Chapter 14 - pain and inflammation drugs Flashcards

1
Q

pain sensation arises in free nerve endings called

A

nociceptors

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2
Q

list some signs associated with pain in animals

A

increased heart rate, increase respirations, vocalization, guarding the painful site, salivation, failure to groom, unresponsiveness, abnormal gait or stance, rolling.

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3
Q

NSAIDS that inhibit ___ are thought to produce fewer GI side effects

A

COX-2

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4
Q

most common side effect of NSAIDS

A

GI ulceration and/or bleeding.

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5
Q

why are cats susceptible to asprin overdose?

A

they metabolize it very slowly.

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6
Q

what functions do mineralocorticoids serve in the body?

A

regulate electrolyte and water balance in the body.

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7
Q

what principles should be followed in corticosteroid therapy?

A
  1. alternate-day dosing to prevent iatrogenic hypoadrenocorticism
  2. taper administration off gradually
  3. large doses may be used in emergencies
  4. avoid when treating corneal ulcers
  5. use aseptic technique when injecting into joints.
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8
Q

Iatrogenic

A

caused by the doctor

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9
Q

what are the side effects of short-term and long-term corticosteroid use?

A

short-term: polyuria, polydipsia, polyphagia, delayed healing.
long-term: thinning of skin, gastric ulcers, osteoporosis, iatrogenic Cushings disease.

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10
Q

what is the mechanism of action of local anesthetic agents?

A

prevent generation and conduction of nerve impulses by peripheral nerves.

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11
Q

what are some indications for use of local anesthetics?

A

infiltrate into local areas for suturing; nerve blocks for lameness examination; antiarrhythmic effects; topical use.

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12
Q

the body can produce its own opiate-like analgesic agents called ____

A

endorphins

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13
Q

a substance that can initiate a fever is called a(n)___

A

pyrogen

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14
Q

___ is also known as acetylsalicylic acid

A

asprin

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15
Q

___ is a pyrazolone derivative

A

Phenylbutazone

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16
Q

flunixin meglumine is a(n) ____

A

NSAID

17
Q

DMSO causes ___ when applied topically

A

vasodilation

18
Q

___ is considered (even today) to be one of the most effective opioid

A

morphine

19
Q

___ is a major chemical mediator of the allergic response

A

histamine

20
Q

some common types of corticosteroids

A

dexamethasone, predef, vetalog.

21
Q

what are the four steps involved in the production of pain sensation

A
  1. transduction
  2. transmission
  3. modulation
  4. perception
22
Q

define windup as it applies to pain production

A

central sensitization/hyperalgesia due to repeated stimulation of neurons of the spinothalamic tract

23
Q

pain resulting from tissue injury is called ____ pain

A

pathologic

24
Q

pain from abdominal or thoracic organs is ____ pain

A

visceral

25
Q

what class of drugs would alter pain recognition and perception

A

opioids

26
Q

pain control that utilizes a combination of drugs acting at different sites in the pain production pathways is called ____ therapy

A

multimodal