3- Anaesthesia of sicker patients: E & V

Question 1

Important list to follow for small animal emergency

Answer 1

Preparation
Stabilisation- blood/imaging
Oxygenation
Analgesia
IV access, IVFT

Make animal better candidate for anaesthesia - thoracocentesis/decompression

Question 2

In a very sick animal avoid using a …

Answer 2

Alpha-2 agonist

Question 3

What 2 drugs do we prefer in emergencies?

Answer 3

Ketamine
Alfaxolone (over propofol)

Question 4

Some practices don’t give opioids to C-sections why is this & what drug avoids this so can be given?

Answer 4

Worried about it passing the placenta and causing depression of puppies

Methadone (Pure MU) but minimally crosses the placenta

Question 5

Why would you not use buprenorphine in a c-section?

Answer 5

Long onset - takes a while for full affect, may have finished surgery before full affect

Question 6

Why don’t we use benzodiazepines In a c-section

Answer 6

Causes depression of the puppies

Question 7

What is a c-section discharged with?

Answer 7

NSAID

Question 8

What is Maroritant

Answer 8

a neurokinin receptor antagonist
is an effective antiemetic with authorisation for use in dogs and cats
may also reduce inhalant anaesthetic requirements and provide visceral analgesia

Question 9

T/F drugs that cross the blood brain barrier will cross the placental barrier

Answer 9

True