The Great White Nupe of Anesthesia Test 1 Flashcards

1
Q
Which statement is not true about  PIS?
a.	It can easily be defeated
b.	Its specific width and diameter
c.	It hangs in the yolk cradle
I put it can easily be defeated but some other people said that it was width and Diameter bc diameter is with DISS
A

b. Its specific width and diameter

* O

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2
Q

What is true about Ruminants under Anesthesia?

A

25% regurg

*O

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3
Q

What does Xylazine in a sheep cause?

A

Hemorrhagic edema

*O

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4
Q

What drug is Used In Triple Drip? (Often Combined with Ketamine Thiopental)

A

Guaifensein

*O

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5
Q

Whats the Should the MAP be under general anesthesia?

A

(60-90 mmHg) ** 70**

**O

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6
Q

Regarding intubation of a pig which is not true?

a. Laryngospasm
b. Limited visibility
c. Tracheal Junction
d. You don’t have to use a laryngoscope

A

d. You don’t have to use a laryngoscope

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7
Q

If a your patient ( a dog) is showing sings of pain and dysphoria and you are unsure which one it is. Either pain or dysphoria….. What do you NOT want to do??

A

You DO NOT want to give them Naphthalene- Because that treats both of them so you wouldn’t be able to differentiate

*O

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8
Q

What drug goes with Wind up pain?

A

Atropine

*O

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9
Q

A blood gas was given. Like it said it was 7.5 pH, it was alkalosis and it said what kind. (Know how to differentiate)??

A

Respiratory alkalosis due to Hyperventilation (double check this)

*O

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10
Q

Blood collection with air bubbles in it causes what?

A

Increased PaO2, decreased PaCo2

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11
Q

What are the IPPV values for a sheep?

A

VT 525, 20 cm H2O

*O

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12
Q

What can Mechanical Ventilators cause?

A

Hypotension

*O

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13
Q

What is the reversal of Benzodiazepines ( Diazepam, Midazoam)

A

Flumazenil IV

*O

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14
Q

Which drug causes Abortion???

A

Thiopental

*O

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15
Q

Hypotension is when SAP is less than ______ and MAP is less than_________

A

MAP

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16
Q

Know what a normal Capnograph looks like, A rebreathing capnograph etc.

A

DONT FUCK UP AN EASY QUESTION!

*O

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17
Q

What monitoring system gives you both CV and pulmonary data?

A

SpO2

*O

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18
Q

True/False (blood gas solubility)

Desflurane is faster induction than Iso?

A

true

*O

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19
Q

What induction agent do you not use in Cats?

A

Propofol

*O

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20
Q

True or false

Cuffs on ET tubes- Do not deflate for ruminants and ALWAYS deflate with canines!

A

FALSE!
DO NOT DEFLATE THE CUFF FOR RUMINANTS
AND DO NOT DEFLATE THE CUFF IF THE DOG REGURGED.

*O

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21
Q

KNOW YOUR SURGICAL PLANES

A

blah blah

*O

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22
Q

True/ False

Precision vapors are not affected by barometric pressure

A

TRUE

*O

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23
Q

What valve changes the PSI to 50 PSI?

A

The pressure reduction valve.
( If this is to high it equals death)

*O

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24
Q

What do you use to measure the angle of joint flexion in physical therapy patients?

A

Gotemetry (spelling)

*O

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25
Q

True or false

You can you GG for TIVA and CRI.

A

TRUE

*O

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26
Q

What endotracheal tube is mostly used?

A

Murphy

*O

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27
Q

What stage or plane causes extreme CNS depression, Pale to white mm, CRT >3 seconds
Respiratory arrest is followed by cardiac arrest/ Central, widely dilated pupils, no ocular reflexes. Flaccid muscle tone. THESE MOTHER FUCKERS WILL DIE UNLESS SWIFT INTERVENTION.
QUESTION- WHAT STAGE IS THIS?

A

STAGE IV ( YOU IS FUCKED)

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28
Q

What would be the ASA status of a patient with severe systemic disease with a CONSTANT threat to life (ex: uremia, toxemia, sepsis, severe dehydration, high fever)

A

ASA IV

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29
Q

Whats an agonist and Antagonist at Opioid receptors?

A

Butorphanol

*Jeopardy

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30
Q

What can you not give to Boxers?

A

Acepromazine

*Jeopardy

31
Q

What does SPO2 measure?

A

(OTHER SHIT BUT THE ANSWER WAS)
Measures Hb.

*Jeo

32
Q

What does Thiopental do to tissues?

A

Alkalinizing and tissue necrosis/

*Jeo

33
Q

What is an example of a non-barbiturate and neurosteroid?

A

Alphaxalone

*Jeo

34
Q

What drug is the Cardiac Friendly drug?

A

ETomidate

*Jeo

35
Q

What do you treat malignant hyperthermia in swine with?

A

Dantrolene

*Jeo

36
Q

What does intubation help prevent?

A

Regurg and Aspiration

*Jeo

37
Q

What do Opioids release?

A

Histamine

*Jeo

38
Q

What are some ways to measure BP?

A

Doppler,
Iscillometric
Direct BP

*JEeo

39
Q

What stage with you see vomiting and regurg?

A

Stage 2

*Jeo

40
Q

What is the gum color for

-vasodilation, Hypercapnia, Hyperthermia and inflammation?

A

Brick Red

*Jeo

41
Q

What species would you do a Blind intubation with no laryngoscope?

A

Adult cattle

42
Q

What will you see withBlood collection with air bubbles results in?

A

Increased PaO2, Decreased PaCo2

43
Q

Blood collection with Prolonged analysis you will see?

A

Decreased PaCo2, and pH, increased PCo2

44
Q

True or False?

Dobutamine causes vasoconstriction?

A

TRUE MOFO

45
Q

Does Phenylephrine cause vasoconstriction?

A

NO

46
Q

under anesthesia 25% of cattle_________

A

Regurg

47
Q

What is the Pig fasting time?

A

6-12 hrs

48
Q

What is intubation of a pig?

A

Laryngospasm, limited visibility, laryngotracheal junctional angle.

49
Q

During a castration, What are some drugs for Neurolepticanalgesia?

A

Ace and Hydro

50
Q

Does hypertension contribute to dyphoria?

A

NO

51
Q

What is an example of a mu agonist, kappa antagonist?

A

Buprenorphine

52
Q

On the EKG what is the P wave?

A

Atrial depolarization

53
Q

L ??, PSI ??? Color? of an E-Tank with O2?

A

E tank with O2
660L
2200 PSI
Green color coded

54
Q

When do you use the quick flush?

A

In nonrebreathing systems

55
Q

What does an under inflated cuff on an ET tube cause?

A

Ischemic necrosis

56
Q

What is a characteristic of Adequate anesthesia?

A

No palpebral reflex.

57
Q

Discociative anesthesia induced by drugs that dissociate the thalamocortic and lambic system are characterized by what?

A

A cationic state where the eyes remain open and swallowing reflexes rain fucntional. Skeletal muscle rigidity is common unless a muscle relaxing drug is given in conjunction.

58
Q

What are the three things that cause death with the ax machine? ( to little to much?)

A

To little -flowmeter= death
To much -Vaporizer= Death
To tight- Pop off valve= Death

59
Q

Whats the capacity (Liters of Oxygen) in an E cylinder?

What is its empty weight?

A

Empty weight= 6 kg

Capacity =660 L of oxygen

60
Q

What is the capacity (L of O2) in H Cylinder?

What is the empty weight?

A
Empty = 60 kg
Capacity= 6600 L O2
61
Q

HOW DO YOU FIGURE OUT L of O2 left in Tank>?

How many minutes left?

A

shortcut divide PS by 3
2200 psi/660L=1
100 in E Cyl/X Liters

Minutes
X Liters/Flow Liters per min

62
Q

How do you carry the E cylinders and store them?

A

Storage in a rack and carry with both hands, one at a time

63
Q

How do you carry H cylinders and store them?

A

On the wall and use approved trolley, attach metal cap and chain to the trolley.

64
Q

What happens if N2O:O2 exceeds a ratio of 2:1?

A

Can cause hypoxemia

65
Q

What are the 5 causes of Hypoxemia?

A
  1. ) Low FiO2 (not enough O2 in air)

2. ) V/Q mismatch ( O2 not in perfused part of lungs)

66
Q

3.) Alveolar shunt- (blood skipping lungs)

A
  1. ) Hypoventilation (Not breathing enough times)

5. ) Diffusion impairment (pulmonary edema- O2 can’t get to alveoli)

67
Q

Which matches a metabolic alkalosis With a respiratory compensation?

a. Increased HCO3 and increased PCO2
b. Increased HCO3 and Decreased PCO2
c. Decreased HCO3 and increased PCO2
d. Decreased HCO3 and decreased PCO2

A

a. Increased HCO3 and increased PCO2

68
Q

Regarding induction agents, which of the following agents has well recognizes analgesic properties?

a. ) Propofol
b. ) Etomidate
c. ) Ketamine
d. ) Alfaxalone
e. ) Thiopental

A

c. Ketamine

69
Q

Which of the following premeds does not cause a decrease in cardiac output?

a. ) Romifidine
b. ) Xylazine
c. ) Dexmedetomidine
d. ) Detmadine
e. ) Diazepam

A

e. Diazepam

70
Q

Dog not fasted since evening meal last night, Which is NOT a benefit of preanesthetic fasting?

a. ) reduced risk of bloat
b. ) Reduce risk of regurg
c. ) Reduce risk of hypoglycemia
d. ) Reduce risk of Ileus
e) Reduce risk of Pneumonia

A

c. Reduced risk of hypoglycemia

71
Q

Which of the following monitoring techniques most directly monitors adequacy of ventilation?

a. ) Pulse ox
b. ) Capnography
c. ) Respirometry
d. )Counting respiratory excursions
e. ) Observing thoracic excursions

A

b. Capnography

72
Q

Which of the following techniques does not measure adequacy of perfusion indirectly or directly?

a. Palpation of pulse
b. Doppler BP
c. ECG
d. CRT
e. Oscillometric blood pressure

A

C. ECG

73
Q

True or False

Dogs will often experience laryngospasm during inutbation

A

FALSE ( CATS often experience laryngospasm)

74
Q

Which of the liquid anesthetics would boil at 25*C-

a. Desflurane
b. Seoflurane
c. Isoflurane
d. Enflurane
e. NONE

A

A. Desflurane