Essentials of monitoring Flashcards

1
Q

Which species has the most increased risk of mortality during anaesthesia?

A

Horses

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2
Q

The aim of analgesia is to balance which 3 factors?

A

Unconsciousness
Analgesia
Muscle relaxation

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3
Q

Give some examples of CNS monitoring that should be carried out throughout anaesthesia

A
  • Reflexes
  • Anal tone
  • Eye position
  • Lacrimation
  • Changes in autonomic tone e.g. sweating
  • Muscle tone
  • Response to surgical stimulation
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4
Q

As anaesthesia deepens how will lacrimation change?

A

Decrease

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5
Q

Relaxed anal tone is a sign of?

A

Deep anaesthesia

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6
Q

How does eye position change during awake, light, medium and deep anasthesia?

A

As it enters being light, eye moves ventrally medially
Medium - eye can start to move centrally
Deep - eye will be in the centre

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7
Q

How can you determine very light analgesia from deep analgesia by looking at a patients eye?

A
  • Both will have a centrally placed eye

- Pupil much more dilated when the animal is in deep anaesthesia

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8
Q

At what stage of anaesthesia will an animals pupils be the least dilated?

A

When they are light

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9
Q

What are the normal HRs of the following species:

  • Horse
  • Dog
  • Cat
A
  • 20-40 bpm
  • 50-100bpm
  • 80-160bpm
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10
Q

What are mm colour and CRT indicators of?

A
  • Oxygenation and perfusion

- Blood volume and capillary tone

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11
Q

What are the normal RRs of the following species:

  • Horse
  • Dog
  • Cat
A
  • Horse: 4 - 10 breaths/ min
  • Dog: 10 - 20 breaths/ min
  • Cat: 15 – 30 breaths/ min
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12
Q

What signs may a tachypnoeic animal show?

A
  • Too light anaesthesia
  • Hypoxic
  • Hypercapnic
  • Poor analgesia
  • Acidosis
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13
Q

Which drug can be administered to a tachypnoeic animal under anaesthesia?

A

Methadone

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14
Q

Which drugs can be administered to a bradypnoeic animal under anaesthesia?

A

Isoflurane

Propofol

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15
Q

What is an oesophageal stethoscope used for?

A

To auscultate the heart and lung sounds

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16
Q

What is monitored by an ECG?

A

Electrical activity of the heart (not cardiac output)

17
Q

Which piece of monitoring equipment gives information regarding cardiac output and perfusion?

A

Arterial blood pressure

18
Q

Which values are given by arterial pressure and what are the normal ranges?

A

Systolic pressure: 80 - 140mmHg
Diastolic pressure: 50 - 90mmHg
Mean pressure: 60 - 90mmHg

19
Q

What is measured by pulse oximetry, and what is the normal value?

A

% saturation of haemoglobin with oxygen

normal = >95%

20
Q

Where is a pulse oximeter placed to gather information?

A

Thin, vascular tissue e.g. tongue, vulva

21
Q

What are limitations of pulse oximetry?

A
  • Hypoperfusion/ vasoconstriction
  • Bright lights
  • Movement
  • Anaemia
22
Q

What can be used in exotics to hear heart rate?

A

Doppler

23
Q

What is measured by capnography, and what is the normal range?

A

End tidal CO2

Normal end tidal CO2 is 35-45mmHg

24
Q

What are the 4 phases of a capnograph?

A

Phase I - inspiratory baseline at 0
Phase II - Expiratory upstroke (up to about 40)
Phase III - Expiratory plateau
Phase IV - Expiratory downstroke