Pharmacology Final Review Flashcards
Examples of Nutraceuticals
Glucosamine Chondroitin Sulfate, Vitamins, Fatty acids
Examples of biologics?
Vaccines, Antitoxins
What is included in the regimen?
Route, dosage, frequency, and duration
Agency that regulates drugs and feed additives?
FDA
Agency that regulates topical pesticides
EPA
Agency that regulates biologics
USDA
What are the 5 Rights?
Right Drug
Right Time
Right Route
Right Amount
Right Patient
Four steps to pharmacokinetics
Absorption
Distribution
Metabolism
Excretion
Study of what the body does to a drug?
Pharmacokinetics
Study of what a drug does to a body?
Pharacodynamics
Biotransformation is also known as:
Metabolism
Main organ responsible for metabolism of drugs
Liver
Main organ for excretion?
Kidneys
Formula for the therapeutic index
LD50/LE50
Examples of Controlled Class I drugs
LSD, Marijuana, Heroine, Quaaludes, Ecstasy, Cocaine
Examples of Controlled Class II drugs
Morphine, Opiates, Pentobarbital, Fentanyl, Codeine
Examples of Controlled Class III Drugs
Zolazepam, Ketamine, Buprenorphine, Hydrocodone, ePethotahl, Teletamine, Anabolic steroids
Examples of Controlled Class IV Drugs
Butorphanol, Diazepam (Valium), Phenobarbital
Examples of Controlled Class V drugs
Anti-diarrheals, Analgesics, Cough supressants
Ability of a solution to initiate water movement
Tonicity
pH of < 7.2 indicates
Acidosis
pH > 7.6 indicates
Alkalosis
Common causes of acidosis
Ethylene glycol ingestion, salicylate ingestion, renal disease, diabetes mellitus, shock
Common causes of alkalosis
Emesis, alkaline drugs, hypoalbuminemia
5-6% dehydration
Slight loss of skin elasticity
6-8% dehydration
Tented skin, prolonged CRT, dry MM
10-12% dehydration
>3 sec CRT
Eyes sunken
Shock symptoms
12-15% dehydration
Severe shock, death
Fluid additive for metabloic acidosis, hypercalcemia, hyperkalemia
Sodium bicarbonate
Fluid additive for hypokalemia
Potassium Chloride
Fluid additive for ketosis and hypoglycemia
Dextrose 50%
Fluid additive to replenish vitamins lost due to polyuria
B vitamins
Fluid additives for hypocalcemia, grass tetany, parathyroid disorder
Calcium Gluconate/Chloride
Formula for dilutions
C1 x V1 = C2 x V2
Quantity of a drug adminstered that reaches the general circulation
Bioavailability
Passage by diffusion from an area of high concentration to an area of low concentration
Passive Transport
DIffusion occurs until it reaches a _____ and can enter the circulation
capillary
Passage from an area of low concentration to an area of high concentration
Active Transport
Mode through which electrolytes are transported
Active transport
In more alkaline environment (increased pH) acidic drugs are ______ absorbed while alkaline drugs are ______ absorbed
Acidic drugs poorly absorbed
Alkaline drugs are better absorbed
In more acidic environment (decreased pH) acidic drugs are ____ absorbed while alkaline drugs are ____ absorbed.
Acidic drugs are better absorbed
Alkaline drugs are poorly absorbed
Examples of tissue barriers
Blood-Brain barrier
Ocular barrier
Placental barrier
When dosing drugs, the patient’s ______ ______ level must be considered
plasma protein
A drug that has a high affinity and efficacy and causes a specific action
Agonist
A drug that has less affinity and efficacy
Partial agonist
A drug that blocks another drug from combining with a receptor
Antagonist
Raises drug concentration to a therapeutic range in a short time
Loading dose
Periodic smaller dose to maintain therapeutic range
Maintenance dose
Defines the toxicity of the drug
Therapeutic index
Plasmid mechanism
Acquisition of an additional piece of DNA from another bacteria
Mutation mechanism
Spontaneous change in DNA
Renders the drug useless
Enzyme action
Medications that work by inhibiting cell wall synthesis
Penicillins
Cephalosporins
Cell wall synthesis is associated with ______
peptidoglycan
Medications that work by inhibiting protein synthesis
Aminoglycosides
Tetracyclines
Macrolides
Lincosamides
Chloramphenicol
Florfenicol
Protein synthesis is associated with __________
Ribosomes
Medications that work by damaging the cell membrane (osmosis)
Polymyxin-B
Medications that work by interfering with the metabolism (folic acid)
Sulfonamides
Medications that work by impairing nucleic acid (DNA, RNA)
Fluoroquinolones
Penicillin deactivated by gastric enzymes
Penicillin G
Penicillins bioavailability decrease in the presence of ____
Food
What species can NOT be given penicillins?
Guinea pigs, hamsters, rabbits, snakes, birds, turtles, chinchillas
These pills must be kept in foil until ready to use or they will lose activity
Clavamox (Amoxi with clavulanic acid)
Penicillin used for pyodermas
Oxacillin
Penicillins used to treat staph and pyodermas
Dicloxacillin
Penicillin used for dry cow intramammary preparations
Cloxacillin
Medications that are ‘milky’ should NEVER be given via ____
IV injectable
*Except Propofol
Drugs used to treat shipping fever, respiratory infections, mastitis, foot rot
Cephalosporins
Tetracyclines inhibit _____ ______ and are ______
inhibit protien synthesis and are bacteriostatic
Drugs that treat for rickettsial diseases (RMSF, lyme disease, Ehrlichiosis)
Tetracyclines
Drugs that should never be given IV to horses (unless intentionally euthanizing)
Tetracyclines
Drugs that disrupt DNA function and are bactericidal
Fluoroquinolones and Quinolones
Known as the “big gun” antibiotics, and can be given to pocket pets
Enrofloxacin
Drugs that can cause damage to joint cartilage of growing animals
Enrofloxacin
Drugs that prevent synthesis of folic acid
Sulfonamides
3 types of sulfonamides
Systemic sulfas
Enteric sulfas
Potentiated sulfas
Drugs commonly used to treat coccidiosis, toxoplasmosis, shipping fever
Sulfonamides
Drugs that cause toxicity in cats from salicylates
Sulfonamides
Drugs that can cause nephrotoxicity and ototoxicity
Aminoglycosides
Drugs that inhibit protein synthesis and are bactericidal
Aminoglycosides
Parenteral aminoglycosides
Gentamicin, Kanamycin, Amikacin
Enteric Aminoglycosides
Neomycin (Neomix powder)
Topical Aminoglycosides
Neomycin (triple antibiotic, panalog)
_____ _____ is very important when giving parenteral aminoglycosides
Fluid therapy
Drugs that inhibit protein synthsis and are bacteriostatic OR bactericidal
Lincosamides
Contraindications for lincosamides
Rabbits, hamsters, guinea pigs, avians, horses, ruminants
Drugs that inhibit protein synthesis and are bacteriostatic
Macrolides
Used for cattle with shipping fever or respiratory disease, but can not be given to dairy cows >20 months old. Given IM only
Florfenicol (Nuflor)
Injectable that damages the cell membrane and is often combined with other drugs in ointments
Polymyxin B
Treats Rhodococcus equi pneumonia and staph infections in small animals. Side effects include turning urine, salive, tears orange
Rifampin
Polyene antifungal agents affect the cell membrane and include _______ and _______
Nystatin (fungal sprays), Amphotericin B (systemic)
Imadazole antifungal agents affect cell membrane and growth inhibition and include ______, _____. _______. _______
Ketaconazole, Miconazole, Itraconazole, Fluconazole
Anti-metabolic antifungal agents that affect RNA and proteins
Flucytosine
Superficial antifungal agents that inhibit cell division
Griseofulvin
Treatment for dermatophytosis
Griseofulvin
Dosage form of Griseofulvin that can not be given to pregnant animals
Fulvicin
The ultramicrosize dose of Fulvicin is ____ of the dose of microsize
1/4th
Fulvicin must be given with a ____ _____ for proper absorption
fatty meal
Enilconazole is used for what?
Topical dermatophyte infections
Teribnafine hydrochloride is used to treat…
Dermatophytes in dogs, cats, birds, and exotics
Potassium iodide is used to treat….
fungal granulatomatous disease
Ketaconazole, Miconazole and Itraconazole are commonly used to treat…
Malessezia pachydermatitis, systemic fungal infections, and dermatophytosis
Contraindications of imidazoles
Breeding males and Addison’s disease
Most recent imidazole on the market
Itraconazole
Used to treat systemic fungal infections and dermatophytosis, contraindicated in pregnant animals
Fluconazole
New drug on the market that treat secondary fungal infections
Posaconazole
Treats systemic fungal infections and dermatophytosis but can cause CNS issues in cates
Vorioconazole
Antifungal that can be fungistatic or fungicidal, can be given IV mixed in 5% dextrose
Ampthotericin B
Antifungal that may be fungistatic or fungicidal, often combined with other drugs and used to treat fungal and yeat infections
Nystatin
Used to treat cryptococcal infections, but blood work must be closely monitored
Flucytosine
Used to treat birds with Pacheco’s disease or cats with herpes virus infection of the eye
Acyclovir
Used to treat FeLV and FIV disease in cats, and K9 parvo virus
Interferon Alfa-2A
Powder, paste, gel used to treat feline herpes virus
Lysine
Only approved treatment in US for FeLV/FIV
LTCI (Lymphocyte T-Cell Immunomodulator)
Most commonly seen ailments in veterinary medicine
Skin conditions
Skin condition characterized by abnormal flaking or scaling of the epidermis
Seborrhea
Seborrhea accompanied by increased production of sebum
Seborrhea Oleosa
Seborrhea without increased production of sebum
Seborrhea sica
Promotes loosening of epidermis
Keratolytics
Promotes normal keratin development
Keratoplastics
Found in shampoos, safe for cats, and used for seborrhea sica
Sulfur anti-seborrhea
Found in shampoos, safe to use on cats, and non irritating and non-staining, often combined with sulfur to treat seborrhea sicca
Salicylic acid
Used to treat seborrhea sicca, but may stain and is toxic in cats
Coal tar
Safe for cats, treats seborrhea oleosa, hot spots, Schnauzer comedo syndrome, but is hypersensitive in humans
Benzoyle Peroxides
Used to treat seborrhea and eczema but is toxic to cats
Selenium Sulfide
Used in the treatment of priuritus, atopic dermatitis, and seborrhea
Phytosphingosine
Topical corticosteroids used to treat pruritis, hot spots, allergic dermatitis
Betamethasone, Fluocinolone, Hydrocortisone, Triamcinolone, Isoflupredoneacetate
Bezocaine, Lidocaine, Tetracaine and Pramoxine HCL are all _______
Topical anesthetics