Veterinary Anesthesia Learning Objectives

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Questions and Answers

Which of the following is NOT a component of patient evaluation prior to anesthesia?

  • Prognosis (correct)
  • Signalment
  • History
  • Temperament assessment

Pharmacokinetics focuses on how drugs affect the body.

False (B)

What is the difference between analgesia and anesthesia?

Analgesia refers to the absence of pain sensation, while anesthesia involves a loss of sensation, including pain, in a body part or the entire body.

The study of what the drug does to the body is called ______.

<p>pharmacodynamics</p> Signup and view all the answers

Match the following anesthetic terms with their corresponding descriptions:

<p>Analgesia = Loss of sensation (including pain) in a body part or the entire body Sedation = Depression of the central nervous system, not fully unconscious Tranquilization = Relaxation of the patient, aware of surroundings but doesn't care Neuroleptanalgesia = Sedative/tranquilizer combined with an opioid Anesthesia = Absence of sensitivity to pain</p> Signup and view all the answers

What is the recommended fasting period for small ruminants before surgery?

<p>12-18 hours (D)</p> Signup and view all the answers

What is the primary function of an oxygen concentrator?

<p>To increase the concentration of oxygen in the air. (B)</p> Signup and view all the answers

Rodents, rabbits, and birds should be fasted before surgery to prevent complications.

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

Large cryogenic liquid oxygen containers are typically used in smaller clinics and medical offices due to their affordability.

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

What are two common anesthetic concerns in animals during surgery?

<p>Hypotension and hypoventilation</p> Signup and view all the answers

The ASA Physical Status scale is used to assess a patient's ______ risk.

<p>surgical</p> Signup and view all the answers

What is the primary safety concern when opening an oxygen cylinder valve?

<p>Explosion hazard</p> Signup and view all the answers

The ______ valve is a safety feature that prevents the pressure in the anesthesia machine from exceeding a certain limit.

<p>pop-off</p> Signup and view all the answers

Match the medical gas with its corresponding color:

<p>Oxygen = Green Nitrous Oxide = Blue Carbon Dioxide = Black Air = Gray</p> Signup and view all the answers

Which of these is NOT a safety mechanism to prevent the use of the wrong medical gas during surgery?

<p>Airway pressure monitoring (A)</p> Signup and view all the answers

Match the anesthetic agent with its corresponding color in a vaporizer:

<p>Isoflurane = Purple Sevoflurane = Yellow</p> Signup and view all the answers

Describe two potential consequences of a closed pop-off valve during anesthesia.

<p>Oxygen flowing into the patient cannot be removed, leading to over-inflation of the alveoli which can burst; The patient may experience hypoxia due to a lack of oxygen exchange.</p> Signup and view all the answers

Dehydration in animals can be easily detected by clinical signs when the percentage of dehydration is less than 5%.

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

Which of the following steps is NOT included in the pressure check (leak test) of an anesthesia machine?

<p>Open the vaporizer valve to check for leaks. (C)</p> Signup and view all the answers

What are the three common sources of oxygen used in veterinary medicine?

<p>Cylinder, concentrator, and liquid oxygen</p> Signup and view all the answers

If a leak is detected during the pressure check, the anesthesia machine should be used immediately after addressing the leak.

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

What does an increased end tidal CO2 (ETCO2) level indicate?

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

Doppler blood pressure readings are accurate in hypotensive patients.

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

What is the golden standard for direct blood pressure analysis?

<p>Sterile catheter injected into peripheral artery</p> Signup and view all the answers

A systolic blood pressure above _____ mmHg is considered acceptable in dogs.

<p>90</p> Signup and view all the answers

Match the condition with its corresponding ETCO2 level change:

<p>Hypoventilation = Increased ETCO2 Hyperventilation = Decreased ETCO2 Airway Obstruction = Decreased ETCO2 Malignant Hyperthermia = Increased ETCO2</p> Signup and view all the answers

What does a Bispectral Index (BI) reading of 60 indicate?

<p>The patient is adequately under anesthesia (C)</p> Signup and view all the answers

Mild or no palpebral reflex in an anesthetized patient is a sign of adequate anesthesia.

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

What are two critical parameters monitored in anesthetized patients?

<p>Heart rate, ventilation</p> Signup and view all the answers

The ______ is a noninvasive method for measuring blood pressure that can assess systolic arterial pressure.

<p>Doppler</p> Signup and view all the answers

Match the monitoring technique with its corresponding measurement:

<p>Pulse oximetry = O2 saturation of hemoglobin ECG = Heart rhythm Esophageal stethoscope = Heart sounds Noninvasive BP = Systolic, diastolic, and MAP</p> Signup and view all the answers

Which statement is true regarding the rebreathing system?

<p>It allows for lower oxygen flow rates. (C)</p> Signup and view all the answers

A non-rebreathing system is preferred for larger pets due to lower resistance in breathing.

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

What is the pressure threshold at which an oxygen cylinder should be changed?

<p>500 psi</p> Signup and view all the answers

A manual ventilation technique involves occluding the __________ valve while squeezing the reservoir bag.

<p>APL</p> Signup and view all the answers

What is a disadvantage of passive scavenging systems?

<p>They can only absorb halogenated anesthetic gases. (C)</p> Signup and view all the answers

Match the scavenging systems with their characteristics:

<p>Passive = Mobile and low cost Active = More effective but expensive</p> Signup and view all the answers

A benefit of using the Mapleson D system is that it is more common with the bain circuit.

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

How is tidal volume initially calculated for manual ventilation?

<p>10 ml/kg</p> Signup and view all the answers

The study of how the body processes a drug is called ______.

<p>pharmacokinetics</p> Signup and view all the answers

Tranquilization refers to a state of complete unconsciousness.

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

What is the primary role of the veterinarian in charge in the pre-anesthetic evaluation?

<p>The veterinarian in charge is responsible for conducting the patient evaluation and making informed decisions regarding the anesthetic plan.</p> Signup and view all the answers

What is the most accurate method for measuring blood pressure, but rarely used in small animal practice?

<p>Direct BP Analysis (C)</p> Signup and view all the answers

A decreased ETCO2 level could indicate hypothermia or airway obstruction.

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

What are two factors that can result in inaccurate readings when using an oscillometric blood pressure monitor in dogs?

<p>Hypotension, movement, and arrhythmias.</p> Signup and view all the answers

An increased ETCO2 level is a sign of ______, which can be associated with conditions like malignant hyperthermia.

<p>hypoventilation</p> Signup and view all the answers

Match the following conditions with their corresponding ETCO2 level changes:

<p>Hypoventilation = Increased ETCO2 Hyperventilation = Decreased ETCO2 Malignant Hyperthermia = Increased ETCO2 Airway Obstruction = Decreased ETCO2</p> Signup and view all the answers

Which of the following is a safety feature designed to prevent the pop-off valve from closing completely and building up excessive pressure?

<p>Pop-off occlusion valve (A)</p> Signup and view all the answers

The APL valve should be closed during the pressure check of an anesthesia machine.

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

The color of the vaporizer for sevoflurane is ______.

<p>yellow</p> Signup and view all the answers

Match the following anesthetic machine components with their primary function:

<p>Vaporizer = Changes liquid anesthetic into vapor in a controlled manner Pop-off valve = Releases excess pressure from the breathing circuit APL valve = Regulates the pressure in the breathing circuit Oxygen flush button = Delivers a quick burst of oxygen to the patient</p> Signup and view all the answers

Which of the following is a potential consequence of a closed pop-off valve during anesthesia?

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

A low oxygen concentration in the breathing circuit can be a dangerous complication during anesthesia.

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

Describe two steps you would take if a leak is detected during a pressure check of the anesthesia machine.

<p>If a leak is detected, the oxygen flow rate should be titrated to a maximum of 300 ml/min. If the leak is greater than this, the machine should not be used.</p> Signup and view all the answers

Which of the following statements about oxygen cylinders is TRUE?

<p>Cylinder E is smaller than Cylinder H, having a capacity of 660L. (A), An oxygen cylinder should be changed when the pressure drops below 500 psi. (B), Both Cylinder E and Cylinder H operate at a pressure of 2200psi. (C), Cylinder size refers to the volume of oxygen contained in the tank. (D)</p> Signup and view all the answers

Manual ventilation with a reservoir bag involves squeezing the bag and occluding the Pop-off valve temporarily.

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

What is the primary purpose of a CO2 absorption canister in a rebreathing system?

<p>To absorb carbon dioxide (CO2) exhaled by the patient, preventing its rebreathing.</p> Signup and view all the answers

The ______ system is preferred for smaller pets as it offers less resistance to airflow and fewer components, minimizing the risk of leaks.

<p>non-rebreathing</p> Signup and view all the answers

Match the following types of scavenging systems with their respective characteristics:

<p>Passive = Uses charcoal absorption to remove halogenated anesthetic gases from the environment Active = Central vacuum collection system for more effective waste gas removal</p> Signup and view all the answers

What is the recommended fasting period for horses before surgery? (Select all that apply)

<p>4-12 hours (D)</p> Signup and view all the answers

Dehydration clinical signs are readily detectable when the percentage of dehydration is less than 5%.

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

Match the ASA Physical Status scale classification with the corresponding patient description:

<p>I = Normally healthy patients with routine procedures like spaying or neutering. II = Patients with mild systemic disease, such as skin tumors, fractures, obesity, or brachycephalic breeds. III = Patients with severe systemic disease, such as fever, anemia, or renal dysfunction. IV = Patients with life-threatening conditions such as uremia, toxemia, shock, high fever, or significant trauma. V = Patients with imminent risk of death without surgery, experiencing extreme shock or trauma.</p> Signup and view all the answers

What are the normal color coding systems for oxygen and nitrous oxide (N2O) medical gases?

<p>Oxygen: Green, N2O: Blue (C)</p> Signup and view all the answers

Anesthetic concerns for obese animals include hypotension, hypoventilation, hypothermia, and hypoxemia.

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

What are some important steps to be taken for stabilization of an animal before surgery?

<p>Stabilization before surgery involves correcting dehydration and electrolyte imbalances, addressing anemia possibly through blood transfusions, and administering appropriate antibiotic therapy.</p> Signup and view all the answers

The ______ wave on an ECG represents atrial depolarization.

<p>P</p> Signup and view all the answers

Conduction, being a mechanism of heat loss, involves losing heat through direct contact with an object.

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

What is the most common complication during anesthesia?

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

Match the following anesthetic complications with their corresponding descriptions:

<p>Hypothermia = A decrease in core body temperature Hypoxemia = A decrease in oxygen levels in the blood Hypotension = A decrease in blood pressure Hypoventilation = A decrease in the rate and depth of breathing</p> Signup and view all the answers

What is the normal range for ETCO2 in mmHg?

<p>35-45 mmHg</p> Signup and view all the answers

Which of the following is NOT a sign of moderate hypothermia?

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

List the four most common issues with anesthesia, known as the '4 H's'.

<p>Hypothermia, Hypoxemia, Hypotension, Hypoventilation</p> Signup and view all the answers

Hyperthermia is always caused by infection or inflammation.

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

Which of these are considered pre-medications?

<p>Acepromazine + Hydromorphone (C)</p> Signup and view all the answers

A micro drip set delivers a smaller number of drops per milliliter compared to a macro drip set.

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

The study of what the drug does to the body is known as ______.

<p>pharmacodynamics</p> Signup and view all the answers

Oxygen concentrators are commonly used in larger clinics due to their affordability.

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

What is the primary purpose of the pop-off valve in an anesthesia machine?

<p>The pop-off valve allows exhaled gases to escape from the breathing circuit, preventing pressure buildup in the alveoli.</p> Signup and view all the answers

Match the following oxygen sources with their characteristics:

<p>Oxygen cylinder (E cylinder) = Commonly used in veterinary practice, available in steel or aluminum Large cryogenic liquid oxygen containers = Used in facilities with consistent oxygen demand, more expensive Oxygen concentrator = Absorbs nitrogen to increase oxygen concentration, more affordable but requires maintenance</p> Signup and view all the answers

A patient with a severe systemic disease, such as fever, anemia, or renal failure, would be classified as an ASA class ____ patient.

<p>III</p> Signup and view all the answers

Match the following medical gases with their corresponding colors:

<p>Oxygen = Green Nitrous Oxide = Blue</p> Signup and view all the answers

Which of the following is NOT a common anesthetic concern in animals during surgery?

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

Which of the following is a safety mechanism to prevent the use of the wrong medical gas during surgery? (Select all that apply)

<p>PISS (Pin Index Safety System) (A), Color-coded cylinders (B), DISS (Diameter Index Safety System) (D)</p> Signup and view all the answers

An oxygen cylinder should be changed when the pressure falls below 500 psi.

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

Which type of breathing system is preferred for smaller pets?

<p>Non-rebreathing system (D)</p> Signup and view all the answers

The ______ system is a type of breathing system where CO2 is absorbed by a canister.

<p>rebreathing</p> Signup and view all the answers

What is the primary concern with using the rebreathing system?

<p>Increased resistance for smaller patients (harder to breathe)</p> Signup and view all the answers

Match the type of scavenging system with its primary advantage:

<p>Passive = More effective Active = Mobile and easy to set-up</p> Signup and view all the answers

Which of the following is NOT a disadvantage of passive scavenging systems?

<p>More effective than active systems (B)</p> Signup and view all the answers

What is the primary purpose of a scavenging system?

<p>To remove waste products (gases) acquired from anesthetic procedures</p> Signup and view all the answers

The ______ valve is occluded during manual ventilation with a reservoir bag.

<p>APL</p> Signup and view all the answers

The Mapleson D system is commonly used with the Bain circuit.

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

Flashcards

Anesthesia

Loss of sensation in a body part or the whole body, can be local or general.

Analgesia

Absence of pain sensitivity, often induced by certain drugs.

Sedation

CNS depression where the patient is calm but not fully unconscious.

Tranquilization

Relaxation of the patient, who remains aware but indifferent to surroundings.

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Pharmacokinetics

Study of what the body does to drugs (absorption, metabolism, excretion).

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Fasting before surgery (SAs)

Food withheld for 6-12 hours; water until premed given.

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Fasting before surgery (Small ruminants)

Food withheld for 12-18 hours; water for 8-12 hours.

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Fasting before surgery (Equines)

Food withheld for 4-12 hours; water until premed given.

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Fasting before surgery (Cattles)

Food withheld for 18-24 hours; water for 12-18 hours.

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Dehydration clinical signs

Not detectable when < 5% dehydration; shock at 12-15% and tachycardia possible.

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ASA Physical Status scale

Ranks surgical risk from I (healthy) to V (immediate risk of death).

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Anesthesia concerns

Issues include hypotension, hypoventilation, hypothermia, hypoxemia.

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Medical gas safety mechanisms

Prevent incorrect gas use with color codes (O2=green, N2O=blue) and PISS/DISS fittings.

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Oxygen Cylinders

Common gas containers used for delivering oxygen, usually steel or aluminum.

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Cryogenic Liquid Oxygen Containers

Large, insulated containers that store liquid oxygen for facilities with high O2 needs.

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Oxygen Concentrator

Device that filters nitrogen from air to concentrate oxygen, affordable but not for large clinics.

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Modern Vaporizers

Devices converting liquid anesthetic into vapor, featuring controlled air flow and color coding.

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Closed Pop-Off Valve Hazard

A closed valve can trap oxygen, risking patient harm by causing alveoli to burst.

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Machine Leak Test Steps

Procedure to check anesthesia machine for leaks, involving closing valves and observing pressure.

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Pressure Check Observations

Watch pressure gauge for 30 seconds; no drop indicates no leak.

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Oxygen Remaining Calculation

Use P1/V1 = P2/V2 to determine remaining oxygen in liters and estimate time left.

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Bispectral Index (BI)

A measure analyzing EEG values, indicating consciousness level during anesthesia.

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Anesthetic monitoring importance

Essential for ensuring adequate blood flow, ventilation, and body temperature during anesthesia.

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Noninvasive blood pressure monitoring

Methods include Doppler and oscillometric to measure arterial pressure without needles.

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Pulse oximetry

A noninvasive method to measure the % O2 saturation of hemoglobin in the blood.

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Ventral medial eye rotation

An indicator during anesthetic assessment to gauge depth and response.

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Cylinder E size

A type of oxygen cylinder with a capacity of 660L at 2200psi.

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Cylinder H size

A larger oxygen cylinder with a capacity of 6900L at 2200psi.

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Change oxygen cylinder

Replace oxygen cylinders when pressure drops below 500 psi.

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Manual ventilation with reservoir bag

Squeeze the bag while occluding the APL valve to provide breath to the patient.

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Rebreathing system

A breathing system using unidirectional valves that prevents CO2 buildup via chemical absorption.

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Non-rebreathing system

Preferred for smaller pets; has less resistance and little dead space, but uses higher oxygen flow rates.

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Passive scavenging system

Uses charcoal to absorb halogenated anesthetic gases and requires replacement after 50g weight.

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Active scavenging system

A more effective anesthetic gas removal system that uses a central vacuum collection.

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End tidal CO2 (ETCO2)

Measurement of CO2 concentration in exhaled air, indicating ventilation status.

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Hypoventilation

Decreased ventilation resulting in increased ETCO2 levels, often seen with anesthetic complications.

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Hypoventilation causes

Conditions causing hypoventilation include malignant hyperthermia and anesthesia-related hypotension.

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Direct BP analysis

Golden standard for blood pressure measurement using a sterile catheter in a peripheral artery.

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Doppler BP prediction

Doppler method estimates mean arterial pressure (MAP) more accurately than systolic BP alone.

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Oscillometric BP monitoring

Measures blood pressure by detecting oscillations in arterial walls.

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Oxygen Cylinder Types

Common E cylinders are made of steel or aluminum for oxygen delivery.

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Oxygen Concentrator Function

Device that filters air to increase oxygen concentration, more affordable.

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Vaporizer Color Codes

Modern vaporizers use colors to identify anesthetic agents; e.g., isoflurane = purple.

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Closed Pop-Off Valve Risks

Closing this valve traps oxygen, risking patient harm due to alveoli bursting.

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Vaporizer Functionality

Changes liquid anesthetic into vapor using increased surface area; essential for anesthesia.

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Tidal Volume Calculation

Formula to calculate tidal volume: BW (kg) x tidal volume (mL/kg) x 5.

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Pros of Rebreathing System

Lower oxygen flow rates and easy setup but more resistance for smaller pressures.

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Cons of Non-Rebreathing System

Higher oxygen flow rates and increased risk of hypothermia due to more oxygen usage.

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Scavenging Systems Purpose

Systems that actively remove waste anesthetic gases during procedures.

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Passive vs Active Scavenging

Passive uses charcoal; active employs vacuum. Active is more effective but expensive.

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Change Oxygen Cylinder Criteria

Oxygen cylinders should be replaced when pressure drops below 500 psi.

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Manual Ventilation Technique

Provide ventilation by squeezing the reservoir bag and occluding the APL valve.

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Components of Breathing Systems

Consist of rebreathing and non-rebreathing systems, each with pros and cons.

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Fasting before surgery (Rodents, rabbits, birds)

No fasting required due to high metabolic rates; prone to hypoglycemia.

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Dehydration shock signs

12-15% dehydration causes shock with tachycardia and possible death.

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Correcting dehydration

Stabilization involves correcting dehydration and electrolyte balance.

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ASA Physical Status scale (IV)

Represents a threat to life due to conditions like uremia or shock.

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Oxygen medical gas color coding

Oxygen is green; N2O is blue, preventing wrong usage.

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Clinical signs of dehydration

Not detectable when dehydration is less than 5%; symptoms appear later.

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Oscillometric method

Best predictor for systolic arterial pressure using automated measurements.

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P wave

Represents atrial depolarization in an ECG reading.

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Normal PaO2 under anesthesia

Should be greater than 95% to avoid severe hypoxemia.

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Four mechanisms of heat loss

Radiation, convection, conduction, and evaporation are ways the body loses heat.

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Hypothermia symptoms

Common during anesthesia, includes decreased RR and bradycardia.

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Hyperthermia causes

Result of thermoregulation failure, often due to heat stroke or anesthesia.

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Normal ETCO2 range

Should be maintained at 35-45 mmHg during anesthesia.

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MAP normal limits

Mean arterial pressure should be 60-100 mmHg; equine > 70 mmHg.

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Neuroleptanalgesia

A combination of a sedative/tranquilizer and opioid for anesthesia.

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Pharmacodynamics

The study of what a drug does to the body, crucial in anesthesia.

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Patient evaluation

An assessment covering signalment, history, PE, and lab tests before anesthesia.

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Macro vs Micro drip sets

Macro drips (10-15 drops/ml) for larger dogs; micro drips (60 drops/ml) for small ones.

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Blood & urine samples

Tests done during patient evaluation to assess health before surgery.

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Fluid Drip Rates

10-15 drops/ml for macro sets (large dogs) and 60 drops/ml for micro sets (small pets).

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Scavenging Systems

Systems that actively remove waste anesthetic gases during procedures to protect the environment.

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Cylinder E and H

Cylinder E holds 660L at 2200psi, while cylinder H holds 6900L at the same pressure.

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Stabilization procedures

Involve correcting dehydration and electrolyte balance, and may include blood transfusions for anemia.

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Steps to Perform Machine Leak Test

Process for checking anesthesia machine for leaks, involving specific valve actions and pressure observation.

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Study Notes

Anesthesia Learning Objectives

  • Anesthesia is the loss of sensation (in a body part or whole body)
  • Analgesia is the absence of pain sensitivity
  • Sedation is CNS depression, not unconsciousness (patient is awake and calm)
  • Tranquilization is relaxing the patient while they are aware of their surroundings
  • Neuroleptanalgesia combines a sedative/tranquilizer with an opioid
  • Pharmacokinetics studies how the body processes drugs (metabolism, half-life)
  • Pharmacodynamics studies how drugs affect the body
  • Fluid drip rates vary based on animal size; 10-15 drops/mL for larger dogs, 60 drops/mL for smaller animals (cats, exotics)
  • Fluid drip rates are calculated using drops per milliliter
  • Macro drip sets are for larger dogs (10-15 drops/mL)
  • Micro drip sets are for smaller animals (cats, exotics) (60 drops/mL)
  • 1mg = 1000mcg

Patient Evaluation Prior to Anesthesia

  • Veterinarians evaluate patients before anesthesia
  • This evaluation includes signalment (species, breed, sex), history, physical exam, blood work, and urine samples
  • It also includes assessment of temperament, mentation, pain, and stress, along with any changes from before the surgery.

Lab Work for Healthy and Unhealthy Pets

  • Healthy pets require PCV, total solids, glucose, BUN (protein).
  • Unhealthy pets require a complete blood count (CBC), standard chemistry panels, and a urinalysis (U/A).

Anesthesia Preparation

  • Anesthesia preparation includes withholding food (6-12 hours before for small animals; 12-18 for small ruminants; 4-12 for equines; 18-24 for cattle)
  • Water withholding varies but often occurs until pre-medication is given.
  • Small ruminants and equine are given less food than usual and their water intake withheld for 3-12 hrs before surgery.
  • Food withheld for small animals 6–12 hrs, small ruminants 12–18 hrs, equines 4–12 hrs, and cattle 18–24 hrs prior to surgery. Water is withheld until pre-med is given

Safety Concerns in Anesthesia

  • Risk analysis and risk management should be discussed with the client.
  • Safety mechanisms prevent wrong medical gas flow to the patient: Oxygen—green, N2O—blue, PISS, DISS
  • Oxygen cylinders commonly used contain steel or aluminum and should be changed when pressure drops below 500 psi

Oxygen Cylinders in Veterinary Medicine

  • E cylinder is commonly used
  • Cryogenic liquid oxygen containers are large, used in facilities, and are more expensive
  • Oxygen concentrators absorb nitrogen from air to increase oxygen levels.
  • They are more affordable but require more maintenance.

Machine Leak Tests

  • Anesthesia machines have leak tests (pressure checks)
  • Valves need to be observed and set optimally
  • Leak tests are performed to prevent possible death of patients.
  • Pressure test the system by adding pressure to the system up to 30 cm H2O and monitor if pressure drops in 30 seconds. If pressure does not drop then the system is leak free.

ASA Physical Status Scale

  • Categorizes a patient's surgical risk into classes from 1 (healthy) to 5 (high risk)

Oxygen Flow Calculation

  • Calculate oxygen remaining and expected time based on PSI and flow rate. Use the following formula P1/V1 = P2/V2

P Reservoir Bag Calculation

  • Calculate P reservoir bag volume using weight
  • In emergency cases or for less oxygen usage, P reservoir bag's volume can be calculated using (KILOGRAMS (kg) * TIDAL VOLUME (mL/kg) * 5)
  • Always round up when using a smaller tidal volume

Safety Concerns with Anesthesia Machine

  • Proper checking prevents environmental pollution, hypoxemia (low oxygen), and other problems.
  • Two breathing systems are common: rebreathing and non-rebreathing. Rebreathing systems have lower oxygen flow requirements; non-rebreathing systems are suitable for smaller animals

Scavenging Systems in Anesthesia

  • Different systems actively remove waste products
  • Passive Systems only remove certain types of anesthetic gases

Endotracheal Tube (ETT) Types

  • Equipment for ETT includes a light source and a laryngoscope
  • Proper placement and sizing are crucial (use a size one size larger than, and one size smaller than the ETT).
  • Cuff Inflation methods to ensure no gas escapes (~ 22cm H2O of air escapes)

Oxygen Flow Rates

  • Beginning anesthesia flow rate = 44 mL/kg/min (start with higher rate)
  • During maintenance anaesthesia = 22 mL/kg/min

Anesthesia Planes

  • Stages of anesthesia are observed during monitoring of different vitals and reflexes. Note: Stages I, II, and III are different for each species.
  • Planes of anesthesia describe the level of anesthetic effect on the patient (pupil size, jaw tone, corneal reflexes and heart and resp rates).
  • There is a range for specific responses in different species depending on different anesthetic drugs that affect species at varying points.

Anesthetics and Monitoring

  • Patients undergo different protocols and methods of monitoring to ensure proper levels of anethesia given.
  • Basic monitors, including pulse oximetry, capnography, and ECG are used for patient monitoring.

Complications during anesthesia

  • Patient’s body temperature changes during surgery.
  • Hypothermia is a common problem; monitor constantly and correct temperature accordingly.
  • Monitor patients for symptoms of inflammation, including changes in organ function.
  • Monitor for changes in patient vitals, such as heart rate, respiratory rate, blood pressure, and oxygen saturation.
  • Monitor for changes in patient responses to therapy.

Heat and Temperature

  • Radiation, Convection, Conduction, and Evaporation are the 4 common ways heat transfers.
  • Anesthetics cause the body to think it is hot/cold even though it is not.

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