Lab test 4 Flashcards
(28 cards)
What are the side effects of the ultra short acting barbiturates?
(6)
Small therapeutic index, side effects can be life threatening
Pronounced respiratory depression (dose-dependent, reversible) Given IV slowly (20 sec)
Cardiovascular depression → hypotension (dose
dependent or individual sensitivity → irreversible)
Tissue irritation (only given IV)
Pre- and postnarcotic excitation
Serious resp. depression in neonates
What are the side effects of the NMDAs? (ketamine, tiletamine)
(8)
Catalepsy!
Mild respiratory depression → dyspnoe
Mild stimulant of the cardiovascular system! → hypertension,
frequency increases, arrhythmias!
Eye, jaw tone
“bad dream”
Increased ICP
Increased intraocular pressure
Protective reflexes retained
Name the pharmacological effects of benzodiazepines?
4
1) Sedation
2) Muscle relaxation
3) Anxiolytic
4) Anticonvulsion
Name the pharmacological effects of α2 agonists.
3
1) Sedation
2) Muscle relaxation
3) Analgesia
Name the main effects of premedication for anaesthetics.
3
Decrease dose of anaesthetic
Analgesia (Neuroleptanalgesia)
Decrease pre/post narcotic excitation
Which IV administration anaesthesia is susceptible to bacterial contamination?
Propofol
Name the drug for treatment of convulsions?
1) Diazepam
2) Phenobarbital/pentobarbital
3) Propofol
4) Inhalational anaesthetics
Which drug is used for the treatment of long term epilepsy?
Phenobarbital
Name the ultra short acting barbiturates that cannot be readministered?
Thiopental and thiamylal
5-8 min
Which drug is used to capture wild animals?
Etorphine (1000x stronger analgesic effect than morphine)
Explain teratogenicity. How many species are needed to be tested? Which
species are they? And Why?
A teratogen is an agent that can disturb the development of the embryo
or fetus. Teratogenic drugs halt the pregnancy or produce a congenital
malformation (a birth defect).
Need to test on at least two species.
Usually rat and rabbit.
Some species may not suffer from any side effects of the teratogens and
so it’s important testing on other species.
What sedate-hypnotic agent would you recommend to a cardiovascular patient?
Benzodiazepines
Which drug is used for status epilepticus?
Phenobarbital
Name the NSAID’s isoenzymes. Which one is in the CNS and which drug acts on it?
COX-1, COX-2, COX-3.
COX-3, paracetamol
Name the side effects of Propofol?
5
pronounced respiratory depression, apnoea (slowly: 20 sec)
cardiovascular depression → hypotension
septicaemia
appetite stimulant
postnarcotic excitation (pre- is rare)
What is the difference between the neuroleptoanalgesia and general anaesthesia?
General anaesthesia is the total loss of consciousness + muscle relaxation + analgesia motoric and sensory functions to a level, where any operation can be
executed. The respiratory and cardiovascular functions are maintained.
Neuroleptoanalgesia is a state of indifference to, or reduced appreciation
of pain brought about by the use of Neuroleptics and Analgesic drugs.
Consciousness is retained. Neuroleptanalgesia allows surgery to be
performed without inducing general or local anaesthesia.
NSAIDs are harmful to which organs? What do you use to counteract them?
Liver → Give liver protectants
Kidneys → Give sodium bicarbonate to treat metabolic acidosis
G.I tract. → Give proton pump inhibitors for stomach irritation, activated charcoal for GI irritation
Cartilage → (prostaglandin E1 analogue misoprostol)
Name the pharmacological effects of NSAID.
7
Anti-inflammatory
Antipyretic
Analgesic
Inhibition of platelet aggregation
Antiendotoxin
Spasmolytic
Antineoplastic
What are the active substances of glucocorticoids?
- Cortisol
- Prednisolone
- Methylprednisolone, Triamcinolone, Betamethasone,
Dexamethasone, Beclomethasone, Fluticasone.
What are the active substances of glucocorticoids?
8
- Cortisol
- Prednisolone
- Methylprednisolone
- Triamcinolone
- Betamethasone
- Dexamethasone
- Beclomethasone
- Fluticasone.
Name the side effects of opioids?
7
Respiratory depression (pronounced)
Bradycardia, hypotension (vasodilation)
Vomiting (CTZ, GI mucosa)
Antitussive effect (morphine, codeine, butorphanol)
Constipation
Urinary retention
Excitation (CAT) → can be avoided by decrease dose, combination
Name the side effects of NSAID’s.
6
GI tract: gastric/duodenal erosion, ulcer, bleeding, protein loss.
Kidney: nephropathy (more pronounced in dehydrated animal, decreased RBF)
Liver: hepatotoxicity: rare, but hepatopathy
Methemoglobinaemia
Allergy: anaphylactic/anaphylactoid reactions
Platelet aggregation inhibition
Name a2 drugs.
- Xylazine
- Detomidine
- Medetomidine
- Dexmedetomidine
- Romifidine
Quality requirements of injections and infusions.
1) Sterile
2) Isotonic
3) Isohydric
4) Microsuspension/ microemulsion
5) Isoionic