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19 Cards in this Set

  • Front
  • Back
Premedication Drugs (II)
a2 agonists
benzodiazepines
opioids
antimuscarinic drugs
(atipamezole, yohimbine)
these drugs can be reversed
a2 agonists
Species differences (IN PIG) in response to a2 agonists
appear insensitive to all α2 drugs
are exquisitely sensitive to a2 agonists- tiny doses required
ruminants
Species differences in response to a2 agonists:
prone to pulmonary edema
small ruminants (sheep and goats) prone to pulmonary oedema
adrenergic receptors associated with smooth muscle constriction
a1
presynaptic receptors which inhibit NE release
a2
adrenergic receptor on Heart associated with increased HR and CO?
B1
receptors associated with smooth muscle and dilation of associated vessels
B2
List 5 Advantages of premedication (p6)
- calms patients
- smooth induction and recovery
- reduce amt. of anesthetic drugs needed (for induction and maintenance)
- provide pre-emptive analgesia
- counteract undesirable effects of other anesthetic drugs
4 Disadvantages of premedication
- prolongs recovery (may be problem in ruminant-risk of regurgitation and bloat; or diabetic animals)
- respiratory depression
- requires time to take effect when admin by route other than IV
- altered cardio fxn
List 6 classes of drugs used for premedication (p6)
1. phenothiazines
2. butyrophenones
3. opioids
4. α₂ agonists
5. benzodiazepines
6. anticholinergics
What class of drugs does acepromazine belong to? (p7)
-Phenothiazines
What receptors does acepromazine act on? (p7)
-Bind to and antagonize the following catecholamine receptors:
-α₁ receptor antagonist: vasodilation
-Histamine (H₁) receptor antagonist: weak antihistamic and anti-emetic effects
-Serotonin (5HT₂) receptors
What is the general onset time, pathway for metabolism and duration of action of acepromazine? (p7)
-Relatively slow peak effect 20-30min after IV or IM injection
-ACP undergoes extensive hepatic metabolism by glucuronidation; thus dose should be markedly reduced in animals with liver disease and cats
-Long duration of action, several hours (can be 24⁺ hrs)
What are the principal CNS of acepromazine?
CNS:
-induces sedation
-NO analgesia
-Anti-emetic effect: acts centrally on chemoreceptor trigger zone and vomiting center
-Depress thermoregulation
-Block action of dopamine in CNS: tranquillization
What are the principal cardiovascular effects of acepromazine?
-anti-arrhythmic
____ agonists are cardiodepressant
a2
Glutamate is excitatory or inhibitory transmitter?
excitatory neurotransmitter, involved in memory (NMDA receptor)?