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33 Cards in this Set

  • Front
  • Back

What is the purpose of preanesthetic drugs

- calm frightened or aggressive animals


- Reduce the need for general anesthesia


- reduce or eliminate some side effects of anesthesia


- provide analgesia


- provide a smoother recovery

Reanesthetics

-Antichholinergics


-Tranquilizer sedatives


-Analgesics

Types of anticholinergics

Atrophine and Glyccopyrrolate

Types of tranquilizer sedatives

Alpha 2 agonists


Benzodiazepines


Phenothiazines

Types of analgesics

Opioids and NSAIDS

What do anticholinergics do

Block certain receptors of the neurtransmitter acetylcholine at the second parasympathetic receptor site

Benefits of anticholinergics

Prevent bradycardia/heart block


Decrease GI stimulation and salivation


Bronchocontraction and respiratory secretions

What is the onset of action for anticholinergics

20 min after SQ or IM injections

what are the precautions for anticholinergics

ileus, arrhythmias, Muscous plugs in ET tube, glaucoma

What do tranquilizers do

Reduce anxiety

What do sedatives do

reduce anxiety and reduce mental activity

Types of sedatives

Phenothiazines, Benzodiazepines, Alpha- 2 agonists

Phenothizines do what

Cause sedation


Antiemetic


Antiarrhythmic


Antihistaminic

Side effects of phenothiazines

- peripheral vasodilation


- may cause excitement


- penile prolapse in horses


- 3rd eyelid prolapse

Examples of phenothiazines which are a sedative

Acepromazine and chlorpromazine

Onset of action for phenothiazines

3-5 minutes IV, 20-40 minutes SQ or IM

Precautions of phenothiazines

- may lower seizure threshold


- can cause profound hypotension


- careful in geriatrics


- permanent penile prolapse


- nnt analgesic

Benzodiazepines

Believes to cause the releases of GABA and inhibitory neurotransmitters

What is the action of benzodiazepines

- antianxiety


- skeletal muscle relaxation


- anticonvulsant


- minimal adverse effects

Other than a sedative what can benzodiazepines be used for

Appetite stimulant orally in cats


Inappropriate urination

Precautions for benzodiazepines

Diazepam is hydrophobic


short duration of action


no analgesia


cross the placenta


reversible with flumazinil

Examples of benzodiazepines

Zolazepam


Midazolam



Benefits of Alpha- 2 agonists

-potent sedatives


-Quick onset


-Analgesic


-skeletal muscle relaxation


-decrease the amount of general anesthetic required


-reversible



Alpha-2 agonists have what major benefits

- sedation lasts longer than analgesia

- wide margin of safety in young and healthy animals


- useful for visceral pain- colic

Examples of alpha-2 agonists

DexDomitor


Xylazine


Detomidine


Romifidine

Precautions of alpha-2 agonists

- Can cause vomiting (especially in cats)


- stim CRTZ


- desirable in an emergency


- contraindicated in bloat, GDV




- Hyperglycemia: no in diabetics

What happens to cattle with alpha-2 agonists

most sensitive than horses ----- can develop rumen stasis

Alpha 2 antagonists reversals

Yohimbine reverses xylazine


Atipamezole reverses Dex


Tolazoline reverses detomidine

Examples of opioids

Morphine


Oxymorphone


Fentanyl


Meperidine


Burprenorphine


Butorphanol


Naloxone

Beneficial effects of opioids

Sedation/CNS depression


Analgesia

Opioids can be used with what for a preanesthetic

- with ace and atropine


- with butorphanol and ace

Adverse effects of opioids

Fairly potent respiratory depression


Reduce GI motility

Reversible for opioid adverse effects

Naloxone and butrophanol