CH 12 - Anesthetic problems and emergencies

Question 1

What are some errors (human error) that may lead to anesthetic problems and emergencies?

Answer 1

Failure to obtain an adequate history
Failure to complete a physical exam
Inadequate experience with anesthetic machine
Inadequate experience with anesthetic drugs
Incorrect administration of drugs
Inattention
Fatigue
Failure to recognize and respond to early signs of patient difficulty

Question 2

Define agonal

Answer 2

near death - crespiratory difficulties, gasping, labored breathing

Question 3

Define ambu bag?

Answer 3

manual resusitator

Question 4

CABDE?

Answer 4

circulation, airway, breathing, drugs, ECG

Question 5

ABCDEF?

Answer 5

airway, breathing, circulation, drugs, ECG, Fluids

Question 6

With a cat, arterial blood pressure is measured in?

Answer 6

millimeters of mercury

Question 7

Normal blood pressure for a cat is?

Answer 7

120 (systolic)

Question 8

What is the most common cardiovascular problem seen by the vet. anesthetist? caused by?

Answer 8

bradycardia

drugs (preanesthetics or general anesthetics

Question 9

What does each of these abbreviations mean in this equation? ABP = CO x SVR, with CO = HR x SV

Answer 9

ABP - Arterial blood pressure
CO - cardiac output
SVR- systemic vascular resistance (the degree of systemic arterial dilation or constriction)
HR - heart rate
SV - stroke volume (the volume of blood the heart pumps out with each contraction; influenced by the heart and the contractile force of the heart muscle)

Question 10

What is vagal tone?

Answer 10

Vagal tone is an internal biological process referring to the activity of the vagus nerve, the tenth cranial nerve located in the medulla oblongata of the brainstem.

Question 11

Normal Dog respiration during anesthesia?

Answer 11

8 to `15

Question 12

Normal Dog HR during anesthesia?

Answer 12

70 - 120

Question 13

Cats normal HR during anesthesia?

Answer 13

130 - 170

Question 14

Normal cat respiration during anesthesia?

Answer 14

normal 12 - 18
requires treatment less than 10
critical less than 6

Question 15

in dog or cat report to VIC when respirations are ___ during anesthesia?

Answer 15

less than 8 or greater than 20

critical less than 4

Question 16

body temp requiring treatment for cats and dogs during anesthesia?

Answer 16

less than 98 -or greater than 103 degrees farenheit

critical 95 or 104 degrees farenheit

Question 17

in dog Hr requires treatment during anesthesia when?

Answer 17

less than 60 or more than 140

critical when less than 40 or more than 175

Question 18

In dog arterial blood pressure at normal rate during anesthesia is?

Answer 18

100 (mean)

Question 19

In dog arterial blood pressure needing treatment at what rate during anesthesia?

Answer 19

less than 60 (mean)

critical is less than 50 (mean)

Question 20

HR needing treatiment during anesthesia?

Answer 20

less than 110 or more than 20

critical less than 100 or more than 225

Question 21

What do you do when you note time of arrest?

Answer 21

call for help, initiate respiratory support (ET tube, 100% oxygen, 1 breath for every 3 to 5 seconds, watch chest during bagging)

Question 22

solo CPR?

Answer 22

10 compressions alternately with 2 breaths

Question 23

Emergency drugs - doses?

Answer 23

Epinephrine 1:1000 = 0.1 mg
Atropine 0.5 mg/mL = 0.025 mg/kg
Lidocaine 20 mg/mL = 2 mg/kg
Sodium bicarbonate 1vmEq/mL = 1 mEq/kg
Prednisolone sodium Succinate (Solu-Delta Cortef) = 30 mg/kg