Anesthetic Monitoring Flashcards

1
Q

The most reliable sign of inadequate depth is

A

patient movement

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2
Q

Patients of a class 1 or 2 can be monitored every

A

5 mins minimum

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3
Q

Patients at higher risk should be monitored ________

A

continuously

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4
Q

Patients undergoing anesthesia for longer than how long should be monitored continuously

A

45 minutes

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5
Q

This can be postponed until after recovery or taken every 15-20 mins

A

Temp

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6
Q

The stages and planes of anesthesia

A
Stage I
Stage II
Stage III Plane I
Stage III Plane II
Stage III Plane III
Stage III Plane IV
Stage IV
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7
Q

This stage of anesthesia is the period of voluntary movement where patient begins to lose consciousness

A

Stage I

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8
Q

Stage of anesthesia where there is involuntary movement
AKA the excitement stage
Patient loses voluntary control, breathing is irregular, vocalizing, struggling, and paddling

A

Stage II

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9
Q

This is the stage of surgical anesthesia and subdivided into 4 planes
Progressive muscle relaxation

A

Stage III

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10
Q

Giving an agent too slow, Blowing the vein, mask induction, and lack of premeds could cause this stage to last longer

A

Stage II

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11
Q

The stage/plane of anesthesia that is considered too light for most procedures
Eyes rotated ventrally

A

Stage III plane I

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12
Q

Stage/plane that is the perfect level of depth for anesthesia
Mild increase in HR and RR

A

Stage III Plane II

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13
Q

Stage/plane that is considered excessively deep for most surgical procedures
Deeply anesthetized

A

Stage III Plane III

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14
Q

Stage/plane that is considered the period of early anesthetic O/D

A

Stage III Plane IV

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15
Q

This is the stage of anesthetic O/D

Resuscitation is necessary in order to save the pt

A

Stage IV

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16
Q

This device measures expired CO2

The amount of CO2 in the air that is breathed out by the patient

A

Capnograph

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17
Q

This is used as an indirect BP technique that is most accurate for arterial pressure

A

Doppler

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18
Q

This device is used to measure SpO2, a %age of saturation of HgB to O2
AKA how well blood carried O2

A

Pulse Oximeter

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19
Q

This can be used to detect HR and RR by placing it down the esophagus

A

Esophageal stethoscope

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20
Q

This is useful for detecting fluid overload using a jugular catheter
A direct method for getting BP

A

Central Venous Pressure

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21
Q

This measures PaCO2, partial pressure of CO2 in arterial blood

A

Blood Gas Analysis

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22
Q

Useful for determining heart rate and rhythm

Dx or monitoring tool

A

EKG

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23
Q

Dog HR under anesthesia

A

60-150 BPM

24
Q

Dog MAP under anesthesia

A

60-150 mm/Hg

25
Q

Dog RR under anesthesia

A

8-20 RR

26
Q

Dog temp under anesthesia

A

97-100

27
Q

Cat HR under anesthesia

A

120-180 BPM

28
Q

Cat MAP under anesthesia

A

60-150 mm/ Hg

29
Q

Cat RR under anesthesia

A

8-20

30
Q

Cat temperature under anesthesia

A

97-100

31
Q

Normal arterial SaO2

A

97% or more

32
Q

A PaO2 below 80mmHg (SpO2=95%) indicates

A

hypoxia

33
Q

The measurement of blood pH and dissolved O2 and CO2 in both arterial and venous blood

A

Blood Gas Analysis

34
Q

Blood gas analyzers measure

A

PaO2

35
Q

When using a capnograph, it should measure how much CO2 inhalation

A

0

36
Q

What is an alternate way to estimate the patient’s temperature?

A

Touching the patient’s ears and feet

37
Q

Most common complication of anesthesia

A

Hypothermia

38
Q

A true reflex that is present during light anesthesia and must return prior to extubation

A

Swallowing

39
Q

A true reflex that is strong in cats, making intubation challenging

A

Laryngeal

40
Q

True reflex that is a blink response to a light tap on medial canthus
Retained during light anesthesia and may be absent during surgical anesthesia

A

Palpebral

41
Q

You should delay extubation in what breeds?

A

Brachycephalic

42
Q

True reflex that is flexion or limb withdrawal in response to forceful pinching
Present in light anesthesia

A

Pedal

43
Q

True reflex where response is blinking to touching the cornea with sterile saline

A

Corneal

44
Q

This true reflex dimishes as depth increases, lost during deep anesthesia

A

PLR

45
Q

True reflex that is lost very early, blinking due to bright light being shined on retina

A

Dazzle

46
Q

True reflex where it is the flicking of the ear

A

Pinnal

47
Q

NOT a true reflex, but a depth indicator that indicates very light anesthesia
Ex: shivering

A

Spontaneous movement

48
Q

Not a true reflex, opening the mouth and assessing resistance to determine anesthetic depth

A

Jaw Tone

49
Q

Not a true reflex, size of anal orifice increases with excessive anesthetic depth

A

Anal Tone

50
Q

Not a true reflex

Orientation of the cornea to the palpebral fissure

A

Eye position

51
Q

When the animal is under light anesthesia, the eyes are

A

central

52
Q

When the animal is under medium anesthesia, the eyes are

A

ventromedial

53
Q

When the animal is under deep anesthesia, the eyes are

A

central

54
Q

Not a true reflex, but these dilate with the deeper the anesthesia

A

pupils

55
Q

Not a true reflex,

Oscillation of the eyeballs that is commonly seen in horses

A

Nystagmus

56
Q

Not a true reflex,

Normal salive and tear production decreases with anesthetic depth

A

Salivary and Lacrimal secretions