Lecture 12 10/14/24 Flashcards

(53 cards)

1
Q

What are the main zoonotic concerns when working with ruminants?

A

-Cryptosporidium
-Rabies virus
-Listeria monocytogenes
-Toxoplasma spp.
-Mycobacterium spp.
-Tuberculosis

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2
Q

Which pathogens cause occult/old bronchopneumonia in ruminants?

A

-Mycoplasma spp.
-Pasteurella spp.
-Bordatella spp.
-Mannheimia spp.
-Parainfluenza

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3
Q

What is the importance of identifying occult/old bronchopneumonia in ruminants?

A

animal can have a smaller tidal volume, which can lead to hypoxemia

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4
Q

What are the general trends in vitals between adult and young animals?

A

young animals have higher HR and RR, while BP is lower

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5
Q

Why is it important to consider a ruminant’s complex stomach when placing them under anesthesia?

A

-fasting for 24 hrs decreases fermentation and increases functional residual capacity of the lungs
-want to avoid excessive fasting and its adverse effects

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6
Q

Why is it important to consider a ruminant’s eructation when placing them under anesthesia?

A

-ruminants cannot eructate under GA
-methane must be vented out

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7
Q

What are the possible complications when placing a ruminant under anesthesia?

A

-regurgitation
-bloating
-choking

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8
Q

What are the effects of ruminal tympany/overfilling of gas?

A

-reduced functional residual capacity
–hypoventilation and hypoxemia
-compression of great vessels
–hypotension

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9
Q

How is ruminal tympany accounted for?

A

-animal placed in sternal or right lateral recumbency
-stomach tube passed to evacuate gas

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10
Q

When does regurgitation occur in ruminants under anesthesia?

A

-during intubation/active
-during GA/passive
-in any recumbency (sternal and R lateral best for avoidance)

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11
Q

What should be avoided in order to prevent regurg?

A

-esophageal intubation
-intubation under a light plane of anesthesia

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12
Q

What steps can be taken to prevent regurg?

A

-make sure ET tube is cuffed properly
-tilt head down

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13
Q

What are the characteristics of salivation?

A

-production continues under sedation/anesthesia
-must replace the fluid lost
-can obstruct the airway; tilt head down

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14
Q

What are the characteristics of anesthesia in neonatal/juvenile ruminants?

A

-can be considered monogastric if still on milk
-limited fasting
-monitor for hypoglycemia; increased risk

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15
Q

What are other considerations that must be taken into account when placing a ruminant under anesthesia?

A

-drug residues entering food chain
-ability to move them
-health status
-temperament
-type of surgery/procedure

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16
Q

What are the general characteristics of dairy cow anesthesia?

A

-used to being handled
-mild physical restraint + local/regional sedation
-light sedation and lower doses of sedatives/anesthetics for standing procedures
-endotracheal intubation for GA
-smoother recovery

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17
Q

What are the general characteristics of beef cattle anesthesia?

A

-infrequently handled
-require more physical restraint
-heavy sedation and larger doses or sedatives/anesthetics
-endotracheal intubation for GA
-rougher recovery

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18
Q

What are the uses/purposes of sedation in ruminants?

A

-restraint
-minor diagnostic procedures
-medical procedures
-improving quality of GA induction, maintenance, and recovery

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19
Q

What are the general characteristics of sheep and goat anesthesia?

A

-easier to handle
-most procedures done with mild physical restraint, light-to-moderate sedation, and local anesthesia

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20
Q

Which drug classes are used in ruminants?

A

-opioids
-benzos
-alpha2-agonists
-acepromazine

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21
Q

Why are sedatives reversed in ruminants?

A

-speeding up recovery time
-emergency treatment for adverse effects

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22
Q

Which reversal agents are used to reverse alpha2-agonists in ruminants?

A

-yohimbine (least selective)
-tolazoline
-atipemazole (most selective)

23
Q

Which reversal agent is used to reverse opioids in ruminants?

24
Q

Which reversal agent is used to reverse benzos in ruminants?

25
Which veins are used for IV access in ruminants?
-jugular vein -caudal auricular vein
26
What are the characteristics of alpha2-agonist use in ruminants?
-VERY sensitive to xylazine -increased CNS sensitivity compared to horses -need very small amounts -avoided in neonates/juveniles when possible due to profound sedation
27
What are the side effects of alpha2-agonists in ruminants?
-increased uterine tone/abortion -placental crossing -GI stasis
28
What are the adverse effects of alpha2-agonists specifically in sheep?
-pulmonary edema -increased airway pressure -parenchymal damage -bronchospasm -venospasm -hypoxemia -cardiorespiratory collapse -death
29
How do alpha2-agonists impact the alveoli of sheep?
-macrophage response -release of cytokines -damage to alveolar type 1 cells, endothelium, and lung parenchyma
30
What are the characteristics of butorphanol use in ruminants?
-synergistic effects with other sedatives -no MAC reduction -mild analgesia
31
What are the characteristics of morphine use in ruminants?
-usually sedative -reduces MAC -moderate/profound analgesia
32
What are the characteristics of benzo use in ruminants?
-short term sedation -no analgesia -mainstem of pediatric sedation -mainstem of induction when combined with ketamine
33
What is a ketamine stun used for?
dose dependent sedation/immobilization, usually with recumbency
34
What are the original ketamine stuns?
IM or IV xylazine + ketamine
35
What are the modified ketamine stuns?
-IV butorphanol, ketamine, and xylazine -IM butorphanol, ketamine, and xylazine for aggressive cattle
36
Which supplies are necessary for large ruminant intubation?
-your arms -mouth gag/speculum -appropriate size ET tube
37
What are the characteristics of large ruminant intubation technique?
-always performed if under GA -done in sternal recumbency -palpate/use hand as guide for ETT
38
Which supplies are necessary for small ruminant intubation?
-appropriate size ETT -laryngoscope -stylet
39
What are the characteristics of small ruminant intubation technique?
-always performed if under GA -done in sternal recumbency -neck hyperextended to 180 deg. angle -visualization of arytenoid cartilages and tracheal opening -lidocaine used to prevent laryngospasm
40
What should be expected when intubating a ruminant?
-regurg. and upper airway obstruction -thick epiglottis and base of tongue -small, far target with small opening between maxilla and jaw
41
What are the complications that arise from placing the ET tube too far?
-blockage of the tracheal bronchus -V/Q mismatch and hypoxemia
42
What steps should be taken when positioning a ruminant for a procedure?
-use mats for padding -avoid stretching limbs -pull dependent limbs forward -tilt head down to drain oral contents
43
What are the characteristics of neuropathy/myopathy complications?
-depend on patient's weight and time in recumbency -superficial nerves compressed on hard surfaces (radial, femoral, peroneal) -heavy muscular masses on hard surfaces -poor tissue perfusion due to hypotension leads to ischemia
44
What are the characteristics of bovine anesthesia maintenance?
-injectable or inhalant-based -similar side effects to other species -machine and ventilation similar to horses -mechanical ventilation recommended -on FiO2 of 1
45
What are the characteristics of small ruminant anesthesia maintenance?
-injectable or inhalant-based -similar side effects to other species -machine and ventilation similar to large dogs -mechanical ventilation recommended -on FiO2 of 1
46
Which drugs are used for injectable maintenance of anesthesia?
-guaifenesin -ketamine -xylazine
47
How are the eyes positioned in the anesthetized bovine?
-ventral when in Plane III Stage 1 or 2 -central when in Plane III Stage 3 or Plane IV
48
What are the characteristics of eye position in anesthetized small ruminants?
-inconsistent and unreliable -generally central -jaw tone used to assess depth
49
What is the cut-off for hypotension in ruminants?
80 mmHg
50
How is temperature monitored in ruminants?
-nasopharynx esophagus
51
What are the key points regarding ruminant recovery?
-always in sternal recumbency to favor eructation -always elevated with a supported head -extubate when ruminating motions are consistent -always keep IV catheter in as long as possible
52
What are potential post-anesthetic complications in ruminants?
-regurg. -airway obstruction -choking -ruminal tympany -prolonged recovery -neuropathy -myopathy -hypothermia
53
What are the characteristics of drug residues?
-use of off-label drugs is protected by AMDUCA -very few drugs labeled for use in small ruminants -consult FARAD for withdrawal recs -provide withdrawal recs for each drug to every client, even if a pet -phenylbutazone prohibited in female dairy cattle older than 20 months