Chapter 3 - Pain Flashcards
(40 cards)
What are considered the most painful conditions in cattle?
- C-section
- Claw (pezuña) amputation
Meaning of sensation + perception…
Pain
Meaning of proprioception?
Sensation of lower level neurologic and biochemical components
3 functions of nociception
- Warning of damage
- Predicting tissue damage
- Warning of specific dangers
Who receives the sensory information related to pain?
Nociceptors in the tissues
Which mechanisms modulate nociceptor stimuli?
Spinal and Supra-spinal
Which are the two main responses after nociceptor stimuli?
Acute: Withdrawal stimuli
More complex: Aggression or escape
Meaning of allodynia?
Pain resulting for an innocuous stimuli
How can you assess nociception in animals?
Nociceptive threshold tests
Mention the most common nociceptive threshold tests? (4)
- Frey filaments: reaction to pressure
- Hargreaves: thermoreceptors
- Pressure allometry: painsensitivity in a sole ulcer lesion
- CO2 laser thermal stimulator: 45-55 C x 20 sec
Pharmacologic interventions to treat pain (5)?
- Local anaesthetics
- NSAIDs
- Opioids
- alpha 2 - agonist
- NMDA agonist receptors
Pharmacologic interventions to treat pain (5)?
- Local anaesthetics
- NSAIDs
- Opioids
- alpha 2 - agonist
- NMDA agonist receptors º
Only analgesic approved for use in food animal?
Flunixin
When does the use of extra label drug use (ELDU) is allowed?
- Supervision of a vet
- FDA approved in animals and humans
- Animals health is threatened
- Food destination - prohibited
- If volatile drug residue - prohibited
Describe nociceptive pathway: T-T-M-P-P
Transduction
Transmission
Modulation
Projection
Perception
MOA: Local anaesthetics
Enter and block Na+ channels of nerve cells. Prevent generation and propagation of nerve impulses
Local anaesthetics have better effect on unmylinated of myelinated fibers?
Unmyelinated
Why does local anaesthetics don’t work well in acidic environments?
Because they are weak bases and need alkaline environments
What can you use to potentiate effect of local anesthetics?
Magnesium sulfate
Sodium bicarbonate
+- Ethanol
How does magnesium sulfate helps local anesthetics?
Acts as a NMDA antagonist
Inhibit calcium influx into the cell
How does bicarb helps local anesthesics?
Reduces pain infiltration, acts faster but it might last less
How does ethanol improves local anesthetics ?
It demyelinates fibers, but you may need other injection for complete desensitisation
Prostaglandins interact with ______, _____, ______, and _____, in inflammation
Substance P
Histamine
Calcitonin gene related peptide
Bradykinin
In the spinal cord, ______ is responsible for increased excitability of the dorsal root ganglia.
PGE2