Types of Premedications

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Questions and Answers

Which of the following opioids is NOT licensed in veterinary species?

  • Morphine (correct)
  • Methadone
  • Pethidine
  • Fentanyl

Which opioids are considered full Mu agonists?

  • Buprenorphine, Butorphanol
  • Methadone, Fentanyl, Pethidine
  • Methadone, Fentanyl, Pethidine, Morphine (correct)
  • Morphine, Buprenorphine, Butorphanol

Which opioid is a Mu antagonist and Kappa agonist?

  • Methadone
  • Butorphanol (correct)
  • Pethidine
  • Fentanyl

Which patients might benefit from using Butorphanol as an analgesic?

<p>Birds (C)</p> Signup and view all the answers

What is a potential side effect of high doses of opioids?

<p>Respiratory depression (B)</p> Signup and view all the answers

Which drug can be used to antagonize opioids?

<p>Naloxone (B)</p> Signup and view all the answers

Which of the following is NOT a potential side effect of acepromazine in dogs?

<p>Neuroleptanalgesia (A)</p> Signup and view all the answers

Which benzodiazepine is commonly used in small animal practice and can be administered via the IM and IV route?

<p>Midazolam (B)</p> Signup and view all the answers

What is the mechanism of action of benzodiazepines?

<p>GABA-A receptor activation (A)</p> Signup and view all the answers

Which of the following is NOT a potential use of midazolam in veterinary patients?

<p>Premedication in healthy animals (A)</p> Signup and view all the answers

Which receptor does ketamine primarily act on?

<p>NMDA receptor (C)</p> Signup and view all the answers

What is the main effect of ketamine at higher doses?

<p>Dissociative anesthesia (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of ketamine?

<p>Short acting (A)</p> Signup and view all the answers

What is the clinical significance of the racemic mixture of medetomidine?

<p>It is not fully understood (D)</p> Signup and view all the answers

What is the potential side effect of using alpha-2 agonists in brachycephalic breeds?

<p>Respiratory depression (B)</p> Signup and view all the answers

What is the effect of alpha-2 agonists on blood pressure and heart rate?

<p>Initial increase followed by a decrease (D)</p> Signup and view all the answers

Which of the following is a potential effect of alpha-2 agonists on insulin production?

<p>Reduction in insulin production (D)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on urine production?

<p>Increased urine production (B)</p> Signup and view all the answers

Which of the following is a common component of premedication that provides sedation but not analgesia?

<p>ACP (B)</p> Signup and view all the answers

Which drugs are anti-cholinergic or para-sympatho-lytic/vagolytic?

<p>Atropine and glycopyrrolate (D)</p> Signup and view all the answers

What are the potential unwanted effects of anticholinergics?

<p>Mydriasis, reduced gut motility, bronchodilation (B)</p> Signup and view all the answers

What is alfaxalone commonly used for?

<p>Induction agent and sedation for sick patients (C)</p> Signup and view all the answers

Which species is alfaxalone more commonly used in?

<p>Cats (A)</p> Signup and view all the answers

What are the adverse effects of alfaxalone on the cardiovascular system?

<p>Mild Vasodilation with Limited effects (A)</p> Signup and view all the answers

When is apnoea reported with alfaxalone administration?

<p>IV route (D)</p> Signup and view all the answers

In what circumstances is the combination of alfaxalone and an opioid a good alternative?

<p>Sicker patients where ketamine is not appropriate (B)</p> Signup and view all the answers

Which patients may require additional sedation with a sedative?

<p>Patients who have received higher doses and are excitable/reactive to light/noise/movement (D)</p> Signup and view all the answers

What is the role of atropine and glycopyrrolate in reducing bradycardia?

<p>They reduce bradycardia (C)</p> Signup and view all the answers

Which of the following opioids is NOT licensed in veterinary species?

<p>Morphine (C)</p> Signup and view all the answers

What is the main effect of ketamine at higher doses?

<p>Apnoea (C)</p> Signup and view all the answers

What are the potential unwanted effects of anticholinergics?

<p>Increased heart rate (A)</p> Signup and view all the answers

In what circumstances is the combination of alfaxalone and an opioid a good alternative?

<p>For sedation in sick patients (A)</p> Signup and view all the answers

Which patients may require additional sedation with a sedative?

<p>Brachycephalic breeds (B)</p> Signup and view all the answers

When is apnoea reported with alfaxalone administration?

<p>At higher doses (D)</p> Signup and view all the answers

Which of the following drugs is considered antiarrhythmic due to the effects of alpha-1 receptor antagonism in the heart, cell membrane stabilization, and sympathetic reduction?

<p>Acepromazine (A)</p> Signup and view all the answers

Which of the following drugs is commonly used in veterinary patients as an NMDA receptor antagonist?

<p>Ketamine (C)</p> Signup and view all the answers

Which of the following drugs can be used as a co-induction agent in sick patients, rather than as part of a premed?

<p>Midazolam (B)</p> Signup and view all the answers

Which of the following drugs reduces the amount of induction and inhalation agent needed during anesthesia?

<p>Ketamine (A)</p> Signup and view all the answers

Which of the following drugs is a poor muscle relaxant when used alone?

<p>Ketamine (D)</p> Signup and view all the answers

Which of the following drugs is commonly used in small animal practice and can be administered via the IM and IV route?

<p>Midazolam (A)</p> Signup and view all the answers

Which of the following drugs is known for its good cardiovascular stability and stimulatory effects?

<p>Ketamine (B)</p> Signup and view all the answers

Which of the following is NOT a potential side effect of alpha-2 agonists?

<p>Increased respiratory depression (A)</p> Signup and view all the answers

Which of the following is a potential effect of alpha-2 agonists on blood pressure and heart rate?

<p>Decreased blood pressure and decreased heart rate (B)</p> Signup and view all the answers

Which of the following drugs is an alpha-2 agonist commonly used in small animal practice?

<p>Xylazine (D)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on urine production?

<p>Increased urine production (D)</p> Signup and view all the answers

What is the main effect of ketamine at higher doses?

<p>Dissociative anesthesia (A)</p> Signup and view all the answers

Which of the following is NOT a potential use of midazolam in veterinary patients?

<p>Muscle relaxation (D)</p> Signup and view all the answers

What is the clinical significance of the racemic mixture of medetomidine?

<p>It is inactive or may reduce the desired effects (A)</p> Signup and view all the answers

Which of the following drugs is commonly used to reduce bradycardia and respiratory tract secretions in veterinary patients?

<p>Atropine (D)</p> Signup and view all the answers

Which drug is a neuroactive steroid and is commonly used as an induction agent in veterinary patients?

<p>Alfaxalone (D)</p> Signup and view all the answers

Which route of administration is commonly used for alfaxalone in cats, but not in dogs?

<p>Intramuscular (IM) (B)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on the cardiovascular system?

<p>Hypotension (C)</p> Signup and view all the answers

Which combination of drugs might be a good alternative in sicker patients where ketamine is not considered appropriate?

<p>Alfaxalone and midazolam (C)</p> Signup and view all the answers

What is a potential side effect of using alpha-2 agonists in brachycephalic breeds?

<p>Apnoea (D)</p> Signup and view all the answers

Which opioid is a Mu agonist and Kappa antagonist?

<p>Buprenorphine (D)</p> Signup and view all the answers

What is the potential effect of alpha-2 agonists on insulin production?

<p>Decreased insulin production (B)</p> Signup and view all the answers

When is apnoea reported with alfaxalone administration?

<p>When administered intravenously (IV) (D)</p> Signup and view all the answers

Which of the following opioids is NOT licensed in veterinary species?

<p>Morphine (A)</p> Signup and view all the answers

Which of the following drugs is commonly used in veterinary patients as a co-induction agent rather than as part of a premed?

<p>Midazolam (C)</p> Signup and view all the answers

Which opioids are considered full Mu agonists?

<p>Methadone, Fentanyl, Pethidine (D)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on the cardiovascular system?

<p>Transient increase in cardiac output and blood pressure (D)</p> Signup and view all the answers

Which patients might benefit from using Butorphanol as an analgesic?

<p>Patients with non-painful procedures (C)</p> Signup and view all the answers

Which receptor does ketamine primarily act on?

<p>NMDA receptor (B)</p> Signup and view all the answers

What is the potential effect of alpha-2 agonists on insulin production?

<p>Decrease insulin production (A)</p> Signup and view all the answers

What is alfaxalone commonly used for?

<p>Anesthesia (C)</p> Signup and view all the answers

What is a potential side effect of high doses of opioids?

<p>Hypertension (B)</p> Signup and view all the answers

Which opioid is a Mu antagonist and Kappa agonist?

<p>Buprenorphine (A)</p> Signup and view all the answers

Which of the following is NOT a potential side effect of alpha-2 agonists?

<p>Respiratory depression (C)</p> Signup and view all the answers

Which patients may require additional sedation with a sedative?

<p>Sick patients (C)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on urine production?

<p>Decrease urine production (D)</p> Signup and view all the answers

Which of the following drugs is considered antiarrhythmic due to the effects of alpha-1 receptor antagonism in the heart, cell membrane stabilization, and sympathetic reduction?

<p>Acepromazine (D)</p> Signup and view all the answers

Which of the following drugs is an alpha-2 agonist commonly used in small animal practice?

<p>Medetomidine (A)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on blood pressure and heart rate?

<p>Initially increase blood pressure and then decrease it (B)</p> Signup and view all the answers

Which of the following drugs is a phenothiazine commonly used in veterinary premedication?

<p>ACP (B)</p> Signup and view all the answers

What is the main effect of phenothiazines on blood pressure?

<p>Vasodilation leading to hypotension (D)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on insulin production?

<p>Reduction in endogenous insulin production (B)</p> Signup and view all the answers

What is the main effect of alpha-2 agonists on urine production?

<p>Increased urine production (B)</p> Signup and view all the answers

What is the main effect of phenothiazines on sedation and analgesia?

<p>Sedation and anxiolysis, but no analgesia (B)</p> Signup and view all the answers

Which of the following drugs is commonly used as an induction agent and can also be used to sedate sick patients?

<p>Alfaxalone (C)</p> Signup and view all the answers

Which of the following drugs is an anti-cholinergic or para-sympatho-lytic/vagolytic drug?

<p>Atropine (C)</p> Signup and view all the answers

Which of the following drugs is NOT routinely used in premedication?

<p>Glycopyrrolate (D)</p> Signup and view all the answers

Which of the following drugs can reduce the amount of respiratory tract secretions?

<p>Glycopyrrolate (C)</p> Signup and view all the answers

Which of the following drugs has few adverse effects on the cardiovascular system?

<p>Alfaxalone (C)</p> Signup and view all the answers

Which of the following drugs is commonly used in small animal practice and can be administered via the IM and IV route?

<p>Ketamine (C)</p> Signup and view all the answers

Which of the following drugs might be a good alternative in sicker patients where ketamine is not considered an appropriate choice?

<p>Alfaxalone (A)</p> Signup and view all the answers

Which of the following drugs is NOT an appropriate choice for sedation in patients in which a robust premed has not provided sufficient sedation to place an IV cannula?

<p>Ketamine (A)</p> Signup and view all the answers

Which of the following drugs is a more common approach for sedation in cats compared to dogs?

<p>Alfaxalone (D)</p> Signup and view all the answers

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