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RUSVM Anesthesiology 2016 > Recovery > Flashcards

Recovery Flashcards

1
Q

How should you position the patient for Recovery?

A

Sternal Recumbency

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2
Q

What else do you have to do for the patient in Recovery?

A

Patent and clean airway

deflate endotracheal tube

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3
Q

What do you do if regurgitation happens during recovery?

A

Postural drainage (nose low)
Swab posterior pharynx with gauze before awakening
Remove ET tube with cuff inflated

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4
Q

What kind of monitoring do you do for patient recovery?

A

TPR IN ALL PATIENTS!
Pulse Ox in brachycephalics, upper or lower airway disease, or pulmonary pathology
Blood pressure in patients with hemorrhage, sepsis, hypovolemia

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5
Q

How long do you monitor the patient in recovery?

A

until they can hold head upright and maintain sternal recumbency

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6
Q

What should you be cautious about in recovery?

A

Bandages around the head or neck
Bandages around the thorax
Brachycephalics

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7
Q

What kind of supportive care should you provide in recovery?

A

Use active and passive warming to maintain or raise body temp
Stimulate patient if needed to increase level of consciousness: Change position or auditory and tactile stimulation

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8
Q

What kind of complications can you find in recovery?

A 
Pain 
Dysphoria 
Hypo- or hyperthermia 
Hypoventilation 
Hypoxemia 
Prolonged recovery
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9
Q

What signs should you look for with pain?

A 
TPR changes
Vocalization 
Posture/gait 
Interacting with caregivers
Guarding of painful sites
Behavior changes
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10
Q

What are the CV effects of pain?

A

Increased cardiac work load

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11
Q

What are the respiratory effects of pain?

A

Hypoventilation or hyperventilation, hypoxemia

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12
Q

What are the GI effects of pain?

A

Ileus

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13
Q

What are the Renal effects of pain?

A

Oliguria

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14
Q

What are the Hematologic effects of pain?

A

Risk of thromboembolism

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15
Q

What are the Immunologic effects of pain?

A

Impaired immune function

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16
Q

What are the Psychological effects of pain?

A

Anxiety, fear

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17
Q

What are the most painful surgical procedures?

A 
Thoracotomy
amputation 
ear resection 
pelvic repair 
cervical disc
18
Q

What are the moderately painful surgical procedures?

A 
Mastectomy
Mandibulectomy 
T-L Disc
Fracture stabilization 
cranial abdominal procedure
oavriohysterectomy 
enucleation 
corneal transplant
19
Q

What are moderate to mildly painful surgical procedures?

A 
Tracheostomy 
aural hematoma
castration 
caudal abdominal procedure
phacoemulsification
20
Q

What are the two keys to analgesia?

A

Multi-modal

Pre-emptive

21
Q

Opioid dysphoria

A

uncontrollable/unpleasant thoughts, difficulty with concentration, unpleasant bodily sensations, nervousness, anxiety

22
Q

What happens to a dysphoric patient with additional opioids?

A

will become more distressed

23
Q

What are the considerations you need to make to distinguish Pain v. Dysphoria?

A

What analgesics have been administered
Procedure
Patient temperment and breed
Surgical site pain

24
Q

If you administer short-acting opiod and it gets better….

A

Pain

25
Q

If you administer short-acting opiod and it gets worse….

A

Dysphoria

26
Q

What are the most effective treatments for warming?

A

Forced hot air device
Radiant heat device
“Hot Dog”

27
Q

What are the less effective treatments for warming?

A

Circulating warm water blanket
Heated Cage
Heated objects

28
Q

What is a dangerous treatment for warming?

A

Heating pads

29
Q

What causes hyperthermia?

A

Drugs
Airway obstruction
Pain

30
Q

Treatment of Hypoventilation

A

Delay extubation and continue IPPV
Clear airway
Reverse drugs

31
Q

Causes of Hypoxemia

A

Airway obstruction

Pulmonary pathology

32
Q

Treatment of Hypoxemia

A

Address the underlying cause
Position properly
Warming
Oxygen support

33
Q

What are the types of recovery?

A

Free recovery

Assisted Recovery

34
Q

What are types of assisted recovery?

A 
"Hand" 
Ropes inside recovery stall 
Ropes Outside recovery stall 
Sling recovery 
Pool recovery
35
Q

Alpha 2 agonists for horses

A

xylazine

romifidine

36
Q

Triple Drip

A

Guaifenesin
Ketamine
Xylazine

37
Q

What are alpha 2 agonists used for with equine anesthesia?

A

Visceral colic pain

38
Q

What is used for visceral pain in horses?

A

butorphanol

39
Q

What is used for somatic pain in horses?

A

somatic pain

40
Q

What are common complications with ruminant recovery?

A

Regurgitation +/- aspiration

Bloat

RUSVM Anesthesiology 2016 (38 decks)

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