Term
|
Definition
| alteration of behavior. quiets and calms the patient.awake, no analgesia, calm. implies calm, not sleepy |
|
|
Term
|
Definition
| patient is awake, but is slightly depressed and sleepy. decreased activity and excitement. implies sleepier |
|
|
Term
|
Definition
| without feeling or sensation. patient is asleep, cannot be awakened (until drug wears off), has amnesia and loss of reflexes. |
|
|
Term
|
Definition
| relief of pain without loss of consciousness |
|
|
Term
|
Definition
| loss of memory - patient does not remember procedure. |
|
|
Term
|
Definition
| incoordination - stumbling gait, falling to side |
|
|
Term
|
Definition
| greater depression than sedation. patient is asleep but can be awakened. |
|
|
Term
|
Definition
| patient is asleep, can be awakened but goes back to sleep. implies good analgesia |
|
|
Term
|
Definition
| period immediately preceding the induction of anesthesia. |
|
|
Term
| pre-anesthetic medication |
|
Definition
any drug given within 1 hour
before anesthesia. |
|
|
Term
|
Definition
| a person, such as a nurse or technician, trained in the administration of anesthetics – LVT |
|
|
Term
|
Definition
| a physician or veterinarian specializing in anesthesiology – DVM. |
|
|
Term
| indications for anesthesia |
|
Definition
| restraint of fractious patients or painful procedures, control seizures for short term, surgery to prevent motion and be humanely pain free, euthanasia |
|
|
Term
|
Definition
| primary goal is for the health and safety of the patient and human personnel, secondary is to accomplish the procedure |
|
|
Term
|
Definition
| induce anesthesia and intubate if licensed veterinarian is supervising, or in the building; UK- can do minor surgeries |
|
|
Term
| A good anesthesiologist must know... |
|
Definition
| drugs- mode of action, side effects, advantages; physiology of the awake vs anesthetized patient; monitor anesthesia- vital signs, depth, reflexes; equipment; emergencies- recognize & respond; special techniques such as local analgesia or post op analgesia |
|
|
Term
| name some owner considerations before anesthesia |
|
Definition
| estimate of cost; informed consent explaining procedure, risks & release form; phone numbers |
|
|
Term
| the minimum data base consists of.. |
|
Definition
| nature of procedure, patient hx, PE, dx tests, classification of patient status |
|
|
Term
|
Definition
| open ques; up to date vaccs, current meds, previous allergies, anesthetic episodes, sx, drugs and patient responses, current illnesses |
|
|
Term
|
Definition
| Look for respir & heart disease, abnormal size of organs, disorders to tx, physical factors affecting procedure; signalment; activity level; body condition; head type |
|
|
Term
|
Definition
| species, breed, age, sex, if neutered, color. weight |
|
|
Term
| Name different concerns that tend to arise in different age groups |
|
Definition
pediatric - unable to metabolize injectables well - inactive liver enzyme detoxification system. use inhalants. avoid barbiturates in patients under three months old.
b. geriatric - decreased ability to metabolize - decrease doses. cancer more likely in geriatric than neonatal animals |
|
|
Term
| why do we do a patient evaluation |
|
Definition
| determines safest, least stressful anesthetic. look for factors that may lead to anesthetic complications |
|
|
Term
| Before deciding on anesthetic protocol |
|
Definition
| Do a minimum data base on patient |
|
|
Term
| How does weight affect the physical status of a patient |
|
Definition
overweight more prone to cardiovascular, joint problems.
a. accurate weight – scale. do not estimate. drug doses, fluids.
b. record - compare to previous weights. growing? gaining
*underweight have less fat and could overdose while fatter have less blood supply so overdose |
|
|
Term
| List why we consider activity level in PE |
|
Definition
| anxious will need heavier bc metabolic rate higher and cardiac output to muscles higher than brain; aggressive need higher; calm needs no |
|
|
Term
| Why does the body condition get assessed in PE |
|
Definition
Dehydration, obese - base anesthetic doses on ideal weight. lower metabolic rate.
3. very thin or emaciated - sighthounds or underlying illness.
a. very sensitive to certain drugs – barbiturates.
b. no body fat:
1. for redistribution of drug from brain to fat.
2. tend to become hypothermic easily.
4. pregnant - any general anesthetic that affects the mother will also affect the babies. |
|
|
Term
| Name dx tests we might conduct before doing anesthesia |
|
Definition
complete blood count – CBC – PCV, TP, differential.
b. urinalysis - kidneys - excrete many drugs. USPG, dipstick.
c. blood chemistries - check for liver, kidney, electrolyte disorders.
d. blood clotting tests – Doberman pinscher - von Willebrand's.
e. blood gases - not routinely done in practice. PaCO2, PaO2.
f. electrocardiogram - ECK, EKG - screen for heart problems, monitor.
g. radiography - chest radiographs for lung function. trauma cases.
h. miscellaneous tests - HWT, FeLV/FIV, etc |
|
|
Term
| Name classes of patient status |
|
Definition
class I minimal risk – normal, healthy, no underlying disease - spay,declaw.
class II slight risk - slight to mild disorder, able to compensate, no clinical signs. geriatric, obese, fracture without shock.
class III moderate risk - moderate systemic disorder, mild clinical signs. anemia, moderate dehydration, low-grade heart disease.
class IV high risk - severe preexisting systemic disorder. severe dehydration, shock, uremia, high fever.
class V grave risk - life-threatening disorders, moribund, surgery performed in desperation. advanced heart disease,profound shock. |
|
|
