Recovery

Question 0

Concern of respiration: 2

Answer 0

Hypoventilation and airway obstruction

Question 1

Recovery period

Answer 1

The pd from the end of procedure until normal mentation returns

Question 2

Concerns of cardiovascular system : 3

Answer 2

Hypotension, hypovolemia, arrhythmias

Question 3

Concern with temperature : 2

Answer 3

Hypothermia

Hyperthermia

Question 4

What temp indicates hypo and hyperthermia

Answer 4

99

102.5

Question 5

Who are predisposed to hyperthermia

Answer 5

Sight hounds and cats

Question 6

Causes of post-op excitement

Answer 6

Hypothermia
Hypoxia- blue mm
Hypercarbia
Drugs
Breed

Question 7

The pt will gradually progress back through..

Answer 7

The same anesthetic stages that were experienced through induction

Question 8

Our role

Answer 8

Minimizing problems

Question 9

If suspecting pain or fear..

Answer 9

Wake up slowly. Give pain meds before waking. Alleviate excitement with reversal

Question 10

Signs of excitement

Answer 10

Biting thrashing

Question 11

Pt may need to be wrapped/held

Answer 11

If thrashing is excessive

Question 12

What not to give when tp is in recovery cage

Answer 12

Bowls water food foreign objects

Question 13

How to keep pt warm

Answer 13

Warm towels, hot water bottles, hair air dryers, infrared lights, rice bag, heating pad, bubble wrap, incubator

Question 14

Use o2 mask if..

Answer 14

Shivering

Question 15

Keep o2 on …

Answer 15

5 min or until swallow

Question 16

Check temp every 5 min until

Answer 16

Reaches 98.6-100, then q 3 hr

Question 17

What to check every 5 min

Answer 17

TPR, mm color, CRT

Question 18

Watch for excessive

Answer 18

Bleeding or licking at surgical site

Question 19

What must be ensured throughout entire procedure

Answer 19

Pt comfort

Question 20

ET tube removed when

Answer 20

Signs of imminent arousal and swallow reflex.

Question 22

When to remove et tube - cats

Answer 22

Voluntary limb movements.. Keep in longer for cats- can lead to lyringeal spasms

Question 23

if a dental is performed, the cuff..

Answer 23

may only be partially deflated. keeps fluids accumulated to be removed

Question 24

analgesics are administered by the

Answer 24

request of the attending veterinarian

Question 25

administer analgesics before pain is experienced

Answer 25

pre-emptive

Question 26

after surgery, pt should be able to

Answer 26

sleep comfortably and demonstrate minimal signs of pain

Question 27

post-op problems include 10 things

Answer 27

removal of sutures by pt, aspiration of V+, pneumonia, hemorrhage, hypoglycemia, hypothermia, burns, shock, seizures, dyspnea

Question 28

pt is fully recovered when

Answer 28

awake and fully standing, eat/drink water the next day.

Question 29

when should sutures be removed

Answer 29

7-14 days (10)

Question 30

incisions should be inspected how frequently

Answer 30

minimum of twice a day until sutures are removed

Question 31

how to detect or measure pain

Answer 31

physiological response and behavioral signs

Question 32

physiological response: signs of pain

Answer 32

increased BP. dilated pupils, loss of appetite, salvation, V/D, tremors, decreased immune effects.

Question 33

what happens to cells when in pain

Answer 33

stressed WBC increased- monocytes/neutrophils, decreased- eosinophils/lymphocytes

Question 34

behavior signs of pain

Answer 34

vocalize, purring, facial expression, body pressure, decreased activity level, attitude, loss of appetite, grooming, change in bathroom habits

Question 35

treating pain improves..

Answer 35

healing time

Question 36

how often do we turn animals

Answer 36

every two hours to prevent bed sores/ulcers

Question 37

environmental management: nursing care

Answer 37

pillow/blanket, temp control, lube for eyes, expressing bladder, clean cage, clean off blood and soap residue.

Question 38

blood and soap are

Answer 38

irritants to skin

Question 39

drug therapies: opoids

Answer 39

morphine, oxymorphone, fentanyl, butorphanol

Question 40

drug therapies: dissociatives

Answer 40

ketamine

Question 41

drug therapies: nsaids

Answer 41

aspirin, ketoprofen, carprofen

Question 42

drug therapies: sedation/analgesia

Answer 42

alpha-2 agonist: xylazine, medetomidine

Question 43

drug therapies are given for how long

Answer 43

24 hours post-op

Question 44

pain scoring 0-4

Answer 44

``` 0-minimal 1- mild 2-mild, moderate 3- moderate 4-moderate, severe ```

Question 45

which scoring numbers release pain

Answer 45

2,3,4

Question 46

methods of pain relief

Answer 46

local/topical. systemic. SQ, IM, oral, epidural.

Question 47

analgesic side effects the body-how?

Answer 47

depression of systems

Question 48

what systems in the body are affected by analgesia

Answer 48

central nervous, cardiovascular, respiratory