Term
| Choice of anesthetic for the SA patient will be based on what? |
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Definition
-health and physical condition of the patient
-purpose for anesthesia
-available durgs/equipment
-available assistance
-Patient's personality/behavior |
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Term
| What type of activity/equipment/informaiton are included as part of the preanesthetic routine? |
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Definition
-Patient eval
-Anesthetic regimen
-Equipment/supplies: Endotracheal tubes, laryngoscope, anesthetic machine and breahting system, oxygen source, IV catheter, IV fluids, monitoring |
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Term
| What are the components of the patient eval? |
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Definition
| -history, PE, lab resutls |
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Term
| What are the concerns regarding the endotracheal tube? |
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Definition
| -size, length, internal diameter, functional cuff, secure in place |
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Term
| What are the sizes for each type of breathing system? |
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Definition
-Non rebreathing < 5kg
-Pediatric rebreathing > 5kg, < 15kg
-adult rebreeathing > 15kg |
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Term
| The rebreathing or reservoir bag should be __-__X tidal volume. |
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Definition
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Term
| What are the compoenents of the anesthetic machine and breathing system? |
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Definition
| -breathing system + reservoir bag + CO2 absorbent + vaporizer + scavenging system + leak test |
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Term
| What are the 2 sizes of oxygen sources? |
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Definition
-E size: 660 liters
-H size: 6000 liters |
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Term
| What are the components of an IV catheter? |
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Definition
-select appropriate size & length!!!
-injection cap or t-port + adhezive tape + slaine flush + antibacterial covering |
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Term
| What are the concerns with IV fluids? |
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Definition
| -appropriate type (balanced electrolyte) & appropriate administration set |
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Term
| What components do we use to monitor? |
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Definition
-esophageal stethoscope
-ECG
-airway monitor
-pulse ioximeter
-Other: eyeball position, membrane color, pulse quality, jaw tone, capillary refill time |
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Term
| Describe the admin of premedications and the types of drugs used. |
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Definition
-given IM or SZ 15=3- mins prior
-Types: anticholinergics, tranquilizers/sedatives, analgesics, combinations |
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Term
| Desribe the concerns with induction techniques and what are the types of drugs used? |
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Definition
-appropri8ate admin route and rate
-types: dissociatives, Propofol, Alfaxalone, methohexital |
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Term
| What may be an issue with intubating a cat? |
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Definition
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Term
| How do we ensure visualization during intubation? |
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Definition
| -use stylet or guide tube |
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Term
| Outline the dequence of events during intubation. |
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Definition
| -position in sternal recumbency => grasp upper muzzle => pull down lower jaw to open mouth => grasp tongue and position b/n lower canines => visualize larynz => hold tube with curbe down and place tp b/n arytenoid cartilages => push down and advance into trachea |
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Term
| OUtline the sequence of events during initiation of inhalation anesthesia. |
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Definition
| -positioin in lateral recumbency => turn on O2, attach ET tube to reathing system => check for heart beat => check position & length of ET tube => secure ET tube => check for leak around tube and inflate cuff => turn on inhalation agent => initial vital signs |
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Term
| What are the 6 components of maintenance? |
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Definition
-monitoring (may begin prior to induction)
-record keeping (legal documents)
-position
-fluid admin (may begin prior to indcution)
-drug admin (inhalation, injectable, combination)
-end of anesthesia (discontinue anesthesia, oxygenate for 5 mins, disconnect from anesthetic machine) |
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Term
| What are the 4 components of recovery? |
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Definition
-Extubation: suction prior to deflating cuff
-Support: fluds, oxygen, heating blanket, monitoringobseration
-Position: head down to allow drainage, neck extended to facilitate breathing
-Analgesia.sedation-tranquliziation: provide analgesia first, then sedate |
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