Chapter 190 Anesthesia and Analgesia in the Emergency Room: An Overview

Question 1

What is wind-up pain?

Answer 1

When pain that is left untreated, this causes increased responsiveness in the dorsal horn of the spine and increased central sensation (hyperalgesia). This may decrease the effect of analgesics, higher doses are needed and the risk of side effects is higher.

Question 2

Which two opioids can cause histamine release?

Answer 2

Morphine and meperidine

Question 3

Which two opioids cause the most profound sedation in dogs?

Answer 3

Butorphanol and Morphine

Question 4

Henriksson has sedated a dog with a huuuuuge overdose of dexmedetomidine. The dog needs reversal asap or it will die, but she has lost the atipamezole. What other drug can she use?

Answer 4

Yohimbine

Question 5

How does ketamine work?

Answer 5

NMDA receptor antagonist

Question 6

Which of the enzymes COX1 or COX2, is the desired target when administrating NSAIDS?

Answer 6

COX2 (pain and inflammation)