Cardiac and endocrine drugs practical midterm Flashcards
ACE inhibitors action
Vasodilation
Venadialation
Arterial dialation
Stroke volume increase
ACE inhibitors indication
Hypertonia
CHF
Proteinuria (chronic kidney disease )
ACE inhibitors drugs
Captopril
- feed affects, frequent application
Enalapril (enalatab)
- 4-6h needed for effect, lasts 12-24h
Ramipril (vasotop)
Benazepril (cardalis, fortekor)
Lizinopril (lisopress)
-bio transformation not necessary
ACE inhibitors side effect
Hypotension Hyperkalaemia (human) Vomiting, diarrhea, anorexia Azotaemia Dry cough (human)
Pimobendan (vetmedin) indication
CHF
Pimobendan (vetmedin) effect
Venous dilation
Arterial dilation
Positive inotropic effect
Stroke volume increase
Digitalis glycosides (digoxine) effect
Mild positive inotropic
Negative chronotropic
Indication digitalis glycosides (digoxine)
CHF
Where ACE Inhibitors and pimobendan has no effect
Digitalis glycosides (digoxine) side effects
Several
Therapeutic index SMALL !
Cardial diuretics
ACE inhibitors
-limited effect
Methylxantines (caffeine, teophylline, teobromine)
- limited effect
Osmotic diuretics
Mannitol
- resbs. In kidney, osmotically retaims H2O
- acute real failure
- brain oedema
- pulmonary oedema
- decrease intraocular pressure
Nutriuretics indication
Pulmonary oedema Brain oedema Other oedemas Hydrothorax, hydropericardium CHF Hypertonia
Natriuretics - loop diuretics
Furosemide (dimazon inj., frusecare tabl.)
-effect after 1-2 min, iv
Side effects
- hypokalaemia-> metabolic alkalosis
- Ca and Mg excretion, not for bladder/kidney stone patients
- ototoxic
- potentials ototoxic and nephrotoxic effect of aminoglycosides
Natriuretics- thiazides
Hydrochlorotiazide
Mainly used in combination w ACE inhibitors to decrease bl. Pr. (Hu)
Side effects
- hypokalaemia
- metabolic alkalosis
Natriuretics - potassium sparing diuretics
Spironolactone (cardalis, verospiron)
- aldosterone antagonism, delayed heart remodeling
- na excreted, k retained
- slow effect 2-3 d
- minimal diuretic effect
Side effects
-rare: hyperkalaemia
Gonadotrophin indication
- Reduction of calving interval
- overian follicles
- synchronization
- provocation of ovulation rabbits
- increased fertility, sows + fur animals
- stripping, reducing egg binding rainbow trout
- chem castrations hu
Gonadotrophin side effects
- Hyperthermia
- allergic reaction.
- CL cysts
- embryonic death
- not for starved , cachectic animals
Gonadotrophin releasing drugs
Buserelin (receptal)
- eq, bo, su
Gonadorelin (fertagyl)
- farm animals
Fertirelin (gonavet)
Dezrolerin (suprelorin)
- chem castration dog