PAP and Consent Flashcards
What does a Pre-Anaesthetic Check consist of? (6)
Period of fasting - reduce risk of vomiting/aspiration pneumonia
Assessment of history and physical examination - accurate weight
Diagnostic procedures - blood test
Anaesthetic protocol
IV Catheterisation - under direction of VS
Preparation of anaesthetic equipment, drugs and surgical equipment
Under ASA Risk Categories, what is Class 1 (I)?
Minimal risk:
Normal healthy animal with no underlying disease
E.g., OVH, castration, declaw, radiography
Under ASA Risk Categories, what is Class 2 (II)?
Slight risk:
Animal with slight-mild systemic disturbances, able to compensate, no clinical signs of disease
E.g., neonates or geriatric, obese, without shock, mild diabetes
Under ASA Risk Categories, what is Class 3 (III)?
Moderate risk:
Animals with severe systemic disease who is not compensating fully
E.g., anaemia, anorexia, moderate dehydration, low grade kidney or heart disease
Under ASA Risk Categories, what is Class 4 (IV)?
High risk
Animals with pre-existing systemic disease or disturbance of a severe nature that is a threat to life
E.g., severe dehydration, shock, anaemia, toxaemia, uncompensated heart disease
Under ASA Risk Categories, what is Class 5 (V)?
Grave/Extreme risk:
Patients not expected to survive more than 24hrs, moribund patients, surgery performed in desperation or to save life
E.g., advanced heart, kidney, lung, or endocrine disease, shock, major trauma
What is the importance of Pre-Anaesthetic Fasting?
Prevent vomiting/regurgitation during the procedure or in recovery.
- If vomiting does occur, then aspiration pneumonia is a risk.
Surgery should be postponed, or drugs may be given to induce vomiting if the animal is known to have eaten, if the procedure is urgent.
What information should be included on a consent form? (7)
Name, address and telephone number of practice
Name and address of owner
Contact telephone number(s)
Pet’s details – name, breed, age, sex, markings, neuter status, weight
Any relevant history e.g., drug reactions
Details of procedure – worded so the owner can understand, estimate of cost may be included
Owner or authorised person must sign – over 16/18 (16y/o can legally own the animal but are not financially liable for the animal) (18y/o is financially liable for the animal)
Who must consent be given by?
The owner or someone authorised to sign on the owners behalf (Informed Consent)
Owner must be aware of risks associated, had opportunity to ask questions and consider treatment options and fee estimates.
When are signed consent forms required?
For all procedures including diagnostics, medical treatments, surgery, euthanasia, and when an animal is admitted to the care of a VS.
