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?

A

No

17
Q

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

A

Saline

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
Q

What is the rate of fluid administration for the first hour?

A

10ml/kh/he

25
Q

What is the rate of fluid administration for the remainder of a procedur?

A

5ml/kg/hr

26
Q

What is a macro drop?

A

10 GTt/ml for dogs

27
Q

What are microscopes?

A

60gtt/ml for cats

28
Q

What are four contributing causes for hypothermia?

A

Inability to shiver
Decreased metabolic rate
Vasodilation
Open body cavities

29
Q

What are two ways to avoid hypothermia?

A

Don’t place on cold tables

Use towels blankets and heating pads

30
Q

What is an ideal way to heat patients?

A

Heating pad

31
Q

What temperature should animals not drop below?

A

97

32
Q

What can a low temp lead to?

A

Cardiac abnormalities

33
Q

What does ventilation prevent and what does it do?

A

Atelectasis by causing full expansion

34
Q

How often do you give an animal a breath?

A

Every five to ten min

35
Q

How long do you administer oxygen after the procedure?

A

5 min

36
Q

When does the recovery period start compared to when does it end?

A

Started from the end of anesthetic administration to the time when the animal is standing in its own

37
Q

When is prolegs recovery time seen?3

A

Long anesthetic procedures, sick or debilitated patients, use of injectable anesthetics

38
Q

What should you do as animal is recovering?4

A

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