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47 Cards in this Set

  • Front
  • Back
Dexmedetomidine brand name

dexdomitor, sedation and analgesia

Antagonist to dexmedetomidine—atipamazole

brand name to atipamazole

Antisedan
Detomidine brand name
Dormosedan
Romifidine brand name

Sedivet

Tolazoline, Alpha 2 antagonists

reverses cardiovascular and sedative effects

Yohimbine

reverses cardiovascular and sedative effects of xylazine

Atipamezole
Antisedan® , Specific antagonist for dexmedetomidine
Opioids
Derivatives of opiumOpiates—naturally derived compoundsProduce analgesia and sedation, preanesthetic

commonly used opioids, agonists

Morphine (c-11), hydromorphone, oxymorphone, fentanyl, and meperidine

commonly used opioids, partial agonists

Buprenorphine (c111)Agonist-antagonists-Butorphanol (c-IV) and nalbuphine
commonly used opioids- Antagonists (not controlled)
Naloxone, etorphine, and carfentenil

opioids have a______margin of safety and are administered ______

Administered IV, IM, SC, Oral, rectal, transdermal, subarachnoid, and epidural

Wide margin of safety

opioids target what?

Result of action on the receptors in the brain and spinal cord
The effect of an opioid depends on?
the dose, route of administration, agent used, species of patient, temperament, and pain status.
Narcosis
is a sleep-like state induced by high doses of an opioid.

some effects of opioids

bradycardia, decrease tidal volume and rate, miosis in dogs, hypothermia in dogs, hyperthermia in cats, sweating in horses, cns excitement, disorientation, GI issues, diarrhea, vomiting, facial swelling, colic, bowel obstruction, addiction,

The ceiling effect occurs when
there is no greater respiratory depression with high doses than with low doses.
Neuroleptanalgesia
A profound state of sedation andanalgesia induced by stimultaneous administration of an opioid and atranquilizer
Opioids that can be mixed with tranquilizers
Morphine Buprenorphine Butorphanol Hydromorphone

tranqs that can be mixed with opioids for sedation and analgesia

Acepromazine DiazepamMidazolam XylazineDexmedetomidine

An agonist-antagonist (___) can be used to partially reverse the effects of a pure agonist
butorphanol
Naloxone Hydrochloride, in ___ for 5 minutes for reversal. If in ___ administer slowly for 2 minutes. duration of ___-____minutes

IM, IV, 30-60

Use of opioid antagonists

Emergencies, OverdoseReverse neuroleptan algesiaReviving neonates delivered by C-sectionIf dam received opioidsOne drop placed under the tongue
Butorphanol
Dolorex- 10 mg/mL, 50 mL vialTorbugesic- 2 mg/mL, 10 mg/mL, 10 or 50 mL vialButorphanol- 10 mg/mL, 10 or 50 mL vialButorphic- 10 mg/mL, 20 mL vial
Buprenorphine
Buprenorphine- 0.3 mg/mL, 10 x 1 mL vialSimbadol- 1.8 mg/mL, 10 mL vialBuprenex- 0.3 mg/mL, 5 x 1 mL ampules

ideal induction agent qualities

Rapid onset of action, Smooth induction, Smooth recovery, non-irritant, Short duration of action, Non-cumulative (you can add to it), Rapid metabolism, Non toxic or no metabolites, Minimal cardiopulmonary side effects, Minimal cardiopulmonary side effects, Stable in storageProduce degree of muscle relaxation_High Therapeutic Index
Injectable Anesthetics

dont provide analgesic or muscle relaxation, can produce unconsciousness. Barbiturates, propofol, and etomidate

Barbiturates, ultra short and short
UltrashortThiopental sodium, methohexital, and thiamylal.

shortPentobarbitalLaboratory animalsInduce general anesthesiaTreat epilepsy in small animals

Action of Barbiturates

Mimics the inhibitory neurotransmitter GABACauses CNS depression and loss of consciousness
Variations ofBarbiturate Redistribution, Thiopental
—ultra–short-acting Redistributed to muscle and fat and slowly released
Variations ofBarbiturate Redistribution, methohexital
ultra–short-actingRedistributed to muscle and fat but released fasterMuscle and fat don’t get “full” so there is no prolonged recovery with continuous or repeated doses
Phenobarbital
—long acting Sustained effect caused by slow uptake and release from the brain Release is dependent on kidney excretion, which is slowest
pentobarbital
—short acting Brain levels decrease based on liver metabolism Faster than kidney excretion

use of barbiturates

Use alone for short procedures_Always intubate

effects of barbiturates

Decreased respiratory rate and tidal volume_Brief apnea__(thiopental)Shallow breaths (pentobarbital)Respiratory acidosisPoor tissue oxygenation
Bigeminy
_ the occurrence of two beats of the pulse in rapid succession

adverse effects of barbiturates

Pre-oxygenization—3-5 minutes, bigeminy, Cardiac arrhythmia with VPCs, neonate resp. depression, sloughs and tissue irritation, exaggerated potency_in sighthounds, critically ill patients, hypoproteinemic or acidotic patients
Pentobarbital
Primary ingredient in _euthanasia_ solutions, inject able only
Phenobarbital
long acting_ barbiturateUsed to treat _seizures, available in tablets and injectable
Propofol
Ultra–short-acting, _nonbarbiturate__ anesthetic, IV for _anesthestic induction_and short term maintence, non controlled

propofol is _______water soluble. it can be milky and given _____

minimally , IV

effects of propofol to cns

CNSDose-dependent depression from sedation to general anesthesia

effects of propofol to heart

Cardiovascular system_cardiac depressant_____Transient hypotension

effects of propofol

causes twitching during induction, safe to use in animals with liver disease or kidney disease. decreases intraocular pressure.

adverse effects of propofol

CNSTransient excitement and muscle tremors (induction)Paddling, muscle twitching, nystagmus, opisthotonus (resembles seizures)Cardiovascular system_hypotension___—transient
Discard unused after __ hours or __ hours of opening, ___ year shelf life if unopened. It is more ________than ketamine-diazeopamor thiopental

24-28 hours, 3 years, expensive

diazepam brand and zolazepam
Valium, telazol