Pre-Anaesthetic Assessment Quiz

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Questions and Answers

What is the significance of recording a patient's initial respiratory rate during pre-anaesthetic assessment?

Recording respiratory rate helps establish a baseline for the patient's respiratory function, which is crucial for detecting potential complications during anaesthesia.

Why is it essential to complete the consent form before the client leaves the building?

Completing the consent form ensures that the client is fully informed and agrees to the procedures planned for their pet, which protects both the client and the veterinary practice.

List two types of diagnostic tests that may be included in a pre-anaesthetic assessment.

Blood tests and radiography.

How can you ensure accurate drug dosage for anaesthesia in a patient?

<p>Accurate drug dosage is ensured by calculating based on the patient's weight and clinical assessment results, advised by the veterinarian.</p> Signup and view all the answers

What should be included in the clinical examination during the pre-anaesthetic assessment?

<p>Temperature, heart rate, pulse rate, respiration rate, and blood pressure.</p> Signup and view all the answers

Explain why communication with the client is important before surgery.

<p>Communication with the client ensures they understand the procedures and risks involved, fostering trust and reducing anxiety.</p> Signup and view all the answers

What role does weighing a patient serve in the pre-anaesthetic process?

<p>Weighing the patient provides necessary data for assessing body condition and calculating accurate drug dosages.</p> Signup and view all the answers

What items should be noted when a patient arrives at the clinic?

<p>Items like collar/lead, cage, blankets, toys, and food bowls.</p> Signup and view all the answers

What are the first two critical checks to perform during patient induction?

<p>Is the heart beating? Is the patient breathing?</p> Signup and view all the answers

What should you do immediately if you cannot feel the heart or see the patient breathing?

<p>You should inform the veterinarian as soon as possible.</p> Signup and view all the answers

What is a necessary step before using an endotracheal tube (ET tube)?

<p>The ET tube must be checked and cleaned before every use.</p> Signup and view all the answers

Which equipment is essential for inflating the ET tube cuff during intubation?

<p>A syringe with air should be used to inflate the cuff.</p> Signup and view all the answers

What method should be used to check for air leaks in the ET tube cuff during inflation?

<p>The 'listen and leak' method should be used to detect leaks.</p> Signup and view all the answers

What is the maximum peak inspiratory pressure recommended during cuff inflation?

<p>The pressure should not exceed 20 cm H2O.</p> Signup and view all the answers

How should the cuff be sealed if a leak is detected after the inflation?

<p>Inject enough air into the cuff until the leak sound stops.</p> Signup and view all the answers

What should be recorded after inflating the ET tube cuff?

<p>The amount of air used to seal the cuff should be noted.</p> Signup and view all the answers

What is the importance of using the '2-stick rule' during IV catheter placement?

<p>The '2-stick rule' minimizes trauma to the animal by allowing for a second attempt if the first catheter placement fails.</p> Signup and view all the answers

Why should every animal undergoing general anaesthesia have an IV catheter placed?

<p>An IV catheter allows for quick administration of fluids and medications, which is crucial for patient safety during anaesthesia.</p> Signup and view all the answers

List two crucial pieces of equipment needed for IV catheter placement.

<p>Clippers and an alcohol swab are essential for preparing the site before catheter insertion.</p> Signup and view all the answers

What should the restrainer monitor during the induction phase of anaesthesia?

<p>The restrainer should monitor the patient's heart rate and respiration to ensure stability during the transition to unconsciousness.</p> Signup and view all the answers

What steps should be taken to prepare the IV catheter insertion site?

<p>The area should be clipped, cleaned with disinfectants such as Microshield soap, and the foreleg kept extended for optimal access.</p> Signup and view all the answers

Why is it important to flush the IV catheter with saline after placement?

<p>Flushing with saline confirms correct placement and patency of the catheter, ensuring it is functioning properly.</p> Signup and view all the answers

What considerations should be taken into account regarding the size of the IV catheter for the animal?

<p>The IV catheter must be appropriately sized for the animal to avoid causing injury or ineffective fluid delivery.</p> Signup and view all the answers

What is the role of vetrap in the catheter placement process?

<p>Vetrap is used for securing the IV catheter and providing added comfort to the animal post-insertion.</p> Signup and view all the answers

Flashcards

Patient Intake

Initial observation of the patient, noting gait, demeanor, attitude, respiratory rate, and owner-provided items (collar, cage, etc.).

Weighting

Weighing the patient and recording weight on the chart. Body condition scoring should also be done.

Pre-Anaesthetic Assessment

Comprehensive physical examination and diagnostic testing before anaesthesia.

Clinical Exam Equipment

Stethoscope, clinical examination form, thermometer, lube (for thermometer), blood pressure monitor.

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Pre-anaesthetic Testing

Includes blood tests (PCV, CBC, Biochemistry, specialized tests), urine testing, radiographs, ultrasounds, and neurological exams.

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Pre-medication Preparation

Preparing by getting in-house tests ready, assembling clippers, alcohol swabs, needles, syringes, tubes.

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Blood Testing

Drawing and testing blood for PCV, CBC, Biochemistry, specialized tests using necessary equipment.

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Patient Record Update

Updating patient records which should include a record of any current weight, and any previous health history.

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Initial Induction Check

First steps in induction are ensuring the animal's heart beat and breathing are present.

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Intubation

Placing an endotracheal tube (ETT) into the trachea.

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ETT Tube Checks

Endotracheal tube must be checked and cleaned before and after each use respectively.

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Cuff Inflation (ETT)

Properly inflating the ETT cuff to create an airtight seal.

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Listen and Leak Method

Method used to inflate ETT cuff, while listening for leaks to ensure an airtight seal.

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Syringe Size (Cuff Inflation)

Syringe size for cuff inflation depends on the ETT tube size and animal (cat, dog).

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Peak Inspiratory Pressure

Maximum pressure during inhalation. Should not exceed 20 cm H2O.

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Leak Detection during Intubation

Listen for leaks while inflating the cuff. Leaks indicate incomplete seal.

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IV Catheter Placement

Inserting a tube into a vein to allow fluids or medication access during or before anesthesia.

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IV Catheter Size

The catheter's diameter must match the animal's vein size, not the person.

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2-Stick Rule

A practice in IV catheterization where two attempts are made at the same vein location.

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Induction

Process of bringing an animal under general anesthesia, moving from conscious to unconscious.

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IV Catheter Preparation

Gathering necessary supplies before catheter insertion, including clippers, alcohol swabs, and appropriate catheter size.

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Patient Restraint

Holding a patient securely for medical procedure. This is vital during induction.

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Clean Technique

Applying a sterile technique to the patient site before inserting the catheter; clean and disinfected.

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Induction Monitoring

Monitoring the patient's heartbeat and respiration throughout the induction process.

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