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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
Q

Lidocaine can be used for treatment of

A

anti-dysrhythmia

agent for v-tach

decrease larygospasms in cats

24
Q

What are the general effects of Benzodiazepine Tranquilizers?

A

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
Q

CO2 absorbing canister

A

contains soda lim granules

expired when: hard and brittle or blue/purple in color

26
Q

Buprenorphine/Buprenex is a ______ agonist

A

Partial Mu

27
Q

NRB systems are for animals ___kg and require ___ steps to set up

A

3

Fresh gas line directly to vaporizer

Scavenge attached

Pop off OPEN

28
Q

Diazepam/valium should be given what route only?

A

IV, SLOWLY

**Reversible with Flumazenil -not water soluable

30
Q

Soda lime granules absorb

A

CO2

31
Q

Vomiting is a side effect of which opioid?

A

Morphine

32
Q

Solu-Delta-Cortef is used for

A

Shock

34
Q

Ketamine tends to cause what type of respiations?

A

Apneustic

35
Q

What are the 2 Cyclohexamine Dissociative drugs?

A

Ketamine Tiletamine

36
Q

Isoflurane Induction and Maintenance %s

A

Induction: 2.5%

Maint: 1.5%

37
Q

Class 2

A

Simple fractures

mild obesity

leaness

compensated cardiac dz

38
Q

What are the effects of Alpha 2 agonist sedatives?

A

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
Q

Oscillometric machine

A

Systolic BP: 100-160mmHg

Mean BP: 80-120mmHg

Diastolic BP: 60-100mmHg

40
Q

Atropine can’t be used in patients with

A

Tachycardia

41
Q

Pop off valve

A

Pressure relief valve

prevents pressure build up

vents excess gas

Only closed when: ventilating patient or pressure checking

42
Q

Pulse Ox

A

Measures O2 saturation and hemoglobin

Place on non-pigmented skin and keep moist

SaO2 or PaO2: above 95% under anesthesia

Pulse Rate

43
Q

Class 5

A

Gaurded

will likely die with or without sx

44
Q

Pop-off valves should remain _____ during anesthesia

A

OPEN

45
Q

Diazepam/Valium is what type of drug?

A

Benzodiazepine Tranquilizer

46
Q

Pressure manometer

A

measured in cmH2O

measures the pressure of gases within the patient breathing system

never exceed 15-20cmH2O

47
Q

Capnograph

A

ETCO2: 35-45mmHg

InCO2: 0-5mmHg

RR: 8-20rpm

48
Q

Reversal agent for sedatives

(rompun/xylazine)

A

Yohimbine

49
Q

A neuroleptanalgesic is a combo of a tranquilizer and an

A

opioid

50
Q

Acepromazin/Promace is a ________ tranqualizer that is not a controlled substance with what effects ?

A

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
Q

What are the 3 induction barbituates discussed in anesthesia?

A

**All are controlled substances

  • Phenobarbital-long acting anticonvulsant
  • Pentobarbital-shorting acting-EUTHANASIA solution
  • Thiopental, Methohexital-best for sighthounds

***NOT REVERSIBLE -IV admin only

52
Q

The ______ fills the Res Bag with pure O2 on a RB system.

A

O2 flush

53
Q

Class 4

A

Poor

outward symptoms of a dz

shock

diabetes

gdv

colic

high fever

54
Q

What is the reversal agent for Xylazine/Rompun?

A

Yohimbine

55
Q

Negative pressure relief valve

A

safety valve for animal to breath room air if system is not on

56
Q

Halothane Induction and Maintenance %s

A

Induction: 2.5%

Maint: 1.5%

57
Q

Passive scavenge canisters contain

A

charcoal and last for about 12 hours

Mini CPE #2 (8 decks)

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