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Pharmacology
Chapter 18 Miscellaneous Therapeutic Agents
| Question | Answer |
|---|---|
| What are poly-sulfated glycosaminoglycans (PSGAGs)? | Repeating chain of hexosamine and hexuronic acid; allow water to be trapped in hyaline cartilage to provide resistance to compression and resiliency to proteoglycan & collagen matrix. Increase synovial fluid viscosity; reduce inflammation. |
| Explain how PSGAGs act as chondroprotectives. | Able to decrease the progression of osteoarthritis by providing support to cartilage and promoting its repair. |
| What three treatment methods are used in regenerative medicine? | Stem cell therapy; platelet-rich plasma (PRP); interleukin-1 antagonist protein. |
| Describe stem cell therapy. | stem cells can differentiate into appropriate tissue/organ (embryonic=totipotent/pluripotent; adult=multipotent). Produce growth factors/cytokines; anti-inflammatory mediators; differentiate into target tissue; home to inflamed site through vascular sys |
| Discuss platelet-rich plasma (PRP). | Obtained from anti-coagulated whole blood by centrifugation. Provides growth factors that signal local cells to migrate, divide & increase collagen & matrix formation. Mostly for equine tendon & ligament injuries. |
| Explain interleukin-1 antagonist protein. | Produced by synoviocytes, chondrocytes & WBCs. Stimulates neutral proteinase production. Specially prepared & injected into injured/diseased joint. Treat synovitis, capsulitis, arthritis, bursitis, tenosynovitis. |
| Describe how activated charcoal is used as an antidote. | Administered orally to prevent or reduce systemic absorption of certain drugs or toxins. Side effects: vomiting, constipation, diarrhea. |
| How is calcium ethylenediaminetetraacetic acid (EDTA) used as an antidote? | heavy metal chelating agent; used for treatment of lead poisoning. Side effects: renal toxicity; depression; vomiting/diarrhea; zinc deficiency from long-term therapy. |
| Explain the use of methylene blue as an antidote. | treat methemoglobinemia or cyanide toxicity in ruminants; acetaminophen poisoning. Side effects: Heinz body anemia; morphologic changes in RBCs; decreased RBC life; tissue necrosis; methemoglobinemia. |
| Discuss the use of acetylcysteine as an antidote. | Acetaminophen poisoning; pulmonary or ophthalmic conditions. Side effects: vomiting; nausea; urticaria (hives) w/ oral use; chest tightness; bronchoconstriction; tracheal irritation; acetylcysteine hypersensitivity; bronchospasm. |
| How is dimercaprol used as an antidote? | treat toxicity from arsenic compounds; also lead, mercury, or gold. Side effects: IM injections painful; vomiting; seizures w/ high doses; nephrotoxic. |
| Describe pralidoxime chloride as an antidote. | oral treatment of organophosphate poisoning, sometimes in conjunction w/ atropine and supportive therapy. Side effects: uncommon, but include tachycardia; muscle rigidity; transient neuromuscular blockade; laryngospasm. |
| Discuss the use of penicillamine as an antidote. | Copper associated hepatopathy; long-term oral treatment of lead poisoning & cystine urolithiasis. Side effects: nausea; vomiting; fever; lymphadenopathy; skin hypersensitivity reactions; immune complex glomerulonephropathy. |
| Explain how sodium thiosulfate is used as an antidote. | Treat cyanide poisoning in horses & ruminants; copper poisoning in ruminants; arsenic poisoning; antifungal when applied topically. Side effects uncommon. |
| How is ethanol used as an antidote? | Treat ethylene glycol (antifreeze) poisoning. Side effects: reduced body temperature; overdose can be fatal. |
| Describe how fomepizole is used as an antidote. | antifreeze poisoning. Side effects: tachypnea; gagging; excessive salivation; trembling. |
| What is used to treat snakebite in domestic animals? | antivenin polyvalent/antivenin coral snake. Treats bites from many of the poisonous snakes of North America. Side effects: secondary anaphylaxis. |
| What is used to treat rodenticide poisoning? | Vitamin K1 (phytonadione). Side effects: anaphylaxis (IV). |
| Describe the use of thaimine HCl as an antidote. | polioencephalomalacia in cattle, sheep, goats; thiamine deficiencies due to dietary lack. Side effects; hypersensitivity or muscle soreness. |
| Describe the use of naloxone as a reversal agent. | Narcotic antagonist. Repeated dose may be necessary if the action of the narcotic outlasts the action of naloxone. |
| Explain how yohimbine HCl acts as a reversal agent. | Reverses the effects of alpha-2 adrenergic agonists (xylazine). Action occurs within 1-3 minutes. Not for food animals; use with caution in animals that are epileptic or seizure prone. |
| List common lubricants. | K-Y jelly; Lube jelly; Lubri-Net; Lubrivet. |
| Discuss the use of nutraceuticals in veterinary medicine. | Use of micronutrients, macronutrients, other nutritional supplements as therapeutic agents. Glucosamine/chondroitin-osteoarthritis; fatty acids-dermatologic conditions; SAMe-liver function; superoxide dismutase-anti-inflammatory; coenzyme Q-heart issues |
| List disadvantages of herbal therapeutics. | May cause harmful interactions with conventional drugs; discuss use with primary veterinarian. |
| What are the properties of milk thistle as an herbal remedy? | hepatoprotectant; antioxidants improve hepatocyte regeneration. |
| What is St John's wort used for in herbal therapeutics? | anti-anxiety; anti-depression effects. |
| Describe echinacea as an herbal therapeutic. | no major side effects; immunostimulant. |
| How is aloe used in herbal therapeutics? | stimulates wound healing; treat wounds & burns. |
| Describe the use of ginseng in herbal therapeutics. | Increases vitality & overall strength; may cause hypertension and nervousness/excitement. |
| Discuss the use of goldenseal as an herbal therapeutic. | It has antimicrobial and vasoactive properties. Not for pregnant animals due to the potential to cause uterine contractions; scarce in the wild. |
| Describe garlic as an herbal therapeutic. | Lowers cholesterol; used for centuries. Diuretic; disinfectant. Can produce Heinz body anemia in cats & dogs at high doses. |
| How is bloodroot used in herbal therapeutics? | Anti-inflammatory; antimicrobial. May cause bleeding during surgery; may interact w/ conventional drugs. |