Test #2 Pre Anesthetic Period Flashcards
T/F a 20ga IV catheter would be appropriate for a 50# dog
True
T/F the pre anesthetic period immediately proceeds induction
True
T/F BUN and Creat can be measured during the PA period to determine renal function
True
T/F there is no such thing as “no risk” anesthesia
True
T/F a Rebreathing system is used on pts that weigh less then 7kg
False
T/F brachycephalics have large tracheas for their weight
False
T/F PA drugs are most commonly administered IM or SQ
True
T/F anticholinergic drugs are not routinely used in LA
True
T/F tranquilizers do not produce any analgesic effects
True
T/F Diazepam can be mixed in the same syringe with most drugs
False
What is not a valid reason for administering a PA med?
It may increase pt safety by allowing the pt to stay under GA for a longer time
A major disadvantage to opioids is?
Respiratory depression
Glycopyrrolate
Robinul-V
Acepromazine
Promase
Diazepam
Valium
Medetomidine
Domitor
Yohimbine
Yobine
Oxymorphone
Numorphan
Naloxone
Narcan
Butorphanol
Torbugesic
Xylazine
Rompun
Midazolam
Versed
Fentanyl
Agonist opioid
Morphine
Agonist opioid
Xylazine
Alpha 2 agonist
Atropine
Anticholinergic
Acepromazine
Phenothiazine tranquilizer
Diazepam
Benzodiazepine tranquilizer
Medetomidine
Alpha 2 agonist
Yohimbine
Alpha 2 antagonist
Naloxone
Antagonist opioid
Butorphanol
Mixed opioid
Effects that atropine may have on the body include
Decrease GI motility
Characteristic effects of the benzodiazepines include
Muscle relaxation
Physical effects that may Be seen after the administration of xylazine included
Bradycardia, sedation, and vomiting and dogs and cats. (All of the above)
Benzodiazepines may be reversed with
Flumazenil
A neuroleptanalgesic is a combination of
An opioid and a tranquilizer
Indications for the use of a glycopyrrolate include
A tachycardic patient, a long surgical procedure, and a C-section (All of the above)
All of the following are true of Acepromazine except
Avoid use in animals with respiratory disease
All of the following would cause vagal stimulation except
Using an anticholinergic drug
______ Breeds have abnormally high vagal responses and elongated soft palate with redundant soft tissue.
Brachycephalic
A change in color and _____ Are indicators that the CO2 absorber Granules need to be changed
Texture
When pressure checking the anesthetic machine for leaks the pressure should not drop more then _____in 30 seconds
5 cm H2O
To prevent the wind up a fact it is best to give analgesic drugs _____
Pre- operatively or pre- Emptive
_____ Animals may not need to calculated dosage of anesthetic drugs that was based upon their current weight
Obese
Calculate a surgical drip rate in whole drops per second for a patient that weighs 14 pounds
3gtt/10sec
An opioid classified as a _____ works by stimulating all receptors
Pure agonist
Oxymorphone is an opioid agonist that has a Maximum dose of _____
3 mg
Abnormal sound of blood flow through the heart is called a _____
Murmur
The most familiar use of Naloxone is a _____
Opioid reversal agent
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?
Class III
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?
Class II
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
False
T/F Different species may have different physiologic’s in regard to metabolism of drugs
True
T/F An obese dog will require more anesthetic than a normal weight dog of the same breed
False
T/F blood tests such as PCV have minimal value for an anesthetist
False
T/F Buprenorphine is a partial mu agonist opioid medication
True
T/F Anticholinergic drugs are not routinely used as pre-anesthetics for large animals
True
T/F Phenothiazine tranquilizers sedate the animal and provide some analgesia
False
T/F In general, the opioid drugs can have a significant effect on the respiratory system
True
Affects that one may see after the premedication with the benzodiazepine tranquilizers include:
Profound sedation
The main side effects seen after administration of the Thaizine derivatives include:
Bradycardia
Opioids may be reversed with:
Naloxone
A common neuroleptanalgesic used in small animal medicine is:
Ace and butorphanol
Small animal patient should be be NPO for ____ hours before surgery:
12
The normal range for the heart rate of an awake bloodhound is:
60-160 bpm
When pressure checking a machine, the pressure should not drop more then ____ centimeters H2O in 30 seconds
5
An appropriate drip set for a patient that weighs 12 pounds is:
60gtt/ml
What size over the needle catheter should we place in an 85 pound dog:
20 gauge
Doxapram is:
Most commonly used as a respiratory stimulant
An abnormal heartbeat which corresponds with respirations is called an _____, and can be normal in ____
Sinus arrhythmia, dogs
Normal range for the respiratory rate for the week dog is ____
15 to 30 rpm
Patients with severe systemic disease that are a constant threat to life are placed into a classification ____, a poor anesthetic risk.
4
The part of the anesthetic machine the drops the pressure in the system to 50 psi is____
Pressure regulator
One reason to use preanesthetic drugs is that some will _____
Calm or relax the patient
____ 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
Metazolam
_____ 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
Phenylbutazone
____ Is the trade name of the Fentanyl all when used as a constant rate of infusion intraoperatively
Duragesic
An _____ Opioid works by blocking all receptors
Pure antagonist
Torbugesic
2 to 5 times the potency of morphine
Rompun
Injectable Xylazine
Flumazenil
Reversal for benzodiazepines
Atropine sulfate
ER drug of choice for bradycardia
Valium
IM absorption is unreliable
Domitor
Medetomidine
Oxymorphone
Numorphan
Acepromazine
Phenothiazine tranquilizer, muscle relaxation, vasodilation
Butorphanol
Mixed opioid, Torbugesic, Viscerally analgesia, Respiratory depression
Glycopyrrolate
Anti-cholinergic, Robinal- V, prevents bradycardia without causing tachycardia
Morphine
Agonist opioid, good sedation and can be reversed, GI upset
Xylazine
Alpha-2 agonist, rompun, provides sedation, bradycardia
List eight procedures that the anesthetician should perform during the pre-anesthetic period
CBC/blood chemistry, three ET tube sizes, place catheters, urine analysis, preanesthetic exam, pressure check anesthesia machine, shave patient for surgery