-
Acetylcholine-actions and side effects
- muscarinic and nicotinic agonist (para and symp)
- side effects:
- Vasodilation, bradycardia, ↑ contractility, cramping, nausea, vomiting, defecation, urinary incontinence, bronchoconstriction,
- ↑ mucus secretion, CNS excitation
-
Bethanocol actions
indications
contraindications
OD Tx
- Muscarinic agonist-cardiovasc. inhib
- feline bladder atony
- GI/urinary obstruction, questionable GI or UG wall integrity
- atropine
-
Epinephrine-actions
indications
- mixed alpha and beta agonist
- anaphylactic shock, cardiopulmonary arrest, with local anesthetic for vasoconstriction, bronchiole dilation, reverse hypotension/maintain BP
-
Epinephrine contraindications
OD Tx
- CHF, hypovolemic shock, hyperthyroidism, coronary dz, DO NOT GIVE TO ANIMALS THAT HAVE HAD ACEPROMAZINE
- alpha blocker (phentolamine); beta blocker (propanolol)
-
Norepinephrine-actions
indications
contraindications
- Mixed alpha and beta 1 agonist
- maintain BP during acture hypotensive crisis
- shock, hypertension, hyperthyroidism, arteriosclerosis, coronary dz, nephritis
-
Prazosin-action
indications
contraindications
- alpha 1 antagonist
- vasodilation, urethral obstruction
- hypovolemic shock
-
xylazine-actions
indications
metabolism
- alpha 2 agonist
- sedative/analgesic (esp horses-CNS effects) emetic (esp cats)
- liver
-
Xylazine-contraindications
side effects
OD Tx
- ventricular arrhythmias, seizures, foals, pregnant
- catecholamine-induced dysarrhythmias, depression of swallowing and gastric secretions, decrease BP=AV block
- Yohimbine
-
Atenolol-actions
indications
contraindications
OD Tx
- Beta 1 agonist
- control arrhythmias, combo treatment for CHF, decrease HR
- AV block (bradyarrhythmia
- bradycardia=tx atropine
-
carbachol-action
indications
- muscarinic/nicotinic agonist
- hypotensive effect, rumen atony, equine colic, constipation/impaction
- NOT administered IV, resistant to cholinesterase hydrolysis
- atropine
-
Glycopyrrolate vs Atropine
Glycopyrrolate= less CNS penetration and tachycardia, longer half-life, more expensive, doesn't cross BBB, liver metabolism
-
Glycopyrrolate-actions
indications
- muscarinic antagonist
- antagonize Ach, preanesthetic-decrease secretions, prevent heart block by cardiac depressants, antispasmotic, organophosphate poisoning
-
glycopyrrolate-contraindications
side effects
- fever, colic, glaucoma
- dry as a bone, red as a beet, and mad as a hatter (similar to sympathetic hypersensitivity)
-
Phenylephrine-action
indications
contraindications
- mixed alpha agonist
- increased BP in hypotensive crisis w/o cardiastimulation
- hypertension, tachycardia
-
propranolol-action
indications
side effects
contra indications
- mixed beta antagonist
- control arrhythmias, increase AV conduction
- bronchoconstriction (from beta 2)
- heart failure, asthma, insulin-dependent diabetes ** withdraw gradually-receptor upregulation
-
yohimbine-action
main use
contraindication
- alpha 2 antagonist
- xylazine and other alpha 2 agonist reversal
- seizure prone K9s, renal dz
-
atropine-action
indications
- muscarinic antagonist, crosses BBB
- antagonize Ach, preanesthetic (decrease secretions, maintain HR)
- prevent heart block by cardiodepressants, Tx of organophosphate poisoning
-
atropine contraindications
side effects
- fever, colic, glaucoma
- dry as a bone, red as a beet, and mad as a hatter
-
dobutamine-action
indications
contraindications
- beta 1 agonist, similar to dopamine
- maintain BP, control localized bleedine/perfusion, **restore cardiac fxn, shock
- CHF, short half-life, not effective PO
-
Isoproterenol-action
indications
contraindications
side effects
- mixed beta agonist
- bronchoconstriction tx
- tachycardia, AV block
- increases HR, systolic P, decreases diastolic P=decrease BP
-
phentolamine-action
indications
contraindications
side effects
- mixed alpha antagonist
- decrease BP, xylazine reversal
- hypovolemic shock
- postural hypotension w/ reflex tachycardia, GI irritability, CNS depression/sedation, impotence
-
Terbutaline-action
indications
contraindications
- beta 2 agonist
- asthma Tx, bradycardia Tx
- hypotension; rapid first pass effect
-
edrophonium-action
indications
- short actine, reversible AChE inhibitor
- reversal of curare OD, dDx of muscle weakness, miosis, decrease IOP (glaucoma)
-
physostigmine-action
indications
- AChE inhibitor
- CNS activity, glaucoma, treat myasthenia gravis, ruminal/GI stimulant, reverse muscle relaxants
-
Neostigmine-action
indications
side effects
- long lasting, reversible AChE Inhibitor
- glaucoma, treat myasthenia gravis, ruminal/GI stimulant, reverse muscle relaxants, doesn't cross BBB
- nausea, vomiting, diarrhea, salivation, sweating, miosis, hypotension, bradycardia, bronchospasm
-
praladoxine-action
indications
containdications
- reactivates phosphorylated forms of AChE
- KNOWN organophosphate poisoning
- carbamate poisoning
-
what happens during organophosphate poisoning and what are some treatments?
- organophosphates inhibit the action of acetylcholinesterase.
- Txs: Praladoxime, glycopyrrolate,
-
Parathion-action
indications
contraindications
- irreversible organophosphate AChE inhibitor
- organophosphate poisoning
- SLUD, Toxic
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