Recovery Flashcards
Hypothermia
unable to regulate temperature while anaesthetised
falls due to -
reduced shivering
vasodilation
reset thermoneutral point
open body cavity
cold gases
dry gases
wetting and prep
support -
bubble wrap, sock, heat pads, warm theatre
warm saline irrigation
warm water enema
circle systems - rebreathing warmer air
impacts increased pain, increased infections, delayed recovery
key areas to watch in recovery
heat loss
extubation - only when can swallow
IV access - leave in canula for 1 hour
common problems in recovery
prolonged recovery -
hypothermia
excessive pre med
too deep
hypoglycemia
choice of inhalant
choice of induction agent
airway obstruction -
debris or gauze - esp dental
bodily fluids
agitated recovery -
inadequate premed or analgesic
BOAS
sedation
analgesia
caution with steroids
leave IV in
leave tube in until sat up
check for regurgitation before taking out tube
maintain in sternal recumbency
tracheostomy may be needed
reintubate is SPO2 consistently low, obvious effort or distress, cyanosis or paradoxical breathing
effects of post operative pain
chronic pain
wound infection
wound breakdown and itnerference
diabetes mellitus (ocassional)
insulin resistance
welfare concerns
unhappy owners
post operative analgesia
intermittent blus or CRI
monitor using pain scales
pain scales
dog -
short form glasgow pain scale - validated - vocalisation, attention to wound, mobility, response to touch, demeanour, posutre/activity
cat -
boucau and glasgow RCMPS-F
