pre-med drugs Flashcards

1
Q

why would you use pre-meds?

A

provides sedation and analgesia
calms the patient
drug sparing effect
helps with some adverse effects of the anaesthetic.

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2
Q

facts about phenothiazines

A

ACETYLPROMAZINE (ACP)

tranquilliser
large breeds tend to be more sensitive
small breeds are more resistant

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3
Q

advantages of using phenothiazines

A

increasing the dose means it lasts a longer duration
smoother recover
cardiovascular friendly
smooth muscle relaxant

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4
Q

disadvantages of using phenothiazines

A

slow to peak
no analgesia
unpredictable effects

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5
Q

facts about Alpha 2’s

A

MEDETOMIDINE
DEXMOTOMIDINE

binds to receptors in the brain and spinal cord
great for aggressive animals

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6
Q

advantages of using Alpha 2’s

A

drug sparing effects
provides muscle relaxant
provides analgesia

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7
Q

disadvantages of using alpha 2’s

A

effects of the cardiovascular system
respiratory depression
reduced liver flow
may cause vomiting

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8
Q

facts about opioids

A

MORPHINE
METHADONE
BUPRENOPHINE

opioids binds to opioid receptors in the CNS
it can be topped up
has an antidote (naloxone)

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9
Q

advantages of using opiods

A

provides analgesia
little effects on the cardiovascular and respiratory systems
drug sparing

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10
Q

disadvantages of using opiods

A
vomiting due to morphine
urine retention
constipation
high doses can cause respiratory depression
supresses cough
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11
Q

facts about Benzodiazepines

A

DIAZPAM
MIDAZOLAM

combo with opiods as a pre-med
work on the neurotransmitter GABA

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12
Q

advantages of using benzodiazepines

A

minimal effects on the cardiovascular system
safe
good muscle relaxant
anti-epileptic action

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13
Q

disadvantages of using benzodiazepines

A

unpredictable effects
in a healthy animals its not sufficient as a pre-med
diazepam I/M is painful

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14
Q

facts about anti-muscarninics

A

ATROPINE

acts on the synapse
these are parasympathetic antagonists

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15
Q

advantages of using anti-muscarninics

A

reduced saliva and mucus secretions

counteracts bradycardia

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16
Q

disadvantages of using anti-muscarninics

A

increase HR and metabolic rate
thicken of bronchial secretions
may cause arrhythmias
gastrointestinal ileus