LAB: supportive measures for anesthetized patient Flashcards

0
Q

What are IV fluids?

A

Solutions that consist of one or more dilutes dissolved in water

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1
Q

What are four reasons to give IV fluids?

A

Anesthesia causes a decrease in cardiac output and circulatory blood volume
Fluid loss during sx
Sick animals have sub clinical dehydration
Stress

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2
Q

What are three classifications of IV fluids?

A

Crystalloid, colloid, hemoglobin based oxygen carriers

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3
Q

What is a crystal loud solution?

A

Contains water and small molecular weight diluted that can pass freely through vascular endothelium

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4
Q

What electrolytes can solutes contain?

A

Na+, K+, Mg2+, Ca2+, Cl-

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5
Q

What are three things solutes contain?

A

Dextrose and alkaline agents, electrolytes

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6
Q

What are three alkalizing agents?

A

Acetate, glauconate, lactate

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7
Q

How soon do administered clouds leave the circulatory system?

A

30min

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8
Q

What is an electrolyte?

A

A substance that when dissolved in water separates into positive and negative

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9
Q

What are three classifications of crystalloid fluids?

A

Isotonic, polyonic, and replacement solutions

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10
Q

What are isotonic solutions?

A

Osmolarity is similar to osmolarity in the animal

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11
Q

What is the osmolarity of plasma?

A

300 mOsm/L

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12
Q

What are three examples of isotonic solutions?

A

Lactated ringers, plasma lyte and r, and normo sol-r

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13
Q

What are isotonic, polyonic, and replacement solutions used for?

A

Used for fluid therapy that extends over a long period of time

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14
Q

What do isotonic, polyonic, and replacement solutions contain lower concentrations of?

A

Na+, and Cl-

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15
Q

What does normal saline contain?

A

na+ and cl- in water

16
Q

Is saline balanced?

17
Q

What is sometimes used instead of isotonic, polyonic, and replacement solutions?

18
Q

What do you do with dextrose?

A

Can be added to water or to another polyonic crystalloid solution to create solutions with dextrose concentrations

19
Q

What are colloids?

A

Contain large molecular weight diluted that are not able to pass through vascular endothelium

20
Q

What do colloids support?

A

Expansion of blood volume by creating an osmotic force within the intravascular space that draws water and keeps it from escaping

21
Q

What do colloids contain?

A

Synthetic molecules and natural molecules

22
Q

What synthetic molecules do colloids have?

A

Dextran, pentastarch, and hetastarch

23
Q

What natural molecules does colloids have?

A

Plasma and while blood

24
What is the rate of fluid administration for the first hour?
10ml/kh/he
25
What is the rate of fluid administration for the remainder of a procedur?
5ml/kg/hr
26
What is a macro drop?
10 GTt/ml for dogs
27
What are microscopes?
60gtt/ml for cats
28
What are four contributing causes for hypothermia?
Inability to shiver Decreased metabolic rate Vasodilation Open body cavities
29
What are two ways to avoid hypothermia?
Don't place on cold tables | Use towels blankets and heating pads
30
What is an ideal way to heat patients?
Heating pad
31
What temperature should animals not drop below?
97
32
What can a low temp lead to?
Cardiac abnormalities
33
What does ventilation prevent and what does it do?
Atelectasis by causing full expansion
34
How often do you give an animal a breath?
Every five to ten min
35
How long do you administer oxygen after the procedure?
5 min
36
When does the recovery period start compared to when does it end?
Started from the end of anesthetic administration to the time when the animal is standing in its own
37
When is prolegs recovery time seen?3
Long anesthetic procedures, sick or debilitated patients, use of injectable anesthetics
38
What should you do as animal is recovering?4
Prevent hypothermia, check vitals every 5-10 min, rotate animal from side to side every 15 min, and remove encores heal tube when animal chews or swilled