Test 1 Flashcards
Level of anesthesia that allows for painless surgery
Surgical anesthesia
When is the only time that the breathing system pressure gauge not be at zero?
Leak checks
IPPV
For every 10cm increased distance from the heart, the BP measurement should be increased by ____ to compensate for the distance
7.5
Benzos are often added to what induction agents?
Ketamine
Propofol
Etomidate
MAC of Des?
7.2
Loss of sensitivity to pain
Analgesia
Reversal of benzodiazepines
Flumazenil
Central venouse pressure allows you to determine what?
If you can add more fluids
What other premed drug class cannot be given with anticholingergics?
A2 agonists
ROA of A2 agonists
IV
IM
Buccal
Epidural
How do we adjust drug doses for small animals?
Increase! Faster metabolic rate
E cylinder empty weight in KG
6kg
Uremia, severe dehydration, cardiac abnormalities, GDV or colic would classify a patient as what ASA?
ASA4
Microsomal enzyme inducers have their max effect after how many days?
5 days
Which opiod does not cause a histamine release?
Oxymorphone
Effect of inhalants on ventilation? pCO2? Bronchospasm?
Decreased
Increased
Decreased
If your patient is shivering in recovery, what should you do?
Give A2 agonist and meperidine
What premed drug delays inhalant elimination?
Opioids
Another name for the pop off valve?
APL
DOA of Etomidate?
10min
Induction agent that doesn’t act on GABA?
Dissociatives (Ketamine, Tiletamine, Telazol)
An animal with skn tumors, fractures, local infection, minor cardiac issues and cryptorchid would be classified as what ASA?
ASA2
Horses tend to have nystagmus in what stage of anesthesia?
Stage 2
Non cumulative induction agents?
Etomidate
Propofol
What should be the last meter in the series?
Oxygen
What is “kitty magic”
Dexmedetomidine, Butorphanol, Ketamine
When should you remove ETT in brachycephalics?
when reflexes come back and jaw moves
Pressure reduction valve reduces tank pressure to what psi?
50psi
A2 agonists are best for what kind of pain?
GI pain
What side of the anesthetic machine is the Wright’s respirometer better on?
Inspiratory
CRI TIVA drugs for LA?
Ketamine
Pulse oximeter represents what parameter of blood?
% of hemoglobin saturated with oxygen
Phenothiazines have a synergistic effect with these types of drugs, allowing for a reduced dose!
Analgesics
Ace is often given in combo with what type of drug?
Opioid
MOA of Butorphanol?
Mu antagonist
Kappa agonist
N2O can cause hypoxemia if over what %?
75%
Neuroleptic agent combined with and analgesic agent. Heavy sedation and analgesia
Nauroleptanalgesia
Relaxed jaw tone is seen in what species in stage 3 of anesthesia?
Small animals
Arteries used for invasive/direct BP in cattle?
Auricular
Which opiod is least likely to cause vomiting?
Methadone
Effects of Alphaxalone on the Cardio system?
Minimal depression
Increased HR
Decreased CO
When are anticholingergics indicated as a premed?
High vagal tone
Pediatrics
What MAC prevents adrenergic response?
MAC bar
What induction agent should not be used in sight hounds?
Thiopental
Desired effect of using propofol?
Great muscle relaxation
Contraindication of dissociative anesthetics?
Arrhytmias
Brain trauma (increases pressure)
IOP
Drug induced unconsciousness characterized by congtrolled, reversible depression of the CNS, loss of pain perception, can’t be aroused
General anesthesia
Anesthesia induced by multiple drugs targeted to attenuate individual components of anesthetic state
Balanced anesthesia
Cardio effects of propofol?
HR stable
All other parameters decrease
A2 agonist are often given with what drugs? What are our A2 agonists?
Opioids
Xylazine, Dexmedetomidine, etc
What ASA level is an elective surgery on a healthy animal?
ASA1
What opioid can reverse pure mu agonists?
Butorphanol
Best induction agent for cardiac patients?
Etomidate
Adjunct to induction agents that acts as a local anesthetic?
Lidocaine
What does BP measure?
Indirect measurement of perfusion
Effect of phenothiazines on BP?
Hypotension
Don’t give epi, will only further it
Highest to lowest vapor pressure?
Des
Halo
Iso
Sevo
Mac is_____ in cats than dogs
Higher
What receptor does methadone act on?
Pure mu
Possible MNDA
MOA of dissociative anesthetics?
NMDA Antagonists
Calculation of TIVA clearance?
Dose
__________
AUC
Arteries used for invasive/direct BP in the cat?
coccygeal
Which benzodiazepine is a better choice for sick, old patients
Midazolam
Diphenhydramine should be given prior to what surgery? Why?
Mast cell tumor removal
H2 antagonist
E and H oxygen tank cylinder pressure
2200psi
How should drugs be adjusted for animals that are in poor condition?
Lower the drug dose
Psi at which tanks should be changed
500psi
Dexmetomidine onset and duration
Onset: 1-3m IV, 5-10 IM
Effect: 90-120m
Rebreathing can be seen as what on the capnography graph?
Basline not returning to 0
Alphaxalone is unpredictable in what species?
Cats
Which breathing system is better for smaller patients?
nonrebreathing
With the capnography graph, a value below 40 and increased wave frequency represents what respiratory condition?
Hyperventilation
Non rebreathing systems should always be used in patients under what weight?
3kg
Premed effects of Dopamine?
Tranquilizer
Anti-emetic
Some muscle relaxation
No analgesia
Arrhythmias become apparent in what stage of anesthesia?
Stage 2
Ventricular depolarization is what part of the ECG?
QRST
Premed effect of A2 agonists?
Sedation
Muscle relaxation
Analgesia
Receptor and function of Famotidine and Ranitidine?
H2 antagonist
Decrease acid
What percent of correct diagnoses are made with history and PE alone?
73%
Adjunct to inductin agents that acts as a muscle relaxant and anticonvulsant?
Benzodiazepines
In a very debilitated patient, what combination of induction agents with minimize CV and respiratory depression?
Opioid with a Benzo
Ex: Fentanyl with Midazolam
MOA of benzodiazepines?
GABA activation
Breath holding is characteristic of what stage of anesthesia?
Stage 1
What induction agent should not be given with Addisons disease or GI obstructions?
Etomidate
E cylinder oxygen capacity in Liters?
660
Apnea becomes apparent in what level of anesthesia?
Stage 4
You add to the vaporizer when the level gets below what mark?
Half-Full
What premed is contraindicated in vWD and other clotting disorders?
Ace
ROA of etomidate?
IV only
Avoid CRIs (acute hemolysis)
What ASA is a surgery performed on a mildly diseased animal?
ASA2
Reversal of atipemazole?
Dexmetomidine
What happens if the pop off valve is closed?
Barotrauma
How should anticholingergics be administed?
IV, IM, SQ
If IV: give 1/2 IV, 1/2 IM
Which species does morphine not work well in?
Cats (no metabolite)
MOA of Alphaxalone?
GABA
Can you control the concentration of anesthetic with a VIC?
No
How is BP calculated?
BP= CO x SVR
Respiratory irritation happens at what % of Desflurane?
7%
N2O:O2 ratio should not exceed….
2:1
Explain the ECG leads in large animals…
White- right jugular furrow
Black- ventral apex of heart
Red- remote site
LEAD 1
Kinetic energy increases/decreased with temperature
Increases
Calculation of TIVA loading dose?
Cp x Vd
Which vaporizer is special in that it heats up the anesthetic?
Desflurane
Premed effect of benzodiazepines?
Muscle relaxation
Minor sedation
No analgesia
MOA and effect of Maropitant?
NK1
Motion sickness
What type of pain will you see morphological and physical changes in addition to behavior changes?
Chronic
(Acute is just behavior issues)
Label this diagram…
A-B?
B-C?
C-D?
D-E?
Which is the ETCO2 value?
A-B: Baseline
B-C: Expiratory upstroke
C-D: Expiratory
D: ETCO2 value
D-E inspiration
DOA of morphine and hydro?
4-6h
Induction agent containing Propylene Glycol?
Etomidate
ROA of Diazepam
IV- bradycardia, hypotension, apnea
IM-noooooo!!!!
Arteries used for invasive/direct BP in the horse?
Facial
Lateral metatarsal
Which ET tubes don’t have a cuff, but go into the trachea and arytenoid cartilge
Cole tubes
Which induction agents have an analgesic effect?
Ketamine
Tiletamine
Telazol
What plane of anesthesia are you attempting to reach for most surgeries?
Stage 3 Plane 2
When should Thiopental be used and not used?
Used: CNS surgery
Not used: Arrhytmias, Pregnancy, GI obstruction
Drug induced state of deep sleep from which a patient cannot be easily aroused. +/- analgesia
Narcosis
Desired induction effects of Alphaxalone?
Muscle relaxation
Fever, dehydration, anemia, cachexia and hypovolemia in a patient would classify them as what ASA?
ASA3
What gauge is used to measure direct/invasive BP?
Manometer
Which benzodiazepine contains propylene glycol?
Diazepam
Which anesthetic can cause hepatitis?
Halothane
Which receptor does Hydromorphone work on?
Pure Mu agonist
After eating a meal, how long does is take the body to get back to the basal metabolic rate?
12-18h
At high altitude, how should you adjust your vaporizer dial?`
Decrease (but vaporizers today compensate on their own)
Reflex response to A2 agonists
Bradycardia
Maximum dosage of GGE for induction adjunct?
300mg/kg
MOA of Propofol?
GABA
When should a pop off valve be closed?
Manual or assisted ventilation
Leak check
What are the bare minimum labs that should be run before surgery?
PCV, TS, Dec, BUN
VOC vaporizers are also called….?
Precision vaporizers
Minute volume increases in what stage of anesthesia?
Stage 1
Delirium is what stage of anesthesia?
Stage 2
Duration of Romifidine
45-90m