Quiz 4 Flashcards

1
Q

The reduction in alveolar minute ventilation leading to an insufficient elimination of CO2 from the body is known as…

A

hypoventilation

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2
Q

The insufficient amount of oxygen in arterial blood that results in reduced oxygen concentration is known as…

A

hypoxemia

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3
Q

The clinical situation where there is below normal arterial blood pressure is known as…

A

hypotension

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4
Q

The clinical situation where there is a body temperature that is below normal is known as…

A

hypothermia

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5
Q

Which of the following PaCO2 levels would be considered also known Hypercapnia?

A

50 mm Hg

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6
Q

Which of the following are contributors to hypoventilation?

A

anesthetic agents
increased mechanical dead space
exhausted CO2 absorbent

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7
Q

How can hypoventilation be prevented?

A

Providing an anesthetic patient 1 – 2 positive pressure ventilations / minute.

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8
Q

Which of the following is the most common cause of Hypoxemia?

A

V/Q mismatch

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9
Q

V/Q mismatch is defined as…

A

ventilation of a lung area without sufficient perfusion of the lung area.

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10
Q

Which of the following would be a cause of V/Q mismatch?

A

Long term lateral recumbency of a canine anesthesia patient
Atelectasis
Bronchial intubation

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11
Q

Severe hypoventilation, which can lead to hypoxemia, is of most concern during which period of anesthesia?

A

Recovery

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12
Q

Which of the following is / are a method(s) for preventing Hypoxemia?

A

Intubating and placing an anesthetic patient on 100% oxygen regardless of inhalation anesthetic use.

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13
Q

Treating Hypoxemia can be difficult. Of the following, which option would be recommended?

A

Positive pressure ventilation, holding the inspiratory pressure of 15 – 20 cm of H2O for 3-5 seconds.

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14
Q

A MAP that is less than 60 mm Hg in an anesthetized cat is an indication of…

A

Hypotension

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15
Q

Excessive Inspiratory Pressure (Inspiratory positive pressure ventilation – IPPV) can lead to…

A

increased pressure on the vena cava resulting in decreased blood returning to the heart (preload)

rupture of alveoli

pneumothorax and hypoxia

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16
Q

Which of the following could be used for treating hypotension?

A

Fluids
Inotropes
Sympathomimetics

17
Q

Relative Hypovolemia is due to…

A

Vasodilation

18
Q

Which of the following physical parameters may indicated hypovolemia?

A

Prolonged capillary refill time (CRT)

19
Q

What is the percentage of total blood volume loss that a healthy patient undergoing surgery
Would NOT be able to tolerate?

A

21%

20
Q

What is the ratio of the volume of crystalloids administered to the volume of blood loss?

A

3 ml for every 1 ml of blood loss

21
Q

Which of the following fluid types may be beneficial for the treatment of blood loss?

A

Hypertonic Saline
Synthetic Colloids
Blood Products

22
Q

Which of the following statements if FALSE for hypothermia?

A

The use of electrical heating pads or warming fluid bags in the microwave are acceptable methods of warming patients.

23
Q

Which of the following statements if FALSE for hypoglycemia?

A

Blood glucose levels are less important to monitor in pediatric patients than is healthy adults.

24
Q

Hyperthermia has many causes including anesthetic medication. Which of the following
statements if FALSE for hyperthermia?

A

The use of icepacks, full submersion in a cool water or alcohol bath is the treatment of choice for hyperthermia.

25
Q

Hyperventilation occurs when PaCO2 is less than 35 mm Hg. It can be caused by…

A

Pain perception during anesthesia
Positive pressure ventilation that results in an excessive tidal volume administration or an excessive respiratory rate
Hyperthermia

26
Q

Which of the following drugs would NOT have a side effect of hypertension?

A

Acepromazine

27
Q

Which of the following is / are appropriate treatment(s) for apnea of an anesthetic patient?

A

Decrease the delivery % of the inhalation agent
Use PPV until the patient begins spontaneous ventilation
Administer butorphanol if a pure Mu agonist had been administered.

28
Q

In general, which of the following anesthesia patients would be more prone to postoperative myopathy?

A

an 80 pound Labrador Retriever.

29
Q

Which of the following is / are a warning sign(s) for Cardiopulmonary Arrest CPA?

A

Agonal breaths
Unresponsive hypotension
Irregular pulses

30
Q

Which of the following from the lecture were drugs to be used cautiously or not at all
compared to the reading assignment?

A

Lidocaine and Doxapram