anti-anxiety
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Benzodiazepines are most commonly used ____________ medication | anti-anxiety
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They are also grouped in ____________ medication | sedative-hypnotic
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They are also classified as centrally mediated ____________ ____________ | muscle relaxants
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Mechanism of action: CNS depression specific to the areas in ____________, _________ and ______ system of the brain | hypothalamic, thalamic, limbic
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Indications | anxiety relief, sedation, anticonvulsant, muscle relaxants, appetite stimulant, retrograde amnesia
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Sedative effects through depression of | limbic system
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Muscle relaxing effect via inhibiting of the ______ at the spinal level | internunical neurons
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There are two major inhibitory amino acid neuro transmitters in the CNS= | glycine and gamma-amino-butyric acid (GABA)
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_______ performs inhibitory function in the spinal cord, brain stem and retina. | glycine.
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GABA is found in the __________ and _________ | cerebrum and cerebellum
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Benzodiazepines action is through _________ of specific (BZ) receptors | stimulation
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There are as many as __________ variations of BZ receptors | 6
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How many categories of action can be identified | 3
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Agents which _________ _________ bindings and - induced ___________ current are known agonist. | increases GABA, chloride
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Drugs that reduce ______ ______ binding and induce _______ _______ are known as inverse agonists. | both GABA, chloride influx
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Drugs that reduce both GABA and induce Chloride influx are known as | inverse agonists
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inverse agonists are responsible for | anxiety, convulsion and analeptic properties
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The third group the genuine antagonist of both agonist and inverse agonist are drugs that bind but have no efficacy at the site, _________ is a drug of this type | flumazenil
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How many types of GABA receptors are found at pre and post synaptic site | 2
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what are the GABA type of receptors found at pre and post synaptic site. | A & B
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Important to remember is that Benzodiazepines potentates the action of __________ and increases the frequency of _________ channel opening. | GABA, Chloride (Cl)
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Benzodiazepines derivatives are | Diazepam, Midazolam, Chloradiazepoxide, Lorazepam, Alprazolam, Clonazepam, Zolazepam, Chlodiazepam.
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Which Benzodiazepines are used in Veterinary Medicine | Diazepam, Midazolam, Zolazepam, Chlodiazepam
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What are the common names for BZ used in Veterinary Medicine | Valium, Versed, Zolazepam, Chlodiazepam
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How many BZs are we learning about | 8
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How many BZs are used in Veterinary Medicine | 4
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What is the acronym for the BZs use in Vet Med. | DMZC
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Name for Diazepam | Valium
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Name for Midazolam | Versed
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Name for Chloradiazepoxide | Librium
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Name for Lorazepam | Ativan
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Name for Alprazolam | Xanax
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Name for Clonazepam | Klonopin
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This drug is insoluble in water, solution contains solvent propylene glycol, ethanol and sodium benzoate in benzoic acid | Diazepam
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IV injection of __________ can cause thrombophlebitis. | Diazepam
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Can Diazepam be used orally? | Yes
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Which of these can Diazepam pass through? the blood-brain barrier or placental barrier | Both
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What percent of Diazepam is protein bound | almost 90%
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Diazepam's half life is | 6 to 21 hours
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How is diazepam metabolized | in the liver by demethylation and hydroxylation
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In the liver diazepam is demthylated and hydroxylated to how many forms | 3
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what are the active forms of diazepam demethylated and hydroxylated by the liver | N-demethyldiazepam, 3-hydroxydiazepam and oxazepam
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Diazepam metabolites are conjugated to ________ by the liver. | glucuronide
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Glucuronide is excreted by | Kidneys
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Is the toxcity of Diazepam low or high | low
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How do you treat an overdose of Diazepam | with flumazenil
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Clinical Uses for Diazepam include | convulsion control, used in dog, cat, horse to prevent post-op convulsion caused by use of contrast media into spinal cord for radiography, premedication for sedation, etc
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Diazepam has been used as muscle relaxation with what other drugs to perform minor surgical procedures | ketamin, xylazine, opiods, etc
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This drug is water soluble and not painful given IV | Midazolam
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Midazolam is metabolized by | the liver
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what is the half life of Midazolam | shorter than Diazepam
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Midazolam effects on repiratory and cardivascular are | minimal like others in the group
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Midazolam are used widely with combinations of | opioids
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Does Midazolam readily cross the blood-brain barrier | yes
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which is more potent Midazolam or Diazepam | Midazolam
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Midazolam clinical uses include | anticonvulsant, muscle relaxant, appetite stimulant
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what is the acronym for Midazolam clinical uses | the AMA
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Midazolam is combined with | ketamine and other anesthetics
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Diazepam and Midazolam can cause what type of changes in dogs and cats | behavior
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Midazolam can cause these animals restless, to pace, vocalize, and difficult to approach | cats
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can midazolam cause an increase or decrease in food consumption | increase
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what drug antagonizes the effects of all benzodiazepines | flumazenil
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what is another name for flumazenil | romazicon
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what action speed of flumazenil | rapid 2 to 4 minutes
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Reversal by flumazenil is or is not accompanied by anxiety and cardiovascular effects | is not
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how long does the antagonistic effects of flumazenil effects last | about 60 minutes
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should you ever redose flumazenil | yes it may be required
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Zolazepam is sold in combination with | tiletamine
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in what ration is zolazepam and tiletamine sold in | 1 : 1
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what is the combination of zolazepam and tiletamine called? | telazol.
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Telazole contains what | 250mg of zolazepam and 250mg of tiletamine
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tiletamine is a dissociative agent similar to | ketamine
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Telazole is widely used in | ruminants
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