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Mini CPE #2 > Anesthesia > Flashcards

Anesthesia Flashcards

1
Q

Oxygen flush valve

A

delivers 100% oxygen to res bag

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2
Q

Class 1

A

only elective sx

patient must be between 6mo. and 6yo

brachy & sight hounds start at class 2

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2
Q

Reversal for opioids

A

Narcan

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3
Q

True or False- NRB systems do not use CO2 absorbers

A

TRUE

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4
Q

Preventing pain before onset is called

A

Pre-emptive analgesia

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4
Q

H tank psi

A

2000-2200psi

7000L

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4
Q

What drug stimulates respiratory system and CNS

A

Dopram

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6
Q

RB systems are for animals ____kg and require ____ steps to set up which are:

A

>7kg

4

Attach Y tubing

Reservoir bag attached to Res bag port

Scavenge attached to scavenge port and canister

Pop off open

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6
Q

Propofol causes what kind of respirations?

A

Transient apnea-giving slowly will reduce this

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7
Q

PSI of E-tank

A

200-2200psi

600-660L

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8
Q

Doppler

A

Systolic BP: 100-160mmHg

Pulse Rate:

dogs- 60-160

cats- 120-240

horses- 30-40

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10
Q

Under anesthesia, ETCO2 levels tend to fall where?

A

to between 35-45mmHG

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11
Q

Class 3

A

Fair

not showing clinical signs

chest trauma

fearful patients

dehydration

anemia

anorexia

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12
Q

Sevoflurane Induction and Maintenance %s

A

Induction: 3-5%

Maintenance: 3-4%

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13
Q

What are the 3 Alpha 2 agonist sedatives studied in anesthesia?

A

Xylazine/Rompun (reversed with Yohimbine)

Metomedine/Domitor-(reversed with Antipamizole/Antisedan)

Dexmetomidine/Dexdomitor (reversed with Antipamizole/Antisedan

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14
Q

Doppler measures

A

Systolic pressure and pulse

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15
Q

What are the 4 Opioid Pure Mu agonists we studied in Anesthesia?

A

**All opioids are controlled substances

  • Morphine sulfate/morphine
  • Hydromorphone/Diladid
  • Oxymorphone/Numorphan
  • Fentanyl/Sublimaze
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16
Q

Expiratory Unidirectional Flutter Valve

A

creates a one way flow of gas

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17
Q

Oxygen flow meter

A

allows anesthetist to set the flow rate through the machine to patient

never less than 500ml/min

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18
Q

A Patient with metabolic acidosis would have an increased ___ and a ______ HCO3.

A

ph decreased

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19
Q

Scavange system

A

Active= connected to unit that removes it by suction

Passive= F-air canister, contains charcoal

12 hours of use

must be upright

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20
Q

What are some side effects of Alpha-2 agonists?

A

**Peripheral vasoconstriction

  • bradycardia
  • Arrythmias, esp heart blocks

Hypotension

Respiratory depression

-hypothermia

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21
Q

What are 2 anti-cholinergics?

A

Atropine Glycopyrrolate

22
Q

3 actions of res bag

A

Storage for gases entering into system

Allows for observations of respirations

Allows for + pressure ventilation

23
Lidocaine can be used for treatment of
anti-dysrhythmia ## Footnote agent for v-tach decrease larygospasms in cats
24
What are the general effects of Benzodiazepine Tranquilizers?
NO analgesia - less CNS depression compared to ACE - Appear calm and alert but not drowsy - appears to have little effect in young and healthy - Work better with other meds, esp opioids - Good skeletal muscle relaxation - Anticonvulsants Used in PA, induction when mixed with other drugs - Used to stimulate appetite in cats and some behavior modification - Can cause excitement when given alone
25
CO2 absorbing canister
contains soda lim granules expired when: hard and brittle or blue/purple in color
26
Buprenorphine/Buprenex is a ______ agonist
Partial Mu
27
NRB systems are for animals \_\_\_kg and require ___ steps to set up
3 Fresh gas line directly to vaporizer Scavenge attached Pop off OPEN
28
Diazepam/valium should be given what route only?
IV, SLOWLY \*\*Reversible with Flumazenil -not water soluable
30
Soda lime granules absorb
CO2
31
Vomiting is a side effect of which opioid?
Morphine
32
Solu-Delta-Cortef is used for
Shock
34
Ketamine tends to cause what type of respiations?
Apneustic
35
What are the 2 Cyclohexamine Dissociative drugs?
Ketamine Tiletamine
36
Isoflurane Induction and Maintenance %s
Induction: 2.5% Maint: 1.5%
37
Class 2
Simple fractures mild obesity leaness compensated cardiac dz
38
What are the effects of Alpha 2 agonist sedatives?
Potent sedative Sedation last longer than alagesia - Given IM, SQ, IV, Epi - Lasts 1-2 hrs large animal and 6 to 10 in small
39
Oscillometric machine
Systolic BP: 100-160mmHg Mean BP: 80-120mmHg Diastolic BP: 60-100mmHg
40
Atropine can't be used in patients with
Tachycardia
41
Pop off valve
Pressure relief valve prevents pressure build up vents excess gas Only closed when: ventilating patient or pressure checking
42
Pulse Ox
Measures O2 saturation and hemoglobin Place on non-pigmented skin and keep moist SaO2 or PaO2: above 95% under anesthesia Pulse Rate
43
Class 5
Gaurded will likely die with or without sx
44
Pop-off valves should remain _____ during anesthesia
OPEN
45
Diazepam/Valium is what type of drug?
Benzodiazepine Tranquilizer
46
Pressure manometer
measured in cmH2O measures the pressure of gases within the patient breathing system never exceed 15-20cmH2O
47
Capnograph
ETCO2: 35-45mmHg InCO2: 0-5mmHg RR: 8-20rpm
48
Reversal agent for sedatives (rompun/xylazine)
Yohimbine
49
A neuroleptanalgesic is a combo of a tranquilizer and an
opioid
50
Acepromazin/Promace is a ________ tranqualizer that is not a controlled substance with what effects ?
Phenothiazine - PO, SQ, IM. IV cautiously - Lasts 4-8hrs for analgesia, 24 hours for sedation \*\*\*Not reversible\*\*\* - Potentiates cardiac and ventilatory depressive effects of other meds - Calms, decreases anxiety and motor activity - Anti-emetic, antiarrythmic - Ace-face-prolapsed 3rd eyelid - lowers seizure threshold
51
What are the 3 induction barbituates discussed in anesthesia?
\*\*All are controlled substances - Phenobarbital-long acting anticonvulsant - Pentobarbital-shorting acting-EUTHANASIA solution - Thiopental, Methohexital-best for sighthounds \*\*\*NOT REVERSIBLE -IV admin only
52
The ______ fills the Res Bag with pure O2 on a RB system.
O2 flush
53
Class 4
Poor outward symptoms of a dz shock diabetes gdv colic high fever
54
What is the reversal agent for Xylazine/Rompun?
Yohimbine
55
Negative pressure relief valve
safety valve for animal to breath room air if system is not on
56
Halothane Induction and Maintenance %s
Induction: 2.5% ## Footnote Maint: 1.5%
57
Passive scavenge canisters contain
charcoal and last for about 12 hours

Mini CPE #2 (8 decks)

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