Anesthetic Equipment
What device must be open to ensure the patients safety
Pop-Off valve
What does a Capnograph measure?
ETCO2 and INCO2
What is the general onset for Anesthetic drugs
15 Mins
What can be classified as failure to adequately prepare a patient?
* Didn't ask questions about the Patient or procedure
* Forgot to give adequate instructions to the owner
Please provide me with an Initial fluid rate for a 14kg cat at Olds College
42mL/Hr
What machine provides clean oxygen every breathe
Bain or Non-Rebreathe
What does a deep patient look like?
RR: Low/Shallow
HR: Low
Eye: Central
Pupils: Moderate - Dilated
PLR: Poor - Absent
Gag: Absent
Palpebral: Absent
Pedal: Absent
Jaw Tone: Absent
Response to Sx: No Response
Can you give an anticholinergic with an Alpha 2? Why?
No, the cardiac system would essentially explode.
What is classified as a High Risk Patient (3)
Neonatal & Pediatric, Geriatric, brachycephalic, sighthound, obese, Hepatic disease, renal disease, C-Section
What is the drip rate for a 30 KG dog at Olds college
1 Gtt/ 2 seconds
What are 3 benefits of a rebreathe system
Economical for the practice, Heat and moisture retention in the patient, suitable for large patients and long surgeries
What size Reservoir bag would you use for a 10kg cat?
1L
What pain pathway(s) do Local Anesthetics block
Transduction, Transmission and modulation
What is a treatment of Hypoventilation
light anesthesia, manual or mechanical IPPV
Using the Olds College parameters please figure out the dose for a 23kg dog getting medetomidine
0.23 mL
What does the Pressure Manometer prevent
To help prevent barotrauma to the patient
Your patient has Arrested. Tell me the steps to BLS
Step 1: Chest Compressions,
Lock elbows, one hand over the other, Don't Lean; use a stool or kneel on the table, Focus on the down stroke to ensure adequate chest compression, ensure to allow full expansion of the chest
Step 2: provide Ventilation
Anesthetic arrest: Turn off Iso, disconnect patient, put hand over breathing tube, Use O2 flush valve to flush the system with oxygen, squeeze gas out of the bag to evacuate into scavenge, refill bag with 100% oxygen, connect patient and start IPPV
Mouth to Snout: Close mouth, align snout with spine, place mouth over nares and form seal, blow until normal chest rise is observed, allow chest to completely deflate, cant be done with compressions, 30 compressions then 2 breaths
Tell me the 2 most common reversal agents
Naloxone & Atipamezole
What will a Hypoxic patient look like?
Pale, Cyanotic, SPO2 less than 80%
A 35 KG dog is in for surgery at OC he was on initial sx rate for the 1st hour, was then on 15 mL/hr/kg rate for next 30 minutes and then normal rate for remainder of sx. Total SX time was 2.5 hours. what is the total fluids infused?
175 IR
525/2= 263
175
total = 613 mL
Label the Anesthetic machine; what are letters A, G, D, J
A: Oxygen Flow Meter
G: Vaporizer
D: Soda Lime
J: Reservoir Bag
You have a cat under anesthesia, their vitals are as follows for the last 15 minutes
Is this patient safe? Why?
No
Tell me the adverse side effects of Alpha 2's
Bradycardia, arrhythmias, reduced cardiac output, Bradypnea, pale MM
What causes Cardiac Arrhythmias?
depth, drugs, hypoxemia, hypercapnia, disease
Please tell me a CRI rate for Hydromorphone at Olds College for a 26Kg dog coming for a Dental at a rate of 0.1ml/Kg/min at 10Mg/ML in a 1L bag
= 120 mL
D: 0.1Ml/Kg/Min
V: 1000 mL
M: 26 kg
R: 130 mL/hr
C: 10 mg/ml