bradycardia
Why do we use atropine and glycopyrrolate as a preanesthetic
For sedation, decreased dose of prescription of anesthetic. prevents problems caused by other prescriptions, pain management
Describe atropine
Used as a pre-Anna static to dry secretions and to prevent bradycardia, as an antidote to organophosphate poisoning in, to dilute the pupils for ophthalmic examination, to control ciliary spasms of the eye, to treat sinus bradycardia, to slow a hypermotile gut
Whats the difference between atropine and glycopyrolate
It provides longer action than atropine and is used primarily as a preanesthetic. Doesn’t result in a higher heart rate. Does not get degraded by atropinase
What are the adverse side effects of anticholinergics
Overdose can cause drowsiness, disorientation, tachycardia, photophobia, constipation, anxiety, burning at the injection site
What is the purpose of giving a pre-anesthetic
Sedate, decrease dose of drugs to administer, prevent problems caused by other drugs, pain management
Why is atropine not effective in rabbits and some cats
Because rabbits and cats have atropinase which destroys atropine
Will atropine or glycopyrrolate cause sedation ?
No
What do adrenergic agents do
Bring about action at receptors mediated by epinephrine or norepinephrine
What are the two things adrenergic agents may be classified as
Catecholamines or noncatecholamines.
How are adrenergic agents classified
They are also classified by receptor type activated
What are adrenergic agents used for
To stimulate the heart to beat during cardiac arrest, to reverse the hypotension and bronchoconstriction of anaphylactic shock, to strengthen the heart during congestive heart failure or, to correct hypotension through vasoconstriction, to reduce Cappellar he bleeding through vasoconstriction, to treat urinary incontinence, to reduce mucous membrane congestion in allergic conditions, to prolong the effects of local unaesthetic agents by causing Vasoconstriction of blood vessels at the injection site
Which receptors does epinephrine stimulate
Epinephrine stimulates all for receptors.
What are the effects of epinephrine in the body
To cause an increase in heart rate and cardiac output. Constriction of the blood vessels in the skin. Dilation of blood vessels and muscle. Dilation of the bronchioles. Increase in metabolic rate
What is phenylephrine used for
It is an alpha stimulator that is used as a nasal vasoconstrictior for kittens with rhino
What does phenylpropanolamine used for
Urinary incontence in dogs
What are beta agonists used for
Bronchodilation
What do tranquilizers do and give two examples of them
Tranquilizers such as Acepromazine and droperidol act as Alpha blockers and cause vasodilation
What is yohimbine used for
Yohimbine is used as an antidote for xylazine toxicity
What is atipamezole (antisedan) used for
It is a reversal agent for medetomidine (dormitor)
What do beta blockers do
Slow heart rate down
What are two types of beta blockers
Propranolol and atenolol
What are the types of adrenergic receptors
Alpha 1,2 and Beta 1,2
Where are beta 1 receptors located and what do they do
Beta-1 receptors are located in the heart. They increase the heart rate, the strength of contraction by the cardiac muscle.
What are beta-2 receptors and where are they found
Beta-2 receptors are found in smooth muscles surrounding blood vessels of the heart, skeletal muscles, arterioles, and the terminal bronchioles in the lungs. Beta-2 receptors cause vasodilation and dilation of the airways in the lungs a.k.a. bronchodilation
Where are the alpha-1 receptors and what do they do
The alpha-1 receptors cause smooth muscles surrounding blood vessels in the skin and intestinal track to contract which decreases blood flow. Vasoconstriction via the flight or fight response
What’s special about acepromazine
It is a tranquilizer that has a side effect of causing hypotension. Causes vasodilation
Where are alpha 2 receptors located and what do they do
Alpha-2 receptors are located on the ends of adrenergic neurons where they help regulate the release of norepinephrine
What do alpha-2 agonist do
Located on the terminal Bhutto of norepinephrine secreted merlins they decrease norepinephrine release from the neuron both within the central nervous system as well as the peripheral nervous system
What is acepromazine used for
Sedation and to allay fear and anxiety without producing significant analgesia. Produce an antiemetic effect by depressing the chemoreceptor trigger zone in the brain. Have a mild Antipuritic effect. Reduce the tendency of epinephrine to induced cardiac arrhythmias
Why do we use Acepromazine as a pre-anesthetic
Because it calms the animal
What are the adverse affects to acepromazine
Can cause hypotension and hypothermia through their vasodilation a fact. They can also induce seizures in epileptic animals. Contraindicated in young, geriatric, sick animals.
What’s special about Acepromazine
There is no reversal agent
What are some benzodiazepine derivatives
Valium, versed, Xanax
What is the mechanism of action of Valium
Causes depression of the thalamus and hypothalamic areas of the brain. Produces sedation, muscle relaxation, appetite stimulation, anticonvulsant activity. Often used in combination with ketamine to induce short-term Anesthesia. Diazepam is very useful for treating Seizures in progress but not preventative due to short half life
What is special about diazepam
Should be stored at room temperature and protected from light, should not be stored in plastic, should not be mixed with other medication, diazepam is metabolized by the liver and eliminated by the kidneys
What is xylazine? What are some side effects to xylazine? What reverses it?
Xylazine is a alpha 2 agonist with sedative and analGesic and muscle relaxant properties. This agent causes vomiting in a large percentage of cats. Xylazine is reversed by yohimbine
What is dormitor. What are some side effects of dormitor. What is the reversal agent for dormitor.
Dormitor is an alpha-2 adrenergic agonist used as a sedative and analgesic in dogs older than 12 weeks of age. Adverse side effects are bradycardia, decreased respiration, hypothermia, vomiting, hyperglycemia. Reversed by antisedan.
What are the three types of barbiturates. What are they used for. What are some common side effects
Long acting barbiturates, short acting barbiturates and ultra short acting barbiturates. They are used as sedatives, anticonvulsants, general anesthetic, euthanasia agent. They depress the respiratory system
What are long acting barbiturates. How long do they last for. What are they used for. What class of controlled substance are they
Phenobarbital is a long acting barbiturate. It lasts for 8 to 12 hours. Use as an anticonvulsant to prevent epileptic seizures. It is a class 4 controlled substance
What are short acting barbiturate. How long does the sedation last for. What is it used for. What class of controlled substance is it
Pentobarbital sodium provides 1 to 2 hours of general anesthesia. It is a euthanasia agent. It is a class 2 controlled substance
What are ultra short acting barbiturates. What is special about them
Thiobarbiturates. Must be given iv in order to avoid necrosis. Redistrubuted to the fat stores within 5-30 mins. Can cause apnea if administered too quickly and CNS excitement if done too slowly
What are the two types of Thiobarbiturates
Thiopental: general anestheticMethohexital: 5-10 min anesthesia for thin animals.
What are special instructions for barbiturates
Not for old young or critically ill animals, barbiturates depressed the respiratory system, cause tissue injury if out of the vein
What is ketamine considered. What does it do.
Ketamine is a disassociative agent. It causes involuntary muscle rigidity, amnesia and analgesia. laryngeal reflexes are maintained and muscle tone is increased.
Where are opioid receptors located
In the brain, spinal cord, digestive tract.
What are the four opioid receptors
Mu, Kappa, Sigma, Delta
Describe synthetic narcotics and their uses
Produce analgesia and sedation while reducing anxiety and fear. Narcotic effects are produced when they act on opiate receptors in the brain. Used as preanesthetic’s or post anesthetics because of their sedative and analGesic properties. Sometimes used alone or in combination with tranquilizers.
List a few synthetic narcotic’s
Demerol,Oxymorphone,TorbugesicFentanylHydrocodoneEtorphineLomotilApomorphineBuprenorphine
What is buprenorphine used for
It is a potent analGesic that is used in several small animal species. Good for mild to moderate pain. Provides longer duration of analgesia than other opioids
What are the opioid reversal agents
Naloxone
What is neuroleptanalgesia
Opioid combined with a tranquilizer. Used for sedation unrestrained to produce anesthesia
How does a kidney maintain homeostasis
Filtration, reabsorption, secretion. Fluid balance regulation. Acid-base balance regulation. Production of hormones-erythropoietin. Blood pressure regulation.
What is a nephron
Basic functional unit of kidneys
What does a nephron consist of
Renal corpuscle, proximal convoluted tubule, loop of Henle, distal convoluted tubule
Describe the blood supply of the kidney
Renal artery enters the kidney at the hilus. Divides into smaller arteries and arterioles
What is the distal convoluted tubule
Continuation of the ascending loop of henle
What is the purpose of The distal convoluted tubule
Carrie tubular filtrate through the medulla. Empty into renal pelvis. Primary site of action of ADH and regulation of potassium an acid-base balance
Describe sodium reabsorption in the proximal convoluted tubule
Sodium in tubular filtrate attaches to carrier protein that moves it into the cytoplasm of the proximal convoluted tubule epithelial cell.
Describe sodium cotransport in the proximal convoluted tubule
Glucose and amino acids attach to the same carrier protein and follow sodium into the cell by passive transport.
Describe urine volume regulation in the kidney
Determined by amount of water contained in the tubular filtrate when it reaches the renal pelvis. Controlled by actions of ADH and aldosterone.
What gland created ADH hormone
Anterior pituitary gland
What does adh hormone do
Acts on the distal convoluted tubule and collecting ducts to promote reabsorption.
What disease do you have if you don’t have the ADH hormone
Diabetes insipitus
what does aldosterone hormone trigger
Increases reabsorption of sodium
What are the reflex components of urine control
A spinal reflex returns a motor impulses to the bladder muscles causing them to contract. Contraction gives the sensation of having to urinate
What are the three aspects of urine formation
️Glomerular filtrationTubular reabsorptionTubular secretion
What is erythropoiesis
Formation of erythrocytes.
What is erythropoietin
A hormone secreted by the healthy kidneys to cause the formation of erythrocytes.
What happens if the kidney is not producing erythropoietin
Animal may develop a non-regenerative anemia as a result
How do you confirm uremia
Blood tests
What can uremia do
Increase the sensitivity of some tissues to certain drugs
What blood tests do you do for uremia
Creatinine and bun (blood urea nitrogen)
What are diuretic drugs
Urine producing drugs. Used to remove excess extracellular fluid by increasing urine flow and sodium excretion and reducing hypertension
What is extracellular fluid
Edema
What are the two main reasons for diuretic use
To remove fluid from organs and to reverse high blood pressure
What are loop diuretics
Highly potent diuretics that inhibit the tubular reabsorption of sodium. They also promote the excretion of chloride, potassium and water.
What can happen to some patients on long term loop diuretic therapy
May also have to be placed on potassium supplementation
What are the dosage forms of the loop diuretics
Furosemide (lasix, disal, diuride)
What are the adverse side effects of loop diuretics
Hypokalemia
What are osmotic diuretics
Can be administered intravenously to promote diuresis by exerting high osmotic pressure in the kidney tubules and limiting tubular reabsorption
How does osmotic diuresis work
Water is drawn into the glomerular filtrate, reducing its reabsorption and increasing the excretion of water
What can osmotic diuretic drugs be used to treat
Oliguric acute renal failure and to reduce intracranial pressure
What are the dosage forms of osmotic diuretics
Mannitol 20% and Glucose
What do thiazide diuretics do
Reduce edema by inhibiting reabsorption of sodium, chloride and water. Their duration is longer than loop diuretics
What are the adverse side effects of loop diuretics
Hypokalemia if therapy is prolonged. A potassium supplement may be necessary to prevent Hypokalemia
What is a potassium sparing diuretic
Weaker diuretic and antihypertensive effects than other diuretics but they have the ability to conserve potassium.
What are potassium diuretics also called
Aldosterone antagonists.
What does an aldosterone antagonist do
Enhances the excretion of sodium and water and reduces the excretion of potassium.
What is special about edema associated with heart failure
Aldosterone might be a factor
What type of muscle is the detrusor muscle
Smooth muscle
What type of muscle is the internal urinary sphincter
Smooth muscle
What type of muscle is the external urinary spinchter
Skeletal muscle
What are the clinical uses of cholinergics
Used to help void the urinary bladder. Their action increases the tone of the detrusor muscle of the bladder and decreases bladder capacity
What is the dosage form of cholinergic agents
Bethanechol (urecholine and duvoid)
In what clinical situations would you use cholinergic agents
Weakened bladder muscle from over distension due to a urinary blockage. Spinal cord injury
Why do you use anticholinergic drugs
They block the action of acetylcholine at receptor sites in the parasympathetic nervous system.
What are anticholinergic drugs considered
Parasympatholytic because of their ability to block the passage of impulses through the parasympathetic nerves. Promotes muscle relaxation.
What is the clinical use of anticholinergic a
Used to treat urge incontinence by promoting the retention of urine in the urinary bladder.
What are the dosage forms of anticholinergic drugs
PropanthelineBuscopan
What are the Thiazide diuretics
DiurilHydrodiuril
What is the dosage form of potassium sparing diuretics
Aldactone
What does alpha adrenergic agonists do
Turn up the volume dial on the hold it message from the high neurologic areas. Increases internal spinchter tone
What medication Is used as an Adrenergic agonist
Phenylpropanolamine
What do adrenergic antagonists do
Relax vascular smooth muscle, enhance peripheral vasodilation and decrease blood pressure.
What is the clinical use of adrenergic antagonists
Reduce internal sphincter tone when the urethral sphincter is in hypertonus. This action is useful in treatment of urinary retention because of detrusor areflexia
What is detrusor areflexia
Functional urethral obstruction
What is prazosin used for
Effective in controlling moderate to severe hypertension which is a complicating factor in chronic renal failure
What are the dosage forms of adrenergic antagonists
DibenzylineMinipress
What are the adverse side effects of adrenergic antagonists
Rapid decrease in blood pressure, resulting in weakness or syncope after the first dose of prazosin. Usually self limiting.
What do beta adrenergic antagonists do
Inhibit the action of catecholamines and other sympathomimetic agents at the beta adrenergic receptor sites and therby inhibit stimulation of the sympathetic nervous system
What are the clinical uses of beta adrenergic antagonists
Include the control of mild to moderate hypertension associated with chronic renal failure
What is the dosage form of beta adrenergic antagonists
Inderal
What are the adverse side effects
Decreased Cardiac output and promotion of bronchospasm.
What is estrogen used for
Helps to increase sphincter tone
What is the dosage form of estrogen
Stillbesterol
What is the typical dosaging regime of estrogen
1 tablet sid for 5 days, then once weekly for 5 weeks than as needed
What do ace inhibitors do
Block the conversion of angiotensin 1 to angiotensin 2Decrease aldosterone secretion. Reduce peripheral arterial resistance Alleviate vasoconstriction.
What is the clinical use of ace inhibitors
Treat hypertension
What are the dosage forms of ace inhibitors
Benazepril (fortekor)CapotenEnacard
What is a vasodilator
May be substituted for or used in combination with other medications if previous drug therapy to control hypertension fails.
What are the clinical uses of vasodilator a
Used to treat non responding hypertension. Dopamine may be used to promote diuresis in patients unresponsive to loop or osmotic diuretics.
What are the dosage forms of vasodilator a
ApresolineIntropin
What are the dosage forms of calcium channel blockers
CardizemIsoptinAmiodipine
What does the adh hormone do
Regulates fluid balance in the body
In pituitary diabetes inspitidus what happens
The hormone fails to be synthesized or excreted properly and Polyuria/polydipsia occurs.
What are the clinical uses of adh hormone
Used to treat diabetes insipidus
What is the dosage form of adh
VasopressinDesmopressin
What is Desmopressin
Usually given as an eye drop and a nasal spray. Can cause irritation to the eye or conjunctiva.
What is Desmopressin used for during surgery
Type 1 Von willebrand’s disease
What is a urinary acidifier
Used to produce acid urine which assists in dissolving and preventing formation of struvites uroliths. Not Routinely prescribed
What are the dosage forms of urinary acidifiers
MethionineAmmonium chloride
What do xanthine oxidase inhibitors do
Decrease the production of uric acid. Prevent ammonium acid urate uroliths.