Term
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Definition
The of use, effects and modes of actions of a drug |
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Term
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Definition
The study of the effects the drugs have on the body |
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Term
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Definition
The study of what the body does to the drug |
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Term
What are the two types of drugs? |
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Definition
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Term
What is a selective drug, and give an example? |
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Definition
NSAIDs, they drugs only target areas of the body where inflammation is present |
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Term
What is a non selective drug, and give an example? |
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Definition
ATROPINE - As they drug not only relaxs muscles in the digestive tract, it also relaxes the muscles in the eyes and respiratory tract. |
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Term
How do drugs cause their effects? |
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Definition
They cause their effects by binding with special protein receptors on the surface of the cell |
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Term
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Definition
This describes how strongly a drugs has binded to the receptor cell. The stronger the fit the better the affinity the better the effect produced |
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Term
What is a second messenger? |
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Definition
Carries the drug from the receptor site to the nucleus of the cell |
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Term
What does cAMP stand for? |
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Definition
Cyclic Adenosine Monophosphate |
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Term
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Definition
This is a drug which binds to the cell fully and triggers a response from the cell |
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Term
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Definition
This is when a drug binds to the receptor site but the drug affinity is poor, therefore a response is not triggered, these drugs usually block an action |
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Term
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Definition
These drugs bind to the receptor site, but the affinity is again poor, therefore only a small response is exhibited. |
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Term
Give one example of a Agonist (Trade and Generic Name) |
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Definition
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Term
Give one example of a Antagonist (Trade and Generic Name) |
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Definition
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Term
Give one example of a Partial Agonist (Trade and Generic Name) |
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Definition
Buprenorphine - Vetergesic |
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Term
What are the four ways drugs can cause an effect? |
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Definition
1) Interfering with transmitter substances 2) Interacting with the endocrine system 3) Interacting with the cell channels 4)Interfering with enzyme reactions |
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Term
Give some examples of a transmitter substance? |
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Definition
Dopamine Noradrenaline Acetylcholine Seartonin |
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Term
When drugs interact with the endocrine system, what do they do? |
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Definition
Mimic the hormone produced by the cell to effect the target organ/cell. Drugs can also bind with hormone secreting cells to enhance or inhibit hormone secretions |
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Term
Give an example of a type of drug which works by influencing the cell channels |
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Definition
Calcium Channel Blockers - block clacium from entering the smooth muscle in the arterial wall |
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Term
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Definition
This involves the conversion of one drug entity into another |
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Term
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Definition
This involves the loss the drugs from the body |
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Term
Give three ways in which drugs can leave the body |
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Definition
Urine - Kidenys Faeces - Hepatobiliary System Expiration - Lungs |
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Term
Drugs can leave the body via urine unchanged or metabolised, true or false? |
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Definition
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Term
Some drugs are secreted into the bile via the liver and are then eliminated in the faeces, which system is responsible for this? |
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Definition
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Term
What are the main aims of drug metabolism? |
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Definition
To make the drug more hydrophilic and decrease the bioavailability of the drug making it less active. |
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Term
What happens in phase one of metabolism |
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Definition
The drug is either: Oxidised by adding 02 or taking H Reduced by adding H or electrons Hydrolysed by adding h20 |
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Term
Where does phase two of metabolism occur? |
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Definition
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Term
What happens in phase two of metabolism? |
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Definition
Conjugation with a endogenous substances |
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Term
What is the process of oxidation catalysed by? |
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Definition
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Term
Breifly describe first pass metabolism |
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Definition
When ORAL MEDICATION is taken it is absorbed by the gastrointestinal tract where it tavels via the hepatic protal vein to the Liver where some of the drug is metabolised and eliminted while some is reabsorbed into the systemic circulation, this reduces the bioavlibility of the drug |
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Term
How do bacteria replicate? |
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Definition
By conjugation By Binary fission |
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Term
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Definition
These drugs kill the bacteria |
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Term
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Definition
These drugs stop the bacteria replicating and leaves the immune system to remove them |
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Term
What are the two types of antibiotics which work by inhibiting the peptidogylcan production is the cell wall? |
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Definition
Penicillins
Cephalosporins |
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Term
What do some bacteria produces which renders penicillin ? |
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Definition
Penicillinases B-Lactamases |
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Term
Give two examples of Benzyl Penicillin |
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Definition
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Term
Are Benzyl Penicillin's broad spectrum or narrow spectrum? |
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Definition
Narrow spectrum againest Gram +ve bacteria |
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Term
Give two examples of Aminopenicillins including the trade and generic name |
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Definition
Amoxcillin (Bimoxyl) Ampicillin (Ampifen) |
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Term
Are aminopenicillins broad spectrum or narrow spectrum? |
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Definition
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Term
Are bacteria which produce penicillinase, resistant to aminopenicillins? |
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Definition
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Term
Give an example of a potentiated drug |
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Definition
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Term
What are the active ingredients of Synulox ? |
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Definition
Amoxicillin and Clavulanic acid |
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Term
Flucloxacillin is resistant to penicillinase, true or false? |
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Definition
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Term
Which penicillins are naturally resistant to penicillinase? |
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Definition
Oxacillin Dicloxacillin Cloxacillin |
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Term
Why do we add a adjuct to pencillin? |
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Definition
Pencillin is absorbed and secreted rapidly, therefore by adding a adjuct the rate of absorption can be slowed down |
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Term
What adjucts do we add to pencillin? |
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Definition
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Term
What are the limitations of Penicillin? |
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Definition
Destroyed by stomach acid destroyed by penicillinase Can cause hypersensitivity Mainly effective againest gram + bacteria |
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Term
What are the clinical uses of penicillin? |
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Definition
Skin and soft tissue infections bone and joint infections bronchitis Endocarditis |
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Term
Give an example of a cephalosporin |
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Definition
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Term
Which two groups of drugs inhibit protein synthesis within bacteria? |
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Definition
Tetracyclines Aminoglycosides |
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Term
Give three examples of Tetracylines |
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Definition
Doxycyline Oxytetracycline Chlortetracycline |
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Term
Which tetracyline causes oesophagititous in cats? |
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Definition
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Term
Are Tetracylines Bacteriostatic or Bactericidal? |
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Definition
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Term
What is the main side effect which owners should be informed of with tetracylines? |
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Definition
That when given to young animals they can cause discolouration of the teeth and bones |
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Term
Why should Clindamycin not be given to small furries? |
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Definition
Because it causes Enterotoxaemia |
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Term
What is chloramphenicol used for for? |
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Definition
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Term
What do we use Lincomycin to treat commonly? |
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Definition
Bone and Joint Infections |
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Term
Give three examples of Aminoglycosides |
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Definition
Gentamicin (Tiacil) Amikacin Streptomycin (Duphapen+strep) |
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Term
What are the main side effects of Aminoglycosides? |
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Definition
Nephrotoxicity and Ototoxicity |
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Term
Which group of antibiotics affect cell membranes? |
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Definition
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Term
How do polymixins cause an effect on the bacteria? |
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Definition
They embed themselves in the cell membrane causing distortion |
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Term
Give an example of Polymixins |
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Definition
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Term
Why should Polymixins not be used if the tympanic membrane is ruptured? |
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Definition
As these drugs are potentially ototoxic |
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Term
Which drugs inhibit RNA/DNA synthesis in the bacterium? |
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Definition
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Term
Give two examples of Fluroquinolones |
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Definition
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Term
What is the danger with giving Baytril to a young animal? |
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Definition
This drug can cause cartilage abnormalities in growing animals |
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Term
What should you never use fluroquinolones with and why? |
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Definition
They should never be used with NSAIDs because adverse CNS effects have been noted |
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Term
Which type of antibiotic interferes with folate the enzyme needed for the synthesis of DNA/RNA? |
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Definition
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Term
Give an example of a Sulphonamide |
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Definition
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Term
What is Sulfadiazine often potentiated with? |
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Definition
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Term
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Definition
Minimum Inhibitory Concentration The lowest concentration of drug needed to inhibit the growth of bacteria |
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Term
What are the four things that drugs of the gastrointestinal system focus on? |
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Definition
Emesis Gastric Secretions Motility of Intestines Bile formation |
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Term
Which hormones regulate HCL production? |
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Definition
Gastrin Acetylcholine Histamine |
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Term
What inhibits the secretion of hCL and how? |
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Definition
Prostaglandins inhibit the secretion by stimulating the release of Mucus and Biocarbonate production |
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Term
What do Parietal cells respond to? |
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Definition
Gastrin Receptors Muscarnic receptors H2 Receptors |
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Term
In practice when would a gastric acid inhibitor be used? |
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Definition
Gastric or Duodenal Ulcers Reflux Oesophagitis Zollinger Ellison Syndrome |
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Term
Give two examples of Histamine H2 Antagonists |
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Definition
Cimetidine (Tagamet) Ranitidine (Zantac) |
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Term
What are some common side effects of Histamine H2 Antagonists? |
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Definition
Hepatotoxicity Nephrotoxicity Thrombocytopenia Hypotension Cardiac Arryhmias |
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Term
What does Cimetidine inhibit and how does it work? |
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Definition
It inhibits Cytochrome P450s and slows metabolism |
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Term
Give an example of a Proton pump inhibitor and state its trade name |
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Definition
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Term
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Definition
These work by raising the pH of the stomach and neutralizing gastric acid |
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Term
Give three examples of Antacids |
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Definition
Magnesium Hydroxide Magnesium Trisilicate Sodium Bicarbonates |
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Term
What do we use with antacids to treat reflux oesophagitits and why? |
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Definition
Alginates as they increase the adherence of mucus to the oesophageal mucosa |
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Term
Give three examples of Mucosal Protectors and their trade names (if applicable) |
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Definition
Bismuth Chelate Sucralfate (antepsin) Misoprostol (Cytotec) |
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Term
How does Bismuth Chelate work? |
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Definition
Absorbs Pepsin Enhances Prostaglandins Enhances Bicarbonate |
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Term
How does sucralfate work? |
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Definition
Prevents the degradtion of mucus and stimulates its production |
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Term
How does Misoprostol work? |
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Definition
Stimulates mucus and bicarb production |
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Term
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Definition
Drugs given to inhibit the vomiting reflex |
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Term
What is the trade name for Maropitant? |
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Definition
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Term
What is the trade name for Metaclopramide ? |
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Definition
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Term
Which antiemetic is licensed for dogs, cerenia or maxolon? |
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Definition
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Term
What receptor does cerenia work on? |
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Definition
Neurokin 1 receptor antagonist in the medullary vomitting centre |
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Term
What receptor does Maxolon work on? |
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Definition
Dopamine receptors in the chemoreceptor trigger zone in the medulla |
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Term
What are some of the side effects of metoclopramide? |
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Definition
Depression Twitching Restlessness |
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Term
What is the function of a purgative? |
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Definition
To increase the rate of transit of food through the intestines |
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Term
Give an example of a bulk laxitive |
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Definition
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Term
How does Bran work as a bulk laxitive? |
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Definition
Promotes Peristalsis and Retains water |
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Term
Give an example of a osmotic laxitive |
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Definition
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Term
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Definition
By maintaining water in the intestinal lumen by osmosis |
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Term
Give an example of a Faecal Softner |
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Definition
Docusate Sodium (Detergent) |
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Term
Whats is the function of a Stimulate Purgative? |
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Definition
They increase the water and electrolyte secretion and increase peristalsis |
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Term
Give three examples of Stimulate Puragtives |
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Definition
Bisacodyl Sodium Picsosulfate Senna |
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Term
Gives two examples of Antidiarrhoeals |
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Definition
Loperamide (Immodium) Bismuth Subsalicylate |
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Term
Which drugs do we use when treating Inflammatory Bowl Disease |
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Definition
Glucocorticoid Sulfasalazine Metronidazole |
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Term
What are the three main actions of NSAIDs ? |
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Definition
1) Anti-inflammatory 2) Analgesia 3) Anti-pyretic |
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Term
What enzyme do NSAIDS inhibit? |
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Definition
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Term
Where is the Cox-1 enzyme found and what is it involved in? |
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Definition
Found in most body tissues and is involved in homeostatsis |
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Term
Where is the Cox-2 enzyme found and what is it involved in? |
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Definition
Found when inflammatory cells are activated and are responsible for inducing inflammatory mediators |
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Term
What happens when a NSAID inhibits the COX-1 enzymes as well as the COX-2 enzymes? |
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Definition
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Term
Which Cox enzymes needs to be inhibited for an Anti-inflammatory effect to take place? |
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Definition
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Term
What substances sensitises the pain receptors? |
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Definition
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Term
What action does a NSAID have on Prostaglandins? |
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Definition
It decreases the production of them |
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Term
How do NSAID's have a anti-pyretic effect? |
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Definition
They reset the brains thermoset to the correct temperature |
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Term
What are the common side effects of NSAID use? |
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Definition
GI disturbance Skin Reactions Renal Disease Liver Disease |
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Term
When can't Metacam (Meloxicam) be used? |
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Definition
In patients that are dehydrated, hypotensive, pregnant or younger that six weeks old |
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Term
What is the trade name for Carprofen? |
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Definition
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Term
What is the generic name for previcox? |
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Definition
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Term
What secretions do the medulla of the adrenal glands secrete? |
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Definition
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Term
What secretions does the cortex of the adrenal gland secrete? |
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Definition
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Term
What are the three types of Steroid? |
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Definition
Glucocoticoids Mineralcorticoid Adrenal Sex Steroids |
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Term
What are the functions of Glucocoticoids? |
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Definition
Raising BS levels Control of electrolyte balance Anti-inflammatory response Suppress Immune Response |
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Term
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Definition
Aldosterone (regulating the balance of water in the body) |
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Term
What are the two most common Adrenal Gland Disorders |
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Definition
Cushings Disease Addisons Disease |
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Term
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Definition
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Term
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Definition
Blocks Dopamingic transmission in the brain |
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Term
Give a example of a Butyrophenone |
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Definition
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Term
Give two examples of Benzopdiazepine? |
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Definition
Diazepam (Valium) Hyponovell (Midazolam) |
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Term
How do Benzopdiazepines work? |
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Definition
Enhances GABA in the central nervous system |
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Term
What is the technical terms for Sedatives ? |
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Definition
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Term
Give an example of a sedative |
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Definition
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Term
Three examples of Barbiturates |
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Definition
Thiopentone Sodium Methohexitone Sodium Pentobarbitone Sodium |
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Term
Two examples of a steroid anaesthetic |
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Definition
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Term
Alphaxalone Alphadolone Both are insoluble in water and dissolve in which solvent instead? |
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Definition
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Term
Why should Alphaxalone and Alphadolone not be used in dogs? |
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Definition
Because the solvent releases Histamine which causes hypotension in dogs |
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Term
Why should Propofol not be given in a iv rapid bolus? |
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Definition
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Term
Why must you combine Ketamine with another drug when using it? |
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Definition
On its own it can cause muscle rigidity making surgery hard |
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Term
What drugs could you use with Ketamine? |
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Definition
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Term
When must ketamine not be used? |
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Definition
In animals with cardiac problems as this drug has a stimulatory effect |
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Term
Give two examples of Inhalation gases |
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Definition
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Term
Give several examples of Volatile agents |
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Definition
Halothane Isoflurane Sevoflurane |
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Term
Describe the cylinder that contains oxygen |
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Definition
Black cylinders with white necks |
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Term
What is the 2nd gas effect? |
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Definition
This is when the drug is very insoluble in blood and leaves the alvelous quickly, therefore the remaining gases increase in concentration |
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Term
What is diffusion Hypoxia? |
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Definition
When n02 is turned off levels in the blood are higher than in the alveolar and therefore the n02 returns to the alveolar quickly, diluting the 02 there and causing the patient to inspire hypoxic gas |
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