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anesthesia 2 > Recovery > Flashcards

Recovery Flashcards

0
Q

Concern of respiration: 2

A

Hypoventilation and airway obstruction

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1
Q

Recovery period

A

The pd from the end of procedure until normal mentation returns

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2
Q

Concerns of cardiovascular system : 3

A

Hypotension, hypovolemia, arrhythmias

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3
Q

Concern with temperature : 2

A

Hypothermia

Hyperthermia

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4
Q

What temp indicates hypo and hyperthermia

A

99

102.5

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5
Q

Who are predisposed to hyperthermia

A

Sight hounds and cats

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6
Q

Causes of post-op excitement

A 
Hypothermia
Hypoxia- blue mm
Hypercarbia
Drugs
Breed
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7
Q

The pt will gradually progress back through..

A

The same anesthetic stages that were experienced through induction

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8
Q

Our role

A

Minimizing problems

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9
Q

If suspecting pain or fear..

A

Wake up slowly. Give pain meds before waking. Alleviate excitement with reversal

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10
Q

Signs of excitement

A

Biting thrashing

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11
Q

Pt may need to be wrapped/held

A

If thrashing is excessive

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12
Q

What not to give when tp is in recovery cage

A

Bowls water food foreign objects

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13
Q

How to keep pt warm

A

Warm towels, hot water bottles, hair air dryers, infrared lights, rice bag, heating pad, bubble wrap, incubator

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14
Q

Use o2 mask if..

A

Shivering

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15
Q

Keep o2 on …

A

5 min or until swallow

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16
Q

Check temp every 5 min until

A

Reaches 98.6-100, then q 3 hr

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17
Q

What to check every 5 min

A

TPR, mm color, CRT

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18
Q

Watch for excessive

A

Bleeding or licking at surgical site

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19
Q

What must be ensured throughout entire procedure

A

Pt comfort

20
Q

ET tube removed when

A

Signs of imminent arousal and swallow reflex.

22
Q

When to remove et tube - cats

A

Voluntary limb movements.. Keep in longer for cats- can lead to lyringeal spasms

23
Q

if a dental is performed, the cuff..

A

may only be partially deflated. keeps fluids accumulated to be removed

24
Q

analgesics are administered by the

A

request of the attending veterinarian

25
Q

administer analgesics before pain is experienced

A

pre-emptive

26
Q

after surgery, pt should be able to

A

sleep comfortably and demonstrate minimal signs of pain

27
Q

post-op problems include 10 things

A

removal of sutures by pt, aspiration of V+, pneumonia, hemorrhage, hypoglycemia, hypothermia, burns, shock, seizures, dyspnea

28
Q

pt is fully recovered when

A

awake and fully standing, eat/drink water the next day.

29
Q

when should sutures be removed

A

7-14 days (10)

30
Q

incisions should be inspected how frequently

A

minimum of twice a day until sutures are removed

31
Q

how to detect or measure pain

A

physiological response and behavioral signs

32
Q

physiological response: signs of pain

A

increased BP. dilated pupils, loss of appetite, salvation, V/D, tremors, decreased immune effects.

33
Q

what happens to cells when in pain

A

stressed WBC
increased- monocytes/neutrophils,
decreased- eosinophils/lymphocytes

34
Q

behavior signs of pain

A

vocalize, purring, facial expression, body pressure, decreased activity level, attitude, loss of appetite, grooming, change in bathroom habits

35
Q

treating pain improves..

A

healing time

36
Q

how often do we turn animals

A

every two hours to prevent bed sores/ulcers

37
Q

environmental management: nursing care

A

pillow/blanket, temp control, lube for eyes, expressing bladder, clean cage, clean off blood and soap residue.

38
Q

blood and soap are

A

irritants to skin

39
Q

drug therapies: opoids

A

morphine, oxymorphone, fentanyl, butorphanol

40
Q

drug therapies: dissociatives

A

ketamine

41
Q

drug therapies: nsaids

A

aspirin, ketoprofen, carprofen

42
Q

drug therapies: sedation/analgesia

A

alpha-2 agonist: xylazine, medetomidine

43
Q

drug therapies are given for how long

A

24 hours post-op

44
Q

pain scoring 0-4

A 
0-minimal
1- mild
2-mild, moderate
3- moderate 
4-moderate, severe
45
Q

which scoring numbers release pain

A

2,3,4

46
Q

methods of pain relief

A

local/topical. systemic. SQ, IM, oral, epidural.

47
Q

analgesic side effects the body-how?

A

depression of systems

48
Q

what systems in the body are affected by analgesia

A

central nervous, cardiovascular, respiratory

anesthesia 2 (7 decks)

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