NEUROMUSCULAR DRUGS AND MUSCLE RELAXANTS Flashcards

(29 cards)

1
Q

induce temporary paralysis of skeletal muscles

A

muscle relaxant

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2
Q

CENTRAL ACTING MUSCLE RELAXANTS

A
  1. Guaifenesin
  2. Methocarbamol
  3. Meprobamate
  4. Mephenesin
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3
Q

formerly known as glyceryl guaiacolate which is used as an adjunct to anesthesia to produce muscle relaxation and restraint for short procedures

A

guaifenesin

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4
Q

used as an adjunct to rest and physical therapy in the treatment of musculoskeletal injury, muscular spasm associated with tetanus and metaldehyde or strychnine poisoning

A

methocarbamol

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5
Q

SITES OF ACTION OF DRUGS CAUSING MUSCLE RELAXATION

A
  1. CNS
  2. Motor nerve fiber
  3. Motor nerve terminal
  4. Acetylcholine receptors in motor end plate
  5. Skeletal muscle fiber
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6
Q

cause muscle relaxation when applied around muscle fibers but not used for the muscle relaxant effect

A

lidocaine (local anesthetics)

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7
Q

relax skeletal muscles but they are not used routinely for the sole purpose of muscle relaxation

A

General anesthetics (CNS drugs)

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8
Q

no clinically useful muscle relaxants in this group

A

motor nerve terminal

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9
Q

prevent the release of Ach from nerve endings, causing muscle relaxation

A
  1. botulinus toxin
  2. aminoglycoside antibiotics
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10
Q

acuronium dosage

A

Dog and Horse : 0.1 mg/kg under light anesthesia

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11
Q

Dantrolene dosage for dogs

A

2.5 mg/kg IV q.i.d

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12
Q

Dantrolene dosage for horse

A

Prophylactic - 1-2 mg/kg oral q.i.d

Malignant hyperthermia - 1-3 mg/kg IV repeated in 10 minutes

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13
Q

Dantrolene dosage for pigs

A

2-3 mg/kg IV

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14
Q

D-tubocurarine dosage for dogs

A

approx. 0.4 mg/k

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15
Q

D-tubocurarine dosage for pig

A

0.3 mg/kg

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16
Q

D-tubocurarine dosage for horse

A

0.22 - 0.25 mg/kg

17
Q

Gallamine dosage for dogs and cats

18
Q

Gallamine dosage for pig

19
Q

Gallamine dosage for horse

A

0.5 - 1 mg/kg

20
Q

Pancuronium dosage for dogs under light anesthesia with methoxyflurane

A

0.03 mg/kg IV

21
Q

Succinylcholine dosage for horses

A

0.12 – 0.15 mg/kg (last for 4-5 min)

22
Q

Succinylcholine dosage for cattle

A

0.02 mg/kg (lasts for 6-8 min)

23
Q

vecuronium dosages for dogs

A

0.1 mg/kg IV initially 30 min before proof

may give 0.04 mg/kg IV subsequently

24
Q

Muscle acting on this site are most clinically useful muscle relaxants.

A

Acetylcholine receptors in motor end plate

25
decreases sarcoplasmic free calcium concentration by promoting its uptake into the sarcoplasmic reticulum
dantolene
26
compete with Ach for cholinergic receptors in the end plate
Nondepolarizing neuromuscular blocking drugs
27
Nondepolarizing neuromuscular blocking drugs
D-Tubocurarine, gallamine, pancuronium, acuronium, atracurium, vecuronium
28
noncompetitive blockes of cholinergic receptors in the end plate. There is sustained stimulation leading to receptor fatigue and muscle paralysis
Depolarizing neuromuscular blocking drugs
29
Depolarizing neuromuscular blocking drugs
Succinylcholine (suxamenthonium), Decamethonium