Chapter 16 : Blood-Modifying, Antineoplastic, and Immunosuppressant Drugs Flashcards

(45 cards)

1
Q

Formation of a linkage between a substance and DNA that causes irreversible inhibition of the DNA molecule

A

Alkylation

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2
Q

Capable of acting in several or all cell cycle phases

A

Cell cycle-nonspecific

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3
Q

Capable of acting during a specific cell cycle phase only

A

Cell cycle-specifc

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4
Q

Capable of destroying cells

A

Cytotoxic

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5
Q

Widespread formation of clots in the microscopic clood vessels of the circulatory system; occurs as a complication of a wide variety of disorders and consumes clotting factors, with resultant bleeding

A

Disseminated intravascular coagulation (DIC)

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6
Q

The smooth layer of epithelial cells that line blood vessels

A

Endothelial layer

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7
Q

A glycoprotein secreted in the kidney; acts on stem cells in the bone marrow to stimulate RBC production

A

Erythropoeitin

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8
Q

Fibrin breakdown through the action of the enzyme plasmin

A

Fibrinolysis

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9
Q

A cell culture that consists of a clone of a hybrid cell formed by fusing cells of different types, such as stimulated mouse plasma cells and myeloma cells

A

Hybridoma

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10
Q

Generally refers to the transfer of cancer cells from one site to another

A

Metastasis

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11
Q

A malignant neoplasm of plasma cells (B lymphocytes)

A

Myeloma

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12
Q

Inhibition of bone marrow activity that results in decreased production of blood cells and platelets

A

Myelosuppression

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13
Q

A decreased number of platelets

A

Thrombocytopenia

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14
Q

The condition that occurs when thrombus material becomes dislodged and is transported by the bloodstream to another site

A

Thromboembolism

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15
Q

A clot in the circulatory system

A

Thrombus

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16
Q

A substance that causes blister formation

A

Vesicant

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17
Q

Anemia in baby pigs can be treated by the administration of

A

Iron compounds

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18
Q

A 10-year old cocker spaniel is brought in to the veterinary clinic with PUPD and mild anemia. What is a potential cause of these symptoms and what may be used to treat the anemia?

A

Chronic renal failure; eryhthropoeitin

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19
Q

Why are hematinics not indicated for cases of acute blood loss?

A

Because patient response doesn’t occur quickly enough

20
Q

What is the anticoagulant of choice for hematologic studies?

21
Q

How can you explain the fact that clots may form in the vascular system with no external trauma to blood vessels?

A

Because of the existance of intrinsic clotting mechanism

22
Q

What drug would the veterinarian use to treat rat poison exposure and by what route?

A

Vitamin K; SQ or IM

23
Q

An 8 year old male feline is brought to the clinic with early onset rear leg paralysis and tachycardia. What agent may be used to treat this condition?

A

A fibrinolytic agent such as streptokinase

24
Q

<p>Briefly describe the phases of the cell cycle (5)</p>

A

<p>1) G0, resting

2) G1, presynthesis preparation
3) S, DNA synthesis
4) G2, RNA production
5) M, mitosis</p>

25

List the 6 categories of antineoplastic drugs and give an example of each

1) Alkylating agents: cyclophosphamide 2) anthracyclines: doxorubicin 3) antimetabolites: methotrexate 4) antitubulin agents: vinblastine 5) corticosteroids: prednisone 6) miscellaneous agents: cisplatin

26

List 4 indications for the use of immunosuppressive agents

1) Treatment of autoimmune hemolytic anemia 2) treatment of lymphocytic–plasmacytic enteritis 3) treatment of rheumatoid arthritis 4) treatment of lupus erythematosus

27
Why should you be very careful to avoid extravasation of antineoplastic drugs?
Because most antineoplastic drugs are very irritating to tissue and may cause sloughing
28

List 8 precautions that should be taken when antineoplastic drugs are handled

1) Designate a specific location for handling 2) Wear nonpermeable latex gloves when handling 3) Cover work surfaces with a disposable, plastic-backed sheet. 4) Wear an appropriate laboratory coat and mask 5) Reconstitute all materials carefully to avoid aerosolization 6) Clean reconstituted material of any contamination, and properly mark and date it 7) Dispose of contaminated material in leak-proof, puncture-resistant containers 8) Wash hands thoroughly

29
____ digests fibrin threads and other clotting products to cause clot lysis and the release of fibrin degradation products into circulation
Plasmin
30
Which anticoagulant may be used to treat DIC?
Heparin
31
Why should heparin not be used as an anticoagulant when blood is collected for a differential?
It may distort WBCs
32
How does EDTA work as an anticoagulant?
It chelates calcium
33
What are some potential adverse effects associated with use of antineoplastic drugs?
Anaphylactic reactions, immunosuppression, vomiting, diarrhea, hair loss, cystitis, pain associated with administration, and tissue damage from extravasation
34
On what dosage are most antineoplastic agents based?
Body surface area
35
Corticosteroids have a lympholytic action which makes them useful for treating ____
lymphoid neoplasia
36
A substance with antitumor, antivitral, and immunoregulatory effects is ____
Interferon
37
Cardiomyopathy is a potential side effect of what antineoplastic agent?
Doxorubicin
38
Alkylating Antineoplastic
Attaches an alkyl- group to DNA, inhibits DNA replication by preventing DNA from uncoiling and separating
39
Cyclophosphamide
An Alkylating Neoplastic Agent
40
Anthracycline Antineoplastic
Intercalates with DNA and interferes with DNA metabolism and RNA production
41
Doxorubicin
An Anthracycline Antineoplastic Agent
42
Antimetabolite Antineoplastic
Interferes with DNA production and therefore cell division and tumor growth; impairs DNA replication machinery, either by incorporation of chemically altered nucleotides or by depleting the supply of deoxynucleotides needed for DNA replication and cell proliferation
43
Methotrexate
An Antimetabolite Antineoplastic Agent
44
Antitubulin Antineoplastic
Binds tubulin, thereby inhibiting the assembly of microtubules; Arrests cells in M phase
45
Vinblastine
An Antitubulin Antineoplastic Agent