Drug Matching Questions
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Match the following drugs with their corresponding reversal agents.

Dexmedetomidine = Atipamezole Xylazine = Yohimbine Detomidine = Tolazoline Medetomidine = Tolazoline

Match the following drugs with their primary mechanism of action.

Trazadone = Serotonin antagonist Diazepam = GABA receptor antagonist Alpha 2 adrenergic agonists = Decreases norepinephrine release Blockers = Histamine release blocker

Match the following drugs with their primary route of administration.

Trazadone = Oral Diazepam = IV, IM, Rectal Blockers = IM, SQ, IV, PO Midazolam = IV, IM

Match the following drugs with their advantages.

<p>Diazepam = Minimal CV/resp effects, muscle relaxation, appetite stimulation Dexmedetomidine = Anesthetic sparing Blockers = Anti-emetic, treats opioid dysphoria Trazadone = Wide therapeutic index, anti-anxiety</p> Signup and view all the answers

Match the following drugs with their primary use in veterinary medicine.

<p>Blockers = Sedation, anti-emetic Diazepam = Anti-convulsant, sedation Zolazepam = Used for exotic animals, usually combined with Tiletamine Trazadone = Anti-anxiety, mild sedation</p> Signup and view all the answers

Match the following drug groups with their general characteristics.

<p>Blockers = Non-reversible, potential for idiosyncratic reactions Benzodiazepine derivatives = Enhances GABA activity, muscle relaxation, minimal respiratory and cardiovascular effects Alpha 2 adrenergic agonists = Profound sedation, muscle relaxation, decreases pain perception Trazadone = Serotonin antagonist, anti-anxiety, wide therapeutic index</p> Signup and view all the answers

Match the following drugs with their specific characteristics.

<p>Midazolam = 3x as potent as Diazepam, less irritating to tissue Lorazepam = Can be given orally Diazepam = Reversible via Flumazenil, can elicit paradoxical excitation Dexmedetomidine = Biphasic compound, profound vasoconstriction followed by bradycardia</p> Signup and view all the answers

Match the following drugs with their associated side effects:

<p>Bromides = Ataxia, sedation, polyphagia Primidone = Hepatotoxicity, hepatic necrosis Gabapentin = sedation Zonisamide = Minimal side effects, wide therapeutic range</p> Signup and view all the answers

Match the following drugs with their mechanism of action:

<p>Bromides = Decreases neuronal discharge and interferes with chloride transport Zonisamide = NA/CA channel blocker Gabapentin = Alpha 2 delta ligand, glutamate blocker Primidone = Multiple metabolites with anticonvulsant activity</p> Signup and view all the answers

Match the following drugs with their advantages or disadvantages:

<p>Bromides = Long half-life, can be used in conjunction with phenobarbital Zonisamide = Wide therapeutic range, minimal side effects Gabapentin = Reduces glutamate release, effective for neuropathic pain Primidone = Possibly no advantage over phenobarbital alone, potential for hepatotoxicity</p> Signup and view all the answers

Match the following drugs with their class or group:

<p>Potassium chloride = Bromide Zonisamide = Sulfonamide Gabapentin = Gamma amino acid derivatives Phenobarbital = Barbituate</p> Signup and view all the answers

Match the following anesthetic drugs with their primary mechanism of action:

<p>Ketamine = NMDA antagonist Etomidate = Enhances GABA activity Isoflurane = Enhances GABA activity Thiopental = Increases chloride flow and depresses the central nervous system</p> Signup and view all the answers

Match the following anesthetic drug groups with their typical duration of action:

<p>Ultra-short acting = Thiopental Short-acting = Pentobarbital Long acting = Phenobarbital Short-acting, rapid onset = Propofol</p> Signup and view all the answers

Match the following anesthetic drugs with their primary route of administration:

<p>Thiopental = IV Isoflurane = Inhalation Etomidate = IV Ketamine = IV</p> Signup and view all the answers

Match the following anesthetic drugs with their primary indication in veterinary medicine:

<p>Pentobarbital = Euthanasia Hydromorphone = Analgesia Phenobarbital = Anti-convulsant Isoflurane = Anesthesia maintenace</p> Signup and view all the answers

Match the following anesthetic drugs with their associated disadvantages:

<p>Thiopental = Low therapeutic index Ketamine = Apnea, muscle rigidity Etomidate = Muscle rigidity, rough recovery Isoflurane = Vasodialation and hypotension</p> Signup and view all the answers

Match the following anesthetic drugs with their unique characteristics:

<p>Thiopental = Controlled substance Ketamine = Increases HR and vasoconstriction Etomidate = Minimal cardiovascular and respiratory depression Isoflurane = Metabolized by the lungs</p> Signup and view all the answers

Match the following anesthetic drugs with their potential contraindications:

<p>Acepromazine = Dehydration/ blood loss Ketamine = Kidney compromise Nitrous oxide = Lung/ GI compromised Isoflurane = Head trauma</p> Signup and view all the answers

Match the following anesthetic drugs with their relevant properties regarding recovery:

<p>Thiopental = Short recovery Ketamine = No reversal agent Etomidate = Potential rough recovery Isoflurane = Short recovery</p> Signup and view all the answers

Match the following opioid drugs with their primary mechanism of action.

<p>Morphine = MU agonist, low Kappa agonist Hydromorphone = Pure MU agonist Fentanyl = MU agonist Butorphanol = Partial MU antagonist, Kappa agonist</p> Signup and view all the answers

Match the following opioid drugs with their primary route of administration.

<p>Morphine = IV, SQ, IM, epidural Hydromorphone = IV, SQ, IM Fentanyl = IV, CRI, transdermal Butorphanol = SQ, IM, IV</p> Signup and view all the answers

Match the following opioid drugs with their approximate potency relative to morphine.

<p>Morphine = 1x Hydromorphone = 5x Fentanyl = 100x Butorphanol = 2-5x</p> Signup and view all the answers

Match the following opioid drugs with their primary advantage in veterinary medicine.

<p>Morphine = Good for visceral pain Hydromorphone = Minimal CV effects, low histamine release Fentanyl = Profound analgesia, short acting Butorphanol = Good for GI compromised patients, can help as a cough suppressant</p> Signup and view all the answers

Match the following opioid drugs with their primary disadvantage.

<p>Morphine = Emesis due to histamine release Hydromorphone = Hyperthermia Fentanyl = Dysphoria Butorphanol = Ceiling effect, cannot be used with other opioids</p> Signup and view all the answers

Match the following opioid derivatives with their mechanism of action.

<p>Tramadol = M1 metabolite is an MU agonist, prevents the reuptake of serotonin and acetylcholine receptors Apomorphine = Dopamine agonist</p> Signup and view all the answers

Match the following opioid drugs with their reversibility by naloxone.

<p>Morphine = Fully reversible Hydromorphone = Fully reversible Fentanyl = Fully reversible Butorphanol = Partially reversible</p> Signup and view all the answers

Match the following opioid drugs with their duration of action.

<p>Morphine = Variable, depending on route Hydromorphone = Variable, depending on route Fentanyl = Very short acting (30 min to 2 hr) Butorphanol = Short duration (60 min in dogs up to 90 in cats)</p> Signup and view all the answers

Match the following opioid drugs with their primary effect on MU receptors.

<p>Morphine = Agonist Hydromorphone = Agonist Fentanyl = Agonist Butorphanol = Antagonist</p> Signup and view all the answers

Flashcards

Tranquilizers

Medications that reduce anxiety without sedation.

Anti-anxiety medications

Medications specifically designed to alleviate anxiety symptoms.

Dopamine receptors

Nervous system targets affected by tranquilizers for anxiety relief.

Alpha-1 receptors

Receptors influenced by tranquilizers that contribute to calming effects.

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No sedation effect

Tranquilizers allow awareness of surroundings while calming.

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Phenothiazine derivatives

A class of tranquilizers affecting multiple receptor types.

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Acepromazine

A specific tranquilizer affecting dopamine, alpha-1, and more receptors.

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No analgesia

Tranquilizers do not provide pain relief.

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Blockers

Medications that prevent histamine release, causing mild sedation.

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Trazadone

Oral serotonin antagonist used for anxiety with mild sedation.

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Benzodiazepines

Class of drugs enhancing GABA activity, causing muscle relaxation.

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Diazepam (Valium)

A benzodiazepine that can be used IM, IV, or rectally, and is reversible.

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Dexmedetomidine

An alpha 2 adrenergic agonist causing profound sedation but not analgesia.

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Xylazine

An alpha 2 agonist that is reversible with yohimbine.

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Antiemetic

A medication that prevents vomiting and has histamine blocking effects.

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Nictitating membrane prolapse

Prolapse of the third eyelid, considered normal with certain medications.

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Bromide

An anticonvulsant that decreases nervous system discharge and interferes with chloride transport.

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Bromide toxicity

Adverse effects of bromide including blindness, coma, and ataxia.

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Potassium bromide administration

Typically compounded and must be given with food; serum levels need monitoring.

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Primidone metabolites

Has three metabolites: phenobarbital, primidone itself, and phenylethylmalonamide.

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Gabapentin advantages

Reduces glutamate release and aids in neuropathic pain management, often combined with other treatments.

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Barbiturates

Medications that enhance GABA activity, used for sedation and anesthesia.

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Controlled substance

Drugs regulated by law due to potential for abuse.

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GABA

An inhibitory neurotransmitter that reduces neuronal excitability.

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Ultra-short acting anesthetics

Anesthetics that provide rapid effects but have brief duration.

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Etomidate

A non-barbiturate anesthetic that enhances GABA and shows minimal CV effects.

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Propofol

An anesthetic known for rapid recovery and minimal residue effects.

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Ketamine

A dissociative anesthetic that maintains reflexes and provides analgesia.

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Isoflurane

An inhalation anesthetic known for rapid induction and short recovery.

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Sevoflurane

A fast-acting inhalation anesthetic metabolized by the liver.

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Nitrous oxide

Commonly known as laughing gas, it helps induce anesthesia quickly.

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Anticonvulsants

Medications used to prevent or treat seizures.

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Potassium bromide

Form of bromide typically given with food, requiring serum level monitoring.

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Phenobarbital

A common anticonvulsant often used alone or with bromide.

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Primidone

An anticonvulsant with three metabolites, used if phenobarbital is poorly tolerated.

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Gabapentin

An anticonvulsant that reduces glutamate release, also used for neuropathic pain.

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Zonisamide

A sulfonamide anticonvulsant that acts as a NA/CA channel blocker.

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Anticonvulsant advantages

Benefits include seizure prevention and improved quality of life in patients.

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Zonisamide disadvantages

Not fully understood, can be expensive, and has a short half-life.

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Opioids

Drugs that interact with MU and Kappa receptors to relieve pain.

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MU Receptors

Receptors found throughout the body, crucial in the pain pathway.

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Kappa Receptors

Receptors that influence sedation and mild analgesia.

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Hydromorphone

A pure MU agonist, strongest analgesic available.

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Fentanyl

MU agonist, 100x more potent than morphine, short-acting.

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Butorphanol

Partial MU antagonist and Kappa agonist, good for mild pain.

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Buprenorphine

Partial MU agonist, Kappa antagonist; good for moderate pain.

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Methadone

A MU agonist that binds NMDA receptors for profound analgesia.

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Tramadol

Requires metabolization for action; prevents reuptake of serotonin.

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Apomorphine

Dopamine agonist used to induce emesis (vomiting).

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Study Notes

Tranquilizers

  • Anti-anxiety medications often do not cause sedation, but rather calm patients while maintaining awareness of surroundings, using a lower FAS score.
  • These medications do not provide strong pain relief (analgesia).
  • Many tranquilizers affect dopamine and alpha-1 receptors.
  • Some, like phenothiazines, affect dopamine, alpha-1, muscarinic, and histamine receptors.

Acepromazine

  • Blocks various receptors, affecting dopamine, alpha-1, muscarinic, and histamine receptors.
  • Available in injectable and oral forms.
  • Produces mild sedation.
  • Is non-reversible.
  • Should not be used with MDR1 gene dogs.
  • Can cause nictitating membrane prolapse, which is a normal reaction.
  • Prevents histamine release, acting as an anti-emetic.
  • Suitable for treating opioid-related distress.
  • Potential for undesirable side effects (e.g., aggression, hyperactivity, penile prolapse in stallions).
  • May cause mild sedation.

Trazadone

  • A serotonin antagonist.
  • Administered orally.
  • Has anti-anxiety properties and mild sedative effects.
  • A wide therapeutic index.
  • Avoid concurrent use with certain drugs (e.g., tramadol).

Benzodiazepine Derivatives

  • Diazepam (Valium) is a GABA receptor antagonist.
  • Administration methods include intravenous, intramuscular, and rectal routes.
  • It's reversible with flumazenil.
  • May cause paradoxical excitation in some patients.
  • Can stimulate appetite.
  • Useful as an anticonvulsant.
  • Minimal cardiovascular and respiratory side effects are possible.
  • Diazepam can cause skin irritation if administered intramuscularly.
  • Not an analgesic, but decreases the perception of pain.
  • Midazolam is 3 times more potent than diazepam, causes less tissue irritation, and doesn't mix well with other drugs. It's administered intravenously or rectally.
  • Lorazepam can be administered orally.

Alpha 2 Adrenergic Agonists

  • These drugs decrease norepinephrine release and oppose the sympathetic nervous system.
  • Result in profound sedation and muscle relaxation.
  • These are not analgesics but decrease pain perception.
  • Dexmedetomidine is reversible with atipamezole and is a biphasic compound, which may lead to hypertension from vasoconstriction and bradycardia when the heart compensates by slowing.
  • Xylazine, medetomidine, and detomidine (reversible with tolazone) are other alpha-2 adrenergic agonists.

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Related Documents

Tranquilizers PDF
Anesthetics PDF
Anticonvulsants PDF
Analgesics PDF

Description

This quiz covers the use and effects of tranquilizers in veterinary medicine, focusing on drugs like Acepromazine and Trazodone. Test your knowledge of these medications, their mechanisms of action, and potential side effects. Understand how these drugs can aid in treating anxiety and related conditions in animals.

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