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agonist
drug that has a specific action by binding with an appropriate receptor
antagonist
drug that inhibits a specific action by binding with a particular receptor
efficacy
the extent to which a drug causes the intended effect in the patient
residue
amount of drug present in the tissues or products (milk, eggs and meat) at a particular time
affinity
attraction a drug molecule has to something normally a receptor site
potency
the amount of drug required to elicit a desired effect drugs with a higher potency will have a lower dose rate
drugs that act on heart
- positive inotropes
- sympathomimetic agents
- antiarrhythmic agents
drugs acting on blood vessels
- vasodilators
- vasoconstrictors
drugs acting on blood coagulation system
- anticoagulants
- haemostatics
drugs that act on kidney
- diuretics
- antigiotensin converting enzyme inhibitors
inotropy
strength of contraction
lusitropy
relaxation of heart
arrythmia
abnormal heart rate
hypertension
high bp
hypotension
low bp
vasodilation
dilation of blood vessels
vasoconstriction
constriction of blood vessels
tachycardia
fast heart rate
bradycardia
slow heart rate
chronotropy
rate of contraction
positive inotropes
improves cardiac contractility, give to patients with poor cardiac contractility and heart failure
sympathomimetic agents
help flight or fight response, increases heart rate and also vasoconstricts. indicates CPCR, vasodilatory/distributive shock, anaphylaxis and hypotensive - unresponsive to fluids
antiarrhythmics
lowers heart rate
vasodilators
lowers blood pressure by dilating vessels, for hypertensive patients such as animals in renal failure. only give once we know they are very hypertensive
vasoconstrictors
for hypotensive patients with low blood pressure that do not work well with fluid therapy, they increase blood pressure
anticoagulants
reduce clot formation, for patients with anaemia or risks of thrombosis - cats with HCM hypertrophic cardiomyopathy and dogs with IMHA immune mediated haemolytic anaemia
haemostatics
promotes clot formation
diuretics
encourages water loss good for patients with excessive fluid retention such a renal disease, congestive heart failure. may need to lower blood pressure and reduce fluid that way.
ACE (angiotensin converting enzyme) inhibitors
for renal disease helps lower blood pressure
antitussives
reduces coughing
bronchodilators
dilates the bronchi and bronchioles
- increases airflow
mucolytics
reduces amount of mucous
expectorants
reduces amount of mucous
respiratory stimulants
stimulates breathing
apnoea
not breathing
tachypnoea
increased breathing rate
dyspnoea
difficulty breathing
bradypnoea
decreased breathing rate
antitussives
reduces coughing
mucolytics/expectorants
clears anything by increases bronchial secretions, could cough more
respiratory stimulants
increase respiratory rate
anti histamines
for anaphylaxis such as drug reactions, wasp/bee stings, adder bites, pollen or dust and allergens. reduces histamine release as causes inflammation and bronchoconstriction
- only vet surgeons can prescribe
analgesics
pain relief
anaesthetic agents
induction agents
sedatives
causes sedation
- making them calm before their full GA, remove anxiety, stress and can also remove pain.
anti-epileptics
diazepam
opioids
reduce GI motility
anti epileptics
make them very sleepy so struggle to walk and make them very thirsty, hungry and need to urinate a lot
addison's
hypoadrenocorticism, adrenal gland doesn't work properly. risk of hypersdrenocorticism which means slow beakinf, weight gain and muscle loss. can get thinner skin.
cushings
producing too much hormones
hyperthyroidism
suppress thyroid
NSAIDs
reduces inflammation, give before surgery to prevent inflammation from happening
cox1
normal functioning of kidney, stomach and intestine
cox2
inflammatory - overproduction of prostaglandins after injection and injury
chondroprotective agents
may cause coagulopathy
activated charcoal
binds to any toxins dog has eaten and prevents them from being absorbed, can't give an overdose as will bind and be defecated out. mix with food or put liquid in mouth.
bismuth subsalicylate
helps bacterial infections as absorbs toxins bacteria produces, protects gastric lining and intestinal lining
kaolin-pectin
doesn't stop diarrhoea happening and them losing electrolytes, it helps firm up faeces. given to all species
maropitant
works at final stage of emesis in brain, doesn't stop chemo nausea. can sting if given sub cut, keep in fridge. cats sensitive to this. can cause drooling, lethargy, reduce appetite and injection stings
metaclopramide
works in gastric system, helps things move through gastric system. useful for chemo nausea, gastric emptying and gastric reflux. don't use if have obstruction.
ondansetron
doesn't prevent nausea but stops vomiting
apomorphine
given anywhere, works fast empties entire stomach. does have sedative effects.
xylazine/ dexmedetomidine
makes them motion sick, put in carrier on spin chair and spin them around. balance stress and how much they need to be sick. has sedative effects
sucralfate
prevents ulcers and forms lining on stomach protecting them from further damage, dissolves to a sticky substance which binds to ulcerated mucosa increases prostaglandin synthesis. may alter antibiotic absorption
ranitidine
H2 receptor antagonist, inhibits gastric acid secretion and lasts for 8 hours. reduces metabolism of some drugs. in horses give big doses due to bioavailability
omeprazole
reduced gastric acid secretion, called a proton pump inhibitor. lasts 3-4 days. regurgitates animals or oesophageal issues. not suitable long term as messes with electrolytes and causes renal disease.
fluoroscein
put drop in eye it'll bind to any area of cornea that is damaged, can diagnose eye ulcers, scratches to cornea. obvious under UV light. comes down lateral duct so will have a green nose as well. is stingy when using it.
mydriatic
dilates pupil
miotic
constricts pupil
glaucoma
increased pressure in eye
eye lavage systems
tube through the eye lid that is attached to the mane at the other end, eye drops inject into the port at the end of the tube and are flushed into the eye with either saline, air, or the tube can be pre-loaded with doses of medication in the correct order
ear
moist environment, more hairy or narrow most likely to cause problems
germicidal
kills worms
vermifugal
paralysises worms
ivermectin
used on every animal, good against roundworms, bots and tapeworms. not good against cyathostomes which only effect horses.
milbemycin
works against everything (heart, hook, whip and roundworms) expect tapeworm
selamectin
only given topically, effects external parasites too.
moxidectin
also works against against external parasites commonly used for horses.
fenbendazole
safe for puppy and kittens, good against round, hook and tapeworms - given 3 days in a row
febantel
against round, hook and tapeworms
mebendazole
never used in dogs as causes hepatic disease, good in chickens or small birds.
praziquantel
good against tapeworms
espiprantel
treats tapeworms.
acarisides
goes against arachnids
insecticidal
goes against insects
fipronil
against insects and arachnids
insect growth regulators
stop insect having different stages and progressing through those stages such as fleas, flies and mosquitos.
chloronicotinyls/neonicotinoids
kills fleas and lice
phenylpyrazoles
kills fleas, ticks, lice and mites. often can combine with other products.
imidacloprid
effective against fleas, combined with moxidectin to treat worms.
dinotefuran
only treats fleas, cat formulation combined with insect growth regulator pyriproxyfen to treat fleas only where as dog formulation combined with pyriproxyfen and permethrin will treat fleas, ticks and mosquitos.
nitenpyram
just treats fleas
adjunctive/adjuvant chemotherapy
used following surgery when it is assumed that metastases are present
palliative chemotherapy
used to enhance the quality of life, but is not intended to be 'curative'
neoadjunctive/neoadjuvant chemotherapy
used to reduce the size of a tumour prior to surgery - most commonly radiation is used instead of chemotherapy
metronomic chemotherapy
chronic admission of low dose chemotherapy to prevent tumour progression. can be palliative
multi-drug chemotherapy
the use of multiple agents usually on rotation
causes of cytotoxic drugs
- inappetence
- nausea
- diarrhoea
- bone marrow suppression
- hair loss
prophylactic
builds a patient's immunity before a infection by a pathogen occurs
therapeutic
used in the treatment of disease or disorders