Small Animal Nursing Lab 1 Lab Report 2 PDF

ATE 2655L Small Animal Nursing Lab 1 Lab Report 2- The anesthesia machine & forms Name: _____Adriana________ Date : __9/19/24_____ Exercise 1: Identify the parts of the anesthesia machine and label them: Compressed gas source Tank pressure gauge Flow meter Vap...

ATE 2655L Small Animal Nursing Lab 1 Lab Report 2- The anesthesia machine & forms Name: _____Adriana________ Date : __9/19/24_____ Exercise 1: Identify the parts of the anesthesia machine and label them: Compressed gas source Tank pressure gauge Flow meter Vaporizer Unidirectional valves Hoses and reservoir bag Pop-off valve CO2 absorber O2 flush valve Pressure manometer Scavenge system Exercise 2: Trace the flow of the oxygen through the system to the patient in the diagram provided. Exercise 3: Check system for leaks- Close pop-off valve Place finger (or palm of your hand) over breathing circuit Fill reservoir bag using oxygen flush until the manometer pressure reads 20 mmHg Watch for pressure to remain stable for 30 seconds. No changes = no leaks Release the pop off valve without releasing finger (or palm of your hand) over breathing circuit Exercise 4: O2 in tank calculations Soda lime change Scavenger system replacement Exercise 5: Surgical Forms and Logs: Name all forms to be used for dental procedures & list below: 1- Home oral health care interview form 2- Canine dental chart 3- Feline dental chart 4- Dental procedure estimate 5- Dental procedure release form 6- Dental radiograph template 7- Discharge take home instructions 8- Discharge take home pictures 9- Dental radiographs 10 Thank you card (SADP, PG 223-243) 1 Questions: 1. Where can leaks in the anesthetic machine be located? Name the location, how it is detected and what to do if it is detected (Highlight in yellow, on your diagram)  Can happen anywhere o Commonly sites of attachment o Vaporizer inlet and outlet o Reservoir bag o Breathing tubes o Scavenging hose or pressure release valve  Detect by o Securing all connections o For non rebreathing system  Close the scavenging hose and pressure release valve o For rebreathing system  Close pop off valve  Cover Y piece opening  Turn on O2 or O2 flush valve & inflate reservoir bag  Hold for at least 10seconds o If reservoir bag does not deflate there are no leaks o Reservoir bag deflating means there are leaks  (CTVT, PG 937) 2. How do you calculate the size of the reservoir bag for a patient?  Determine pt weight  Use 50ml/kg of pt weight  5x Vt during anesthesia  1L for pts 4-7kg of body weight  2L for pts 8-15kg of body weight  3L for pts 16-50kg of body weight  5L for pts 150kg of body weight  30-35L for pts over 150kg of body weight (AAVTN, PG 138-140) 3. What are the two reasons for the reservoir bag to be empty? Why might the reservoir bag be too full?  Empty o Gas flow is inadequate o Pop off valve is open too far  Too full o Pop off valve is closed o Obstruction in scavenging system (AAVTN, PG 140) 4. How do you calculate the flow rate needed for a patient?  Use pts body weight and Vt or RMV o Vt is approximately 10mL/kg 2  o RMV Is is Vt multiplied by respiratory rate (breaths per minute) (AAVTN, PG 149) 5. How do you know when the CO2 absorbent granules need to be changed? Name 4 reasons.  Lime soda granules are hard  Color changes from white to purple  After 6-8 hours of use  After 14-30 days of use (AAVTN, PG 141) 6. Where are the surgical forms located? In the medical record (AAVTN, Pg236) a. Before use? Retrieve forms from receptionists. (AAVTN, PG 17) b. After use? Place in medical record. (AAVTN, Pg 337) 7. What logs are used with the anesthesia machine and why?  Controlled substance logs o Document use of  Benzodiazepines  Opioids  Cyclohexylamine  Barbiturates  Other controlled drugs  Anesthesia record o Allows veterinarian to  Review anesthetic history  Determine best anesthesia protocol to use for future procedures (AAVTN, PG 236) 8. How do you calculate how much time is left in the O2 tank?  Multiply pressure (PSI) left in E tank by 0.3  Multiply pressure in H tank by 3 (AAVTN, PG 126) 9. How do you calculate how much time is left in the Scavenger system?  Weigh canister o Discard after weight gain of 50g o Weigh new canister  Add 50g  Resulting weight is when canister must be replaced  Note time when canister started being used o Replace after 12 hours of use (AAVTN, Pg 171) 10. How do you know what size ET tube a patient needs? Measure distance between most rostral aspect of pts mouth and the thoracic inlet. (AAVTN, PG 114) How many tubes do you need to have ready? 3 appropriately sized tubes with at least 3 slightly different diameters. How do you check the tube cuff?  Attach syringe to the valve port, deflating the cuff while extending pts head  close pop off valve 3   compress reservoir bag gently  monitor manometer  listen for gas leakage around the tube  slowly inflate cuff until leaking sound stopsat adequate pressure (AAVTN, PG 323) Why do you check the tube cuff?  Tracheal diameter may increase after a few minutes o Due to  Muscle relaxation  Undetected leak in cuff  Undetected leak in pilot line (AAVTN, PG 324) 11) Reading Assignment: You are responsible for this content on any quiz at any time from now. Small Animal Dental Procedures for Veterinary Technicians and Nurses Jeanne R. Perrone (Editor) Chapter 4: Anesthesia and the Dental Patient 45 Annie Mills Introduction 46 Anesthesia for the Dental Patient 46 Anesthetic Equipment 47 Monitoring Anesthesia and Common Complications 50 Pain Management in the Dental Patient 53 Chapter 10: Discharging the Dental Patient 187 Patricia Dominguez Discharge Instructions: What You Need 188 The Importance of Photographs and Radiographs 192 Managing Recheck Visits 194 Reminders: How Often Should Dental Patients Return? 195 4 5  1. Compressed gas source/E Tank  2. Tank pressure gauge  3. Flow meter  4. Vaporizer  5. Dial  6. Unidirectional valves  7. Y tube/piece  8. CO2 Absorber  9. Reservoir bag  10. O2 flush valve  11. Anesthesia indicator window  12. Pop off valve  13. Pressure manometer  14. Negative pressure safety valve 6