Anesthesia Lecture 3 Flashcards

1
Q

Examples of non-barbiturates

A

Propofol, Etomidate, and Alfaxalone

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2
Q

Examples of dissociative anesthetics

A

Ketamine, Tiletamine (Telazol®️), and Ketamine-valium compo

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3
Q

This is the only white liquid that can be given IV

A

Propofol

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4
Q

True or false: Propofol has a rapid onset, long duration of action due to it being low in fat solubility

A

False; it has a shot duration of action due to it being highly fat soluble

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5
Q

True or false: Propofol is rapidly metabolized, rapid recovery, and minimal residual sedative effects even after repeated doses

A

True

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6
Q

Effects of Propofol

A

CNS depression, NOT an analgesic, CV depressant, respiratory depression, muscle twitching during induction, muscle relaxation, and antiemetic

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7
Q

Induction of Propofol

A

Give 1/4 of the calculated dose slowly IV every 30 sec until desired plane of anesthesia is reached. Then titrate to effect

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8
Q

Recovery time of Alfaxalone

A

15-30 minutes

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9
Q

Alfaxalone has minimal __and _____ effects

A

CV and respiratory

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10
Q

Ketamine is also a…

A

Cyclohexamine

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11
Q

Onset of action for Ketamine IV and IM

A

IV= 1-2 minutes; IM= 10 minute

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12
Q

Ketamine can also be administered…

A

Orally to fractious cats (extra label)

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13
Q

This dissociative anesthetic provides no visceral analgesia, but does provide somatic analgesia

A

Ketamine

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14
Q

This dissociative anesthetic increases intracranial and intraocular pressure and should not be given to seizing patients

A

Ketamine

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15
Q

Telazol®️ is a combination of …

A

Tiletamine and Zolazepam

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16
Q

Telazol®️ can be administered…

A

IV, IM, or SQ

17
Q

Onset of action of Ketamine-Valium

A

30-90 seconds

18
Q

Duration of action of Ketamine-Valium

A

5-10 minutes

19
Q

The CO2 absorber must be changed every…

A

6-8 hours

20
Q

How is the size of the reservoir bag determined?

A

6x tidal volume (10mL/kg)= 60 mL/kg x the patients weight in kg

21
Q

Benefits of pre-oxygenation

A

Reduces the risk of hemoglobin desaturation and hypoxemia during the induction process

22
Q

Oxygen need for an induction box

A

4-5 L/min

23
Q

Pros of the induction box

A

Easy and good for wild or aggressive animals

24
Q

Oxygen need for dogs and cats

A

Dogs= 1 L; Cats= 500 mL

25
Q

When changing the position of the animal, always…

A

Disconnect the patient then reconnect

26
Q

What is the most reliable sign of inadequate anesthetic depth?

A

Responsive movement

27
Q

What is the normal ETCO2 awake and in an anesthetized state?

A

Normal= 25-40 mmHg; Anesthetized= 32-40 mmHg

28
Q

What should be done if the patient becomes hypotensive during anesthesia?

A

Administer crystalloid and/or colloid boluses

29
Q

Stage 1 of anesthesia

A

Period of voluntary movement

30
Q

Stage 2 of anesthesia

A

Period of involuntary movement

31
Q

Stage 3 Plane 1 of anesthesia

A

Intubation; unconscious but will react to pain/stimulation

32
Q

Stage 3 Plane 2 of anesthesia

A

Surgical plane; mild decrease in HR, RR, and BP, most protective reflexes are lost

33
Q

Stage 3 Plane 3 of anesthesia

A

The patients are deeply anesthetized (too deep)

34
Q

Stage 3 Plane 4 of anesthesia

A

Early anesthetic overdose

35
Q

Always assume that the patient is to…

A

Deep rather than too light

36
Q

What all is being monitored every 5 minutes?

A

Respiratory depth character and rate, MM color and CRT, HR and rhythm, pulse strength, jaw tone, eyes, oxygen flow rate and inhalant %, fluid drip rates, and temp

37
Q

Normal HR on a non-anesthetized patient

A

Dogs= 60-180 bpm; Cats= 120-240 bpm