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VT-235 Anesthesia Week one
Week one
55
Veterinary Medicine
Undergraduate 4
05/07/2015

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Cards

Term
Synthetic and natural
Definition
What are the two types of colloids?
Term
Information on risks
Permission to do CPCR
DNR status
Definition
List three things a surgical consent form should have on it?
Term
Sex
Age
Species
Breed
Repro status
Definition
What is patient signalment?
Term
2.6%
Definition
What is the MAC of sevoflurane?
Term
1.3%
Definition
What is the MAC of isoflurane?
Term
Minimum alveolar concentration
Definition
What does MAC stand for?
Term
Without feeling or insensibility
Includes loss of sensation, & CNS depression or stimulation.
Definition
What does anesthesia mean?
Term
Neurologic, cardiovascular, & pulmonary depression
Definition
What are the risk factors of anesthesia?
Term
1 Identify patient
2 Obtain patient history
3 Perform physical exam
4 Run diagnostic tests
5 Determine anesthetic risk
6 Develop protocol for anesthesia
Definition
Pre-Anesthetic Assessment Steps
Term
Patient name
owner last name
signalment
body weight
temperament alerts
chart or patient ID when applicable
Definition
Patient information should include what?
Term
Sighthounds
Definition
What breed is sensitive to barbiturates because of their lack of body fat?
Term
Duration & nature of illness
Concurrent health problems
Activity level
Medications
Previous anesthetic complications
Last meal/ fasting
Vx history
Definition
Anesthetic patient history should cover the following:
Term
8-12 hours
Definition
A normal healthy cat or dog should be fasted for how long before surgery?
Term
Neonates and pediatrics
Definition
What age group should we never fast before surgery?
Term
3-4 hours
Definition
Dogs & cats that weigh less than 5lbs should be fasted how longer prior to surgery?
Term
Anesthetic risk classification
Definition
A system that rates patient risk or likelihood of anesthetic complication based on patient health.
Term
Anesthetic Risk Level I
Definition
Patient with no disease. Elective (cosmetic, preventable) procedures only. Spay & neuters.
Term
Anesthetic Risk II
Definition
Localized or slight systenic disease, but no obvious signs of illness.
Neonatal or geriatric.
Obese or underweight.
Mild dehydration.
Benign mass removal,
orthopedic procedure.
Term
Anesthetic Risk III
Definition
Moderate systemic disease, with mild clinical signs.
Major orgon compromise (Heart, lungs, kidneys, liver, brain)
Anemia
Anorexia
Moderate dehydration
Endocrine disorder patients
Term
Anesthetic Risk IV
Definition
Patients with severe (life threatening) systemic disease orgon failure.
Severe dehydration,
shock,
Internal bleeding,
Toxemia,
Cachexia
Term
Anesthetic Risk V
Definition
Moribund
Patient is not expected to survive without immediate surgical intervention.
Only performed out of desperation.
End stage organ failure
Severe dehydration
Severe trauma
Term
To prevent dehydration
Maintain blood pressure
Replace volume lost
Definition
Why do we give patients fluids during surgery?
Term
60%
Definition
An animals body weight is composed of about how much water?
Term
Intracellular compartment
Definition
This compartment consists of the largest volume of fluid, about two thirds of total body water. (approximately 40%)
Term
Extracellular fluid
Definition
Space which constitutes about one third of the total body water, interstitial, intravascular, and transcellular
Term
5%
Definition
Plasma is what percent of body weight?
Term
8-9%
Definition
Blood volume in dogs and large animals
Term
6-7%
Definition
Blood volume in cats?
Term
Sodium
Definition
What is the major component of ECF?
Term
Potassium
Definition
What is the major component of ICF?
Term
Calcium
Definition
Vital ion in normal neuromuscular activity, cardiac rhythm and contractability, cell membrane function, and coagulation.
Term
Crystalloids
Definition
These are usually polyionic and isotonic fluids
Term
Hypertonic
Definition
This type of fluid pulls fluid into the intravascular space
Term
Colloids
Definition
These types of fluids contain large molecules that cannot pass through vessels walls and thus do not leave circulation.
Term
Ocular & nasal discharge
Chemosis
Subcutaneous edema
Increased lung sounds
Dyspnea
Coughing
Restlessness
Hemodilution
Definition
Signs of fluid overload.
Term
10mg/kg/hr for first hour
5ml/kg/hr during remainder of procedure
Definition
During routine anesthesia and surgery what is the rate of fluid administration?
Term
A sedative & opioid analgesic
Definition
A premed is a combination of what?
Term
Acepromazine
Definition
Give an example of a phenothiazine
Term
Hypotension
Definition
What is one major side effect of acepromazine?
Term
Diazepam
midazolam
lorazepam
Definition
Give three examples of benzodiazepams
Term
Hypotension
No analgesia
Definition
Name some cons of benzodiazepenes
Term
Opioid
Definition
This group of drugs cause sedation and analgesia, nausea and vomiting are the most common side effects. Can cause respiratory depression, panting more common in dogs
Term
Hydromorphone
Morphine
Fentanyl
Definition
Give some examples of pure agonists
Term
Naloxone
Definition
What is the reversal agent for pure agonists?
Term
Butorphanol
Definition
Name a partial antagonist
Term
Buprenorphine
Definition
Name a drug that is a mixed agonist/ antagonist.
Term
Atropine
Glycopyrolate
Definition
Name 2 anticholinergics
Term
BAG= Butorphanol, Acepromazine, Atropine
Super BAG= Buprenorphine, Acepromazine, Glycopyrolate
Definition
What does BAG & SuperBAG stand for?
Term
30-60 seconds
Definition
Onset of action for propofol?
Term
5-10 minutes
Definition
Duration of action for propofol?
Term
20-30 minutes
Definition
Recovery time for propofol
Term
Respiratory apnea
Definition
Major side effect of propofol?
Term
Alpha-II agonist
Definition
Dexdomiro is what kind of agonist?
Term
Dexdomitor & butorphanol (+ or - ketamine)
Dex & buprenorohine
Ketamine, acepromazine, & buprenorphine
Definition
Common combinations for kitty magic?
Term
MAC
Definition
This abreviation is used to describe how much anesthetic agent is needed to attain surgical anethesia.
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