ECC Flashcards

1
Q

How would you compensate for induction agent being administered too quickly?

A

Give 1-2 breaths and allow to start breathing spontaneously

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2
Q

What does an inspired CO2 of more than 0 indicate?

A

Rebreathing

- check sode lime and valves

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3
Q

What can cause tachycardia under GA?

A
  • pain
  • ligh anaesthesia
  • hypovolaemia
  • hypotension
  • hypoxaemia
  • hyerpcapinia
  • hyperthermia
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4
Q

How can you evaluate the cause of tachycardia?

A
  • palpate pulses
  • blood pressure
  • mm
  • evaluate blood loss
  • evaluate anaesthetic depth
  • check pulse ox, capnograph, blood gas O2 and CO2
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5
Q

How much blood does a cat and dog have?

A
  • cat 16ml/kg

- dog 19 ml/kg

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6
Q

How much blood can be lost acutely before intervention?

A

20% (monitor, as hypotension/tachycardia is too late!)

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7
Q

What is the half life of morphine?

A

4 hours

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8
Q

What side effect may morphine cause?

A
  • respiratory depression
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9
Q

What can ^ intrathoracic pressure due to leaving valves closed cause?

A
  • collapse of pulmonary capillaries (v preload)
  • compression of heart changes (v filling)
  • compression of aorta (^ afterload)
  • dramatic v CO -> circulatory arrest
  • alveolar damage and rupture -> pneumothorax, pneumomediastinum, pneumoperitoneum
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10
Q

What may occour in intubated cats?

A
  • kinking/blockage of the tube as v thin

- oxygen saturation decreases

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11
Q

What would you do if ET tube blockage is suspected?

A

squeeze tube to check if blockage, remove and replace ET tube or aspirate with urianry catheter

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12
Q

Causes of prolonged anaesthetic recovery?

A
  • hypothermia
  • hypoglycaemia (usually neonates)
  • anaesthetic OD
  • hepatic/renal failure
  • very thin or fat
  • hypovolaemia
  • hypotension
  • CV collapse
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13
Q

What may prolonged anaesthetic recovery cause?

A
  • brain hypoxia and brain death
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14
Q

How may brain hypoxuia be cause during GA?

A

Mouth held in open position compresses maxillary a. (dentals etc.)

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15
Q

What does dyspneoea with subcut emphysema suggest in cats?

A

Rupture trachea due to overinflated cuff
BAD
- radiograph to check for pneumomediastinum/pneumoperitoneum

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16
Q

What do you do in the case of a cardiopulmonary arrest due to anaesthetic OD?

A

> feel for pulses, listen with stethoscope, look for breathing efforts

  • intubate
  • ventilate
  • cardiac massage (2 min cycles)
  • reverse administered agents if possible (atipamizole etc.)
  • give adrenaline/phenylephrine/atropine
17
Q

What can occour if induction agent admininstered too quickly?

A
  • tachycardia, hypotension, apnoea