The Great White Nupe of Anesthesia Test 1 Flashcards
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
b. Its specific width and diameter
* O
What is true about Ruminants under Anesthesia?
25% regurg
*O
What does Xylazine in a sheep cause?
Hemorrhagic edema
*O
What drug is Used In Triple Drip? (Often Combined with Ketamine Thiopental)
Guaifensein
*O
Whats the Should the MAP be under general anesthesia?
(60-90 mmHg) ** 70**
**O
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
d. You don’t have to use a laryngoscope
* O
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??
You DO NOT want to give them Naphthalene- Because that treats both of them so you wouldn’t be able to differentiate
*O
What drug goes with Wind up pain?
Atropine
*O
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)??
Respiratory alkalosis due to Hyperventilation (double check this)
*O
Blood collection with air bubbles in it causes what?
Increased PaO2, decreased PaCo2
*O
What are the IPPV values for a sheep?
VT 525, 20 cm H2O
*O
What can Mechanical Ventilators cause?
Hypotension
*O
What is the reversal of Benzodiazepines ( Diazepam, Midazoam)
Flumazenil IV
*O
Which drug causes Abortion???
Thiopental
*O
Hypotension is when SAP is less than ______ and MAP is less than_________
MAP
Know what a normal Capnograph looks like, A rebreathing capnograph etc.
DONT FUCK UP AN EASY QUESTION!
*O
What monitoring system gives you both CV and pulmonary data?
SpO2
*O
True/False (blood gas solubility)
Desflurane is faster induction than Iso?
true
*O
What induction agent do you not use in Cats?
Propofol
*O
True or false
Cuffs on ET tubes- Do not deflate for ruminants and ALWAYS deflate with canines!
FALSE!
DO NOT DEFLATE THE CUFF FOR RUMINANTS
AND DO NOT DEFLATE THE CUFF IF THE DOG REGURGED.
*O
KNOW YOUR SURGICAL PLANES
blah blah
*O
True/ False
Precision vapors are not affected by barometric pressure
TRUE
*O
What valve changes the PSI to 50 PSI?
The pressure reduction valve.
( If this is to high it equals death)
*O
What do you use to measure the angle of joint flexion in physical therapy patients?
Gotemetry (spelling)
*O
True or false
You can you GG for TIVA and CRI.
TRUE
*O
What endotracheal tube is mostly used?
Murphy
*O
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?
STAGE IV ( YOU IS FUCKED)
*O
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)
ASA IV
*O
Whats an agonist and Antagonist at Opioid receptors?
Butorphanol
*Jeopardy
What can you not give to Boxers?
Acepromazine
*Jeopardy
What does SPO2 measure?
(OTHER SHIT BUT THE ANSWER WAS)
Measures Hb.
*Jeo
What does Thiopental do to tissues?
Alkalinizing and tissue necrosis/
*Jeo
What is an example of a non-barbiturate and neurosteroid?
Alphaxalone
*Jeo
What drug is the Cardiac Friendly drug?
ETomidate
*Jeo
What do you treat malignant hyperthermia in swine with?
Dantrolene
*Jeo
What does intubation help prevent?
Regurg and Aspiration
*Jeo
What do Opioids release?
Histamine
*Jeo
What are some ways to measure BP?
Doppler,
Iscillometric
Direct BP
*JEeo
What stage with you see vomiting and regurg?
Stage 2
*Jeo
What is the gum color for
-vasodilation, Hypercapnia, Hyperthermia and inflammation?
Brick Red
*Jeo
What species would you do a Blind intubation with no laryngoscope?
Adult cattle
What will you see withBlood collection with air bubbles results in?
Increased PaO2, Decreased PaCo2
Blood collection with Prolonged analysis you will see?
Decreased PaCo2, and pH, increased PCo2
True or False?
Dobutamine causes vasoconstriction?
TRUE MOFO
Does Phenylephrine cause vasoconstriction?
NO
under anesthesia 25% of cattle_________
Regurg
What is the Pig fasting time?
6-12 hrs
What is intubation of a pig?
Laryngospasm, limited visibility, laryngotracheal junctional angle.
During a castration, What are some drugs for Neurolepticanalgesia?
Ace and Hydro
Does hypertension contribute to dyphoria?
NO
What is an example of a mu agonist, kappa antagonist?
Buprenorphine
On the EKG what is the P wave?
Atrial depolarization
L ??, PSI ??? Color? of an E-Tank with O2?
E tank with O2
660L
2200 PSI
Green color coded
When do you use the quick flush?
In nonrebreathing systems
What does an under inflated cuff on an ET tube cause?
Ischemic necrosis
What is a characteristic of Adequate anesthesia?
No palpebral reflex.
Discociative anesthesia induced by drugs that dissociate the thalamocortic and lambic system are characterized by what?
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.
What are the three things that cause death with the ax machine? ( to little to much?)
To little -flowmeter= death
To much -Vaporizer= Death
To tight- Pop off valve= Death
Whats the capacity (Liters of Oxygen) in an E cylinder?
What is its empty weight?
Empty weight= 6 kg
Capacity =660 L of oxygen
What is the capacity (L of O2) in H Cylinder?
What is the empty weight?
Empty = 60 kg Capacity= 6600 L O2
HOW DO YOU FIGURE OUT L of O2 left in Tank>?
How many minutes left?
shortcut divide PS by 3
2200 psi/660L=1
100 in E Cyl/X Liters
Minutes
X Liters/Flow Liters per min
How do you carry the E cylinders and store them?
Storage in a rack and carry with both hands, one at a time
How do you carry H cylinders and store them?
On the wall and use approved trolley, attach metal cap and chain to the trolley.
What happens if N2O:O2 exceeds a ratio of 2:1?
Can cause hypoxemia
What are the 5 causes of Hypoxemia?
- ) Low FiO2 (not enough O2 in air)
2. ) V/Q mismatch ( O2 not in perfused part of lungs)
3.) Alveolar shunt- (blood skipping lungs)
- ) Hypoventilation (Not breathing enough times)
5. ) Diffusion impairment (pulmonary edema- O2 can’t get to alveoli)
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. Increased HCO3 and increased PCO2
Regarding induction agents, which of the following agents has well recognizes analgesic properties?
a. ) Propofol
b. ) Etomidate
c. ) Ketamine
d. ) Alfaxalone
e. ) Thiopental
c. Ketamine
Which of the following premeds does not cause a decrease in cardiac output?
a. ) Romifidine
b. ) Xylazine
c. ) Dexmedetomidine
d. ) Detmadine
e. ) Diazepam
e. Diazepam
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
c. Reduced risk of hypoglycemia
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
b. Capnography
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
C. ECG
True or False
Dogs will often experience laryngospasm during inutbation
FALSE ( CATS often experience laryngospasm)
Which of the liquid anesthetics would boil at 25*C-
a. Desflurane
b. Seoflurane
c. Isoflurane
d. Enflurane
e. NONE
A. Desflurane