Term
| What are the 5 phases of an anesthetic event? |
|
Definition
1. Pt assessment
2. Premedication
3. Induction
4. Maintenance
5. Recovery |
|
|
Term
| Pt assessment includes...? |
|
Definition
History/signalment
PE
Diagnostics (bw, ua, ekg) |
|
|
Term
|
Definition
-balanced anesthesia
-smoother recovery
-keeps the pt calm |
|
|
Term
| Disadvantages of premeding? |
|
Definition
-expensive
-wait until the pt is sedate
-side effects
-complex |
|
|
Term
| What are our goals for anesthesia? |
|
Definition
| *sedation, analgesia, anticholinergics* |
|
|
Term
| What classes of drugs make our pt sedate? |
|
Definition
-phenothiazine
-a2 agonist
-benzodiazepine
sn: opioids do give sedation but are primarily for analgesia |
|
|
Term
| Drugs included in the phenothiazine class? What are we most concerned about when giving this drug? |
|
Definition
| Acepromazine. Hypotension. |
|
|
Term
| Drugs included in the a2 agonist class? What are we most concerned about when giving this drug? |
|
Definition
| Xylazine, and Dexmedetomedine. Bradycardia. |
|
|
Term
| Drugs included in the benzodiazepine class? What are we most concerned about when giving this drug? |
|
Definition
| Diazepam, and medazolam. Hypotension. |
|
|
Term
| What classes of drugs make up our analgesics? |
|
Definition
-opioids
-nsaids
-a2 agonists |
|
|
Term
| Drugs included in the opioids class? what are we most concerned about when giving these drugs? |
|
Definition
-morphine, hydromorphone, oxymorphone
-Fentanyl
-buprenorphine
-tramadol
Respiratory depression |
|
|
Term
| Drugs included in the NSAIDs class? what are we most concerned about when giving these drugs? |
|
Definition
-carprofen
-meloxicam
-robenacoxib
-deracoxib
-firocoxib
-etodoiac
-ketaprophen
renal perfusion |
|
|
Term
| Drugs included in the a2 agonist class? |
|
Definition
| xylazine and dexmedetomidine |
|
|
Term
| Drugs included in the anticholinergic class? what are we most concerned about when giving this drug? |
|
Definition
-atropine
-glycopyrolate
tachyarrhithmias |
|
|
Term
| What drugs/combos of drugs do we use to induce our patients? (don't forget inhalants) |
|
Definition
-propofol
-ketamine/diazepam
-tiletamine/zolezepam
-inhalants |
|
|
Term
| What are we most concerned with when giving propofol? |
|
Definition
|
|
Term
| what are we most concerned about when giving a dissociative/benzodiazepam? |
|
Definition
| increased HR, rocky recovery? :/ |
|
|
Term
| What can we maintain our pts on? |
|
Definition
Inhalants
CRI of propofol
MLK (morphine, lidocane, ketamine)
Fentanyl |
|
|
Term
| Primary goal of recovery? |
|
Definition
|
|
Term
|
Definition
| keep pt calm, and avoid any extra stimuli |
|
|
Term
| What's the reversal agent for dexmedetomidine? |
|
Definition
|
|
Term
| What's the reversal agent for xylazine? |
|
Definition
|
|
Term
| What's the reversal agent for opioids? |
|
Definition
|
|
Term
| What's the reversal agent for benzodiazepines? |
|
Definition
|
|
Term
| MAKE sure you have all the following in your analgesic protocol |
|
Definition
| opioids, a2 agonists, n said, dissociatives |
|
|
Term
| What are our controlled classes? |
|
Definition
opioids
dissociatives
benzos |
|
|
Term
| What is the surgical plane? |
|
Definition
|
|
Term
| MOST reliable signs for anesthetic depth? |
|
Definition
-Movement without stimulation
-Reflexes
-Increased HR and RR and BP
-Pain response |
|
|
Term
| Under that, what are some reliable signs you can also look for with depth of anesthesia? |
|
Definition
-hx on vaporizer
-muscle tone like jaw tone
-palpebral reflex
-pupillary response
-tear production
-eyeball position (VANLEARS FAV) |
|
|
Term
| What is something to keep in mind with the palpebral reflex? |
|
Definition
| the muscles can get fatigued and no longer blink. |
|
|
Term
| Equation for cardiac output? |
|
Definition
|
|
Term
| Equation for blood pressure? |
|
Definition
| CO x total peripheral resistance |
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