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Vet Hospital II Lecture Test #2
Crowder College vet tech
107
Veterinary Medicine
Undergraduate 2
10/19/2011

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Cards

Term
List three properties of Vancomycin.
Definition

1) Not commonly used in veterinary medicine (Used to treat MRSA in human medicine)

2) Good against gram-positives

3) Given orally only for a specific Clostridium, otherwise given IV

Term

List four side effects of Vancomycin.

 

Definition

1) Thrombophlebitis

2) Febrile reactions

3) Ototoxicity

4) Nephrotoxicity

Term
In what animals, for what diseases in Spectinomycin most commonly used?
Definition

1) Chicks and turkey poulets for susceptible organisms

2) Baby pigs under 4 wks and under 15 lbs. for E. coli scours

3) Cattle for respiratory disease from Haemophilus and Pasteurella (not for veal calves or dairy cows)

Term
Give two trade names and one side effect for Spectinomycin.
Definition

1) Spectam and Adspec

2) swelling at injection site

Term
In what forms are polymyxin B and bacitracin most commonly used?
Definition
Topicals and opthalmics, often in combination with neomycin
Term
T/F--Suphonamides kill bacteria.
Definition
False-They are bacteriostatic
Term
What are two side effects of Polymyxin B and under what circumstances do they occur?
Definition

1) Neurotoxicity

2) Nephrotoxicity

if given parenterally

Term
What is a side effect of Bacitracin?
Definition
Nephrotoxicity
Term
What three things can be added to sulphas to make them bacteriocidal and what are the names of the three products of these combinations?
Definition

1) Trimethoprim

2) Pyrimethamine

3) Ormetoprim

create sulfadiazine, sulfaisoxazole, and sulfadimethoxine

Term
What are three dosage forms of sulphonamides?
Definition

1) Tribrissen

2) Primor

3) Albon

Term
What are some side effects of sulphonamides?
Definition

1) urticaria

2) vomiting and diarrhea

3) anorexia

4) fever

5) kidney damage due to crystal formation in carnivores

6) thrombocytopenia

7) leukopenia

8) anemia

9) photosensitivity

10) KCS

Term
What sulphonamide is used primarily for colitis for its anti-inflammatory effect?
Definition
Sulfasalazine-related to aspirin so must be used with extreme caution in cats
Term
Why are nitrofurans a good antibiotic for urinary tract infections?
Definition
It is broad spectrum and filtered quickly through the glomerulus.
Term
List five uses for Nitrofurans other than for urinary tract infections.
Definition

1) Topical wound treatment

2) Enteritis in pigs

3) Coccidiosis in chickens

4) Pink eye in cattle, sheep, goats

5) Eye and ear infections in dogs and cats

Term
What are the two catagories of treatment with antifungals?
Definition

1) treatment of superficial fungal infections of the skin and mucous membranes diagnosed by culture, identification or hyphae

2) treatment of systemic fungal infections-blood, lungs, CNS diagnosed through serology

Term
What are the four classes of antifungals?
Definition

1) polyene

2) imidazole

3) antimetabolic

4) superficial

Term
What are the two most common polyene antifungals?
Definition

1) Amphoteracin B

2) Nystatin

Term
What are five adverse effects of Amphoteracin B?
Definition

1) nephrotoxicity (most common)

2) anorexia

3) anemia

4) fever

5) vomiting

6) seizures

7) cardiac arrest

Term

How is Amphoteracin B most commonly administered?

 

Definition

IV by diluting it in 5% dextrose

also available in a SQ formulation

Term
Nystatin is most commonly used to treat what?
Definition
Candida infections of the skin, mucous membranes and GI tract
Term
List three common imidazoles and how they are most commonly used.
Definition

1) Ketaconazole-oral and topical

2) Miconazole-parenteral and topical

3) Clotrimazole-topical

Term
What is the main adverse effect of ketaconazole?
Definition
Hepatotoxicity
Term
What are five adverse effects of of imidazoles?
Definition

1) tachycardia

2) arrhythmia

3) fever

4) nausea

5) thrombophelbitis after IV administration

Term
What is the newest drug in the imidazole class?
Definition
Intraconazole-used to treat systemic fungal infections
Term
Fluocystine is what type of antifungal?
Definition

Antimetabolic-fungistatic 

used in combination with others to treat yeasts

Term
Fluocystine should not be used in animals with what condition?
Definition
Renal insufficiency
Term
What are four adverse effects of fluocystine?
Definition

1) Bone marrow depression

2) Anemia

3) Leukopenia

4) Thrombocytopenia

Term
What is griseofulvin used to treat?
Definition
Dermatophytes
Term
Griseofulvin has what side effect in cats and which animals should it not be used on?
Definition

1) Hepatotoxicity

2) Pregnant or breeding animals-produces congenital defects

Term
What two species is Acyclovir used in?
Definition

1) birds

2) cats with confirmed ocular herpes that is untreatable with other medication

Term
What are the adverse effects of Acyclovir?
Definition

Cats-leukopenia and anemia

Birds-tissue necrosis at injection site

Term
What is Interferon Alfa-2A used to treat?
Definition
non-neoplastic FeLV
Term
What is Bethanecol?
Definition
Cholinergic agent that helps empty the urinary bladder by increasing the tone of the detruser muscle in the bladder
Term
Describe Allopurinol.
Definition
xanthine oxidase inhibitor that reduces production of uric acid, which can help control urate uroliths
Term
Methionine and ammonium chloride are both?
Definition
Urine acidifiers.
Term
Describe Phenylpropanolamine
Definition
alpha-adrenergic agonist used to increase urethral tone to prevent leaking of urine
Term
What does DES stand for and what does it treat?
Definition
Diethylstilbestrol-estrogen-control urine leaking in hormone responsive incontinence common in spayed female dogs
Term
Furosemide is a?
Definition
loop diuretic that inhibits tubular reabsorption of sodium and increases the excretion of potassium, chloride and water.
Term
What makes Spirolactone different from other diuretics?
Definition
it is a potassium-sparing diuretic
Term
Define seizures.
Definition
Periods of altered brain function characterized by loss of consciousness, increased muscle tone or movement, altered sensations and other neurologic changes.
Term
Define convulsions.
Definition
Convulsions are seizures that manifest themselves as spastic muscle movement caused by stimulation of motor nerves in the brain or spinal cord.
Term
List and define the three phases of a seizure.
Definition

1) Preictal phase (aura): prior to actual seizure; anxiety; panting; pacing that can last minutes to hours

2) Ictal phase: generalized seizure (grand mal) or partial seizure (petit mal).

3) Postictal phase: after the seizure has subsided when the animal appears to be tired, confused, and maybe even blind.  Lasts seconds to hours.

Term
What is the drug of choice for long-term seizure control?
Definition
Phenobarbital (measured in grains) given SID or BID
Term
What are the adverse effects of Phenobarbital?
Definition

Short-term: sedation or ataxia

Long-term: inhibits ADH so PU/PD; hepatotoxicity

will always see some elevation of liver enzymes with use

Term
T/F-Diazepam works better in dogs than in cats for seizure control.
Definition
False
Term
What is a danger with potassium bromide?
Definition
Narrow therapeutic index so effective dose is close to dose that is toxic.
Term
Primidone is an
Definition
anticonvulsant that produces phenobarbital as it is metabolized but is more likely to cause hepatotoxicity.
Term
Why are benzodiazepines not a good choice for long-term seizure control?
Definition
They have to be given several times a day and animals develop a tolerance
Term
What category of drugs are the most common tranquilizers in veterinary medicine?
Definition
Phenothiazines such as acepromazine and chlorpromazine espcially for fear responses to thunderstorms, firecrackers, trips to the vet, etc.
Term
How do tricyclic antidepressants work?
Definition
Affect the uptake of serotonin from the synaptic cleft so activity is prolonged but also have an effect of norepinephrine reuptake.
Term
What is the veterinary labeled tricyclic antidepressant (TCA)?
Definition
Clomicalm
Term
What are the common side effects of TCAs?
Definition
Tachycardia, heart block, mydriasis, dry mouth, constipation, urine retention, reduced tear production, sedation
Term
What are four clinical uses of TCAs?
Definition

1) general anxiety

2) separation anxiety

3) obsessive-compulsive disorders

4) marking behavior in cats

Term
How do serotonin reuptake inhibitors work?
Definition
Antidepressant that selectively affects serotonin uptake for fewer side effects.
Term
What are four clinical uses for SSRIs?
Definition

1) anxiety

2) aggression

3) obsessive-compulsive behaviors

4) urine marking

Term
What is the veterinary form of a monamine oxidase inhibitor (MAOI)?
Definition
Selegiline with brand name of Anipryl to treat Cushing's and canine cognitive disorder.
Term
How do MAOIs work?
Definition
block dopamine uptake
Term
How do benzodiazepines work?
Definition
Increase stimulation of neuroreceptors for GABA, an inhibitory neurotransmitter that depresses the CNS
Term
What is the most commonly used azapirone?
Definition
Buspirone (BuSpar) used for fear/anxiety and for urine spraying/marking
Term
What was a commonly used progestin and why is it not used anymore?
Definition

Megestrol acetate (Ovaban) used for aggression, inappropriate elimination and skin problems

Not used anymore because causes hyperglycemia leading to diabetes, adrenal suppresion, endometrial hyperplasia and most significantly mammary tumors and hyperplasia

Term
What is beta-lactamase?
Definition

An enzyme that reduces the effectvieness of certain antibiotics by breaking down the beta-lactate ring

beta-lactamase I-penicillinase

beta-lactamase II-cephalosporinase

Term
What is the most common culture test used to determine sensitivity of bacteria to antibiotics?
Definition
Kirby-Bauer
Term
What does the antibiotic that works best in vitro may not be the one that works best in vivo?
Definition
The antibiotic may not be able to reach the infection depending on where it is located in the body
Term
What is the MIC of an antibiotic?
Definition
Minimum Inhibitory Concentration: the lowest concentration of the antibiotic that inhibits growth of the bacterium
Term
How do penicillins work?
Definition
They bind with enzymes called penicillin-binding proteins (PBPs) outside the bacterial cell membrane that are involved in cell wall sysnthesis and cell division-ruptures cell
Term
What bacteria is especially likely to produce beta-lactamase?
Definition
Staphylococci
Term
T/F-Penicillins are typically effective against gram-positives but not against gram negatives.
Definition
True
Term
Which penicillins must be given IM?
Definition

1) procaine pen. G

2) benzathine penicillins

Term
Which penicillin cannot be given orally?
Definition
Penicillin G
Term
Which two penicillins may be given IV?
Definition
Potassium and sodium
Term
List three problems with using penicillin.
Definition

1) Don't cross the blood-brain barrier easily

2) cause more allergic reactions than other antibiotics

3) Cause GI problems because normal, good intestinal flora are destroyed allowing overgrowth of some undesirable microbes

Term
How do cephalosporins work?
Definition
Interfere with cell wall synthesis and bid with proteins in the cell wall
Term
Which generations of cephalosporins have less sensitivity to beta-lactamase?
Definition
2nd and 3rd
Term
T/F-Animals that react to penicillins are less likely to react to cephalosporins than animals that do not react to penicillins.
Definition
False
Term
Which cephalosporin is given by injection to large animals, even dairy cows, as well as chicks and turkeys to control E. coli?
Definition

Ceftiofur sodium-Naxcell

3rd generation

Term
What is the third generation cephalosporin that can be given orally?
Definition
Cefpodoxime: Simplicef
Term
Are tetracyclines bacteriocidal or bacteriostatic?
Definition
Bacteriostatic, though can be bacteriocidal at high doses
Term
What are three adverse effects of tetracyclines?
Definition

1) Affect bone and teeth formation in young animals causing yellow staining of the teeth

2) May cause "drug fever" in cats

3) Hepatotoxic in high doses

Term
Aminoglycosides should be used to treat gram-positive or gram-negative bacteria?
Definition
Gram-negative
Term
What are three side effects of aminoglycosides?
Definition

Main: nephrotoxicity and ototoxicity

also neuromuscular synaptic dysfunction

Term
How should aminoglycosides be administered?
Definition
Parenterally, although neomycin can be absorbed orally
Term
What are aminoglycosides most commonly used for?
Definition
Soft-tissue infections
Term
What type of bacteria are aminoglycosides effective against?
Definition
gram-negative anaerobes
Term
What three things should you NOT do with aminoglycosides?
Definition

1) Do not use with neuromuscular blocking agents

2) Do not use if animal has any renal problems or is on furosemide

3) Do not mix in a syringe with other medications

Term
Name four dosage forms of aminoglycosides.
Definition

1) Gentamicin: Gentocin

2) Amikacin: Amiglyde-V

3) Kanamycin-Kantrim

4) Neomycin-Biosol

Term
Fluoroquinolones are approved for what five species?
Definition

1) Dogs

2) Cats

3) Turkeys

4) Chickens

5) Cattle

Term
Fluoroquinolones are often used off-label in what type of animals?
Definition
Pocket pets
Term
What are fluoroquinolones especially effective against?
Definition
Staph and Pseudomonas (bacterium with fruity odor)
Term
What are three adverse effects of fluoroquinolones?
Definition

1) formation of lesions in articular cartilage in young dogs in the rapid growth phase

2) CNS stimulation and precipitate seizures

3) retinal changes in cats resulting in blindness

Term
Fluoroquinolones are contraindicated in what animals?
Definition
Large breeds up to 12 months of age and in small and medium dogs up to 8 months of age
Term
What dosage of fluoroquinolones should be used in cats to reduce chance of retinal changes?
Definition
5 mg/kg SID
Term
List four common dosage forms of fluoroquinolones.
Definition

1) Ciprofloxacin-Cipro

2) Enrofloxacin-Baytril

3) Marbofloxacin-Zeniquin

4) Orbifloxacin-Orbax

Term
What is the main benefit of chloramphenicol?
Definition
Can cross blood-brain barrier
Term
Why should chloramphenicol not be used in food animals?
Definition
It can cause aplastic anemia in people
Term
What is the main side effect of chloramphenicol in animals?
Definition
Blood dyscrasias, especially in cats due to myelosuppression
Term
Florfenicol is most often used to treat?
Definition
Bovine respiratory disease such as Pastuerella and Haemophilus
Term
What is the dosage form of florfenicol?
Definition
Nuflor
Term
What dosage protocol is approved for florfenicol?
Definition
Two IM injections given 48 hours apart with a 28 day withdrawal time
Term
Florfenicol is not approved for what animals?
Definition
Dairy cows over 20 months of age or veal calves
Term
Macrolides are good against what type of bacteria?
Definition
Gram-postives
Term
What is the macrolide that can cause cardiac arrest in humans if accidentally injected?
Definition
Tilimicosin: Micotil
Term
What are four clinical uses for lincosamides?
Definition

1) Dental infections

2) Osteomyelitis

3) Abcesses

4) Deep pyodermas

Term
What animals should not be given lincosamides?
Definition
Egg layers, breeders, rabbits, hamsters, guinea pigs, horses-can cause serious GI problems and death
Term
What is the most commonly used lincosamide?
Definition

Clindamycin: Antirobe

good against anerobic bacteria

Term
What antimicrobial is used to treat giardia?
Definition
Metronidazole
Term
What are three clinical uses of Rifampin?
Definition

1) Treat Corynebacterium equi in foals

2) Treat some Streps

3) Used with amphotericin B to treat histo, blasto and aspergillus

Term
What is the main side effect of Rifampin?
Definition
Turns tears, urine, saliva and sweat reddish-orange.
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