Emergency & Critical Care Flashcards

1
Q

What vital sign should we always monitor closely during surgery?

A

Blood pressure - >80 systolic is great!

Maintaining adequate blood pressure is crucial for proper organ perfusion during surgery.

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2
Q

Is a SpO2 reading below 95 acceptable?

A

No

A SpO2 reading below 95 indicates potential oxygenation issues.

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3
Q

How can we check if a low SpO2 reading is accurate?

A

CRT, gums, tongue - pink & moist?

Checking capillary refill time (CRT) and the color of the gums and tongue helps assess oxygenation status.

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4
Q

What are the 3 main reasons why an animal may be too deep under anesthesia?

A
  • Anesthetic overdose
  • Pre-existing problem
  • Hypothermia

Recognizing these factors is essential to adjust anesthesia levels and ensure patient safety.

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5
Q

What is the first action to take when noticing something is wrong in the surgery suite?

A

Tell the vet!

Immediate communication is critical for patient safety.

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6
Q

What is the first step in the process of bagging a patient?

A

Close pop off valve all the way

This prevents air from escaping and allows for proper ventilation.

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7
Q

What should you monitor while bagging a patient?

A

Watch bag fill up

Ensuring adequate ventilation is essential for patient safety.

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8
Q

How should you squeeze the bag while bagging a patient?

A

Gently squeeze bag while watching the chest and manometer to ensure it does not go over 15-20 mmHg

Avoiding excessive pressure is crucial to prevent lung injury.

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9
Q

How often should you repeat the bagging process as needed?

A

Repeat every 5 seconds as needed

Regular ventilation helps maintain proper oxygen levels.

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10
Q

What must you remember to do at the end of the bagging process?

A

Open pop off valve

This allows for safe release of excess pressure and air.

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11
Q

Can neonate patients have the same dosage of injectable drugs as healthy adults?

A

No, they need ½ to 2/ 3 of the normal dose

Neonates have immature liver function affecting drug metabolism.

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12
Q

What is a key reason neonates require different dosages of injectable drugs?

A

They can’t metabolize drugs within the liver as it’s not fully mature

Liver immaturity in neonates affects their ability to process medications.

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