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drug
any substance that can modify a biological activity, used to diagnose, prevent or treat disease
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FDA (Food and Drug Administration)
Regulates the development and approval of animal drugs and feed additives (except for biologics such as vaccines) through its center for vet medicine division.
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USDA (United States Department of Agriculture)
Regulates the development and approval of biologics such as vaccines
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EPA (Environmental Protection Agency)
Regulates the development and approval of animal topical pesticides
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DEA (Drug enforcement administration)
Regulates the laws and rules regarding the purchase, storage and use of controlled substances.
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Prescription Drugs
regulated by the FDA. Vet/client/patient relationship must exist before dispensing drugs.
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Veterinarian-client-patient relationship
- Vet has assumed responsibility of animal.
- Vet has sufficient knowledge of animal to issue a diagnosis.
- Vet is available for a follow-up exam.
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Controlled Substances
Dangerous drugs because of their potential for abuse. Regulated by the DEA
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Pharmacotherapeutics
Reasons for using drugs.
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3 methods of choosing drugs
- diagnostic- assesment or exam test
- empirical- practical experience, common sense
- symptomatic- treat clinical signs
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pharmacokinetics
what happens to drugs once they enter the body
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drug metabolism
body chemically changes the drug, occurs in liver
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drug excretion
drug elimination from the body, usually by the kidneys
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residues
drugs remaining in the animals body
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withdrawl time
time it takes for a drug to be eliminated from an animal after administration has stopped
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pharmacodynamics
how drugs exert their effect. attachment or combination to receptors is similar to lock and key
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affinity
ability or tendency to attach to receptor
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efficacy
the degree to which drug produces desired respose to the patient
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agonist
drug with affinity and efficacy, causes a specific action
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antagonist
drug that blocks another drug from combining with a receptor
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generic name
official identifying name of the drug, lower case
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trade or proprietary name
name chosen by manufacturer that is registered by the us patent office and approved by FDA
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inotropy
refers to the force of the contraction of the heart
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chronotropy
refers to the rate of contraction of the heart
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stroke volume
amount of blood being ejected from L ventricle with each heartbeat. Preload, afterload and contractility
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preload
volume of blood entering the right side of the heart
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afterload
force needed to push blood out of the ventricles
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contractility
force of ventricular contraction
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cardiac output
volume of blood expelled from the heart in one minute. stroke volume x heart rate
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acetylcholine
acts to slow the heart rate by inhibiting impulse formation at the SA node, triggered by the parasympathetic nervous system. Blocked by anticholinergics
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cholinergic receptors
receptors of the parasympathetic nervous system.
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Epinepherene and Norepinephrine
acts to speed the heart rate by promoting impulse formation at the SA node, released when sympathetic nervous system is triggered
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adrenergic receptors
receptors of the sympathetic nervous system that are classified based on their effects when stimulated.
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Alpha-1
found in smooth muscle surrounding peripheral blood vessels. Vasoconstriction
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Alpha-2
found in the synaptic space. reduction of blood pressure.
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Beta-1
increased heart rate and increased force of contractions
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Beta-2
found in smooth muscle surrounding blood vessels of the heart. vasodilation
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heart rhythm
reoccuring heart contractions
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sinus rhythm
normal heath rhythm, called this because it originates in the SA node.
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arrythmia
abnormal heart rate, SA node not functioning properly
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positive inotropic drugs
used to increase force of heart contractions, cardiac glycosides and catecholamines. Vetmedin
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cardiac glycosides, digitalis
digoxin....heart pumps harder and heart rate slows, therapeutic dose is very close to toxic dose.
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antiarrhythmic drugs
used to treat abnormal heart rhythm or an abnormal electrical pattern
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vasodilator drugs
used to dilate arteries and or veins which improves cardiac output
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Renin
enzyme that activates angiotensin, vasoconstriction substance in blood
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angiotensin II
active form of angiotensin that causes further vasoconstriction, converted by ACE
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ACE angiotensin-converting enzyme
converts angiotensin I into angiotensin II and releases aldosterone
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vasodilator drug
enalapril, Enacard, Vetmedin
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Hemostatic Drug
used to promote the clotting of blood, stop clotting, bleeding or enhance drugs
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antihypertensive
used to decrease blood pressure to help with renal dysfunction, BLOOD PRESSURE LOWERING DRUGS
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hypertension
increased resistance to blood flow that results from narrowed peripheral blood vessels.
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diuretics, ANTIHYPERTENSIVE
act by promoting sodium and water loss to cause a decrease in fluid volume and blood pressure
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ACE inhibitors, ANTIHYPERTENSIVE
act by blocking ACE
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calcium-channel blockers, ANTIHYPERTENSIVE
act by blocking influx of calcium ions into heart muscle cells, inhibits cardiac muscle contraction which decreases resistance to blood flow
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vasodilators, ANTIHYPERTENSIVE
relax smooth muscle of blood vessels
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beta blockers, ANTIHYPERTENSIVE
act of heart receptors to slow heart rate
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diuretic drugs
increase volume of urine excreted by kidneys, reduce blood pressure and lowers extracellular fluid volume in tissues
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loop diuretics
most commonly used. inhibits Na reabsorption and exchanges it for K excretion in the loop of henle. furosemide, Lasix
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thiazide diuretics
site of action is at the DCT, more K excreted while Na remains the same. can result in hypokalemia.
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Potassium-sparing diuretics
works by actually causing Na excretion and potassium conservation, takes place in DCT
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Carbonic anhydrase inhibitors
block the action of enzymes carbonic anhydrase. causes increased Na, K and bicarbonate excretion
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osmotic diuretics
increase the osmolality (concentration) of the filtrate in the renal tubules. excretes Na, K, Cl and H2O
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uroliths (urinary calculi)
abnormal mineral accumulations in the urinary system
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urinary acidifiers
act to produce acidic urine, disolves struvite uroliths. Less than 7pH
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urinary alkalizers
act to produce akaline urine, pH greater than 7
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xanthine oxidase inhibitors
act to decrease production of uric acid
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incontinence
loss of voluntary control of micturition, neurological or nonneurological
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cholinergics (incontinence)
used to treat animals with damage to the nerves that control the bladder
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anticholinergics (incontinence)
act to promote urine retention in the bladder
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alpha adrenergic antagonists
treats decreased urinary tone of the urethral sphincters
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hormones
used to treat incontinence due to lack of muscle tone in spayed and neutered animals.
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alpha and beta-adrenergic agonist
act to increase urethral tone
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skeletal muscle relaxants
act to limit spasms of external urethral sphincter
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60%, 80%
adult and neonate water weight
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intracellular fluid ICF
fluid within the cells. 2/3 body water weight
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extracellular fluid ECF
fluid intravascular and interstitial...1/3 total body water. 75% is interstitial and 25% is intravascular.
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electrolytes
substances that split ions when placed in water. Create electrical conductivity in the body.
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cations
positivly charged electroytes
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anions
negatively charged electrolytes
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osmotic pressure
force or pressure that developes when 2 solutions of different concentrations are separated by a membrane
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crystalloids
Na-based electrolyte solution and non-electrolyte solutions that can pass through cell membranes.
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hypertonic solutions
higher Na concentration than extracellular fluid that cause water to move out of cells and into extracellular space.
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isotonic
same Na concentration as extracellular fluid. Normosol, LRS
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hypotonic
lower Na concentration causes water to move into intracellular space
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colloids
substances that do not cross cell membranes, enhance oncotic force of blood, used for vascular expansion
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natural colloids
whole blood, plasma
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synthetic colloids
Dextrans, Oxyglobin
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replacement
- restore fluid loss
- % dehydration x body weight(kg) x 1000ml/kg
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adult fluid sets
15 drops/ml
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pediatric fluid sets
60 drops/ml
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