Anaesthesia Flashcards

1
Q

SAA01
The veterinary surgeon wants to anaesthetise a cat for ovariohysterectomy.

Using the equipment available, select, assemble and attach the most appropriate
anaesthetic breathing system for this patient.

As this is the first induction of the day, you will also need to check that the anaesthetic
machine is ready for use. Explain to the examiner the checks that you are making.

For this patient you are required to calculate:
a. Tidal volume (X ml/kg)
b. Minute volume
c. Fresh gas flow per minute

The patient has a pre-anaesthetic respiration rate of X breaths per minute

Show all your workings including units

A
  1. Select modified Ayres T-Piece breathing system
  2. Select low pressure Adjustable Pressure Limiting (APL) Valve
  3. Select narrow inspiratory tubing
  4. Select 0.5 litre blind-ended reservoir bag
  5. Select T-shaped connector
  6. Attach to anaesthetic machine
  7. Attach scavenging to APL valve
  8. Attach scavenging to fluosorber
  9. Place fluosorber below level of the patient
  10. Correct breathing system assembled correctly
  11. Breathing system attached correctly to machine and scavenging
  12. Open the oxygen cylinder valve (slowly anticlockwise)
  13. Check the registered quantity of oxygen on the pressure dial
  14. Turn on the oxygen flowmeter control to check smooth function
  15. Turn off oxygen flowmeter control
  16. Press emergency oxygen flush button
  17. Attach ‘in-use’ label to oxygen cylinder
  18. Check the vaporiser percentage dial to ensure it turns easily
  19. Check the level of the volatile anaesthetic agent in the vaporiser and
    take appropriate action
  20. Check for leaks in the breathing system
  21. Fully open APL valve and leave open
  22. Leave anaesthetic machine ready for use (i.e. oxygen should be
    switched on and anaesthetic breathing system attached).
  23. Tidal volume calculation correct (15 x BW)
  24. Minute volume calculation correct (TV X RR)
  25. Fresh gas flow calculation correct (MV X 2.5-3)
  26. Correct units of measurement used for final answer
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2
Q

SAA02
A patient has been admitted with a suspected ruptured diaphragm. The veterinary surgeon wants to anaesthetise the patient and may require you to provide assisted ventilation during anaesthesia.

Using the equipment available, select, assemble and attach the anaesthetic breathing system for this patient.

As this is the first induction of the day, you will also need to check that the anaesthetic
machine is ready for use. Explain to the examiner the checks that you are making.

For this patient you are required to calculate:
a. Tidal volume (X ml/kg)
b. Minute volume
c. Fresh gas flow per minute

The patient has a pre-anaesthetic respiration rate of X breaths per minute.

Show all your workings including units.

A
  1. Select Coaxial Bain anaesthetic breathing system
  2. Select Adjustable Pressure Limiting (APL) valve
  3. Select coaxial tubing
  4. Select reservoir bag
  5. Attach to the anaesthetic machine
  6. Attach scavenging to APL valve
  7. Attach scavenging to fluosorber
  8. Place fluosorber below level of the patient
  9. Correct breathing system assembled correctly
  10. Breathing system attached correctly to machine and scavenging
  11. Open the oxygen cylinder valve (slowly anticlockwise)
  12. Check the registered quantity of oxygen on the pressure dial
  13. Turn on the oxygen flowmeter control to check smooth function
  14. Turn off oxygen flowmeter control
  15. Press emergency oxygen flush button
  16. Attach ‘in-use’ label to oxygen cylinder
  17. Check the vaporiser percentage dial to ensure it turns easily
  18. Check the level of the volatile anaesthetic agent in the vaporiser and
    take appropriate action
  19. Check for leaks in the breathing system
  20. Fully open APL valve and leave open
  21. Leave anaesthetic machine ready for use (i.e. oxygen should be
    switched on and anaesthetic breathing system attached).
  22. Tidal volume calculation correct
  23. Minute volume calculation correct
  24. Fresh gas flow calculation correct
  25. Correct units of measurement used for final answer
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3
Q

SAA03
The veterinary surgeon wants to anaesthetise a patient for radiography and has requested that a Parallel Lack anaesthetic breathing system is used.

Using the equipment available, select, assemble and attach the anaesthetic breathing system for this patient.

As this is the first induction of the day, you will also need to check that the anaesthetic
machine is ready for use. Explain to the examiner the checks that you are making.

For this patient you are required to calculate:
a. Tidal volume (Xml/kg)
b. Minute volume
c. Fresh gas flow per minute

The patient has a pre-anaesthetic respiration rate of X breaths per minute.

Show all your workings including units.

A
  1. Select Parallel Lack anaesthetic breathing system
  2. Select wide-bore tubing x 2
  3. Select reservoir bag
  4. Select Y-shaped connector
  5. Attach to anaesthetic machine
  6. Attach scavenging to APL valve
  7. Attach scavenging to fluosorber
  8. Place fluosorber below level of the patient
  9. Correct breathing system assembled correctly
  10. Breathing system attached correctly to machine and scavenging
  11. Open the oxygen cylinder valve (slowly anticlockwise)
  12. Check the registered quantity of oxygen on the pressure dial
  13. Turn on the oxygen flowmeter control to check smooth function
  14. Turn off oxygen flowmeter control
  15. Press emergency oxygen flush button
  16. Attach ‘in-use’ label to oxygen cylinder
  17. Check the vaporiser percentage dial to ensure it turns easily
  18. Check the level of the volatile anaesthetic agent in the vaporiser and
    take appropriate action
  19. Check for leaks in the breathing system
  20. Fully open APL valve and leave open
  21. Leave anaesthetic machine ready for use (i.e. oxygen should be
    switched on and anaesthetic breathing system attached).
  22. Tidal volume calculation correct (10-15 x BW)
  23. Minute volume calculation correct (TV X RR)
  24. Fresh gas flow calculation correct (MV X 1-1.5)
  25. Correct units of measurement used for final answer
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4
Q

SAA04
The veterinary surgeon wants to anaesthetise a dog for dental treatment.
Using the equipment available, select, assemble and attach the anaesthetic breathing system for this patient.

Select and prepare the most appropriate endotracheal tube.

As this is the first induction of the day, you will also need to check that the anaesthetic
machine is ready for use. Explain to the examiner the checks that you are making.

For this patient you are required to calculate:
a. Tidal volume (X ml/kg)
b. Minute volume
c. Fresh gas flow per minute

Set the oxygen flowmeter to show the fresh gas flow setting for this patient. The patient
has a pre-anaesthetic respiration rate of X breaths per minute.

Show all your workings including units.

A
  1. Select Mini Lack anaesthetic breathing system
  2. Attach to anaesthetic machine
  3. Attach scavenging to APL valve
  4. Attach scavenging to fluosorber
  5. Place fluosorber below level of the patient
  6. Correct breathing system assembled correctly
  7. Breathing system attached correctly to machine and scavenging
  8. Select cuffed endotracheal tube
  9. Check that the lumen of the endotracheal tube is patent
  10. Inflate the cuff and check for leaks
  11. Deflate the cuff
  12. Open the oxygen cylinder valve (slowly anticlockwise)
  13. Check the registered quantity of oxygen on the pressure dial
  14. Turn on the oxygen flowmeter control to check smooth function
  15. Turn off oxygen flowmeter control
  16. Press emergency oxygen flush button
  17. Attach ‘in-use’ label to oxygen cylinder
  18. Check the vaporiser percentage dial to ensure it turns easily
  19. Check the level of the volatile anaesthetic agent in the vaporiser and
    take appropriate action
  20. Check for leaks in the breathing system
  21. Fully open APL valve and leave open
  22. Leave anaesthetic machine ready for use (i.e. oxygen should be
    switched on and anaesthetic breathing system attached).
  23. Tidal volume calculation correct
  24. Minute volume calculation correct
  25. Fresh gas flow calculation correct
  26. Correct units of measurement used for final answer
  27. Correctly set the gas flow rate using the Oxygen flowmeter
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