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gi drugs(9/30)
n/a
23
Veterinary Medicine
Undergraduate 2
10/06/2013

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Cards

Term
what are the four sources of input to the vomiting center?
Definition
-vagus nerve(root of signaling from periphery)
-inner ear
-cerebral cortex
-crtz
Term
how do areas of the brain talk to each other?
Definition
neurotransmitters/synapses. axons synapse on some area of vomiting center(cell bodies) and neurotransmitters are going to be released.
Term
whats the neurotransmitter the vagus nerve uses for input?
Definition
acetyl choline
Term
neurotransmitter for cerebral cortex?
Definition
AcCH
Term
neurotransmitter from vestibular apparatus to vomiting center?
Definition
histamine
Term
crtz communicates to vomiting center with what?
Definition
histamine, dopamine, serotonin
Term
narcotics
Definition
stimulate more production of dopamine in CRTZ
Term
chemo drugs
Definition
stimulate serotonin in crtz
Term
alpha 2 adrenergic drugs
Definition
stimulation that can cause vomiting.
Term
emetics: centrally acting(2)= round about the brain, directly stimulating neurotransmitters that directly stimulates the vomiting center.
Definition
1.apomorphine - crtz(dogs have more receptors for opioid - increase dopamine)
2.xylazine - ROMPIN (cats have more receptors to alpha 2 drugs-alpha2)
Term
emetics: locally acting emetics(cause irritation to stomach lining, input from stomach to vagus -not as effective as centrally acting)
Definition
hydrogen peroxide, mustard, ect.
Term
antiemetics :phenothiazine tranquilizers*broad spectrum (neurotransmitter inhibition)
Definition
-acepromazine(sedatioin/antiemetic for motion sickness)
-chlorpromazine
-prochlorperazine
Term
antiemetics: antihistamines(neurotransmitter inhibition)
Definition
-dimenhyrdrinate
-diphenhydramine- BENADRYL
Term
neurotransmitter inhibition
Definition
-phenothiazine
-antihistamines
-anticholinergic (atropine-competitive inhibition)
-serotonin
Term
antiemetics: serotonin antagonists(neurotransmitter inhibition)
Definition
ZOFRAN
Term
antiemetic: prokinetic drugs (stimulates motility in gut)
Definition
-metoclopramide- REGLAN(also anticholinergic)
-cisapride
Term
metoclopramide- peripheral effects: closing of esophageal sphincter, relaxation opening of pyloric sphincter, and increases gastric motility/contractions of stomach.(problems emptying stomach)
Definition
centrally acting anti emetic-stimulates motility in GI/blocks dopamine and serotonin- crtz(parvo puppies, chemo)
Term
what is diarrhea?
Definition
causes
-endotoxins
-increase secretion
-increase motility
-decreased motility
-decrease absorption
-inflammation
Term
antidiarrheals : anticholinergic- traps toxin(bad!)
Definition
decrease motility, decrease secretion
aminopentamide- causes segmented spasm=constipation
Term
antidiarrheals: opioid narcotics- segmental spasm
Definition
diphenoxylate(lomotl)
loperamide(imodium)
Term
antidiarrheals: anti inflammatory
Definition
bismuth subsalicylate: PEPTO BISMOL, KAOPECTATE- anti inflammatory / aspirin like (No cats)
flunixin: BANAMINE 1. NSAID 2.analgesic 3. anti-endotoxin 4.anti secretory
sulfasalazine(colitis) covalent bond, aspirin like anti inflammatory/anti bacterial
Term
antidiarrheal : adsorbent/proctectants
Definition
activated charcoal
kaolin/pectin
bismuth
mineral oil
Term
adsorbent
Definition
a drug that inhibits GI absorption of drugs, toxins, or chemicals by attracting and holding them to its surface.
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