Deck 4 Quiz Flashcards

1
Q

Body condition scoring (BCS) is a system

A

is a system developed by vets to help assess correct weight

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2
Q

Indication for paravertebral block is used for what surgeries

A

rumenotomy, caeserean section

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3
Q

During preanesthetic evaluation of the patient you will not

A

check the ocular fungus (tror denne)

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4
Q

3 types of crystalloid solution

A
  • Hypotonic - 0.45% NaCl or 2.5 % Dextran/NaCl
  • Isotonic - 0.9 % NaCl
  • Hypertonic - 7% NaCl
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5
Q

Percentage of hypertonic solution

A

0.45% NaCl or 2.5 % Dextran/NaCl

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6
Q

4 contamination levels of surgery

A

a. Clean
b. Clean - contaminated
c. Contaminated
d. Dirty

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7
Q

Surgical area is divided into 2 areas: where and what is included in each?

A

a. Clean area - operating theatre, scrub area, sterile stores
b. Contaminated area - patient preparation area, changing room.

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8
Q

Parameters that can be monitored during anaesthesia using senses (5stk)

A

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9
Q

define pulse oxymetry

A

Pulse oximetry is a non-invasive medical technique used to measure the oxygen saturation (SpO₂) level of a person’s blood. It provides an indirect estimate of arterial oxygen levels by detecting the percentage of hemoglobin in the blood that is saturated with oxygen.

This method uses a device called a pulse oximeter, which typically consists of a small probe or sensor that is placed on a thin part of the body, such as a fingertip, earlobe, or the foot in infants.

Key Metrics:
SpO₂ (oxygen saturation): Normal levels typically range from 95% to 100%.
Pulse rate: The device may also display the pulse rate (heartbeats per minute).

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10
Q

define tidal volume

A

Tidal volume (TV) refers to the amount of air that is inhaled or exhaled during a normal breath when the body is at rest. It is a key parameter in respiratory physiology and represents the volume of air moved into or out of the lungs with each breath under normal, unforced conditions.

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11
Q

write benzodiazepines + primary effect

A

Benzodiazepines:
A class of psychoactive drugs primarily used for their sedative and anxiolytic (anti-anxiety) properties. They act on the central nervous system by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA), which reduces neural activity.

Primary Effects:
Anxiolytic (Anti-Anxiety): Relief of anxiety symptoms.
Sedative-Hypnotic: Induction of sleep and calming effects.
Muscle Relaxant: Reduction of muscle tension and spasms.
Anticonvulsant: Prevention or treatment of seizures.
Amnesic: Induces short-term memory impairment (useful during medical procedures).

Examples of Benzodiazepines and Common Uses:
- Diazepam (Valium): Anxiety, muscle spasms, seizures.
- Midazolam: Preoperative sedation and anesthesia.

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12
Q

side effects of acepromazine

A

Common Side Effects:
1. Sedation and Lethargy:
Drowsiness is the intended effect but may be excessive in some animals.
2. Hypotension:
Low blood pressure due to vasodilation, which can be problematic in dehydrated or critically ill animals.
3. Bradycardia:
Decreased heart rate, particularly in sensitive animals.
4. Decreased Respiratory Rate:
Mild respiratory depression, especially in high doses or when combined with other sedatives.

Breed-Specific Concerns:
1. Boxers:
Can experience profound bradycardia and hypotension; use with caution.
2. Brachycephalic Breeds (e.g., Bulldogs):
More prone to respiratory depression.
3. Giant Breeds and Greyhounds:
May exhibit exaggerated sedation due to sensitivity.
4. Terriers and Cats:
Often less sensitive to sedative effects and may require higher doses.

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13
Q

indication of atropine

A

Indications for Atropine in Veterinary Medicine:
1. Pre-Anesthetic Use:

To reduce salivation and respiratory secretions during surgery or anesthesia.
Helps prevent bradycardia (slow heart rate) associated with some anesthetics or surgical vagal stimulation.
2. Emergency Situations:

Bradycardia:
To treat severe bradycardia or heart block caused by increased vagal tone (e.g., during anesthesia, trauma, or drug reactions).
Cardiac Arrest:
Used during cardiopulmonary resuscitation (CPR) to counteract vagal-mediated cardiac arrest.
3. Treatment of Organophosphate or Carbamate Toxicity:

Organophosphate poisoning inhibits acetylcholinesterase, leading to excessive parasympathetic stimulation. Atropine counteracts this by blocking muscarinic acetylcholine receptors.
Symptoms treated include:
Salivation
Lacrimation (tear production)
Urination
Defecation
Bradycardia
Bronchoconstriction
4. Bronchodilation:

In some cases, used to alleviate bronchoconstriction (though other drugs, like beta-agonists, are more common for this purpose).
5. Ophthalmic Use:

To dilate the pupil (mydriasis) during eye exams or surgery.
To relieve pain and prevent adhesions in conditions like uveitis.
6. Gastrointestinal Spasms:

Occasionally used to reduce gastrointestinal motility and spasms in certain conditions.

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14
Q

Why barbiturates prolong recovery in these dogs - whippet, afghans etc)

A

Sight hounds like Whippets and Afghans experience prolonged recovery from barbiturates due to their low body fat (less redistribution of the drug), reduced liver metabolism (slower breakdown of barbiturates), and genetic factors affecting drug processing. These traits lead to higher concentrations of the drug in the brain for longer periods.

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15
Q

Alpha2 agonist and their antagonists

A

Alpha-2 Agonists (Veterinary Medicine):
Examples: Xylazine, Medetomidine, Dexmedetomidine, Detomidine.
Uses:
Sedation
Analgesia
Muscle relaxation
Pre-anesthetic medication
Mechanism: Stimulate alpha-2 adrenergic receptors, reducing norepinephrine release, leading to CNS depression.
Alpha-2 Antagonists:
Examples: Yohimbine, Atipamezole, Tolazoline.
Uses:
Reverse sedation and analgesia caused by alpha-2 agonists.
Restore normal cardiovascular and respiratory function.
Mechanism: Block alpha-2 adrenergic receptors, counteracting the effects of agonists.
Key Points:
Agonists: Provide sedation and pain relief but can cause bradycardia, hypotension, and respiratory depression.
Antagonists: Used to reverse these effects, ensuring rapid recovery.

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16
Q

Example of dissociative anaesthetic

A

An example of a dissociative anesthetic in veterinary medicine is Ketamine.

Uses:
Induction and maintenance of anesthesia.
Provides analgesia and cataleptic state.
Often combined with other drugs (e.g., benzodiazepines) to enhance sedation and muscle relaxation.

Mechanism:
Blocks NMDA receptors, disrupting nerve transmission and creating a dissociative state.

17
Q

Does inhalation aesthetics increase or decrease IOP (intra ocular pressure)

A

Inhalation anesthetics generally decrease intraocular pressure (IOP).

Mechanism:
Muscle relaxation: Reduces extraocular muscle tone, lowering IOP.
Decreased aqueous humor production: Some inhalants reduce the production of aqueous humor in the eye.
Systemic hypotension: Lowers perfusion pressure, contributing to reduced IOP.

Exceptions:
Certain actions during anesthesia (e.g., coughing, straining, or laryngoscopy) can temporarily increase IOP due to increased venous pressure

18
Q

ways of mechanical ventilation

A

Types of Mechanical Ventilation in Vet Surgery:

  1. Controlled Mechanical Ventilation (CMV): Ventilator controls all breaths.
  2. Assisted Ventilation: Supports spontaneous breathing.
  3. Intermittent Positive Pressure Ventilation (IPPV): Delivers periodic positive pressure breaths.
  4. Volume-Controlled Ventilation: Delivers preset tidal volume.
  5. Pressure-Controlled Ventilation: Delivers breaths at preset pressure.
  6. Manual Ventilation: Hand-controlled with a rebreathing bag.
  7. High-Frequency Ventilation: Rapid, small breaths for specialized procedures.

Monitoring: Adjust based on blood gases, capnography, and SpO₂.

19
Q

quantitiative method of respiratory measurement: (3)

A
  1. Capnography: Measures end-tidal CO₂ (ETCO₂) to assess ventilation and gas exchange.
  2. Spirometry: Evaluates tidal volume, respiratory rate, and lung capacity.
  3. Blood Gas Analysis: Measures arterial or venous oxygen (PaO₂), carbon dioxide (PaCO₂), and pH.
20
Q

epidural anaesthesia in cow can be performed

A

at the sacrococcygeal and coccygeal space