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D Drugs that block cholinergic activity at effector organs (antimuscarinic drugs) (see Table 7.5)

Оглавление

 These drugs block the action of ACh on the muscarinic type of cholinergic effector organs, but do not affect the nicotinic action of ACh on the postganglionic neurons or on skeletal muscle (e.g. atropine, glycopyrrolate).

Table 7.4 Cardiovascular effects of adrenergic agonists.

Agent HR CO SVR VR MAP Arrhythmias RBF AR CNS stimulation
Phenylephrine +++ ++ +++ 0 0 0
Norepinephrine +++ ++ +++ + 0 0
Epinephrine ++ ++ + + + +++ +
Ephedrine ++ ++ ++ ++ ++ ++ ± +
Dopamine + ++ +++ + +++ 0 0
Dobutamine + +++ 0 ± + ± ++ 0 0
Isoproterenol +++ +++ ± +++ +

HR = heart rate, CO = cardiac output, SVR = systemic vascular resistance, VR = venous return, MAP = mean arterial pressure, RBF = renal blood flow, AR = airway resistance. + = increase, − = decrease, 0 = no change.

Note: Dopamine decreases SVR and MAP in the horse at clinical doses.

Table 7.5 Comparative effects of anticholinergic drugs.

Anticholinergic Salivary and respiratory secretions HR Relax smooth muscle Mydriasis ↓ Gastric H+ secretions GIT tone Alter fetal HR
Atropine +++ ++ + + +
Glycopyrrolate +++ +++ 0 + 0
Scopolamine + + +++ + +

HR = heart rate, GIT = gastrointestinal tract.

+ = increase, − = decrease, 0 = no change.

Manual of Equine Anesthesia and Analgesia

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