Test #2 Pre Anesthetic Period Flashcards
(92 cards)
0
Q
T/F a 20ga IV catheter would be appropriate for a 50# dog
A
True
1
Q
T/F the pre anesthetic period immediately proceeds induction
A
True
2
Q
T/F BUN and Creat can be measured during the PA period to determine renal function
A
True
3
Q
T/F there is no such thing as “no risk” anesthesia
A
True
4
Q
T/F a Rebreathing system is used on pts that weigh less then 7kg
A
False
5
Q
T/F brachycephalics have large tracheas for their weight
A
False
6
Q
T/F PA drugs are most commonly administered IM or SQ
A
True
7
Q
T/F anticholinergic drugs are not routinely used in LA
A
True
8
Q
T/F tranquilizers do not produce any analgesic effects
A
True
9
Q
T/F Diazepam can be mixed in the same syringe with most drugs
A
False
10
Q
What is not a valid reason for administering a PA med?
A
It may increase pt safety by allowing the pt to stay under GA for a longer time
11
Q
A major disadvantage to opioids is?
A
Respiratory depression
12
Q
Glycopyrrolate
A
Robinul-V
13
Q
Acepromazine
A
Promase
14
Q
Diazepam
A
Valium
15
Q
Medetomidine
A
Domitor
16
Q
Yohimbine
A
Yobine
17
Q
Oxymorphone
A
Numorphan
18
Q
Naloxone
A
Narcan
19
Q
Butorphanol
A
Torbugesic
20
Q
Xylazine
A
Rompun
21
Q
Midazolam
A
Versed
22
Q
Fentanyl
A
Agonist opioid
23
Q
Morphine
A
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
