Test #2 Pre Anesthetic Period Flashcards Preview

Anesthesia -Scott Newman & Janet King > Test #2 Pre Anesthetic Period > Flashcards

Flashcards in Test #2 Pre Anesthetic Period Deck (92):
0

T/F the pre anesthetic period immediately proceeds induction

True

1

T/F a 20ga IV catheter would be appropriate for a 50# dog

True

2

T/F BUN and Creat can be measured during the PA period to determine renal function

True

3

T/F there is no such thing as "no risk" anesthesia

True

4

T/F a Rebreathing system is used on pts that weigh less then 7kg

False

5

T/F brachycephalics have large tracheas for their weight

False

6

T/F PA drugs are most commonly administered IM or SQ

True

7

T/F anticholinergic drugs are not routinely used in LA

True

8

T/F tranquilizers do not produce any analgesic effects

True

9

T/F Diazepam can be mixed in the same syringe with most drugs

False

10

What is not a valid reason for administering a PA med?

It may increase pt safety by allowing the pt to stay under GA for a longer time

11

A major disadvantage to opioids is?

Respiratory depression

12

Glycopyrrolate

Robinul-V

13

Acepromazine

Promase

14

Diazepam

Valium

15

Medetomidine

Domitor

16

Yohimbine

Yobine

17

Oxymorphone

Numorphan

18

Naloxone

Narcan

19

Butorphanol

Torbugesic

20

Xylazine

Rompun

21

Midazolam

Versed

22

Fentanyl

Agonist opioid

23

Morphine

Agonist opioid

24

Xylazine

Alpha 2 agonist

25

Atropine

Anticholinergic

26

Acepromazine

Phenothiazine tranquilizer

27

Diazepam

Benzodiazepine tranquilizer

28

Medetomidine

Alpha 2 agonist

29

Yohimbine

Alpha 2 antagonist

30

Naloxone

Antagonist opioid

31

Butorphanol

Mixed opioid

32

Effects that atropine may have on the body include

Decrease GI motility

33

Characteristic effects of the benzodiazepines include

Muscle relaxation

34

Physical effects that may Be seen after the administration of xylazine included

Bradycardia, sedation, and vomiting and dogs and cats. (All of the above)

35

Benzodiazepines may be reversed with

Flumazenil

36

A neuroleptanalgesic is a combination of

An opioid and a tranquilizer

37

Indications for the use of a glycopyrrolate include

A tachycardic patient, a long surgical procedure, and a C-section (All of the above)

38

All of the following are true of Acepromazine except

Avoid use in animals with respiratory disease

39

All of the following would cause vagal stimulation except

Using an anticholinergic drug

40

______ Breeds have abnormally high vagal responses and elongated soft palate with redundant soft tissue.

Brachycephalic

41

A change in color and _____ Are indicators that the CO2 absorber Granules need to be changed

Texture

42

When pressure checking the anesthetic machine for leaks the pressure should not drop more then _____in 30 seconds

5 cm H2O

43

To prevent the wind up a fact it is best to give analgesic drugs _____

Pre- operatively or pre- Emptive

44

_____ Animals may not need to calculated dosage of anesthetic drugs that was based upon their current weight

Obese

45

Calculate a surgical drip rate in whole drops per second for a patient that weighs 14 pounds

3gtt/10sec

46

An opioid classified as a _____ works by stimulating all receptors

Pure agonist

47

Oxymorphone is an opioid agonist that has a Maximum dose of _____

3 mg

48

Abnormal sound of blood flow through the heart is called a _____

Murmur

49

The most familiar use of Naloxone is a _____

Opioid reversal agent

50

Ciara, a Labrador retriever in for a routine spay. Her temperature is 103.9°F and she seems depressed. Her laboratory values are as follows: PCV 61% total protein 18.2 g/dL BUN 48 mg/dL creatinine 1.6 mg/dL USG 1.045 WBC 6700/ul What is her anesthetic risk?

Class III

51

Moby, A 6 month old pug is in for a routine neuter. History and physical exam are WNL. His laboratory values are as follows: PCV 36% total protein 6.2 g/dL WBC 7000/ul BUN 20 mg/dL. What is his anesthetic risk?

Class II

52

T/F Given the busy nature of a veterinary practice, it is probably best to assume the same anesthetic protocol should be used on all patients

False

53

T/F Different species may have different physiologic's in regard to metabolism of drugs

True

54

T/F An obese dog will require more anesthetic than a normal weight dog of the same breed

False

55

T/F blood tests such as PCV have minimal value for an anesthetist

False

56

T/F Buprenorphine is a partial mu agonist opioid medication

True

57

T/F Anticholinergic drugs are not routinely used as pre-anesthetics for large animals

True

58

T/F Phenothiazine tranquilizers sedate the animal and provide some analgesia

False

59

T/F In general, the opioid drugs can have a significant effect on the respiratory system

True

60

Affects that one may see after the premedication with the benzodiazepine tranquilizers include:

Profound sedation

61

The main side effects seen after administration of the Thaizine derivatives include:

Bradycardia

62

Opioids may be reversed with:

Naloxone

63

A common neuroleptanalgesic used in small animal medicine is:

Ace and butorphanol

64

Small animal patient should be be NPO for ____ hours before surgery:

12

65

The normal range for the heart rate of an awake bloodhound is:

60-160 bpm

66

When pressure checking a machine, the pressure should not drop more then ____ centimeters H2O in 30 seconds

5

67

An appropriate drip set for a patient that weighs 12 pounds is:

60gtt/ml

68

What size over the needle catheter should we place in an 85 pound dog:

20 gauge

69

Doxapram is:

Most commonly used as a respiratory stimulant

70

An abnormal heartbeat which corresponds with respirations is called an _____, and can be normal in ____

Sinus arrhythmia, dogs

71

Normal range for the respiratory rate for the week dog is ____

15 to 30 rpm

72

Patients with severe systemic disease that are a constant threat to life are placed into a classification ____, a poor anesthetic risk.

4

73

The part of the anesthetic machine the drops the pressure in the system to 50 psi is____

Pressure regulator

74

One reason to use preanesthetic drugs is that some will _____

Calm or relax the patient

75

____ Is the name of the tranquilizer which is a benzodiazepine that is more effective than diazepam, and it can be next in the same syringe with other drugs

Metazolam

76

_____ Is the name of the alpha-2 agonist drug that is most commonly used in large animal medicine which provides good sedation and analgesia, but has a longer duration than xylazine

Phenylbutazone

77

____ Is the trade name of the Fentanyl all when used as a constant rate of infusion intraoperatively

Duragesic

78

An _____ Opioid works by blocking all receptors

Pure antagonist

79

Torbugesic

2 to 5 times the potency of morphine

80

Rompun

Injectable Xylazine

81

Flumazenil

Reversal for benzodiazepines

82

Atropine sulfate

ER drug of choice for bradycardia

83

Valium

IM absorption is unreliable

84

Domitor

Medetomidine

85

Oxymorphone

Numorphan

86

Acepromazine

Phenothiazine tranquilizer, muscle relaxation, vasodilation

87

Butorphanol

Mixed opioid, Torbugesic, Viscerally analgesia, Respiratory depression

88

Glycopyrrolate

Anti-cholinergic, Robinal- V, prevents bradycardia without causing tachycardia

89

Morphine

Agonist opioid, good sedation and can be reversed, GI upset

90

Xylazine

Alpha-2 agonist, rompun, provides sedation, bradycardia

91

List eight procedures that the anesthetician should perform during the pre-anesthetic period

CBC/blood chemistry, three ET tube sizes, place catheters, urine analysis, preanesthetic exam, pressure check anesthesia machine, shave patient for surgery