anaestheiology Flashcards
anesthesia was derived from-
greek anaisthaesia
freedom from pain -
analgesia
behavioral changes where anxiety is relieved and the patient becomes relaxed and the patient is aware of their surrounding-
tranqilization
central depression + drowsiness and unaware of the surrounding
sedation
drugs that induces a state of sleep
narcosis
artificially induced sleep or tranqresembling sleep-
hypnosis
loss of sensation in circumscribed area
LA
example of regional anesthesia
Paralumbar nerve block
define GA
drug induced loss of consciousness that is characterized by reversible loss of consciousness and analgesia.In this state the patient cannot be aroused from notius stimuation. the sensory,motor and autonomous reflex functions are attenuated
state or plane GA where there is unconsciousness+muscle relaxation+analgesia
surgical anesthesia
the state of anaesthisia indused by multiple drugs
balanced anaesthesia
what is dissociative anesthesia
drugs that dissociate the thalamocortic and limbic system(ketamin) and it is characterised by cataleptoid state
state of waxy flexibility is -
catalepsy
name the true narcotic
chloral hydrate
types (classification )anesthesia
- inhalation anesthesia
- injectable anesthesia
- oral or rectal anesthesia
- local anesthesia
- regional or conduction anesthesia
- electronarcosis
- TENS- transcutaneous electrical nerve stimualtion
- acupuncture
- hypothermia
what are the general consideration for administration of anesthesia
- species
- age
- breed
- nature of surgery
- dieseas condition
factors influencing the selection of anesthetic technique
- size
- sex
- physical condition
- temperment/biological activity
- genetic differences
patient evaluation
- physical status
- haematological test
- cardiopulmonary evaluation
- biochemical test
(TPP,SGPT,HG,CREATININE)
what are the categories of patient in regards to physical status -
category 1
healthy patient with no systemic diseases
category 2
slight or mild systemic diseases with cs
category 3
mild or moderate systemic diseases with noticable cs
category 4
extreme systemic diseases which is threat to the life
category 5
morbid or dying patients
characteristics of an ideal anesthetic ?
- rapid induction,quick alteration in deapth, rapid recovery
- does depend on body for detoxification
- non irritant
- non inflammable or explosive
- causes no or minimal depression of vival functions
- produces good muscle relaxtion and analgesia
what are the preparations done for patients for anesthesia
- fasting
- fluid adminstartion
- anaemia and hypovolumia
- antibiotics
- oxygen administration
- preaneathetic corticosteriouds
- patient postioning
what is the classification of analgesics
- opoids
- salicylates
- non opiods and non salicylates
- paraamphenicol derivatives
- alpha2 adrenergic agonits
- local anesthetic
what analgesic is used for pain control during cancer and chemotheraphy
fentanyl
pentazozine trade name and dose
Fortwin 1.6-3.2mg/kg /4h/im
tramadol is an
opoid analgesic
what is the dose and trade name of opiod analgesia buprenorphin
bupregesia -0.006-0.020mg/kg
name non opiod analgesic
meloxicam,piroxicam,meglumin,diclofenac,tolfenamic acid
meloxicam dose
loading dose - 0.2mg/kg
maint dose -0.1mg/kg
what is carprofen and what is its dose?
dose 2.2mg/kg BID carodyl and dolocrap