Flashcards in Gut Drugs Deck (14)
What are some common problems encountered with the gut?
How do you treat vomiting?
Give fluids IV to avoid the gut
... Treatment depends on cause
- Better to replace fluids than give anti-emetics because it allows the body to expel
How do you treat diarrhoea?
Animal will be losing water and ions
Give fluids containing:
- K +
Kidneys can then begin working to bring the body composition back to normal
- all case dependent
How do you treat ulcers?
- Proton pump inhibitors - inhibits H+/K+ ATPase in apical parietal cell
- H2 Antagonists : block interactions of secretagogues with receptors = inhibit acid secretion
- Coating agents (artificial mucus)
How do you treat Colic?
- Motility reducers
How do you treat constipation?
- Fluids by enema
Ways to give fluids for gut problems...
- Oral is best
- IV if necessary
- SC not much use
- IM no use and painful
- Intraperitoneal can be dangerous (hit organs)
- Intraosseous painful and required aseptic high pressure technique
What are some antiemetics that can be given?
- Dopamine antagonists
- 5HT3 antagonists
- NK1 antagonists
What are some emetics that can be given?
- Apomorphine : not in cats
- Mustard - home remedy for suspected poisoning
- Saturated salt solutions
What can be given to increase gut motility?
- Prokinetics for ileus:
When do you give antibiotics when there is a gut problem?
- If there is evidence of bacterial invasion
- A specific pathogen has been cultured
Why do you give anti-inflammatories to a problem gut? Examples?
Inflammatory bowel disease (colitis)
- sulphasalazine (BEST)
Not usually NSAIDs or steroids
What are some different forms of laxatives?
- Bulk forming laxatives
- Osmotic laxatives
- Lubricant laxatives
- Irritant laxatives