paediatric patient

Question 1

Central nervous system

Answer 1

BBB is more permiable that adult, fast drug onset

Question 2

respiratory system

Answer 2

poor lung elasticity in first 6 weeks
tongue is large in relation to mouth structure

Question 3

renal and hepatic system

Answer 3

limited liver enzyme function until 5 weeks - slowered drug metabolism
renal excretion of drug is limited until 8 weeks - slower drug excretion

Question 4

thermoregulatory system

Answer 4

lack ability to shiver ato compensate for decreasing body temp

Question 5

risk of drug overdose anaesthetic concern

Answer 5

faster drug uptake due to BBB permeability
slower drug metabolism and excretion

Question 6

pain management

Answer 6

opioids preferred
reversible
recommend to decrease dose
morphine, methadone

Question 7

sedation

Answer 7

benzodiazepines preferred
reversible
decreased dose recommended
diazepam

Question 8

alpha 2 agonist

Answer 8

not licenced for puppies <16weeks kittens <12weeks
metatomidine

Question 9

acepromazine

Answer 9

not recommended
no reversal
vasodialation

Question 10

induction

Answer 10

propofol, alfaxalone - short acting
dose to effect

Question 11

fasting

Answer 11

no longer than 2hrs
no fasting for suckling parents

Question 12

anaesthetic management

Answer 12

pre O2 for 5min
minimal clip and prep
keep warm

Question 13

recovery

Answer 13

thermal support
reversals ready
patient comfort