Anesthetic Pre-Operative Evaluation Flashcards
the ideal anesthetic technique involves (3)
- loss of consciousness
- stability of organs/systems
- analgesia
how can anesthesia be achieved (broadly) (3)
- injectable
- inhalant
- combination or injectable and inhalant
what are some factors that influence anesthetic protocol (4)
1) age
2) species
3) positioning
4) diagnostic vs surgical procedure
5) safety
6) history
7) standing vs general anesthesia
what are 3 ideal pieces of information needed for anesthetic protocol
1) history
2) physical exam
3) blood work
how many ASA Classifications exist in veterinary medicine and which is left out
5 (I - V); VI left out
Define the following classifications:
I
II
III
IV
V
E
I: normal, healthy
II: mild systemic disease
III: severe systemic disease
IV: severe systemic disease that is a constant threat to life
V: a moribund patient that is not expected to survive without the operation
E: emergency - added to other classifications
what species has the highest anesthetic mortality risk
horses
do dogs or cats have a higher anesthetic mortality risk
cats
medical history should be:
straightforward questions with straightforward answers
regarding history, physical exam and bloodwork, what is important to do every time and when would you do the other
always want to do physical exam and history; if patient is low classification not as important to do bloodwork but you want to do if patient is a risk
if you do decide to do bloodwork, what is important
that you actually interpret and use the information provided on the bloodwork
what lab data has to do with pancreatic function
lipase and amylase
what lab data has to do with muscle
CK
what lab data has to do with kidneys
SDMA, creatinine, urea
regarding polypharmacy, we want to consider the effects of multiple drugs on: (3)
- cardiovascular system
- drug interactions
- pain management
