Flashcards in Recovery Deck (55)
How frequently do you monitor the vitals on an unconscious or immobile patient?
Every 10 minutes until animal regains consciousness.
An unconscious patient needs to be continuously supervised until when?
What are 2 things that shivering consumes?
Oxygen and glucose
What needs to be conserved in an unconscious patient?
With an unconscious patient, the tongue should be pulled rostrally to prevent what?
The endotracheal tube should be maintained until upper airway reflexes and jaw movement return in what type of patient?
Food and water should not be offered until the patient is what?
What should not be placed with an anesthetized animal?
An awake animal.
Caution needs to be used with what type of bandaging?
- Head and throat
Tight bandaging over the abdomen of a cat can lead to what?
What are 2 possible causes that can be mistaken for anesthetic sensitivity?
- Inappropriate dosing
- Inappropriate monitoring
Is anesthetic sensitivity common or rare in dogs?
What information do you need to know with prolonged emergence?
What the cause of the animal being asleep is.
How do you systematically evaluate a patient undergoing prolonged emergence?
A - Airway: maintain & protect
B - Breathing: ventilate to maintain normal CO2
C - CV: assess HR, BP, perfusion, urine output
D - Drugs: review all combinations
E - Electrolytes
F - Failure to find cause
What are 5 possible pharmacologic factors for prolonged emergence?
- Total dose
- Half life
- Patient bioavailability
What effect do opioids have on the respiratory system?
How does this affect the inhalant?
- Decrease ventilation
- Delay inhalant elimination
What are 2 types of drugs that can potentiate other general anesthetic agents?
What drugs can have a prolonged affect in greyhounds?
Opioid accumulation can lead to what?
What are 2 reversal agents for alpha 2 agonists?
What effect do benzodiazepines have that can cause prolonged emergence?
Decrease hepatic blood flow may prolong hepatic metabolism.
What is a reversal agent of benzodiazepines?
What do you want to be careful of when reversing drugs?
Reversing analgesic effects.
Depressed thermoregulation under anesthesia can lead to what?
What are 4 ways heat is lost?
What are 3 classes of drugs that alter thermoregulation?
- Alpha 2 agonists
Inhalants lower thermal threshold response to what temperature?
What won't happen in the patient until this level is reached?
- 34.5 C
- Patient won't shiver.
How do you convert from Celsius to Fahrenheit?
Multiply by 1.8 and then add 32
A patients body temperature decreases over time with what?
How much in dogs?
How much in horses?
- 2 C/hr
- 0.37 C/hr