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339 Cards in this Set

  • Front
  • Back

Two antibiotics that can be given at the same time to produce synergistic effects are:

Penicillin and Gentamicin

Pharmacokinetics directly relates to:

absorption, distribution, metabolism and excretion of drugs

The group of medications that is not absorbed well and is therefore ineffective systemically when given orally are the:

aminoglycoside antibiotics

A type of insecticide that can become irreversibly bound to the receptor sites of the nervous system and is considered to be a potentially potent toxin is:

Organophosphate

Drugs that are more soluble and more readily readily absorbed are usually:

Lipid soluble

When medications that are in the circulatory system are bound to protien, the protein that is involved in the binding is most commonly:

albumin

Penicillin G, when given orally, is:

not acid stable

The specialized cell that is present between the capillaries of the brain and the cerebral tissue that is effective in the blood brain barrier is the:

Glial cell

A drug that is an agonist is one that will __________ the action of a tissue

Enhance

The term used for the amount of time that it takes for the quantity of drug in the body to be reduced by 50% is:

Half Life

True or False: Most drugs are well absorbed at extremes of pH.

FALSE

An organ of the body where drug accumulation is likely to occur is the:

Liver

The receptor is a site on the cell membrane where a drug will _________ and ___________ an effect in the cell.

attach and produce

Pentothal comes as a powder of 5 gram in a bottle for dilution. How much saline must you add to get a solution of 2.5%

200 ml

You have 10.0 cc of 10% fenbendazole. You need 2.5% fenbendazole. How much saline will you add to the 10 cc's to get the 2.5% solution.

30 ml

The concentration of Azium is 2mg/ml. You will give 1.0 mg/lb to a dog the weighing 11 kg. Calculate the amount you will administer.

12.1 ml

Acepromazine is 10 mg per ml. How many mls will you give if your patient needs 1.0 mg.

0.1 ml

You are to induce a 112 pound dog with 8 mg/lb of Pentothal, (Pentothal is 2.5%). How many mls do you give this patient.

35.8 ml

The concentration of Acepromazine is 10mg/ml. How many ml of Ace will be given to the 88 pound dog at a dose of 0.1 mg / kg.

0.4 ml

The amount of a 50% dextrose solution that is required to make 1.0 liter of 10% Dextrose is:

200 ml of dextrose is added to 800 ml of saline

The dose of Rompun for the horse is 50mg/100 lbs. The concentration is 10%. How many mls of Rompun is needed for a horse weighing 1900 pounds.

9.5 ml

A 20% solution of Mannitol will be given to administer 4.5 grams to a dog. How many mls do you give this patient.

22.5 ml

How much of a 1% solution can be prepared from 6 ml of a 5% solution?

30.0 ml

4% Pentothal is how many mg per ml

40 mg/ml

True or False: The law sates that controlled substances must be kept in a securely locked, substantially constructed cabinet or safe.

True

The period of time that Veterinarians must retain a controlled substances use log and keep it available for inspection is:

2 years

The area of the Veterinary Clinic where prescription pads should be stored is:

Controlled drug cabiniet, under lock and key

The law that requires manufacturers to show a drug is safe for animal use, has therapeutic efficacy, and if used in food animals, must have a method to establish the drug withdrawal period is the:

New Animal Drug Amendment

All controlled drugs are marked with the letter "C" and inside the open area of the "C" is placed the:

schedule number

True or False: Generally, no prescription may be refilled for a period in excess of one year from the date of the original dispensing of the prescription.

True

Information on drug labels for dispensing should contain all of the following EXCEPT:

name and address of drug manufacurer

OD is the abbreviation for:

right eye

gtt is the abreviation for:

drops

The recommended minimum number of inventory turns per year for a typical veterinary practice is:

4-6

The primary disadvantage of having a large inventory on hand is:

expense of tying up working capital in the drugs and supplies

A drug that would be illegal to borrow from another a neighboring veterinary practice would be:

phenobarbital

True or False: In general, it is not legal to purchase larger quantities of medications made at compounding pharmacies and then to prescribe and dispense smaller amounts later for individual patients.

True

Of all of the insecticides used in veterinary hospitals, the most frequently associated with human toxicity are

organophosphates and carbamates

The most common health problem related to the use of disinfectants is:

skin irritation

In most cases, the most hazardous pharmaceuticals the veterinary technician will handle are:

cancer chemotherapy drugs

Cyclophosphamide, vincristine and doxorubicin are examples of:

chemotherapeutic agents

Latex gloves should be worn when handling urine, feces, vomitous and other body fluids from an animal that has received chemotherapeutic drugs because these drugs are considered dangerous for up to:

48 hours

Chemotherapy agents will generally target:

rapidly dividing cells

The drug that is noted to be an alpha blocker is:

acepromazine

The division of the nervous system that alpha, beta-1 and beta-2 receptors are specifically associated with is the:

sympathetic

The types of drugs that may result in an increase in intra-ocular pressure and are contraindicated in certain types of glaucoma are the:

anticholinergics

Considering the autonomic nervous system, stimulation of receptors that will result in powerful vasoconstriction are termed:

alpha

The drug that would be classified as a cholinergic agent due to its stimulating effect on the parasympathetic nervous system is:

neostigmine

A neurotramsmitter for the sympathetic nervous system is:

epinephrine

The two classifications of medications that have similar effect on the eye in that they cause dilation of the pupil are the:

anticholinergics and sympathomimetics

The common signs of organophosphate overdose such as miosis and breathing difficulties are due the organophosphate agent affecting:

anticholinesterase

Drugs that may be used to treat atropine intoxication and also reverse the effects of some of the neuromuscular blocking agents are:

neostigmine and physostigmine

A medication that may be used to produce local hemostasis as an aid in controlling capillary bleeding in highly vascular tissue is:

epinephrine

Alpha receptor stimulation would likely result in:

splenic contraction

In small animal practice, central nervous system stimulants are likely to be used to produce:

respiratory stimulantion

The drug that is noted for producing long acting bronchodilating effects is:

theophylline

The fentanyl patch is a controlled substance that is a Schedule:

II

A medication that is noted for producing cough suppressing effects is:

butorphanol

The anticonvulsant drug that is usually available in grains is:

phenobarbital

The analgesic effect of opioids is due to the:

interaction with receptors such as kappa and mu in the brain and spinal cord

The NSAID group of medications will produce anti-inflammatory effects by:

inhibition of prostaglandin systhesis

The medication that has a mechanism of action that inhibits cyclooxygenase II to counteract inflammation while producing minimal, but some, effects on the stomach and kidney is:

carprofen

An antipyretic medication would have the action of relieving:

fever

The most likely clinically important side effect of NSAIDs is:

gastrointestinal ulceration

A major side effect of the use of phenobarbital as an anticonvulsant is dose dependent:

respiratory depression

A side effect that may be seen with oral phenobarbital administration for treatment of epilepsy is:

polydipsia

What is the amount of drug given per unit of body weight called

dosage

What is the amount of drug given at one time

dose

Which book is a concise and useful information on drugs commonly used in practice

Plumb's Veterinary Drug Handbook

most medicines will be absorbed by the

small intestine (duodenum)

______ ______ tablets or capsules have a special coating usually a wax or a polymer that prevents them form being dissolved in the stomach

enteric coated

solution of a drug dissolved in a sweetened alcohol base

elixirs

a drug dissolved in an 85% dextrose solution

syrup

administration by other than the GI tract

Parenteral

if medications are not irritating they should be given on an empty stomach when stomach acidity is ______

low

IM Injections: usually no more than _____ to avoid pain and discomfort to patient.

- usually no more than 2 ml

IV Injections

-rapid distribution


-good for irritating drugs or concentrated drugs.


-watch for phlebitis, emboli, slough

the study of the movement of drugs in the body

Pharacokinetics

What are the 4 stages of Pharacokinetics?

absorption, distribution, metabolism, excretion

True or False:



Absorption will be enhanced if there is a higher concentration outside the cell compared to inside the cell

True

Lipophilic describes drugs that are:

lipid soluble are more readily absorbed because of the lipid barrier of the cell membranes

Examples of Lipophilic drugs include:

Enrofloxacin (Baytril) and Prednisone

True or False




Water soluble drugs are not well absorbed

True


Drugs that are water soluble are called

hydrophilic

Examples of Hydrophilic drugs

aminoglycoside antibiotics, such as gentamicin3.

Drugs that are _______ are not electrically charged. These drugs will be absorbed better

nonionized

Injection into the spinal canal, usually the subarachnoid space

intrathecal

_________ may allow for an elevated blood sugar by antagonizing the effect of insulin

cortisone

The acids of the stomach are neutralized by sodium bicarbonate that is produced by the ___________

pancreas

The _________ route is often used for skin testing

intradermal (ID)

The __________ route may be used when other routes are not practical

intraperitoneal (IP)

Example of drugs that are tightly bound are called irreversible and will act for a long time

organophosphate insecticides

Drugs that mimic the natural body functions are called __________

Agonists

Drugs that inhibit a normal body function are called ____________

Antagonist

An agonist drug that stimulates the sympathetic nervous system, causes the pupil to dilate and the heart rate to increase

Epinephrine

An antagonist drug that suppresses the parasympathetic nervous system and prevents the heart rate from slowing down

Atropine

Numerical value that represents the relationship between the dose that is effective in 50% of the animals tested and the dose that is lethal in 50% of the animals tested

LD 50

True or False



As the Theraputic Index increases the margin of safety increases

True

The FDA requires a minimum Theraputic Index of _____ if the drug is to be commercially available

4

Liver, kidney, small intestine are organs of ______

metabolism

_______ clears the drug from the blood stream and chemically alters the drugs so they are no longer active

biotransformation (metabolism)

The process of attachment of molecules to a drug is __________

conjugation

True or False


In general, cats will be slower at metabolizing medicines than dogs

True

The liver enzyme system is not fully developed until __________________

30 - 60 days of age

When a drug is repeatedly given, it will cause _______________ to be produced that will enhance the elimination of the drug (tolerance)

enzymes in the liver

Most of the metabolites are eliminated by the ________

kidney

True or False




The pH of the urine effects excretion

True

__________ can cause cardiac arrest in parakeets due to arrhythmias

procaine penicillin - the procaine

________very toxic to Guinea pigs

penicillin


Please memorize that a 1% solution will equal 10 mg/ml.

1% = 10 mg / ml.

For the calculation with a drip set, the formula used is:

ml ordered / time of delivery X drip set factor = rate of flow in drops per minute

Order is for 250 ml of lactated Ringers over the next 2 hours by drip set with 20 drops (gtt) / ml

Calculation: 250 ml / 120 min X 20 = 41.7 or 42 drops per minute

How much 50% dextrose is required to make a liter of 10% dextrose.

200 cc of 50% dextrose added to 800 ml saline



what is the Dose X Weight / Conc called

Factor Label Method

Which year was the established Food, Drug and Cosmetic Act created

1938 -it states that a drug has met the standards that are recommended by members of the medicine, pharmacy, dentistry and vet medicine profession-a drug that has met these standards will have USP or NF on the label-it is the basic law governing drugs in the US

Which year was the Durham Humphrey Amendment created

1951 -it restricts the use of some drugs to have to be prescribed through a licensed practitioner-these are prescription drugs and are considered unsafe for use by the general public

Which year was the New Animal Drug Amendment

1972 -it requires manufacturers to show that a drug is safe for animals, has therapeutic efficacy and if being used in food animals, it must have methods to establish the drugs withdrawal period-the FDA requires for these drugs to show the manufacturer or distributor, the correct name of the drug and adequate directions on how to use it

______________________________ is a separation of circulating blood and the brainextracellular fluid in the central nervous system (CNS).

The blood–brain barrier

___________ often occurs in the fat, muscle and liver

drug accumulation

1000g= ______ kg

1kg

1gr= _______ g

65mg

30ml= ____ oz

1oz

240mls = ____ c

1 cup

what is the definition of pharmacology

the study of drugs and their effects on a living organism

what is a drug definition

a chemical agent acting on living tissue

what is pharmacokinetics

the study of the metabolism, distribution and excretion of drugs

who is the father of pharmacology

Paul Ehrlich

who discovered penicillin

Alexander Flemming

what does it mean by a generic or chemical name

it is related to the chemical structure of the drug

what does it mean by trade name

the name that is given by the manufacturer

what does dosage mean

the amount of drug given per unit of body weight

what does dose mean

the amount of drug given at one time

what does PDR stand for

Physicians Desk Reference

what does a package insert do

it describes the drug and it's activites

what does Rx mean

it indicates that a drug is only available as a prescription

what are some routes used for administering drugs

-topical


-oral


-injectable


-inhalation


-rectal


-intradermal


-intraperitoneal (within the body cavity)

how are drugs distributed through the body

-the circulatory system carries the medication throughout the body


-the medication must be absorbed into the blood stream first and then it is carried to the liver

what pH should oral drugs be to be better absorbed and not be destroyed by the acid in the stomach

drugs that are weak acids (a pH of about 6) are better absorbed than weak basesare most drugs absorbed by the stomach no, most drugs are absorbed in the duodenum

what is the pH of the stomach

1-3 pH (very acidic)

what is a neutral pH

7

what is the pH of the small intestine (the place where drug absorption oocurs)

pH of 8

what does parenteral route mean

-a medication that is not given orally or given other than by the GI tract

what is a target organ

the organ in which the drug will exert its main effect (but only a small fraction of the drug may react with the target organ)

what drug will block the receptor site for acetylcholine

atropine

once a drug has reached its target organ, what will it do

it will react with areas on the target organ called receptors

how do drugs bind to the receptor sites

by small electric forces

what are drugs called that are tightly bound

irreversible, they will act for a long time (ex: organophosphate)

what are the drugs effects on the body functions

it will alter existing body functions, it will not create new body functions

what is an agonist drug

a drug that mimics the natural body functions

what is an antagonist drug

a drug that inhibits a normal body function

what is an example of an agonist and antagonist drug

-epinephrine is an agonist drug that stimulates the sympathetic nervous system (it causes the pupil to dilate)


-atropine is an antagonist drug that suppresses the parasympathetic nervous system (it prevents the heart rate from slowing down)

what is the difference between the sympathetic and the parasympathetic nervous system

-sympathetic is the "fight or flight"




-parasympathetic is the "rest and repair" or "wine and dine"

what is the most common form of administration

oral

what is an elixir

a solution of a drug dissolved in a sweetened alcohol base

what are some factors that affect drug distribution

-plasma binding


-bioavailability


-blood brain barrier


-drug accumulation

what is the difference between brain capillaries and the other body capillaries

brain capillaries are less permeable (allowing things to pass through) than the other capillaries of the body

what are synergistic drugs

a combination of drugs in which this combinations effects are greater than either of the drugs if used alone

what are some ways that drugs become inactivated

-potential changes in the pH of the solution


-chemical precipitates may form


-contamination of the vials

what are some methods that a drug is metabolized

-biotransformation (metabolism)


-conjugation

what does biotransformation (metabolism) do

it clears the drug from the blood stream and it will chemically alter the drug so then it is no longer active

what are some organs that are used for metabolism

the liver, kidney and small intestine

is it safer if the therapeutic index is higher or lower

-the higher the TI, the safer it is


-the lower the TI, the less safe it is

what does the LD50/ED50 stand for

the lethal dose/ effective dose

what is a drug that has a low therapeutic index

chemotherapy drugs

what are some ways to identify if a patient is having an adverse reaction

-establish cause and effect


-time relations to use of drug


-improvement when drug was removed-being able to reproduce the symptoms when the drug was given again

what are some types of drug reactions seen

-dry mouth (may be seen with "chewing gum" symptoms)


-drowsiness-excitement


-vomiting


-allergic reaction (urticaria- hives)

what are some types of systems of measures

-english system (most common used in US- yards, feet, inches)


-metric (common used in scientific work- meters, grams)


-apothecary (used by pharmacists for some drugs- grains, drams and ounces)

what do drug standards relate to

the laws regarding the quality, purity and uniformity of drugs

who enforces the drug standards the food and drug administration (FDA)

-it is a branch of the department of health, education and welfare (HEW)

what act are controlled substances regulated by

the controlled substance act of 1970

what type of drugs does the controlled substance act regulate

addictive and hallucinating drugs

who enforces the controlled substance act the Drug Enforcement Agency (DEA)

-practitioners must be registered with the DEA to handle these drugs

how many schedules are there for controlled drugs and what is there range in abuse

-there are 5 schedules (written in roman numerals)


-the schedule 1 drugs have the highest risk of abuse and has no medical purpose


-the schedule 5 drugs have the least risk of abuse

what are some examples of a schedule 1 drug

-not used in any practice but is used in research only-marijuana may be used for anti-glaucoma or anti-nausea-ex: LSD, Heroine, Marijuana (THC), Mescaline

what are some examples of a schedule 2 drug -

high abuse potential-no more than a 30 day supply may be prescribed-Rx can't be phone in-ex: pentobarbital (euthanasia), Morphine, Hydromorphone, Fentanyl, codeine, PCP

what are some examples of a schedule 3 drug

less abuse potential-Rx can be phone in-ex: Hycodan, Pentothal, Ketaset, Winstrol V, Buprenex

what are some examples of a schedule 4 drug

-low abuse potential


-Rx can be refilled and phone in


-ex: phenobarbital, valium, torbugesic

what are some examples of a schedule 5 drug

-less abuse potential-ex: Lomotil, paregoric

what is precription writing

it is a Rx that is order by a licensed vet to a pharmacist to prepare meds (a legal document)

what are some parts of a prescription

-date written


-name & address of client


-Rx symbol


-Name and amount of drug (amounts are in metric system)


-instructions to pharmacist regarding compounding


-instructions to the pharmacist regarding use by the patient (how to give it)


-signature of practitioner


-doctors name, clinic address and phone number


-if it can be refilled


-if it is a controlled 2, 3 or 4 drug, it must contain "caution, federal law prohibits the transfer of this drug to any person other than the patient to whom it was prescribed"

what shouldn't be on a prescription

the DEA number

what does the Florida Statutes state about vets giving out any drugs without a written prescription

it is grounds for discipline for a vet to fail to give an owner of a patient, before dispensing any drug, a written prescription WHEN REQUESTED

what is an example of a drug that can only be available through compounding pharmacies

apomophine

what is doxorubicin (Adriamycin)

-a chemo drug used in treating leukemia and ovarian/stomach cancers


-it affects the cellular DNA-toxicity signs: cardiotoxicity and hemorrhagic cystitis

what is cyclophosphamide (Cytoxan)

-a chemo drug used to treat lymphoma and leukemia


-it stops the cell growth by attaching to the cellular DNA


-toxicity signs: nausea, vomiting, alopecia, hemorrhagic cystitis

what is vincristine

-a chemo drug used to treat lyphoma and leukemia-


it affects all rapidly growing cells by inhibiting mitosis

what is carboplatin

-a chemo drug used treat lung, head and neck carcinomas


-it acts on the DNA of the cancer cells-side effects: bone marrow suppression and nausea/ vomiting

what are the 5-6 rights when administering medication

-Right patient


-Right dose


-Right route


-Right frequency


-Right rate

how are chemotheraphy agents eliminated in a patient

through their urine, feces, vomit and other body fluids

what is the parasympathetic NS also known as

the nicotinic and muscarinin

what is the sympathetic NS also known as

the adrenergic

where does the fibers from the sympathetic NS originate from?



-sympathetic: thoracic and lumbar part of spinal cord




-parasympathetic: sacral spinal nerves and cranial nerves

what is the function of the ANS

-maintain homeokinesis or steady state


-controls the functions which are carried on below the level of consciousness

how do nerve fibers get their name

based on what type of neurochemical substance that is released by that nerve fiber at the synapse

what is the cholinergic fiber and what does it do

-it releases acetylcholine from the nerve endings called cholinergic fibers


-parasympathetic fibers release acetylcholine

what are adrenergic fibers and what do they do

-release epinephrine or nor-epinephrine (sympathetic fiber)


-they are called adrenergic because it is the adrenal gland that releases epinephrine

what does sympatholytic mean? parasympatholytic? -para= anticholinergic

-sym= anti adrenergic

what does parasympatholytic mean?

-para= anticholinergic

what are some neurotransmitters for the parasympathetic NS

-acetylcholine


-muscarine


-nicotine

what are some types of receptors of the sympathetic NS

-alpha


-beta 1


-beta 2

what does the alpha receptor do

-vasoconstriction of arterioles


-myocardial excitement


-splenic contraction


-iris dilation

what does the beta 1 receptor do

cardioacceleration

what does the beta 2 receptor do

-vasodilatation


-bronchial relaxation

what is ephinephrine USP -

adrenergics-naturally found in the body-used for: cardiac arrest, prolonged effects of local anesthetics, local hemostasis (causes vasoconstriction), anaphylactic shock, bronchodilation (asthma)

what are some signs of ephinephrine USP toxicity

-cardiac arrhythmias (disruption in hearts normal rhythm)


-pulmonary edema (buildup of fluid in the air sacs)


-dyspnea (difficulty breathing)


-sharp rises in BP

what is isoproteronol (Isuprel)

- a adrenergic


-is a beta adrenergic (cardio accelerator)


-used as a heart block (elevates the HR)

what is albuterol (ventolin)

-a adrenergic


-it is a beta adrenergic agonist


-used as a bronchodilator


-cautions: patients with cardiac arrhythmias, epilepsy, hyperthyroidism, and hypertension-side effects; tachycardia, hypertension and agitiation

what is phenylpropanolamine (PPA) or (Proin)

-a adrenergic-it is an alpha adrenergic stimulant


-used for urinary incontinence (urethral sphincter hypotonus)


-side effects: anorexia, restlessness, irritability, tachycardia, cardiac arrythmias and hypertension

what are some anti adrenergics

-acepromazine and other phenothiazine tranquilizers


-anti adrenergics are also called sympatholytics

what do anti adrenergics do

(acepromazine and other phenothiazine tranqs)


-not a controlled drug


-an alpha blocking agent


-protects the heart against epinephrine induced arrhythmias

if acepromazine (an anti adrenergic) was used as a preanesthetic, what are some side effects seen

-hypothermia


-possibly lowering seizure threshold


-penile paralysis


-prolapse of the third eyelid


-hypotension(patients BP should be monitored if under anesthesia and has received Ace)

what are some side effects of propanolol (Inderal)

-bradycardia


-hypotension


-bronchoconstriction


-collapse

what is Pilocarpine (Isopto-Carpine)

-a cholinergic-stimulates the receptor site for acetylcholine


-used for treatment in glaucome for the miosis (pupil constricting)


-it is also used to promote tear secretion

what is metoclopramide (Reglan)

-a cholinergic


-stimulates acetylcholine


-it is a gastric motility drug and acts as an anti-emetic (inhibits the CRTZ located in the medulla)


-it should not be used in patients with: GI obstructions/ perforation, GI hemorrhage, seizure disorders

what is neostigmine and physostigmine

-cholinergics that stimulate


-used to treat atropine intoxications and can be used as a neuromuscular blocking agent (gallamine)

what does acetylcholinesterase do

it stops the action of acetylcholine

what are some signs of acetylcholine receptor stimulation

-salivation


-vomiting


-diarrhea


-urination


-miosis


-bradycardia


-skeletal muscle spasms

what is organophosphate insecticides

-a cholinergic that indirectly stimulates


-it is an IRREVERSIBLE cholinesterase inhibitor


-used as a nerve gas in WW2

what are som types of organophosphates

-Malathion


-Diazanon


-Chlopyriphos


-Ronnel


-Paramite


-Proban


-ProSpot

what are some toxicity signs of the insecticdes

-muscle twitching


-walking w/ stiff gait-ataxia


-vomiting/ diarrhea


-seizures-death

what are some treatments for organophosphate and carbamate toxicity

-atropine


-protopam


-AVOID USING; morphine and acepromazine

what is the metric used for atropine mg or grains-

1 grain= 60 mg

what is glycopyrrolate (Robinul- V)

-a anticholinergic


-it has a longer duration than atropine


-it wont drive the heart rate up as much as atropine will


-it is sometimes used for preanesthetic anticholinergic to prevent the heart rate from dropping to much while under anesthesia

what is Etodolac (EtoGesic)

-an NSAID-recommended for pain and inflammation managment


-it is an antiinflammatory, antipyretic and analgesic-inhibits COX 2 and spares COX 1

what is Meloxicam (Metacam)

-an NSAID-similar to carprofen and etodolac


-can come as a flavored liquid-inhibits COX 2 and spares COX 1what is ketoprofen (Ketofen)


-an NSAID-inhibits COX 2 and COX 1


-has been associated w/ platelet adhesion decrease and increased bleeding times

what is Fericoxib (Previcox)

-an NSAID that is approved for dogs only


-inhibits COX 2 and spares COX1


-used for dogs over 7 pounds


-should not be used with other NSAIDS or steriodswhat is Daracoxib (Daramaxx)


-an NSAID that is approved for dogs only


-used for inflammation due to arthritis and post operative pain-inhibits COX 2 and spares COX 1-side effects: GI irritation, renal insufficiency-avoid taking with other NSAIDS or steriods

what is morphine

-an analgesic


-a schedule 2, narcotic drug


-a CNS depressant-can cause exittment in horses and cats


-metabolized by the liver

what is butorphanol (Torbutrol, Torbugesic)

-an analgesic


-derived from opium


-schedule 4 druga good cough suppressant and can cause mild sedation

what is hydromorphone (Dilaudid)

-an analgesic-similar to oxymorphone


-similar effects as morphine-used as a sedative, analgesic and preanesthetic


-more potent than morphine


-has fewer GI side effects due to less stimulation of the vagus nerve


-side effects: CNS depression, resp. depression, bradycardia

what is the Fentanyl Patch

-an analgesic-used for longer term pain control


-allows for a transdermal administration


-a synthetic opiod that is 100 times more potent than morphine


-provides about 72 hours of pain control-a schedule 2 drug

what is hydrocodone (Hycodan)

-an analgesic-a narcotic antitussive (cough supressant)


-good at controlling cough


-a schedule 3 drug-side effetcs: sedation, vomiting, constipation and can cause excitement in cats

what is tramadol

-an analgesic


-an opioid like drug


-useful as a pain control


-can be used as a cough suppressant (antitussive)


-may cause sedation

what is a narcotic reversing agent -

Nalorphine (Nalline) and Naloxone (Narcan)-nalorphine is best to reverse morphine and naloxone is best to reverse oxymorpone-it acts by displacing the morphine and oxy from the receptor site

what does an anticonvulsant do

stops/ prevents convulsions, seizures and epilepsy

what causes convulsions





an abnormal foci or area of the brain emits rapid bursts of electrical activity leading to seizures

what is ictus mean

relates to seizure activity

what are some signs that a patient is about to have a seizure

-personality changes


-dizziness, salivation


-sudden bladder or colonic contractions


-loss of consciousness


-sustained muscle contractions

what are some cause of seizures

-congenital


-infection (distemper)


-trauma-hypoxia (airway restirction)


-metabolic (hypoglycemia)


-neoplastic (menigioma)

what is phenbarbital

-derived from pyrimidine


-an anti seizure medication


-side effects: polyuria, polydipsia, plyphagia and drowsiness

what is primidone

-derived from pyrimidine


-converts to phenobarbital in the liver


-anti seizure med


-side effetcs: can cause elevations of liver enzymes (cause liver damage)

what is Diazepam (Valium)

-a skeletal muscle relaxant


-helps stop active seizures

what is Pentobarbital

-treats epilepsy (epilepticus)


-longer acting then Valium


-depresses the respiratory and CNS


-schedule 2 drug

what is Potassium Bromide

-used when patient's not responding to phenobarbital


-it hyperpolarize the neuronal membrane and stabilizes them agianst epileptic foci activity


-anti conculsantwhat is levetiracetam (Keppra) -antiseizure med-commonly used in cats

Antiemetics have the effect of preventing:

Vomiting



A medication that can be used to induce vomiting in the cat is:

xylazine

A medication that is used in the treatment of gastric ulcers and adheres to the damaged mucosa to provide a protective barrier is:

sucralfate

An anti-emetic medication that will also enhance gastric motility and should be avoided if a gastric foriegn body is suspected is:

metaclopramide

A gastrointestinal medication that should not be used concurrently with phenothiazine drugs or narcotics because will increase the possibility of side effects is:

metaclopramide

as a gastrointestinal medication, famotidine is considered

H2 antagonist

Maropitant (Cerenia) acts as an anti-emetic by:

acting on the vomiting center of the brain

Deficiencies in the fat soluble vitamins due to interference of absorption may be seen with the prolonged use of:

petrolatum-type-cathartics

The medication that is used to treat stomach ulcers by enhancing the natural gastromucosal defense mechanisms is:

misoprostil

An emetic that may be administered by the conjunctival sac of the eye is:

apomorphine

Confinement is mandatory after treatment for which of the following parasitisms as severe pulmonary symptoms relating to thromboembolism may result after exertion.

heartworms

As wormers, the benzamidazoles are considered braod spectrum in activity

TRUE

Considering the medications listed below, a benzimidizole worming agent is:

thiabendazole

Which of the following is a topical agent that is used in the prevention of heartworm disease and in the control of fleas, ear mites, sarcoptic mange, canine tick infestation, and feline intestinal hookworm and roundworm infections.

selamectin

These topical insecticides, whose natural compound originates from the extract of a flower, come in a variety of formulations and are known for their quick "knock down" effects.

pyrethrins

Which antiparasitic agent is toxic at higher doses, sometimes producing fatalities, to some collies and members of the collie-mix breeds?

ivermectin

The oral and injectable insect development inhibitor that controls flea populations by breaking the life cycle at the egg stage is:

lufenuron

Which of the following worming agents is the most effective against liver flukes?

albendazole

Heartworm prevention in the dog is a primary indication for the use of:

milbemycin

It is recommended by the manufacturer that imidacloprid not be applied more than once every

7 days

The macrocyclic lactones that are useful in the prevention of heartworm disease are derived from a:

bacteria

The antibiotic that can cause a rare butpotentially fatal blood disease in humans that has resulted in avoidance ofdirect human contact is:

chloramphenicol

The antibiotic agent that should not be administered toyoung animals as it may cause tooth discoloration is:

tetracycline

Whenadministering ___________ capsules orally, follow with water or food to lessenthe possibility of esophageal strictures.

doxycycline

The antibiotic agent that is useful in the treatment ofgiardia infections is:

metranidazole

The antibiotic that may be avoided in Dobermans andRotweilers due to the occurrence of polyarthritis is:

trimethoprin-sulfa

The cephalosporin antibiotic that is not given orally andused IM or IV for more serious infections is:


cefazolin

Thetype of antibiotics that have been associated with kidney damage throughcrystal formation are:


sulfonamides

The antibiotic that has been associated with the developmentof keratoconjunctivits sicca is:

trimethoprim/sulfa

Considering the antibiotics list below, the agent that wouldlikely have the greatest effectiveness against pseudomonas infections is:

enrofloxacin

The antibiotic that has been associated with abnormalcartilage formation during the rapid growth phase of puppies is:

enrofloxacin

All microorganisms are harmful or disease producing (pathogenic.

FALSE

Bacteria are classified as either gram positive or gram negative based on their ability to absorb gentian violet dye into their cell walls

TRUE

The group of antibiotics that is considered bacteristatic is the

tetracyclines

In general, when antibiotics are prescribed, the minimum number of days for duration of treatment is:

5 days

Infections originating in hospitals or clinics are termed:

nosicomial

Low or sub-therapeutic doses of antibiotics is likely to lead to:

resistance of bacteria to the antibiotic

An antibiotic that is potentially ototoxic and nephrotoxic is:

gentamicin

The form of penicillin that is the longest acting is:

benzathine penicillin

The mechanism of action relating to bacteria that makes penicillins effective antibiotics is:

blocking the bacterial cell wall synthesis

The form of penicillin that is the most resistant to hydrolysis by stomach acid making this form of penicillin the most readily absorbed when given orally is:

amoxicillin

A clinical use of diethylstilbesterol therapy in the dog is:

urinary incontinence

The area of the body that produces thyroid stimulating hormone is the

anterior pituitary gland

a controlled substance is

Winstrol V

The type of medication that can be used in cattle to regulate the heat cycle to allow breeding times and subsequent calving times to be planned is:

Prostaglandins

The medication that is noted for having a protein anabolic effect is:

stanazolol

When treating canine patients for hypothyroidism, the medication is likely to be administered ________ each day.

2 times a day

The type of insulin that is administered IV in emergency situations such as ketoacidosis is:

regular insulin

Bone marrow suppression is a possible side effect that may be seen if a patient is given large doses of:

diethylstibesterol (DES)

Hyperthyroidism occurs most commonly in the:

cat

In cases of accidental overdose of NPH Insulin, the medication indicated is:

50% dextrose

Cyclosporin is best categorized as a/an:

immunosuppressant

A cell that is associated with the release of histamine is the

mast cell

A hormone that is indicated for use in the treatment of dystocia is:

oxytocin

diabetes insipidus is caused by the deficiency of

antidiuretic hormone

Oxytocin is a hormone that can cause:

milk let-down

Cushing's Disease is related to:

an excess of cortisone

A glucocorticoid that is produced in a form that is not water soluble to have the effect of greatly increasing the duration of action is:

triamcinolone acetonide (vetalog)

Cortrysin is most closely related to:

adrenal cortical stimulating hormone

When prednisone or prednisolone tablets are used for the long term treatment of allergy conditions, the typical frequency of use is:

every other day

The area of the body that produces thyroid stimulating hormone (TSH)is the:

anterior pituitary gland

The effects on the blood cells that would be noted after the use of cortisone in a canine patient is:

eosinopenia

As a medication, diphenhydramine is classified as a/an:

antihistamine

A common side effect seen in patients receiving enalapril (Enacard) is

hypotension

A group of cardiac medications that has heart block as a potential side effect is:

cardiac clycosides

A medication that is used in the emergency treatment of ventricular tachycardia is:

lidocaine

A medication that is a hypersomotic diuretic is:

mannitol

When Lasix is used as a diuretic, an electrolyte that should be monitored for depletion is:

potassium

A calcium channel blocker that has found usefulness in the treatment of hypertrophic cardiomyopathy is:

diltiazem

In the clinical setting, a conductance disorder of the heart is referred to as a(n):

cardiac arrhythmia

A drug used in horses and large dogs to treat supraventricular and ventricular arrhythmias is:

quinidine

When canine patients are medicated with diuretics, a side effect may be the increased elimination of:

potassium

It is important to be cautious of giving IV injection of vitamins a a bolus as this increases the risk of:

anaphylactic reactions

In small animal practice, central nervous system stimulants are likely to be used to produce:

respiratory stimulantion

The drug that is noted for producing long acting bronchodilating effects is:

theophylline

The fentanyl patch is a controlled substance that is a Schedule:

II

A medication that is noted for producing cough suppressing effects is:

butorphanol

The anticonvulsant drug that is usually available in grains is:

phenobarbital

The analgesic effect of opioids is due to the:

interaction with receptors such as kappa and mu in the brain and spinal cord

The NSAID group of medications will produce anti-inflammatory effects by:

inhibition of prostaglandin systhesis

The medication that has a mechanism of action that inhibits cyclooxygenase II to counteract inflammation while producing minimal, but some, effects on the stomach and kidney is:

carprofen

An antipyretic medication would have the action of relieving:

fever

The most likely clinically important side effect of NSAIDs is:

gastrointestinal ulceration

A major side effect of the use of phenobarbital as an anticonvulsant is dose dependent:

respiratory depression

A side effect that may be seen with oral phenobarbital administration for treatment of epilepsy is:

polydipsia

The drug that is noted to be an alpha blocker is

acepromazine

The division of the nervous system that alpha, beta-1 and beta-2 receptors are specifically associated with is the:

sympathetic

The types of drugs that may result in an increase in intra-ocular pressure and are contraindicated in certain types of glaucoma are the:

anticholinergics

Considering the autonomic nervous system, stimulation of receptors that will result in powerful vasoconstriction are termed:

alpha

The drug that would be classified as a cholinergic agent due to its stimulating effect on the parasympathetic nervous system is:

neostigmine

A neurotramsmitter for the sympathetic nervous system is:

epinephrine

The two classifications of medications that have similar effect on the eye in that they cause dilation of the pupil are the:

anticholinergics and sympathomimetics

The common signs of organophosphate overdose such as miosis and breathing difficulties are due the organophosphate agent affecting:

anticholinesterase

All of the following are anticholinergic drugs EXCEPT:

dexamethasaone

A medication that may be used to produce local hemostasis as an aid in controlling capillary bleeding in highly vascular tissue is:

epinephrine

Alpha receptor stimulation would likely result in:

splenic contraction