Patient Assessment and Preparation

Question 1

which dog breeds have specific anesthetic concerns?

Answer 1

brachycephalic
greyhound
doberman pinscher
giant breeds
herding breeds

Question 2

what are the anesthetic concerns with brachycephalic dogs?

Answer 2

regurgitation/aspiration risk
upper airway obstruction

Question 3

what are the anesthetic concerns with greyhounds?

Answer 3

stress hyperthermia
hyperfibrinolytic
altered drug metabolism

Question 4

what is the anesthetic concern with doberman pinchers?

Answer 4

von willebrand factor deficiency

Question 5

what is important to think about with giant breed dogs and anesthesia?

Answer 5

shorter lifespan
huge: “drug sensitivity”

Question 6

what is the anesthetic concern with herding breeds?

Answer 6

MDR1 mutation

Question 7

what does an ASA I classification mean?

Answer 7

normal healthy patient, should be okay with any drug

Question 8

which medications are important to know about when putting an animal under anesthesia?

Answer 8

NSAIDs
steroids
behavior-modifying medications
blood pressure medications
sedatives
analgesics

Question 9

what specific health issues should you look for when assessing a patient for anesthesia?

Answer 9

cardiovascular disease
respiratory disease
kidney compromise
liver abnormalities
gastrointestinal disease

Question 10

what can be given 30 minutes prior to leaving the house for the chill protocol?

Answer 10

oral transmucosal acepromazine

Question 11

what can you give to brachycephalics for gastrointestinal?

Answer 11

metoclopramide
omeprazole
cerenia?

Question 12

what should you give to a greyhound prior to surgery with potential for significant bleeding?

Answer 12

aminocaproic acid or tranexamic

Question 13

why do greyhounds have altered drug metabolism?

Answer 13

cytochrome P450 enzyme
body composition

Question 14

what can you give to a doberman who is deficient in won willebrands factor?

Answer 14

DDAVP
cryoprecipitate

Question 15

what is ASA 1?

Answer 15

normal healthy patient

Question 16

what is ASA 5?

Answer 16

moribund patient who is not expected to survive without operation

Question 17

what is ASA 4?

Answer 17

patient with severe systemic disease that is a constant threat to life

Question 18

what is ASA 3?

Answer 18

patient with moderate systemic disease

Question 19

what is ASA 2?

Answer 19

patient with mild systemic disease
or patient-specific concerns that would make change protocol
healthy still

Question 20

what is the morbidity and mortality likelihood for a sick rabbit under general anesthesia?

Answer 20

7.37%

Question 21

when are the odds of death significantly higher?

Answer 21

if no pre-anesthetic physical exam performed

Question 22

what should you do if a patient has a cough?

Answer 22

thoracic radiographs
CT scan

Question 23

what is prolonged fasting associated with?

Answer 23

increased risk of gastroesophageal reflux
increased gastric acidity
preoperative third, discomfort, +/- dehydration

Question 24

are there official recommendations for fasting from the ACVAA?

Answer 24

no

Question 25

how long should you fast a dog or cat?

Answer 25

at least 4 hours

Question 26

how long should you fast a neonate?

Answer 26

2-3 hours

Question 27

how long should you fast pediatrics?

Answer 27

4-6 hours

Question 28

what animals should be fasted for at least 12 hours?

Answer 28

small ruminants
cattle
pigs

Question 29

what can you give for gastrointestinal upset?

Answer 29

cerenia
antacids
prokinetics