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Stimulant Toxicosis
Syp PP2
23
Veterinary Medicine
Professional
08/22/2016

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Cards

Term
What is an alkaloid?
Definition
-nitrongeous basic substances
Term
What toxins are in chocolate?
Definition
-methylxanthines: theobromine, caffeine
Term
The (less/more) sweet the chocolate, the (less/more) toxic it is.
Definition
-less
-more
Term
Does caffeine or theobromine have a higher LD50?
Definition
-theobromine
Term
What does chocolate stimulate the reale of?
Definition
-catecholaminesL: epinepherine, norepinepherine
Term
What does chocolate do at a cellular level?
Definition
-competitively antagonizes cellular adenosine receptors: CNS stimulation, tachycardia, vasoconstriction
-thus increases intracellular Ca concentration
Term
What are the clinical signs of chocolate toxicity?
Definition
-classic sugar high
-vomiting and diarrhea
-diuresis
-restlessness, hyperactivity
-tachycardia, VPC's
-tachypnea
-tremors, seizures
-hypokalemia
Term
What do we give to eliminate chocolate and promote excretion?
Definition
-emesis
-activated charcoal
-saline cathertics
-fluid therapy
-urinary catheterization to dec reab from bladder
Term
In addition to aiding excretion, what other drugs to we give in the case of chocolate toxicity and for what purposes?
Definition
-sedation: Acepromazine
-Tachyarrhythmias: lidocaine
-Tremors/seizures: diazepam, phenobarbital
Term
What are the effects of serotonin on the CNS? PNS?
Definition
-CNS: wakefulness, food intake, thermoreg, behavior, emesis, nociception, motor tone, sexual behavior, perception
-PNS: regulate vascular tone, GI motility, platelets, wound healing, pain
Term
What are the effects of Dopamine on the CNS? PNS?
Definition
-CNS: neuro treat, behavior, cognition, voluntary movement, sleep, mood, attention, memory, learning
-PNS: vasodilation (inc organ perfusion, inc renal blood flow, inc urine pdn, inc CO), can cause vasoconstriction and inc BP at high doses
Term
What are the effects of NE at CNS? PNS?
Definition
-CNS: attention, responses, fight or flight
-PNS: inc HR, release of glucose from E stores, inc blood flow to skeletal muscle, inc brain's oxygen supply
Term
What physiologically increases the effects of illicit drugs as a whole?
Definition
-excessive release of serotonin/dopamine/NE at presynaptic neurons
Term
What are the three pathways to being high?
Definition
-inc synth from inc precursors
-inc release from presynaptic neurons (Amphetamines, cocaine, pseudoephedrine)
-dec metabolism: MAO inhibitors
-block of reuptake: tricyclic antidepressants, opioids, cocaine, chlorpheniramine
-stim of Rc by agonists: buspirone, LSN, lithium
Term
How are illicit drugs absorbed?
Definition
-street drugs are quickly absorbed from the GIT, if ingested, and more quickly if injected, smoked or snorted
Term
Describe the action of sympathomimetics.
Definition
-stimulate release of NE from stores in adrenergic nerve terminals
-directly stimulate alpha nad beta adrenergic Rc: release of endogenous catecholamines at synapses in the brain and heart
Term
Describe the mentation changes that result from illicut drugs in dogs?
Definition
-agitation, confusion, disorientation, screaming, excitement
Term
What are the autonomic clinical signs resulting from illicit drugs in dogs?
Definition
-diarrhea, mydriasis, tachycardia, tachypnea, hpertension, fever
Term
What are the neuromuscular signs of illicit drugs in dogs?
Definition
-hyperreflexia, myoclonus, tremors, rigidity, seizures, secondary hyperthermia, resp muscle compromise
Term
What are the legal exmaples of amphetamines used for ADHD, weight loss, and narcolepsy? Illegal examples?
Definition
-Legal: Ritalin, Adderall, Pseudoephedrine, Ma Huang
-Illegal: meth, Excstasy
Term
How long does it take for amphetamine to be absorbed? How is it metabolized and excreted?
Definition
-absorbed within 1-3 hours
-metabolized by liver and excreted by kidneys
Term
Where in the body is cocaine absorbed well? When does it reach its peak concentrations? How is it metabolied and excreted?
Definition
-well absorbed from mucosal surfaces
-peak concentrations in 15 mins
-metabolized by liver and excreted in urine
Term
How do we diagnose illicit drugs in dogs?
Definition
-confirmaiton of exposure is difficult due to an owner's unwillingess to provide an accurate history
-clinical presentaiton of an animal with exposure can be confusiong
-should be on rule out list for patients with acute behavior or neurological changes,
-collect blood, urine, and stomach contents
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