click below
click below
Normal Size Small Size show me how
VETT 115 - Week 2
Anesthesia Part 1
Term | Definition |
---|---|
Agonist | Bind to receptors, exert 1+ effect Stimulates something |
Antagonist | Block or reverse effect of agonist |
Partial Agonist | Bind to receptors, exert partial/mild effect; stimulate but not as much as an agonist |
Mixed agonist-antagonist | Reverse effect of pure agonists; Stimulate some but block others |
Anticholinergic | Parasympathetic nervous system blockade; Help prevent bradycardia, hypersalivation |
Examples of Anticholinergics | Atropine, glycopyrrolate |
Tranquilizer | Used for patient restraint for minor procedures |
Phenothiazine | Major tranquilizer, calms and sedates before general anesthesia |
Examples of Phenothiazines | Acepromazine (powerful vasodilator) |
Benzodiazepine | Minor tranquilizer, use in combination with other agents with a wide range of effects. Can be reversed |
Examples of Benzodiazepines | Diazepam, midazolam, zolazepam (tiletamine and telazol). |
Alpha2 Adrenergic | Sedative used alone or with other opioids, dissociatives, and others; wide range of effects and many potential complications. Can be reversed |
Examples of Alpha2 Adrenergics | Xylazine, demedetomidine, detomidine, romifidine |
Reversal agent for Xylazine | Yohimbine |
Reversal agent for Dexmedetomidine and Detomidine | Atipamezole (Antisedan) |
Opioids | Narcotics; related to morphine; stimulate opioid receptors, numerous adverse effects. |
Opioid Agonist | Stimulate mu-receptors; effects are mostly analgesic but do cause sedation, they are mostly Class II controlled substances |
Examples of Opioid Agonists | Morphine, Fentanyl, Oxymorphone, Hydromorphone |
Opioid Partial Agonist | Exert partial activity at mu-receptors |
Examples of Opioid Partial Agonists | Buprenorphine |
Opioid Mixed Agonist-Antagonists | Exert agonist activity (stimulation) at kappa-receptors and antagonist activity (blocking) at mu-receptors; partial reversal of sedation |
Examples of Opioid Mixed Agonist-Antagonists | Butorphanol |
Opioid Antagonist | Reversal of opioid sedation |
Examples of Opioid Antagonist | Naloxone |
Propofol | Short-acting IV anesthetic to induce and maintain general anesthesia. Phenolic compound. |
Phenolic compound | |
Dissociatives | Cyclohexamines; Injectable anesthetic used alone, immobilizes patients for minor/brief procedures; Give with tranquilizers/sedatives to reduce adverse effects. Not analgesic. Are controlled |
Examples of Dissociatives | Ketamine, Tiletamine |
Barbiturates | Induce general anesthesia, used for treatment of seizures, and for euthanasia. Controlled substances |
Examples of Barbiturates | Pentobarbital sodium, Phenobarbital |
Etomidate | Sedative-hypnotic, short-acting injectable. Not controlled, not analgesic |
Guaifenesin | Glyceryl guaiacolate, muscle relaxant/sedative and expectorant. |
Inhalant Anesthetics | Liquid agents that are vaporized in a carrier (oxygen) and administered via breathing system. |
Vapor Pressure | The rate at which inhalant anesthetics evaporate |
Blood-gas partition coefficient | Once inhaled, how easily is it dissolved and removed from the bloodstream |
MAC | Minimum Alveolar Concentration; The minimum concentration in the lungs/alveoli that induces anesthesia |
Halogenated anesthetics | Induce/maintain anesthesia, induce dose-dependent hypotension |
Examples of Halogenated Anesthetics | Isoflurane, Sevoflurane |