Vet Mob Drugs Flashcards

1
Q

sedation (pre-op) protocol

A

sedative + opioid

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2
Q

sedatives used

A
  • midazolam
  • dexdomitor
  • acepromazine
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3
Q

reversal for dex?

A

atipamezol

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4
Q

reversal for midazolam?

A

flumazenil

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5
Q

reversal for ace?

A

none

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6
Q

dex S/E

A
  • significant bradycardia
  • resp depression
  • vasoconstriction
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7
Q

dex C/I

A
  • MVD patients
  • not with atropine (heart failure)
  • not with ace (hypotension)
  • only use in young and healthy
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8
Q

acepromazine S/E

A
  • vasodilation
  • hypothermia
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9
Q

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

A

dex

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10
Q

what is a pro of using ace?

A

less bradycardia than other sedatives

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11
Q

why might ace be combined with hydromorphone?

A

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

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12
Q

midazolam indication

A

muscle relaxant

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13
Q

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

A

T

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14
Q

midazolam S/E

A
  • latent aggression
  • dysphoria
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15
Q

which is the strongest sedative?

A

dex

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16
Q

what is the main S/E of opioids?

A

resp depression

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17
Q

butorphanol vs buprenorphine?

A

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

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18
Q

what are additional S/E of hydromorphone?

A
  • bradycardia
  • hypothermia
  • ~ hyperthermia in cats
  • dilated pupils in cats
  • panting, drooling
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19
Q

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

A

T

20
Q

why use an induction agent?

A

CNS depression and muscle relaxant

21
Q

do induction agents provide analgesia?

A

no
- propofol none, alfax very poor

22
Q

do induction agents have reversals?

A

no

23
Q

what are the main s/e of propofol?

A

cardiac and resp depression
- apnea

24
Q

what is a perk of using alfax?

A

less cardiac depression
- still resp depression and apnea

25
Q

why use ketamine?

A

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

26
Q

does ketamine have a reversal?

A

no

27
Q

ketamine indication?

A

immobility (but muscles not relaxed)

28
Q

ketamine S/E

A
  • reflexes remain
  • vasoconstriction
  • amnesia
29
Q

diazepam indication

A

ant-anxiety/convulsant
muscle relaxant

30
Q

what is the only drug mixed with ketamine?

A

diazepam

31
Q

reversal of diazepam?

A

flumazenil

32
Q

does diazepam provide analgesia?

A

no

33
Q

diazepam s/e

A

resp depression

34
Q

perks of diazepam?

A

minimal CV depression

35
Q

diazepam c/i

A
  • pregnancy
  • cats (liver failure)
  • aggressive dogs (latent)
36
Q

bupivacaine vs lidocaine

A

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

37
Q

safe/toxic doses of lidocaine and bupivacaine

A

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)

38
Q

emavert indication, s/e, c/i

A

anti-emetic

s/e
- lethargy
- anorexia

c/i
- FB or toxin ingestion

39
Q

cefazolin vs convenia

A

both prophylactic antibiotics
- cef goes slow IV
- convenia SQ and lasts 14d

s/e
- v/d, inappetence
- give with food

40
Q

dexmethasone indication, s/e, ci/i

A

steroid to treat inflammation

s/e
- GI ulcers

c/i
- giving with NSAID

41
Q

what are emergency drugs?

A
  • atropine
  • epinephrine
  • glycopyrrolate
  • naloxone
42
Q

what do atropine and glycopyrrolate do?

A

anticholiergic (turns down PS)
- increases HR

43
Q

atropine and gylcopyrrolate c/i

A

w/dexmedetomidine

44
Q

what does epinephrine do?

A

adrenergic agonist
- increases HR, contractility, and BP

45
Q
A