Exam 2 Equine Flashcards
Premed with _____ was associated with a reduced risk of anesthetic death
Acepromazine
Normal heart rate for horses
20-45 beats per min
2 most common arrhythmias in horses
1) Atrial fibrillation -> pathologic
2) 2nd degree AV block -> high vagal tone
_____ common in horses over 10 years of age, house inside
COPD -> Chronic Obstructive Pulmonary Disease
(progressive lung disease)
will hear crackles and wheezes
What drugs to use for COPD?
Bronchodilators
(clenbuterol/salbutamol)
3 indications for use of Acepromazine
adjunct with other sedatives
1) Provides some level of transquilization
2) Cardioprotective
3) Associated with reduced risk of anesthetic mortality
What drugs are potent sedatives and also anaglesics?
Alpha-2 agonist
What alpha-2 agonist is commonly used in horses?
Romifidine
What are the side effects of opioids in horses?
May cause excitement without other sedatives, give after alpha-2
What are opioids used for?
Sedation and analgesia
What is used for transquilisation of foals?
Benzodiazepines
6 combos of induction of anesthesia
1) Ketamine alone after alpha-2
2) Ketamine + diazepam or midazolam
3) Ketamine + propofol
4) Ketamine + guaifenesin
5) Ketamine + guaifenesin + benzodiazepine
6) Ketamine + thiopental + guaifenesin
Also, thiopental, propofol, and telazol
What is the only licensed inhalant for horses?
Isoflurane (MAC 1.3%)
TIVA for horses (for maintenance)
Triple Drip
1) Alpha-2 (xylazine)
2) Ketamine
3) Guaifenesin
in horses when using ECG, which lead is used?
Lead 1
(base-apex lead confirmation (RA and LA))
Which arteries can be used for arterial blood pressure?
Facial or transverse facial
Aim for MAP for adequate muscle perfusion
MAP > 70mmHg
Pulse oximetry:
What does it measure?
What is the minimum acceptable value?
Hemoglocin saturation
SaO2 > 90
In depth of anesthesia, what 3 things are suppose to happen?
1) No limb movement
2) No swallowing
3) No nystagmus
4 problems during equine anesthesia
1) Hypotension
2) Hypoventilation
3) Hypoxemia
4) Recovery (Myopathy/Neuropathy)
What drug can treat hypotension?
Dobutamine
How is CO2 (ventilation) measured?
Capnograph
How to treat hypoventilation?
IPPV
What is hypoxemia mainly due to?
V/Q mismatch
What drug can be use to hypoxemia?
Beta 2 agonist