Pre-anesthetic Medications Flashcards
Muscle Relaxants
- Part of balanced anesthesia
- Used for skeletal muscle relaxation
- Must provide mechanical respiration and analgesia
Hydromorphone Effects
- Dose-related respiration depression
- Vomiting / BM
Hydromorphone Use
- Used with cats and dogs
- Pre/Post anesthetic sedation and analgesia
- Used for c-sections
Sedative Effects
Diazepam & Midazolam
- Unreliable when used alone
- Minimal to no analgesia
- No anti-emetic properties
Torb and Dex Effects
- Moderate-severe respiratory depression (dose-related)
- Hyper-reactivity to auditory stimuli (opiod related)
Torb Effects
- Use with cats and dogs
- Antitussive in dogs
- Slight cardiovascular and respirtatory depression
Guaifenesin
- Gecolate
- Muscle relaxant
- Minimal cardiovascular effect
Dex and Rompun
- Alpha-2 adrenergic agonists
- Non-phenothiazine, non-narcotic
- Derived from thiazine
- Chemically similar
Torb
- Narcotic
- Not good used alone*
- Analgesic
*use with Ace or Rompun
Torb-Dex Uses
- Use for short procedures
- Use with greyhounds
- Not reversed if longer analgesia required
Ace-Torb
- Neuroletanalgesic
- Sedation + Pain relief
- Use prior to anesthesia
Anticholinergics
- Don’t provide analgesia
- Don’t cause CNS or respiratory depression
- Dilates pupils
- Treats organophosphate poisonings
Ace and Anesthesia
- Most widely used pre-anesthetic tranquilizer
- Predictable sedation with a wide margin of safety
- Lessens excitement phase during induction
Effects on Heart
Dex and Rompun
- Causes bradycardia
- Depresion of heart muscles
- Second degree heart block*
*no QRS sometimes after P
Morphine Routes
SQ or IM
* no IV due to hyper-excitation
Tranquilizers
Diazepam and Midazolam
* benzodiazepine
* not phenothaizine or narcotic
* controlled drugs
* given IV or IM
ACE and Sympathetic Nervous System
- Activity suppressed
- Blocks nerve receptors and neurotransmitter activity*
*Alpha and Dopamine
Hydromorphone
- Synthetic opioid
- Like oxymorphone but less $$
- Can combine with ACE
Reverse Hydromorphone
Reverse with Naloxone
Dopamine Receptors
- In brain
- Neuotransmitters
- Naturally produced in the body
- Lack of contributes to sedation
Atropine
- Anticholinergics
- Injectable
- IV given in emergencies
ACE Patients
- Use with calm animals; excitable may be resistant to effects
- Avoid in prediatric and geriatric due to prolonged effects
ACE and Eyelid Effects
Cause prolapse of the third eyelid
FDA Approval
Rompun and Dex
in dogs and cats
- Dog: pre-anesthetic
- Cat: sedative and anesthetic
Alpha Receptors
When blocked, protect the heart against epinephrine induced arrhythmias
Fentanyl
Systemic Effects
- Respiration / Cardiovascular Depression
- May cause bradycardia*
* have Atropine ready
Ace & Skin Tests
Avoid use in skin testing
* anti-histamine activity
Diazepam & Midazolam
Patients
Good for patients with epilepsy or cardiovascular disease
* Less depressant on heart and vessels
* Minimal cardiopulmonary depression
Hydromorphone
Forms & Routes
- Injectable
- No oral use
- SQ or IM
- IV with dogs if needing immediate action
Buprenorphine
- Narcotic
- Acts longer than torb
- Can cause respiratory depression*
*monitor for 2 hours after given
Diazepam
- Not water soluble
- Poorly absorbed when given IM or SQ
- Should not be mixed with other water solubles*
*Ketamine is exception
Torb Routes
- IV
- IM
- SQ
Diazepam & Midazolam
As anticonvulsants
- Given IV
- Given in dogs combined with Ketamine
- Reduces possibilty of seizures
Ace
with horses
- Can cause penile paralysis
- Leads to prolapse of penis from sheath