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GI Pharmacology
pages 26-32
20
Veterinary Medicine
Undergraduate 2
02/13/2014

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Pharm. Goal
Definition

Empty the colon

-laxatives, cathartics, purgatives

Term
Laxatives
Definition
relieve constipation, trichobezoar(hairball) passage, soften stool, emollient and bulk lax.
Term
Lubricant Emollient Laxatives
Definition

coats the stool for easier passage. mineral oil in horses. Glycerin suppositories.

Cat Lax, Laxatone, Petrol. jelly.

DDS: Docusate Sodium Succinate- decreases the surface tension of the stool by allowing the passage of h20 into it

Term
Bulk Laxatives
Definition

Bran, Psyllium(Metamucil), Pumpkin.

Fiber retains h20 in feces making better colonic contractions

Term
Cathartics
Definition

Evacuate the colon(radiographs)

irritant and osmotic

Term
Irritant Cathartics
Definition

increases peristalsis d.t. irritation of the bowel

ex castor oil. not commonly used

Term
Hypertonic Salts
Definition

Osmotic cathartics

Epsom salts, Milk of magnesia(most common)

high doses of mg result in toxicity -> musc weakness and CNS alterations

Term
Lactulose
Definition

osmotic cathartic

poorly absorbed, stays in GI tract

used for chronic constipation and hepatic encephalopathy

VERY hydophilic

Term
Hepatic Encephalopathy
Definition
poorly fxn liver -> absorption of bact. ammonia from GI tract into systemic circulation instead of being detoxified first.
Lactulose acidifies colon contents so ammonia cant be absorbed as well. aka) ion trapping
Term
Enemas
Definition

phosphate enemas (FLEET)- very dangerous in cats and small dogs, ^P leads to decreased Ca

hypocalcemia->death, siezures

Term
Cisapride
Definition

prokinetic drug: ^ movement in GI tract

removed from human market in 2000

available thru compounding pharm.

Term
Ruminatorics
Definition

Anti-bloat Med.

stimulate atonic or falaccid rumen

Mercury, strychnine, tartar, plant.

Neostigmine-prevents ACh-ase from breaking down ACh, ^ PNS signs

Term
Anti-Bloat Medications
Definition

Ruminal tympany-not burping, gas is under pressure

Eructation-burp

Frothy bloat- small air bubbles cant be eructated

  • work by decreasing surface tension which breaks up gas bubbles-> BURP!
  • DSS, mineral oil, detergents
Term
Anti-Microbials
Definition

most GI dz not d.t. bacterial

broad spectrum antibiotics rarely recommended

Fecal cytology recommended

Tylosin & Metronidazole

Term
Tylosin: Tylan®
Definition

Macrolide antibiotic

used in cattle and swine to treat GI infections

death in horses

dogs and cats- antiinflammatory

Term
Metronidazole
Definition

-Selectively kills: anaerobes including clostridia and protozoans including giardia

-Commonly used for acute colitis & chronic diarrhea on unknown origin. Lg bowel diarrhea

-The most common iatrogenic cause of neuro problems in dogs

-Use w/ caution w/ liver or renal dz. Not recommended in prego. animals

 

Term
Oral Electrolyte Replacements
Definition

Calves, lambs, foal

  • scours: diarrhea
  • oral electrolyte supplements
  • Sodium, Potassium, Chloride
Term
Pancreatic Enzyme Supplements
Definition

Exocrine Pancreatic Insufficiency

   -voluminious, pale, greasy stool

Replace pancreatic enzymes

   -hog pancreas

Powder form pereferred

Pancreazyme® and Viokase-V®

Term
Corticosteroids
Definition

Inflammatory bowel dz

SE: immunosuppression, ^ gastric acidity, prosta. suppression, decreased healing, ^ risk of infection

 

 

Term
Azathioprine
Definition
  • immunosuppressant
  • anti-rejection drug
  • chemtherapy drug
  • step up from glucocorticoids
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