Anesthesia 2

Question 1

ASA* scores:
Subjective assessment of a patient’s overall health.

Answer 1

I Completely healthy
II Mild systemic disease
III Severe systemic disease (not incapacitating)
IV Incapacitating disease (constant threat to life)
V Not expected to live 24 hours
E. Emergency surgery - (put after roman numeral)

Question 2

Premeditation role:

Answer 2

Provides optimum conditions for surgery/anesthesia.
Decreases: anxiety, fear, resistance to induction and side effects (vomiting, salivation, bradycardia).
MAC sparing and analgesic.

Question 3

Tranquilizers and Sedatives:

Answer 3

Phenothiazines
Butyrophenones
Benzodiazepines
Alpha 2 agonists
Opioids
Guaiphenesin

Question 4

Name a Phenothiazine:

Answer 4

Acepromazine

Question 5

Acepromazine MOA:

Answer 5

Dopamine receptor blockade (antagonism)
Alpha 1 adrenergic receptor mediates the vasodilation and decrease in BP and thermoregulatory control.

Question 6

Acepromazine dose rate:

Answer 6

0.02-0.05 mg/kg
IV/IM/SC/oral

Question 7

Butyrophenone name and MOA:

Answer 7

Azaperone (-pigs)
Primary action dopamine antagonist

Question 8

Benzodiazepines MOA:

Answer 8

GABA receptor agonist

Question 9

List of Benzodiazepines:

Answer 9

Diazepam
Midazolam
Zolazepam
Zolitil
Climazolam

Question 10

Diazepam

Answer 10

Painful IM and unreliable sedative alone.
Effective in compromised patients, CV and respiratory parameters well maintained.
Reduces MAC good sedation in combination.
Anti-convulsant

Question 11

Midazolam

Answer 11

Shorter acting than diazapam
Water soluble - well tolerated IM
Unpredictable sedative (agitation and excitement in SAs and ataxia in horses).
MAC sparing

Question 12

Dissociative anaesthetics + Benzodiazepine used for wildlife:

Answer 12

Zoletil
(Tiletamine combined with Zolazepam)