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Anesthesia > Intro to Anesthesia p2 > Flashcards

Intro to Anesthesia p2 Flashcards

1
Q

Importance of anesthetic logs (6)

A
  1. Serves as legal doc
  2. Set anesthetic protocol for any future events for patient
  3. Documents vital signs & trends intraoperatively, so problems are recognized early!
  4. Fill out completely and accurately
  5. “Tells the story” of anesthetic event
  6. Very important to Pt medical record
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2
Q

What do we monitor every 5min? (2)

A
  1. Cardiovascular: Perfusion
    - HR/rhythm
    - Pulse rate & quality
    - MM color & CRT
    - Blood pressure
  2. Respiratory
    - Rate
    - Saturation
    - ETCO2
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3
Q

What do we monitor every 15min? (2)

A
  1. Body temp
  2. Fluids given
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4
Q

What do we monitor on an anesthetic log? (8)

A
  1. Cardiovascular system
  2. Respiratory
  3. Body temp
  4. Fluids given
  5. Breathing system
  6. Drugs administered
  7. Anesthetic settings
  8. Anesthetic & Sx events
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5
Q

Tech senses
1. Sight
2. Sound
3. Smell
4. Touch

A
  1. Sight: Watch for changes in MM color, Pt movement, change in respirations.
  2. Sound: Listen to HR & rhythms.
  3. Smell: Presence of anesthetic gas
  4. Touch: Feel changes in pulse rates
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6
Q

What is this?

A
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7
Q

Pulse oximeter measures how much (%) of the available ___ is ___ with O2. The probe sensors emit wavelengths of ___ which are transmitted thru ___ and detector senses the ___.

A

1 & 2. Hemoglobin is saturated
3. Light
4. Tissue
5. Light

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8
Q

SPO2 %
___% Good
___% Look for cause
___% Find & correct

A

> 95% Good
92-94% Look for cause
<92% Find & correct

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9
Q

Lingual sensor can be used where? (3)

A
  1. Tongue
  2. Ear pinna
  3. Toe webbing
    Really any hairless region
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10
Q

Reflectance probe can be used where using a protective sleeve? (2)

A

Rectum or underside base of tail

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11
Q

Universal C-clamp can be used where? (2)

A
  1. Feet
  2. Hocks
    Among other regions
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12
Q

Blood pressure
Systolic is during ___ contraction. Diastolic is ___ pressure during cycle. The mean is the average pressure over ___ cycle (MAP).

A
  1. Ventricular
  2. Lowest
  3. One cycle
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13
Q

Normal BP values
Systolic:
MAP:

A

Systolic: 80-140mmHg
MAP: 70-90mmHg

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14
Q

Name two indirect BP monitors

A

Doppler & Oscillometric

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15
Q

Doppler measures ___ only

A

Blood pressure

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16
Q
  1. Probe placements (3)
  2. Cuff % to Pt leg
    - Canine __%
    - Feline __%
A
  1. Metacarpal, caudal to metatarsal, or tail
  2. Cuff %
    - Canine 40% circumference
    - Feline 30% circumference
17
Q

Doppler cuff sizing
Too wide:
Too narrow:

A

Wide: Underestimate BP
Narrow: Overestimate BP

18
Q

Oscillometric measures pressure ___ under the cuff. As cuff slowly deflates & flow returns the ___ & ___ are found and the ___ is calculated.

A
  1. Oscillations
  2. Systolic
  3. Diastolic
  4. Mean, MAP
19
Q

Direct BP requires ___ catheter & is indicated for ___ patients. It gives ___ time readings. Can be very hands off and ___ ___ for the patient.

A
  1. Arterial
  2. Critical
  3. Real time
  4. Stress free
20
Q

Capnometer (or Capnograph) measures and evaluates CO2 in patients ____ by measurement of ____.

A
  1. Breath
  2. Ventilation
21
Q

Capnometer or Capnograph ranges
Safe:
Too high:
Too low:

A

Safe: 30-45mmHg
Too high: Hypoventilation. Pt producing too much CO2 or not expelling sufficient CO2.
Too low: Hyperventilation

22
Q

Why is ventilation important? (3)

A
  1. not ventilating, not inhaling anesthetic gas, patient will wake up during Sx
  2. If hypoventilating, blood pH will become acidotic
  3. Hyperventilating, blood pH will become alkalotic
23
Q

Apnea monitor
1. What does it assess?
2. No assess?

A
  1. Beeps following Pt expiration and will alarm after X amount of time without detected expiration.
  2. Doesn’t assess quality of breath
24
Q

ECG/EKG lead placement in right lateral recumbency
Front right:
Front left:
Rear right:
Rear left:

A

Front right: White
Front left: Black
Rear right: Green
Rear left: Red
“Snow on grass”
“Smoke over fire”

25
Q

The electrocardiogram (ECG/EKG) is used as an indicator of ___ activity in the heart

A

Electrical

26
Q

What are four questions to ask/answer for rapid analysis of an ECG/EKG?

A
  1. Is the rate normal or abnormal?
  2. Is the rhythm normal or abnormal?
  3. If there is an abnormality, is it ventricular or supraventricular in origin?
  4. Is there is an abnormality, do I need to treat it?
27
Q

Name these EKG readings

A
28
Q

Name these EKG readings

A

Anesthesia (14 decks)

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