Animal Med 1 chapt 7

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Questions and Answers

Local anesthetics are first-tier agents used in conjunction with general anesthesia to enhance pain control during and after surgery. The dose of the general anesthetic required may be significantly increased because of the analgesia provided by the local anesthetic

False (B)

Which of the following is/are most commonly used for skin infiltration

  • Lidocaine, bupivicaine (correct)
  • Mepivicaine (correct)
  • Tetracaine, proparacaine
  • Procaine (correct)

Use of a chemical agent on sensory neurons to disrupt nerve impulse transmission leading to temporary loss of sensation

  • General anesthesia
  • Sedation
  • Local anesthesia (correct)
  • Hypnosis

Which of the following is/are an advantage(s) of local anesthesia (also referred to as local analgesia)

<p>Low cardiovascular toxicity (A), Excellent pain control immediately postoperatively (C), Minimum patient recovery time (D)</p> Signup and view all the answers

When performing ruminant obstetric and abdominal procedures what type of anesthesia/analgesia would you use

<p>Local anesthetics (A)</p> Signup and view all the answers

Which of the following do not affect the brain and have no sedative effect, Have few cardiovascular or respiratory effects, Exert action close to the site of injection, and DO NOT normally cross the placenta

<p>Local anesthetics (D)</p> Signup and view all the answers

Because motor neurons are also sensitive to the effect of local anesthetics, administration of a local anesthetic may cause temporary paresis (Weakness) or paralysis (loss of voluntary movements) in the area served by the affected motor neurons

<p>True (A)</p> Signup and view all the answers

When applying local anesthetics to open wounds, it is okay to apply large amounts liberally as local anesthetics are extremely safe

<p>False (B)</p> Signup and view all the answers

Temporary loss of function is referred to as a sympathetic blockade

<p>True (A)</p> Signup and view all the answers

Example of a eutectic mixture

<p>2.5% Lidocaine 2.5% Prilocane (B)</p> Signup and view all the answers

The use of sprays or soaked gauze sponges is called a:

<p>Splash block (D)</p> Signup and view all the answers

For local anesthetic infiltration, lidocaine is most commonly used _____ epinephrine

<p>With or without (C)</p> Signup and view all the answers

Nerve blocks are used for which of the following

<p>Dental blocks in dogs and cats (A), Intercostal nerve blocks for chest surgery (B), Paravertebral blocks for abdominal or obstetric procedures in cattle (C), Cornual blocks for dehorning cattle (D)</p> Signup and view all the answers

Used in food animals and equine surgery for teat surgery or wound repair

<p>Line block (A)</p> Signup and view all the answers

Used for tail amputation, anal sac removal, perianal surgery, urethrostomies, and some rear limb operations

<p>Epidural anesthesia (B)</p> Signup and view all the answers

Motor block may affect tail and limb mobility

<p>True (A)</p> Signup and view all the answers

Serious toxicity and death with infiltration into the cranial portion of the spinal cord is an adverse effect of local anesthetics

<p>True (A)</p> Signup and view all the answers

Local anesthetic is injected into a major nerve plexus or proximity to the spinal cord

<p>Regional anesthesia (B)</p> Signup and view all the answers

During a paravertebral block for ruminants the dorsal and ventral branches of the spinal nerves ________ and _______ are blocked if anesthesia of the paralumbar fossa is required

<p>T13-L2, L3-L4 (C)</p> Signup and view all the answers

This technique is most commonly used for surgery of the lower extremity, including amputation of a digit.

<p>Bier block (A)</p> Signup and view all the answers

Should not be used for for intravenous regional anesthesia because cardiotoxicity is likely to occur after release of the tourniquet

<p>Bupivicaine (B)</p> Signup and view all the answers

An abnormal sensation of tingling, pain, or irritation

<p>Parasthesia (C)</p> Signup and view all the answers

Active phase of ventilation

<p>Inhalation (A)</p> Signup and view all the answers

 Anesthetist delivers an increased volume of air or oxygen/anesthetic gases to the patient  Patient initiates inspiration

<p>Assisted ventilation (B)</p> Signup and view all the answers

 Related to the breakdown of carbon dioxide to bicarbonate ions and hydrogen ions, which can lead to respiratory acidosis

<p>Hypercarbia (B)</p> Signup and view all the answers

 Related to less oxygen entering the lungs to be absorbed into the blood

<p>Hypoxemia (B)</p> Signup and view all the answers

Typer of controlled PPV (patient is intubated and connected to anesthetic machine)

<p>Periodic manual ventilation or bagging = Anesthetist bags patient every 2-5 minutes Intermittent mandatory ventilation = Patient requires bagging throughout the anesthetic period Mechanical ventilation = Lungs are filled with oxygen by pressure of gas from a ventilator</p> <ul> <li>= -</li> </ul> Signup and view all the answers

For some animals periodic bagging is insufficient, Animals with preexisting heart/lung disease, diaphragmatic hernias, low VT, and/or respiratory rate

<p>Intermittent mandatory ventilation (B)</p> Signup and view all the answers

Neuromuscular blocking agents are muscle paralyzing agents that are administered when an animal is unconscious and respiration is controlled by intermittent mandatory mechanical ventilation

<p>True (A)</p> Signup and view all the answers

Depolarizing neuromuscular blocking agents do not interrupt normal impulse transmission from motor neuron to muscle synapse

<p>False (B)</p> Signup and view all the answers

Both depolarizing and nondepolarizing neuromuscular blocking agents interrupt normal impulse transmission from motor neuron to muscle synapse

<p>True (A)</p> Signup and view all the answers

There is no initial surge of activity when using nondepolarizing NMBAs

<p>True (A)</p> Signup and view all the answers

Nondepolarizing NMBAs

<p>Pancuronium (B), Atracurium besylate (C), Cisatracurium (D)</p> Signup and view all the answers

Non depolarizing agents are reversed with an anticholinesterase agent

<p>Edrophonium (A), Neostigmine (C), Pyridostigme (D)</p> Signup and view all the answers

Cause a single surge of activity followed by muscle inactivation

<p>Depolarizing NMBAs (A)</p> Signup and view all the answers

Local anesthetic agents

<p>Quick onset, moderate duration = Lidocaine Slower onset, longer duration = Bupivicaine Moderate duration with reduced irritation = Mepivicaine</p> <ul> <li>= -</li> </ul> Signup and view all the answers

Flashcards

Local Anesthetics

Chemical agents that disrupt nerve impulse transmission, temporarily blocking sensation.

Local Anesthesia Use in Surgery

Local anesthetics are used in conjunction with general anesthesia for enhanced pain control during and after surgery.

Skin Infiltration Anesthetics

Lidocaine and bupivacaine are frequently used for numbing skin during procedures.

Local Anesthesia Advantages

Local anesthetics have low cardiovascular toxicity.

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Ruminant Anesthesia

For procedures on ruminant animals, local anesthetics may be employed.

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Local Anesthetic Properties

Do not affect the brain, have few cardiovascular or respiratory effects, act near the injection site, and do not usually cross the placenta.

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