Vet Mob Drugs

Question 1

sedation (pre-op) protocol

Answer 1

sedative + opioid

Question 2

sedatives used

Answer 2

• midazolam
• dexdomitor
• acepromazine

Question 3

reversal for dex?

Answer 3

atipamezol

Question 4

reversal for midazolam?

Answer 4

flumazenil

Question 5

reversal for ace?

Answer 5

none

Question 6

dex S/E

Answer 6

• significant bradycardia
• resp depression
• vasoconstriction

Question 7

dex C/I

Answer 7

• MVD patients
• not with atropine (heart failure)
• not with ace (hypotension)
• only use in young and healthy

Question 8

acepromazine S/E

Answer 8

• vasodilation
• hypothermia

Question 9

which of the sedatives is the only one to provide analgesia?

Answer 9

dex

Question 10

what is a pro of using ace?

Answer 10

less bradycardia than other sedatives

Question 11

why might ace be combined with hydromorphone?

Answer 11

it is anti-emetic (reduces hydro’s emetic effect)

Question 12

midazolam indication

Answer 12

muscle relaxant

Question 13

T/F: midazolam sedation is not reliable on its own

Answer 13

T

Question 14

midazolam S/E

Answer 14

• latent aggression
• dysphoria

Question 15

which is the strongest sedative?

Answer 15

dex

Question 16

what is the main S/E of opioids?

Answer 16

resp depression

Question 17

butorphanol vs buprenorphine?

Answer 17

but = kappa agonist
- less resp depression than hydro AND no panting or GI stasis
- also an antitussive

bup = partial mu agonist
- less resp depression than hydro

Question 18

what are additional S/E of hydromorphone?

Answer 18

• bradycardia
• hypothermia
• ~ hyperthermia in cats
• dilated pupils in cats
• panting, drooling

Question 19

T/F: propofol and alfaxalone are ultra-short acting

Answer 19

T

Question 20

why use an induction agent?

Answer 20

CNS depression and muscle relaxant

Question 21

do induction agents provide analgesia?

Answer 21

no
- propofol none, alfax very poor

Question 22

do induction agents have reversals?

Answer 22

no

Question 23

what are the main s/e of propofol?

Answer 23

cardiac and resp depression
- apnea

Question 24

what is a perk of using alfax?

Answer 24

less cardiac depression
- still resp depression and apnea

Question 25

why use ketamine?

Answer 25

reduces cardiac/resp effects of others (never used alone)

Question 26

does ketamine have a reversal?

Answer 26

no

Question 27

ketamine indication?

Answer 27

immobility (but muscles not relaxed)

Question 28

ketamine S/E

Answer 28

- reflexes remain - vasoconstriction - amnesia

Question 29

diazepam indication

Answer 29

ant-anxiety/convulsant muscle relaxant

Question 30

what is the only drug mixed with ketamine?

Answer 30

diazepam

Question 31

reversal of diazepam?

Answer 31

flumazenil

Question 32

does diazepam provide analgesia?

Answer 32

no

Question 33

diazepam s/e

Answer 33

resp depression

Question 34

perks of diazepam?

Answer 34

minimal CV depression

Question 35

diazepam c/i

Answer 35

- pregnancy - cats (liver failure) - aggressive dogs (latent)

Question 36

bupivacaine vs lidocaine

Answer 36

bupivacaine lasts 4-10h lidocaine lasts 1.5-2h

Question 37

safe/toxic doses of lidocaine and bupivacaine

Answer 37

bupivacaine - Dogs and cats: 2mg/kg (safe), 4mg/kg (toxic) lidocaine Dog: 10mg/kg (safe), 22 mg/kg (toxic) Cat: 6mg/kg (safe), 10mg/kg (toxic)

Question 38

emavert indication, s/e, c/i

Answer 38

anti-emetic s/e - lethargy - anorexia c/i - FB or toxin ingestion

Question 39

cefazolin vs convenia

Answer 39

both prophylactic antibiotics - cef goes slow IV - convenia SQ and lasts 14d s/e - v/d, inappetence - give with food

Question 40

dexmethasone indication, s/e, ci/i

Answer 40

steroid to treat inflammation s/e - GI ulcers c/i - giving with NSAID

Question 41

what are emergency drugs?

Answer 41

- atropine - epinephrine - glycopyrrolate - naloxone

Question 42

what do atropine and glycopyrrolate do?

Answer 42

anticholiergic (turns down PS) - increases HR

Question 43

atropine and gylcopyrrolate c/i

Answer 43

w/dexmedetomidine

Question 44

what does epinephrine do?

Answer 44

adrenergic agonist - increases HR, contractility, and BP