Pharmacology Flashcards
What are the 5 barriers to drug distribution?
drug’s chemical properties, tissue blood flow, protein binding, tissue binding, anatomic barriers
What are examples of anatomic barriers?
blood-brain barrier, epidural barrier, blood-testis barrier
What is the definition of the therapeutic range of a drug?
the drug concentration in the body that produces the desired effect in the animal with minimal or no signs or toxicity
What is the drug concentration in the body that produces the desired effect in the animal with minimal or no signs or toxicity?
therapeutic range of a drug
What are the 3 major drug factors that keep drugs in their therapeutic range?
route of administration, drug dose, dosage interval
How do you find the therapeutic range?
LD50/ED50
What is LD50/ED50 used to find?
a drug’s therapeutic range
The larger the therapeutic range the ___ the drug
safer
What is LD50?
lethal dose
What is ED50?
effective dose
What are the most common diseases that impact drug pharmacokinetics?
liver disease, kidney disease, cardiovascular disease
How does cardiovascular disease effect pharmacokinetics?
alters the distribution of blood flow to tissues
How does kidney diseases effect drugs?
decreased drug elimination, increases plasma drug concentrations, risk of adverse drug reactions or toxicity, increased fluid retention.
What is the primary site of drug metabolism?
the liver
The liver is the primary site of what?
drug metabolism
What has the most significant impact on drug disposition?
reduced kidney function
Reduced kidney function has what kind of impact on drug disposition?
the most significant
What kind of adverse drug reaction are predictable?
dose-dependent drug reactions
What kind of adverse drug reaction are unpredictable?
idiosyncratic drug reactions
What kind of adverse drug reaction affects all members of a species?
dose-dependent drug reaction
What kind of adverse drug reaction affects only a small portion of treated animals?
idiosyncratic drug reaction
What kind of adverse drug reaction has a likelihood of reaction increasing as the dose increases?
dose-dependent drug reaction
What kind of adverse drug reaction has a risk of reaction that increases with the dose?
idiosyncratic drug reaction
How do you treat idiosyncratic drug reactions?
drug withdrawal and drug avoidance
How do you treat dose-dependent drug reactions?
dose reduction and brief drug withdrawal
Do idiosyncratic drug reactions occur immediately?
no
What is therapeutic drug monitoring?
periodic measurement of amount of drug in the blood
When is therapeutic drug monitoring recommended?
pharmacokinetics of drug varies significantly among individuals, drug has narrow therapeutic range
What is the goal of therapeutic drug monitoring?
to optimize drug plasma concentrations to maximize efficacy and minimize toxicity
What is optimizing drug plasma concentrations to maximize efficacy and minimize toxicity a goal of?
therapeutic drug monitoring
T or F. Glucocorticoids are eliminated from the body quickly.
False. They’re eliminated from the body very slowly.
What does the federal government do?
assure available drugs are safe, effective, and prepared in accordance with manufacturing standards
What does the state laws do?
control the distribution of drugs within the state
What does the FDA’s Center for Veterinary Medicine (CVM) do?
regulates manufacturing and distribution of drugs, food additives and medical devices. Oversees regulations including approval, safety, efficacy, and postapproval monitoring
Who regulates drug residues in food animals?
FDA and EPA
What does EPA stand for?
Environmental Protection Agency
Drug compounding is limited to what kind of drugs?
FDA-approved drugs only
What are the uses of compounding drugs?
creating discontinued drugs, creating dosages and strength specific to an animal’s weight and health, creating alternative dose forms such a liquids/ointments/tablets, adding flavoring, customizing formula that combine multiple drugs
What are some concerns of compounding drugs?
might turn an FDA approved drug into an unapproved drug, made without FDA oversight, may not be sterile and cause infections, errors may result in disease or death
What does FARAD stand for?
Food Animal Residue Avoidance Bank
What is the abbreviation for Food Animal Residue Avoidance Bank?
FARAD
What is FARAD?
a computer-based system designed to provide information on how to avoid drug, pesticide, and environmental contaminant residue problems
Which agency provides a list of drugs prohibited for use in livestock?
FARAD
How long should records of controlled substances be kept?
2 years
What are the four major steps in drug development?
synthesis/discovery of a new drug compound, safety/effectiveness evaluation, submission and review of the new animal drug application, postmarketing surveillance stage
What are short term tests used for when looking at safety and effectiveness evaluation?
to check the animal for obvious adverse reactions
What are long term tests used for when looking at safety and effectiveness evaluation?
check the animal’s various organ systems for toxicity damage
How long are long term tests ran for when looking at safety and effectiveness evaluation
3-24 months of repeated dosing
How long are long term tests done for when looking at safety and effectiveness evaluation
hours following a test dose
What do carcinogenicity tests look at in terms of safety and effectiveness evaluation?
cancer causing
What do teratogenicity tests look at in terms of safety and effectiveness evaluation?
fetal defects in pregnant animals
What are 6 rights of drug administration?
the right drug, the right dose, the right time, the right route, the right patient, the right documentation
How many times should you check the label on a container?
three times
Should you ever give a medication from a container that is unlabeled?
no
Why are daily drug doses given at specific times during the day?
to keep plasma levels at the proper level to cause the desired effect
What should be included in the documentation when you administer drugs?
the drug, dosage administered, time and date administered, the route and site, patient’s response, signature or initials
What are factors that affect the route of drug administration?
drug may have on effect when given parenterally and another nonparenterally, water-insoluble drugs can be given IM but not IV, some drugs are destroyed or modified by stomach acid and cannot be given orally
Why should air bubbles be removed from drugs being administered IV?
to avoid causing air emboli and tissue damage
Are drugs administered IM volume limited?
yes
What does the sympathetic (adrenergic) nervous system do to the body?
increases heart rate, increases respiration rate, increases blood flow to muscles, decreases GI function, causes pupillary dilation
What does the parasympathetic (cholinergic) nervous system do to the body?
brings heart rate/respiration rate/and blood flow to muscles back to normal levels, returns GI function to normal, constricts pupils to normal size
What do cholinergic drugs do?
mimic the action of the parasympathetic nervous system
Examples of cholinergic drugs?
bethanechol, metoclopramide, pilocarpine, edrophonium, neostigmine, demecarium, organophosphates
What do anticholinergic drugs do?
inhibit the actions of acetylcholine by occupying the acetylcholine receptors
Examples of anticholinergic drugs?
atropine, glycopyrrolate, aminopentamide, propantheline
What do adrenergic drugs do?
stimulate the action of the sympathetic nervous system
What are side effects of adrenergic drugs?
tachycardia, hypertension, cardiac arrhythmias
Examples of adrenergic drugs?
epinephrine, norepinephrine, isoproterenol, dopamine, dobutamine, phenylpropanolamine, isoetharine, albuterol, terbutaline, ephedrine, xylazine
What do adrenergic blocking agents do?
block the effects of the adrenergic neurotransmitters
What are examples of alpha-blockers?
phenoxybenzamine, prazosin, yohimbine
What are examples of beta-blockers?
propranolol, metoprolol, timolol
What are dendrites?
branch-like extensions that receive impulses and carry them toward the cell body
What do you call branch-like extensions that receive impulses and carry them toward the cell body?
dendrites
What is an axon?
single extension of the neuron that carries impulses away from the cell body
What do you call a single extension of the neuron that carries impulses away from the cell body?
axon
What do sensory neurons do?
carry impulses from inside and outside the body to brain and spinal cord
What do interneurons do?
process incoming impulses and pass them on to motor neurons
What do motor neurons do?
carry impulses away from the brain and spinal cord
How do anticonvulsants help prevent seizures?
by suppressing the spread of abnormal electric impulses from the seizure focus to other areas of the cerebral cortex
Examples of barbituates used as an anticonvulsant.
phenobarbital, pentobarbital
What do benzodiazepines do when used as an anticonvulsant?
potentiate effects of GABA, cause muscle relaxtion, relieve anxiety
Examples of benzodiazepines used as an anticonvulsant.
diazepam, lorazepam, clorazepate
What is Flumazenil?
benzodiazepine reversal agent
What is a benzodiazepine reversal agent?
Flumazenil
What are side effects of gabapentin?
sedation, ataxia, potential for hepatotoxicity
How does Gabapentin work?
inhibiting calcium channels resulting in decreased excitatory neurotransmission
What do tranquilizers do?
calm animals, reduce anxiety and aggression
What do sedatives do?
quiet excited animals, decrease irritability and excitement
What is an example of a phenothiazine derivatives?
acepromazine
What does acepromazine do?
causes sedation, relieves fear and anxiety
What do phenothiazine derivatives do when used as a calming agent?
causes sedation, relieves fear and anxiety
What are side effects of phenothiazine derivatives when used as a calming agent?
hypotension, lower seizure threshold, protrusion of nictitating membrane, paraphimosis
What are side effects of acepromazine when used as a calming agent?
hypotension, lower seizure threshold, protrusion of nictitating membrane, paraphimosis
What are examples of benzodiazepines used as a calming agent?
midazolam, diazepam
What are benzodiazepines used for when used as a calming agent?
anti-anxiety, produce muscle relaxation, reduce anxiousness
What are examples of alpha-2 agonists used as a calming agent?
xylazine, detomidine, medetomidine
What are side effects when using alpha-2 agonists as a calming agent?
bradycardia and heart block
What reversal agents are available for alpha-2 agonists? calming agent
yohimbine and atipamezole
What are side effects of opioids?
respiratory depression and excitement if given rapidly
What are the three opioid receptors? Where are they found/
Mu = found in the brain Kappa = found in the cerebral cortex and spinal cord Sigma = found in the brain
What do opioid antagonists do?
block the binding of opioids to their receptors
What are opioid receptors used for?
to treat respiratory and CNS depression of opioid use
What is an example of an opioid antagonists?
naloxone
What is naloxone used for?
to reverse respiratory depression following narcotic overdose
What is a neuroleptanalgesic?
combination of an opioid and a tranquilizer or sedative
What are examples of neuroleptanalgesics?
acepromazine + morphine, xylazine + butorphanol
What do local anesthetics do?
block nerve transmission in the area of application with no loss of consciousness
What are examples of local anesthetics?
lidocaine, proparacaine, tetracaine, mepivacaine, bupivacaine
What are side effects of barbituates used as an injectable general anesthetic?
potent cardiovascular and respiratory depression
What are side effects of dissociatives used as an injectable general anesthetic?
cardiac stimulation, respiratory depression, exaggerated reflexes
What do dissociatives cause when used as an injectable general anesthetic?
muscle rigidity, amnesia, mild analgesia
What can halothane cause?
hepatic problems, malignant hyperthermia, cardiac problems, tachypnea
When is halothane contraindicated?
gastric dilation, pneumothorax, twisted intestines
What are side effects of isoflurane?
respiratory depression and malignant hyperthermia
What does Doxapram do?
stimulates brainstem to increase respiration in animals with apnea or bradypnea
When is Doxapram commonly used?
when animals have C-sections
What do euthanasia solutions usually contain?
pentobarbital
When is euthanasia solution a C-2 controlled substance?
when pentobarbital is the only narcotic agent present
When is euthanasia solution a C-3 controlled substance?
when pentobarbital is in combination with other agents
When pentobarbital is the only narcotic agent present, what class of a controlled substance is a euthanasia solution?
class 2
When pentobarbital is in combination with other agents, what class of a controlled substance is a euthanasia solution?
class 3
What is an example of an expectorant?
guaifenesin
What is guaifenesin?
an expectorant
What do expectorants do?
increase the fluidity of mucus, increase the flow of respiratory secretions to allow material to be coughed up from the lungs
What do mucolytics do?
decrease the viscosity or thickness of respiratory secretions
What is acetylcysteine an example of?
mucolytic
What is an example of a mucolytic?
acetylcysteine
What is acetylcysteine also used to treat?
acetaminophen toxicity
What is used to treat acetaminophen toxicity?
acetylcysteine
What may be centrally acting or locally acting?
antitussives
What do antitussives do?
suppress coughs
What respiratory drug suppresses cough?
antitussives
Antitussives may be ___ acting or ___ acting.
centrally, locally
What are examples of centrally acting antitussives?
butorphanol, hydrocodone, codeine, dextromethorphan, trimeprazine
What is butorphanol, hydrocodone, codeine, dextromethorphan, trimeprazine an example of?
centrally acting antitussives
What are examples of locally acting antitussives?
cough syrups
Are locally acting antitussives common in veterinary medicine?
no
What type of respiratory drug decreases the viscosity or thickness of respiratory secretions?
mucolytics
What type of respiratory drug increases the fluidity of mucus and increases the flow of respiratory secretions to allow material to be coughed up from the lungs?
expectorants
What do decongestants do?
decrease the congestion of nasal passages by reducing swelling
What respiratory drug decreases the congestion of nasal passages by reducing swelling?
decongestants
What are examples of decongestants?
phenylephrine and pseudophedrine
What are phenylephrine and pseudophedrine and example of?
decongestant
What do antihistamines do?
block the effects of histamine
What respiratory drug blocks the effects of histamine?
antihistamines
What are side effects of antihistamines?
CNS depression and anticholinergic effects such as dry mouth
What do bronchodilators do?
widen the lumen of the bronchi and counteract bronchoconstriction
What respiratory drugs widen the lumen of the bronchi and counteract bronchoconstriction?
bronchodilators
What are examples of bronchodilators?
cholinergic blocking agents (aminopentamide, atropine, glycopyrrolate)
beta-2-adrenergic agonists (epinephrine, isoproterenol, terbutaline, albuterol)
methylxanthines (aminophylline, theophylline)
What are examples of respiratory stimulants?
naloxone and yohimbine
What are 4 examples of asthma drugs?
glucocorticoids, bronchodilators, methylxanthines, cyclosporin
Glucocorticoids are orally used to treat ___ asthma.
feline
What is orally used to treat feline asthma?
glucocorticoids
There are ___ side effects with inhaled glucocorticoids than with ___ ones
inhaled, oral
What are inhaled glucocorticoids used for?
to decrease swollen and narrowed airways by decreasing inflammation
What asthma drug is used to decrease swollen and narrowed airways by decreasing inflammation?
inhaled glucocorticoids
What is used in addition to glucocorticoids in the treatment of feline asthma?
bronchodilators
What side effects of bronchodilators when used as an asthma drug?
tracheal or bronchial irritation
Which asthma drug has a narrow therapeutic index?
methylxanthines
What is a cyclosporin when speaking about asthma drugs?
a fungal derived protein useful in the allergic response in feline asthma
Which asthma drug is a fungal derived protein useful in the allergic response in feline asthma?
cyclosporin
What are side effects of cyclosporin?
nephrotoxicity and vomiting
What are some good management practices to help horses with COPD?
keeping horses outside as much as possible, reducing dust, storing hay in a dry place, improving ventilation in horse stables
How do glucocorticoids help COPD?
help decrease smooth muscle contraction, suppress inflammation, and reduce mucus production
What COPD drugs help decrease smooth muscle contraction, suppress inflammation, and reduce mucus production?
glucocorticoids
What does the urinary system do?
filter waste from blood, help control system pH, help produce blood, help control blood volume, help control blood pressure, help control system ion concentrations
What kinds of drugs affect the urinary system?
antihypertensive, diuretics
What do antihypertensive drugs do?
decrease hypertension (lower blood pressure)
What kind of drugs decrease hypertension (lower blood pressure)?
antihypertensive drugs
What are 4 types of antihypertensive drugs that affect the urinary system?
diuretics, angiotensin-converting enzyme inhibitors (ACE inhibitors), calcium-channel blockers, direct-acting arteriole vasodilators
What do diuretics do?
promote sodium and water loss
What do ACE inhibitors do?
block the conversion of angiotensin 1 to angiotensin 2, which results in decreased aldosterone secretion
What are examples of ACE inhibitors that affect the urinary system?
enalapril, captopril, lisinopril, benazepril
What drugs block the converson of angiotensin 1 to angiotensin 2?
ACE inhibitors
What do calcium-channel blockers do?
block the influx of calcium ions into the myocardial cells, resulting in an inhibition of cardiac and smooth muscle contractility
What kind of drug blocks the influx of calcium ions into the myocardial cells, resulting in an inhibition of cardiac and smooth muscle contractility?
calcium-channel blockers
What are examples of calcium-channel blockers that affect the urinary system?
amlodipine, verapamil, nifedipine, diltiazem
What do direct-acting arteriole vasodilators do?
relax smooth muscles of blood vessels causing vasodil
What kind of drug relaxes smooth muscles of blood vessels causing vasodil?
direct-acting arteriole vasodilators
What are examples of direct-acting arteriole vasodilators?
hydralazine and minoxidil
What are examples of alpha-adrenergic antagonists that affect the urinary system?
phenoxybenzamine, prazosin, nicergoline
What do diuretics do?
increase the volume of urine excreted by the kidneys and promote release of water from tissues, lower the fluid volume in tissues
What are the 5 types of diuretics?
thiazides, loop diuretics, potassium-sparing diuretics, carbonic anhydrase inhibitors, osmotics
What do thiazide diuretics do?
act directly on the renal tubules to block sodium reabsorption and promote chloride ion excretion
What type of diuretic acts directly on the renal tubules to block sodium reabsorption and promote chloride ion excretion?
thiazides
What are side effects of thiazide diuretics?
hypokalemia and cardiac dysfunction
What are examples of thiazide diuretics?
hydrochlorothiazide, chlorothiazide, hydroflumethiazide, bendroflumethiazide
Hydrochlorothiazide, chlorothiazide, hydroflumethiazide, bendroflumethiazide are examples of what?
thiazide diuretics
What do loop diuretics do?
influence the reabsorption action at the loop of Henle, resulting in tremendous diuresis
What type of diuretic influences the reabsorption action at the loop of Henle, resulting in tremendous diuresis?
loop diuretics
What are side effects of loop diuretics?
electrolyte imbalances (especially hypokalemia)
What is an example of a loop diuretic?
furosemide
What is furosemide an example of?
loop diuretic
What do potassium-sparing diuretics do?
act on the distal convulated tubules to promote sodium and water excretion and potassium retention
What type of diuretic acts on the distal convulated tubules to promote sodium and water excretion and potassium retention?
potassium-sparing diuretics
What is the main side effect of potassium-sparing diuretics?
hyperkalemia
What are examples of potassium-sparing diuretics?
spironolactone, triamterene, amiloride
Spironolactone, triamterene, amiloride are examples of what?
potassium-sparing diuretics
What do carbonic anhydrase inhibitors do?
block the action of the enzyme carbonic anhydrase, which is used by the body to maintain acid-base balance
Which diuretic blocks the action of the enzyme carbonic anhydrase, which is used by the body to maintain acid-base balance?
carbonic anhydrase inhibtors
What are carbonic anhydrase inhibitors used for?
decrease intraocular pressure with open-angle glaucoma
What diuretic is used to decrease intraoclar pressure with open-angle glaucoma.
carbonic anhydrase inhibitors
What is the main side effects of carbonic anhydrase inhibitors?
metabolic acidosis
What are examples of carbonic anhydrase inhibitors?
acetazolamide and dichlorphenamide
What do osmotic diuretics do?
increase the osmolality (concentration) of the urine filtrate in the renal tubules, resulting in the excretion of chloride, potassium, and water
What kind of diuretics increase the osmolality (concentration) of the urine filtrate in the renal tubules, resulting in the excretion of chloride, potassium, and water?
osmotic diuretics
What are osmotic diuretics used for?
to prevent kidney failure and to decrease intracranial and intraocular pressure
What kind of diuretics are used to prevent kidney failure and to decrease intracranial and intraocular pressure?
osmotic diuretics
What are side effects of osmotic diuretics?
fluid/electrolyte imbalance and vomiting
What are examples of osmotic diuretics?
mannitol and glycerin
What are uroliths?
abnormal mineral masses in the urinary system
What are abnormal mineral masses in the urinary system called?
urolith
What are the drug categories used to treat uroliths?
urinary acidifiers, urinary alkalinizers, xanthine oxidase inhibitors
What are urinary acidifiers used for?
to produce acid urine, which dissolves and helps prevent formation of struvite uroliths
What is used to produce acid urine, which dissolves and helps prevent formation of struvite uroliths?
urinary acidifiers
What are examples of urinary acidifiers?
methionine and ammonium chloride
What is methionine and ammonium chloride examples of?
urinary acidifers
What are urinary alkalinizers used for?
to treat calcium oxalate, cystine, and ammonium urate uroliths
What is used to to treat calcium oxalate, cystine, and ammonium urate uroliths?
urinary alkalinizers
What is an example of a urinary alkalinizer?
potassium citrate
What do xanthine oxidase inhibitors do?
decrease the production of uric acid, which helps decrease the formation of ammonium urate uroliths
What is used to decrease the production of uric acid, which helps decrease the formation of ammonium urate uroliths?
xanthine oxidase inhibitors
What are two things that may cause urinary incontinence?
neurologic disorders and non-neurologic disorders
What is urinary incontinence caused by neurologic disorders result from?
trauma to the spinal cord, tumors of the nervous system, or degeneration of the nervous system tracts
What is urinary incontinence caused by non-neurologic disorders result from?
hormone-responsive, stress, urge, ectopic ureter formation, or urinary bladder over-distention
What are the two types of drugs used to treat neurologically caused incontinence?
cholinergic agonists and anticholinergics
What do cholinergic agonists treat animals with neurologically caused urinary incontinence?
urinary retention, promote voiding of urine from the urinary bladder (relaxation of the urinary bladder)
What do anticholinergic treat animals with neurologically caused urinary incontinence?
block binding of ACh to its receptor site, causing muscle relaxation (promote urine retention)
What is an example of a cholinergic agonist used to treat neurologically caused urinary incontinence?
bethanechol
What are examples of a anticholinergic used to treat neurologically caused urinary incontinence?
propantheline, dicyclomine, butylhyoscine
How do alpha-adrenergic antagonists help treat neurologically caused urinary incontinence?
decrease the tone of internal urethral sphincters and are used to treat over-distention of the bladder (treat urinary retention)
What are examples of alpha-adrenergic antagonists used to treat neurologically caused urinary incontinence?
phenoxybenzamine, prazosin, nicergoline
What are used to treat non-neurologically caused urinary incontinence?
hormones (estrogen and testosterone)
What is an example of estrogen used to treat non-neurologically caused urinary incontinence?
diethylstilbestrol
What are examples of testosterone used to treat non-neurologically caused urinary incontinence?
testosterone cypionate and testosterone propionate
What are four purposes of the cardiovascular system?
distribute metabolites and O2, collect wastes and CO2, thermoregulation, hormone distribution
What is systole?
contraction of heart chambers
What is diastole?
relaxation of heart chambers
What are types of cardiovascular drugs?
positive inotropic drugs, negative inotropic drugs, positive chronotropic drugs, negative chronotropic drugs, positive dromotropic drugs, negative dromotropic drugs
What do positive inotropic drugs do?
increase the force of myocardial contraction
What type of cardiovascular drug increases the force of myocardial contraction?
positive inotropic drugs
What do negative inotropic drugs do?
decrease the force of myocardial contraction
What type of cardiovascular drug decreases the force of myocardial contraction?
negative inotropic drugs
What do positive chronotropic drugs do?
increase heart rate by altering the rate of impulse formation at the SA node
What type of cardiovascular drug increases heart rate by altering the rate of impulse formation at the SA node?
positive chronotropic drugs
What do negative chronotropic drugs do?
decrease heart rate by altering the rate of impulse formation at the SA node
What type of cardiovascular drug decreases heart rate by altering the rate of impulse formation at the SA node?
negative chronotropic drugs
What do positive dromotropic drugs do?
increase the conduction of electrical impulses
What type of cardiovascular drug increases the conduction of electrical impulses?
positive dromotropic drugs
What do negative dromotropic drugs do?
decreases the conduction of electrical impulses
What type of cardiovascular drug decreases the conduction of electrical impulses?
negative dromotropic drugs
What are examples of positive inotropes?
cardiac glycosides, catecholamines, benzimidazole-pyridazinones
What are cardiac glycosides, catecholamines, benzimidazole-pyridazinones an example of?
positive inotropes
What do cardiac glycosides do?
increase the strength of cardiac contractions, decrease heart rate, have an antiarrhythmic effect, and decrease signs of dyspnea
What are cardiac glycosides used to treat?
CHF, atrial fibrillation, supraventricular
What are side effects of cardiac glycosides?
anorexia, vomiting, diarrhea, cardiac arrhythmias
What are examples of cardiac glycosides?
digoxin and digitoxin
What are digoxin and digitoxin an example of?
cardiac glycosides
What do catecholamines do?
increase the force and rate of myocardial contraction, constrict peripheral blood vessels, and increase blood glucose levels
What are examples of catecholamines?
epinephrine, dopamine, dobutamine, isoproterenol
What is epinephrine, dopamine, dobutamine, isoproterenol examples of?
catecholamines
What do benzimidazole-pyridazinones do?
increase force of contraction and cause widening of blood vessels
What kind of positive inotrope increases force of contraction and cause widening of blood vessels?
benzimidazole-pyridazinones
What kind of positive inotrope increases the force and rate of myocardial contraction, constrict peripheral blood vessels, and increase blood glucose levels?
catecholamines
What kind of positive inotrope increases the strength of cardiac contractions, decrease heart rate, have an antiarrhythmic effect, and decrease signs of dyspnea?
cardiac glycosides
What are side effects of benzimidazole-pyridazinones?
anorexia, lethargy, diarrhea, dyspnea
What is an example of a benzimidazole-pyridazinone?
pimobendan (Vetmedin)
What are types of antiarrythmic drugs?
local anesthetics, membrane stabilizers, beta-adrenergic blockers, action potential prolongation drugs, calcium-channel blockers
What are Class 2 antiarrythmic drugs?
beta-blockers
What do vasodilators do?
dilate arteries and/or veins, which alleviates vessel constriction and improves cardiac output
What are examples of vasodilators?
angiotension-converticing enzyme inhibitors, arteriole dilators, venodilators, combined vasodilators
What does mastication mean?
chewing
What does deglutition mean?
swallowing
What are the three parts of the intestine in order?
duodenum, jejunum, ileum
How are most antiemetics given?
parenterally
What are some examples of types of antiemetics?
phenothiazine derivatives, antihistamines, anticholinergics, procainamide derivatives, serotonin receptor antagonists, neurokinin receptor antagonist
What do phenothiazine derivatives do?
inhibit dopamine in the chemoreceptor trigger zone, thus decreasing the stimulation to vomit
What are some indications to use phenothiazine derivatives?
motion sickness
What are examples of phenothiazine derivatives used as antiemetics?
acepromazine, chlorpromazine, prochlorperazine
What do procainamide derivatives do?
blocking the CRTZ and peripherally by speeding gastric emptying, strengthening cardiac sphincter tone, increasing the force of gastric contractions
What kind of animals should you not use procainamide derivatives in?
animals with GI obstructions, GI perforation, or GI hemorrhage
What is an example of procainamide derivatives used as an antiemetic?
metoclopramide (Reglan)
Metoclopramide (Reglan) is an example of what type of antiemetic?
procainamide derivatives
What are examples of antihistamines used as an antiemetic?
trimethobenzamide, dimenhydrinate, diphenhydramine (benadryl)
What is Cerenia?
maropitant citrate
What is maropitant citrate?
Cerenia
When is activated charcoal given?
if emesis is contraindicated
When should vomiting not be induced?
if caustic substances have been ingested
What are centrally acting emetics?
apomorphine (IV or mucosal) or xylazine (Cats)
What are peripherally acting emetics?
ipecac syrup, home remedies
What are categories of antiulcer drugs?
antacids, histamine-2 receptor antagonists, mucosal protective drugs, prostaglandin analogs, and proton pump inhibitors
What do antacids do?
promote ulcer healing by neutralizing HCl and reducing pepsin activity
How long should you wait before or after giving prostanglandins before giving other drugs?
1-2 hours
Antacids can be ____ or ____.
systemic, non-systemic
What are examples of systemic antacids?
sodium bicarbonate and calcium carbonate
What kind of antiulcer drugs are sodium bicarbonate and calcium carbonate an example of?
systemic antacids
What are examples of nonsystemic antacids?
magnesium hydroxide (milk of magnesia), aluminum/magnesium hydroxide, aluminum hydroxide
What kind of antiulcer drugs are magnesium hydroxide (milk of magnesia), aluminum/magnesium hydroxide, aluminum hydroxide examples of?
nonsystemic antacids
What do histamine-2 receptor antagonists do?
prevent acid reflux by competitively blocking the H2 receptors of the parietal cells in the stomach, thus reducing gastric acid
What are examples of histamine-2 receptor antagonists?
Cimetidine (Tagamet), Ranitidine (zantac), and Famotidine (Pepcid)
What kind of antiulcer drugs are Cimetidine (Tagamet), Ranitidine (zantac), and Famotidine (Pepcid) examples of?
histamine-2 receptor antagonists
What do mucosal protective drugs do?
combine with protein to form an adherent substance that covers the ulcer and protects it from stomach acid and pepsin
What is an example of a mucosal protective drug?
sucralfate
What kind of antiulcer drug is sucralfate?
mucosal protective drug
What do prostaglandin analogs do?
suppress gastric secretions and increase mucus production in the GI tract
What kind of antiulcer drug suppresses gastric secretions and increase mucus production in the GI tract?
prostaglandin analogs
What kind of antiulcer drug combines with protein to form an adherent substance that covers the ulcer and protects it from stomach acid and pepsin?
mucosal protective drug
What kind of antiulcer drug prevents acid reflux by competitively blocking the H2 receptors of the parietal cells in the stomach, thus reducing gastric acid?
histamine-2 receptor antagonists
What kind of antiulcer drug promotes ulcer healing by neutralizing HCl and reducing pepsin activity?
antacid
What kind of antiulcer drug is usually given to animals taking NSAIDs?
prostaglandin analogs
What is an example of prostaglandin analogs?
misoprostol
Misoprostol is an example of which antiulcer drug?
prostaglandin analogs
What do proton pump inhibitors do?
bind irreversibly to the H+-K+-ATPase enzyme on the surface of parietal cells of the stomach; this inhibits hydrogen ion transport into the stomach so that it cannot secrete HCl
What kind of antiulcer drug binds irreversibly to the H+-K+-ATPase enzyme on the surface of parietal cells of the stomach; this inhibits hydrogen ion transport into the stomach so that it cannot secrete HCl?
proton pump inhibitors
What are examples of proton pump inhibitors?
omeprazole (Prilosec) and lansoprazole
Omeprazole (Prilosec) and lansoprazole are examples of what kind of antiulcer drug?
proton pump inhibitors
What do antifoaming drugs do?
reduce or prevent the formation of foam
How are antifoaming drugs administered?
as solutions by stomach tube
What are examples of antifoaming drugs?
poloxalene and polymerized methyl silicone
Poloxalene and polymerized methyl silicone are examples of what?
antifoaming drugs
What do antidiarrheals do?
decrease peristalsis, which allows fluid absorption from the intestinal contents
What are examples of antidiarrheals?
anticholinergics, protectants/adsorbents, opiate-related agents, probiotics, metronidazole
What are anticholinergics used to treat when it comes to antidiarrheals?
tenemus and vomiting
What are side effects of anticholinergics when used for antidiarrheals?
dry mucous membranes, urine retention, tachycardia, constipation
What are examples of adsorbents used as an antidiarrheal?
bismuth subsalicylate, kaolin/pectin, activated charcoal
What are side effects of adsorbents?
constipation
How do opiate-related agents control diarrhea?
by decreasing both intestinal secretion and the flow of feces and increasing segmental contractions
What are examples of opiate-related agents control diarrhea?
loperamide, diphenoxylate, paregoric
What are side effects of opiate-related agents used as an antidiarrheal?
CNS depression, ileus, urine retention, bloat, and constipation
T or F. Probiotics must be refrigerated to maintain the viability of the bacteria.
True.
What is an antibiotic used to treat diarrhea?
metronidazole
What do laxatives do?
loosen the bowel contents and encourages evacuation of stool
What kind of laxatives are harsher laxatives?
cathartics
What are the four types of laxatives?
osmotic, stimulant, bulk-forming, emollient
What do osmotic laxatives do?
pull water into the colon and increase water content in the feces, thereby increasing bulk and stimulating peristalsis
What kind of laxative pulls water into the colon and increase water content in the feces, thereby increasing bulk and stimulating peristalsis?
osmotic
What are examples of osmotic laxatives?
lactulose, sodium phosphate w/ sodium biphosphate (fleet enema), magnesium sulfate (epsom salts), magnesium hydroxide (milk of magnesia)
Lactulose, sodium phosphate w/ sodium biphosphate (fleet enema), magnesium sulfate (epsom salts), magnesium hydroxide (milk of magnesia) are examples of what kind of laxative?
osmotic
What do bulk-forming laxatives do?
absorb water into the intestine, increase fecal bulk, and stimulate peristalsis, resulting in large, soft stool production
What kind of laxative absorbs water into the intestine, increase fecal bulk, and stimulate peristalsis, resulting in large, soft stool production?
bulk-forming
Are bulk-forming laxatives systemically absorbed?
no
What are examples of bulk-forming laxatives?
psyllium hydrophilic mucilloid (Metamucil), polycarbophin, bran
Psyllium hydrophilic mucilloid (Metamucil), polycarbophin, bran are examples of what kind of laxative?
bulk-forming
What are examples of emollients?
docusate sodium, docusate calcium, docusate potassium, mineral oil, and petroleum products (Laxatone)
Docusate sodium, docusate calcium, docusate potassium, mineral oil, and petroleum products (Laxatone) are examples of what kind of laxative?
emollient
What do prokinetic agents do?
increase the motility of parts of the GI tract to enhance movement of material through it
What are types of prokinetic agents?
parasympathomimetics, dopaminergic antagonists, serotonergic agents
What do serotonin antagonist antihistamines do?
promote appetite by inhibition at the serotoninergic receptors which control satiety
What are side effects of serotonin antagonist antihistamines?
sedation and dry mouth
What is an example of serotonin antagonist antihistamines?
cyproheptadine
Cyproheptadine is an exampe of what?
serotonin antagonist antihistamines
What do antisialogues do?
decrease salivary flow
What are the two categories that analgesics fall into?
narcotics and non-narcotics
What are the two main groups of anti-inflammatory drugs?
steroidal and non-steroidal
What do steroidal anti-inflammatory drugs do?
block the action of phospholipase
What group of anti-inflammatory drugs block the action of phospholipase?
steroidal
What group of anti-inflammatory drugs block the action of cyclooxygenase?
non-steroidal
What do non-steroidal anti-inflammatory drugs do?
block the action of cyclooxygenase
Corticosteroids are homones produced by what?
adrenal cortex
What do glucocorticoids have anti-inflammatory effects?
their inhibition of phospholipase
What do glucocorticoids do to inhibit phospholipase?
raise the concentration of liver glycogen and increase blood glucose levels
What do glucocorticoids affect?
carbohydrate, protein, fat metabolism
What are glucocorticoids regulated by?
negative feedback
What are examples of short-acting glucocorticoids?
cortisone and hydrocortisone
Cortison and hydrocortisone are examples of why kind of glucocorticoids?
short-acting
What are examples of intermediate-acting glucocorticoids?
prednisone, prednisolone, methylprednisolone, triamcinolone, prednisolone sodium succinate, methylprednisolone acetate
Prednisone, prednisolone, methylprednisolone, triamcinolone, prednisolone sodium succinate, methylprednisolone acetate were examples of what kind of glucocorticoids?
intermediate-acting
What are examples of long-acting glucocorticoids?
dexamethasone, betamethasone, fluocinolone
Dexamethasone, betamethasone, fluocinolone are examples of what kind of glucocorticoids?
long-acting
How long do short acting glucocorticoids last for?
less than 12 hours
How long do intermediate acting glucocorticoids last for?
12-36 hours
How long do long acting glucocorticoids last for?
over 36 hours