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Anesthesia -Scott Newman & Janet King > Test #2 Pre Anesthetic Period > Flashcards

Test #2 Pre Anesthetic Period Flashcards

0
Q

T/F a 20ga IV catheter would be appropriate for a 50# dog

A

True

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1
Q

T/F the pre anesthetic period immediately proceeds induction

A

True

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2
Q

T/F BUN and Creat can be measured during the PA period to determine renal function

A

True

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3
Q

T/F there is no such thing as “no risk” anesthesia

A

True

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4
Q

T/F a Rebreathing system is used on pts that weigh less then 7kg

A

False

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5
Q

T/F brachycephalics have large tracheas for their weight

A

False

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6
Q

T/F PA drugs are most commonly administered IM or SQ

A

True

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7
Q

T/F anticholinergic drugs are not routinely used in LA

A

True

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8
Q

T/F tranquilizers do not produce any analgesic effects

A

True

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9
Q

T/F Diazepam can be mixed in the same syringe with most drugs

A

False

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10
Q

What is not a valid reason for administering a PA med?

A

It may increase pt safety by allowing the pt to stay under GA for a longer time

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11
Q

A major disadvantage to opioids is?

A

Respiratory depression

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12
Q

Glycopyrrolate

A

Robinul-V

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13
Q

Acepromazine

A

Promase

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14
Q

Diazepam

A

Valium

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15
Q

Medetomidine

A

Domitor

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16
Q

Yohimbine

A

Yobine

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17
Q

Oxymorphone

A

Numorphan

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18
Q

Naloxone

A

Narcan

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19
Q

Butorphanol

A

Torbugesic

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20
Q

Xylazine

A

Rompun

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21
Q

Midazolam

A

Versed

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22
Q

Fentanyl

A

Agonist opioid

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23
Q

Morphine

A

Agonist opioid

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24
Q

Xylazine

A

Alpha 2 agonist

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25
Q

Atropine

A

Anticholinergic

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26
Q

Acepromazine

A

Phenothiazine tranquilizer

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27
Q

Diazepam

A

Benzodiazepine tranquilizer

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28
Q

Medetomidine

A

Alpha 2 agonist

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29
Q

Yohimbine

A

Alpha 2 antagonist

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30
Q

Naloxone

A

Antagonist opioid

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31
Q

Butorphanol

A

Mixed opioid

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32
Q

Effects that atropine may have on the body include

A

Decrease GI motility

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33
Q

Characteristic effects of the benzodiazepines include

A

Muscle relaxation

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34
Q

Physical effects that may Be seen after the administration of xylazine included

A

Bradycardia, sedation, and vomiting and dogs and cats. (All of the above)

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35
Q

Benzodiazepines may be reversed with

A

Flumazenil

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36
Q

A neuroleptanalgesic is a combination of

A

An opioid and a tranquilizer

37
Q

Indications for the use of a glycopyrrolate include

A

A tachycardic patient, a long surgical procedure, and a C-section (All of the above)

38
Q

All of the following are true of Acepromazine except

A

Avoid use in animals with respiratory disease

39
Q

All of the following would cause vagal stimulation except

A

Using an anticholinergic drug

40
Q

______ Breeds have abnormally high vagal responses and elongated soft palate with redundant soft tissue.

A

Brachycephalic

41
Q

A change in color and _____ Are indicators that the CO2 absorber Granules need to be changed

A

Texture

42
Q

When pressure checking the anesthetic machine for leaks the pressure should not drop more then _____in 30 seconds

A

5 cm H2O

43
Q

To prevent the wind up a fact it is best to give analgesic drugs _____

A

Pre- operatively or pre- Emptive

44
Q

_____ Animals may not need to calculated dosage of anesthetic drugs that was based upon their current weight

A

Obese

45
Q

Calculate a surgical drip rate in whole drops per second for a patient that weighs 14 pounds

A

3gtt/10sec

46
Q

An opioid classified as a _____ works by stimulating all receptors

A

Pure agonist

47
Q

Oxymorphone is an opioid agonist that has a Maximum dose of _____

A

3 mg

48
Q

Abnormal sound of blood flow through the heart is called a _____

A

Murmur

49
Q

The most familiar use of Naloxone is a _____

A

Opioid reversal agent

50
Q

Ciara, a Labrador retriever in for a routine spay. Her temperature is 103.9°F and she seems depressed. Her laboratory values are as follows: PCV 61% total protein 18.2 g/dL BUN 48 mg/dL creatinine 1.6 mg/dL USG 1.045 WBC 6700/ul What is her anesthetic risk?

A

Class III

51
Q

Moby, A 6 month old pug is in for a routine neuter. History and physical exam are WNL. His laboratory values are as follows: PCV 36% total protein 6.2 g/dL WBC 7000/ul BUN 20 mg/dL. What is his anesthetic risk?

A

Class II

52
Q

T/F Given the busy nature of a veterinary practice, it is probably best to assume the same anesthetic protocol should be used on all patients

A

False

53
Q

T/F Different species may have different physiologic’s in regard to metabolism of drugs

A

True

54
Q

T/F An obese dog will require more anesthetic than a normal weight dog of the same breed

A

False

55
Q

T/F blood tests such as PCV have minimal value for an anesthetist

A

False

56
Q

T/F Buprenorphine is a partial mu agonist opioid medication

A

True

57
Q

T/F Anticholinergic drugs are not routinely used as pre-anesthetics for large animals

A

True

58
Q

T/F Phenothiazine tranquilizers sedate the animal and provide some analgesia

A

False

59
Q

T/F In general, the opioid drugs can have a significant effect on the respiratory system

A

True

60
Q

Affects that one may see after the premedication with the benzodiazepine tranquilizers include:

A

Profound sedation

61
Q

The main side effects seen after administration of the Thaizine derivatives include:

A

Bradycardia

62
Q

Opioids may be reversed with:

A

Naloxone

63
Q

A common neuroleptanalgesic used in small animal medicine is:

A

Ace and butorphanol

64
Q

Small animal patient should be be NPO for ____ hours before surgery:

A

12

65
Q

The normal range for the heart rate of an awake bloodhound is:

A

60-160 bpm

66
Q

When pressure checking a machine, the pressure should not drop more then ____ centimeters H2O in 30 seconds

A

5

67
Q

An appropriate drip set for a patient that weighs 12 pounds is:

A

60gtt/ml

68
Q

What size over the needle catheter should we place in an 85 pound dog:

A

20 gauge

69
Q

Doxapram is:

A

Most commonly used as a respiratory stimulant

70
Q

An abnormal heartbeat which corresponds with respirations is called an _____, and can be normal in ____

A

Sinus arrhythmia, dogs

71
Q

Normal range for the respiratory rate for the week dog is ____

A

15 to 30 rpm

72
Q

Patients with severe systemic disease that are a constant threat to life are placed into a classification ____, a poor anesthetic risk.

A

4

73
Q

The part of the anesthetic machine the drops the pressure in the system to 50 psi is____

A

Pressure regulator

74
Q

One reason to use preanesthetic drugs is that some will _____

A

Calm or relax the patient

75
Q

____ Is the name of the tranquilizer which is a benzodiazepine that is more effective than diazepam, and it can be next in the same syringe with other drugs

A

Metazolam

76
Q

_____ Is the name of the alpha-2 agonist drug that is most commonly used in large animal medicine which provides good sedation and analgesia, but has a longer duration than xylazine

A

Phenylbutazone

77
Q

____ Is the trade name of the Fentanyl all when used as a constant rate of infusion intraoperatively

A

Duragesic

78
Q

An _____ Opioid works by blocking all receptors

A

Pure antagonist

79
Q

Torbugesic

A

2 to 5 times the potency of morphine

80
Q

Rompun

A

Injectable Xylazine

81
Q

Flumazenil

A

Reversal for benzodiazepines

82
Q

Atropine sulfate

A

ER drug of choice for bradycardia

83
Q

Valium

A

IM absorption is unreliable

84
Q

Domitor

A

Medetomidine

85
Q

Oxymorphone

A

Numorphan

86
Q

Acepromazine

A

Phenothiazine tranquilizer, muscle relaxation, vasodilation

87
Q

Butorphanol

A

Mixed opioid, Torbugesic, Viscerally analgesia, Respiratory depression

88
Q

Glycopyrrolate

A

Anti-cholinergic, Robinal- V, prevents bradycardia without causing tachycardia

89
Q

Morphine

A

Agonist opioid, good sedation and can be reversed, GI upset

90
Q

Xylazine

A

Alpha-2 agonist, rompun, provides sedation, bradycardia

91
Q

List eight procedures that the anesthetician should perform during the pre-anesthetic period

A

CBC/blood chemistry, three ET tube sizes, place catheters, urine analysis, preanesthetic exam, pressure check anesthesia machine, shave patient for surgery

Anesthesia -Scott Newman & Janet King (13 decks)

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