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99 Cards in this Set

  • Front
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Functions of the GI System

-Intake of food and fluid into the body


-Absorption of nutrients and fluids


-Excretion of waste products

Monogastric Species Characteristics

Simple Stomach


Carnivorous or Omnivorous


No Outpocketings or forestomachs



Primary Function monogastric species

Storage of ingested material and to begin some enzymatic breakdown of protein

Monogastric Digestion: Salivary Glands Function

Break down starch into simpler carbohydrates

Monogastric Digestion: Pancreas Function

Enzymes delivered to duodenum go break down fats, carbs, and proteins

Monogastric Digestion: Liver Function

Bile salts are delivered to the duodenum to emulsify fats

Monogastric Digestion: Gallbladder Function

Stores bile

Ruminants Characteristics

Herbivorous


Three fourestomachs


One true stomach


Rely mainly on microorganisms to break down food

Hindgut Fermentors Include Which Animals

Equine, Rabbits, and some Rodents

Hindgut Fermentor Characteristics

Cheifly herbivorous


Monogastric


Large cecum capable of limited roughage digestion

Bird GI System is made up of....

Crop used for food storage


Gizzard to grind coarse food material


Small intestine: duodenum, pancreas, jejunum , and short ileum


Large Intestine

List the Movement through the GI Tract


(Steps 1-3)

1. Stomach contents pass into small intestine and are mixed with intestinal secretions, pancreatic juice, and bile




2. Absorption of digesta, vitamins, and fluid begins




3. Villi and microvilli protrude from mucosal surface to enhance absorptive process

List the Movement through the GI Tract


(Steps 4-6)

4.Contents of small intestines are called chyme




5. Chyme is moved to large intestine by peristalsis and segmentation




6. Colon is responsible for absorption of water, synthesis of certain vitamins, and storage waste materials

What type of movements occur in the GI Tract?

Peristalsis


Segmentation


Mass Action Contraction

Stimulation of the Parasympathetic Nervous System in the GI Tract Causes ______

Increases Intestinal motility and tone


Increases intestinal secretions


Stimulates relaxation of sphincters



Parasympthomimetics are also called

Cholinergics

What are Parasympathomimetics

Drugs that mimic effects of parasympathetic stimulation

What are Anticholinergics

Inhibit the stimulation of the parasympathetic nervous system

Stimulation of the Sympathetic Nervous System Causes ______

Decreases intestinal motility and tone

Decreases intestinal secretions


Inhibits sphincters



Stimulation of various Intrinsic Receptors Causes______

May Increase peristalsis activity



GI Hormones such as gastrin, secretin, and cholecystokinin exert control over what?

Gastric secretion

Emptying of gallbladder


Gastric emptying



Histamine, Serotonin, and Prostaglandin do what to the GI System?

Histamine attaches to H2 receptors to cause increased release of hydrochloride acid in the stomach




Influences of serotonin and prostaglandin is not well defined

Bacterial Endotoxins have what impact on the GI System?

Increases permeability of intestinal blood vessels




Causes increased fluid loss and fever

Define Vomiting

Forceful ejection of the contents of the stomach and sometimes the proximal small intestine

Vomiting is initiated by what?

Activation of the vomiting center in the medulla of the brain

Vomiting Impulses are generated by what?

Pain


Excitement '


Fear


Disturbances of the inner ear


Drugs


Metabolic Conditions


irritation of peripheral receptors

What animals do not vomit

Horses


Rats


Rabbit

Persistent Vomiting Can Result In

Dehydration


Electrolyte Disturbances


Acid-Base Imbalances

Define Emetics

Drugs that induce vomiting

Emetics are classified according to what?

Their site of action

What are the classifications of Emetics?

Centrally acting


Locally acting

Emetics usually remove how much the stomach contents

80%

Emetics are administered to animals that have _____?

Ingested toxins

Emetics are contraindications in animals that _____?

-Are comatose or having a seizure


-Have depressed pharyngeal reflexes


-Are in shock or are dyspnic


-Have ingested strong acid, alkali, or other caustic substances


-Do not normally vomit

Centrally Acting Emetics

Apomorphine


Xylazine

What is Apomorphine

Centrally Acting Emetic


Morphine derivative



Apomorphine stimulates what?

Dopamine receptors in the chemoreceptor trigger zone

How is Apomorphine administered?

Topically or Parenterally

Clinical uses of Apomorphine

Induction of vomiting in dogs


Contraindicated in cats



What is the reversal agent for Apomorphine?

Naloxone

Adverse side effects of Apomorphine

Protracted Vomiting


Restlessness


Depression

What is Xylazine?

Not classified as an emetic


used more safely in cats, sometimes in dogs


Induces vomiting in 3-5 mins

What are some Locally Acting Emetics?

Syrup of Ipecac


Hydrogen Peroxide


Mustard and Water


Warm Salt Water

Syrup of Ipecac

Locally Acting Emetic


Obtained from plant roots



Syrup of Ipecac induces what?

Vomiting within 10-30 mins in cats and dogs

Syrup of Ipecac stimulates what?

CRTZ

Adverse Side Effects of Syrup of Ipecac

Cardiotoxicity


Lacrimation


Salivation

What are Antiemetics

Drugs that are used to prevent or control vomiting




Do not necessarily correct underlying cause of vomiting





How are Antiemetics usually administered?

Parenterally

How do phenothiazine derivatives work as an antiemetic?

They act centrally


Block dopamine receptors in the CRTZ


May directly inhibit vomiting center


Prevent motion sickness in dogs and cats


Less effective against irritant emetics



Common side effects of phenothiazine derivatives

Hypotension


Sedation

Phenothiazine Derivative Drugs

Chlorpromazine


Prochlorperazine

Chlorpromazine is also called

Thorazine

What is Chlorpromazine

Phenothiazine derivative tranquilizer


More often used as an antiemetic


More effective in dogs than in cats

Adverse Side Effects of Chlopromazine

Sedation


Ataxia


Hypotension


Has Several drug reactions

What is prochlorperazine



Has Moderate sedative effects


Strong Antiemetic Effects

Adverse Side Effects of Prochlorperazine

Similar to chlorpromazine


Dry MM


Dilated pupils


Urinary retention

Metoclopramide is also called

Reglan

Metoclopramide : Central antiemeitc activity does what

Blocks dopmaine receptors in the CRTZ

Metoclopramide: Peripheral anitemetic activity does what

Increases gastric contraction


Speeds gastric emptying


Strengthens cardiac sphincter tone

Metoclopramide acts....and its administered...

Short acting and administered frequently or by CRI

Procainamide Derivatives are what kind of drugs

Antiemetic

Procainamide Derivatives Clincal Uses

Antiemetic


Treatment of GI motility disorders

Procainamide Derivatives Adverse Effects

Behavioral or other disorders associated with CNS


Constipation

Antiemetic Antihistamines do what

Most effective as an antiemetic for vomiting assosciated with motion sickness or inner ear abnormalities




Block vomiting at the level of the CRTZ




May cause sedation

Antiemetic Antihistamines ususally end in

Amine

Antiemetic Anticholinergics are what type of drug

parasymptholytic


Antiemetic Anticholinergics do what

Block the effects of acetlycholine at parasympathetic nerve endings




Reduce GI spasms




Reduce intestinal motility and secretions




Act peripherally




Gastric emptying is slowed

Slowing Gastric Emptying May Cause What?

an increased tendency to vomit

Antiemetic Anticholinergics Drug Forms

Aminopentamide Hydrogen Sulfate


Propantheline

Anticholinergics Clincal Uses

Antispasmotics


Antiemetics


Antidiarrheals

Antiemetic Anticholinergics Adverse Effects

Dry MM


Tachycardia


Urinary retention


Constipation

Serotonin Receptor Antagonist do what?

Blocks serotonin receptors found on vagal nerve terminals and in the CRTZ

Serotonin Receptor Antagonist Drug Form

Ondansetron or Zofran

Ondansetron or Zofram is an antiemetic used during______

chemotherapy

NK-1 Receptor Antagonists Do What

Block binding of substance P to NK1 receptors in the CRTZ




Prevent and treat vomiting in dogs caused by motion sickness or other causes

What is Substance P

Neurotransmitter involved in vomiting

NK-1 Receptor Antagonists Adverse Side Effects

Diarrhea


Bloody stool


Anorexia


Endotoxic Shock


Otitis


Burning at the injection site

Gastric Ulcers May Occur For What Various Reasons?

Stress


Metabolic Disease


Gastric Hyperactivity


Drug Therapy

Common Signs of Gastric Ulcers

Anorexia


Hematemisis


Pain


Melena

Define Hematemisis

Vomiting Blood

Types of Antiulcer Medications

H2 Receptor Antagonists


Proton Pump Inhibitors


Antacids


Gastromucosal Protectants


Prostaglandin E-1 Analogs

H2 Receptor Antagonists Reduce what?

The release od hydrochloric acid


Irritation of eroded mucosa

H2 Receptor Antagonists Promote What ?

Healing

H2 Receptor Antagonists are available ____?

OTC

Cimetidine is what type of drug

H2 receptor antagonist

Cimetidine Clinical Uses

Treatment or prevention of gastric, adomasal, or duodenal ulcers




Hypersecratory condition




Esophagitis




Gastric Reflux



Cimetidine Adverse Effects

Rare


May alter metabolism of other drugs

Ranitidine ( Zantac) is what type of drug?

H2 receptor Antagonist

Ranitidine ( Zantac) Characteristics

has little effect on hepatic microenzymes, unlikely to cause drug interactions




5x more potent than cimetidine




Longer duration

Famotidine (Pepcid) is what kind of drug

H2 Receptor Antagonist

Famotidine (Pepcid) characteristics

Considerably more potent than cimetidine




Even fewer drug interractions

Nizatidine (Axid) is what type of drug

H2 Receptor Antagonist

Nizatidine (Axid) Is Used for what?

Used for prokinetic activity in the treatment of constipatio nand delayed gastric emptying

Proton Pump Inhibitors Do what?

Inhibit enzyme, which pumps hydrogen ions into the stomach




Used to treat gastric or duodenal ulcers, esohagitis, and parietal hypersecretion

Proton Pump Adverse Effects

Constipation


sedation


ileus


pancreatitis


CNS Effects

What is Ileus

Decreased GI Motility

Antacids are used for

-to decrease hydrochoric acid levels


-Aid in the treatment of gastric ulcers


-Treat rumen acidosis


-Laxative


-Used in pts with renal failure to bind with intestinal phosphorus to reduce hyperphosphatemia


-Calcium supplement after parathyroidectomy



Antacid Adverse Side

Aluminum/Magnesium Hydroxide




C