Drugs
A patient presents straining to urinate but vitals are WNL. What would you want to feel as the triage nurse and what level would you make this?
1. Bladder
2. Lvl 2
What is the most important piece of monitoring equipment during anesthesia?
The technician monitoring the patient
What specific fluid additive can't you bolus?
KCL
The doctor wants you to add 20meq of KCL to a new 1L bag. How many ml of KCL to you add? KCL is 2meq/ml
10ml of KCL into 1L bag of fluids
What is VCA's mission statement?
VCA-Where pet health is our top priority and excellent customer service is our goal
Name 3 light sensitive drugs.
1. fentanyl
2. Metro
3. Baytril
4. Doxy
5. Norepi
6. Reglan
7. Mannitol
True or False. It is ok that your HR is low if your BP is ok while on dexdomitor?
True
What is the goal number for the ETCO2 during chest compressions?
10 - 15
A dog needs 30mg of a drug. They come in 15mg tablets. How many tabs do they need?
2 tablets
What are the 3 steps to take when you need to call off for a shift?
1. Call the hospital
2. Text your direct supervisor (and team if specialty)
3. Attempt to find coverage
What do you want the ETCO2 to ideally read?
35-45
Name 3 reversal agents and what they reverse.
1. Antisedan - dexdomitor
2. Flumazenil - benzodiazepine
3. Nalaxone - Opioids.
A patient presents for collapsing. Name two things that could be the problem?
2. Anemia / hemoabdomen
3. Arrhythmia
4. Heat Stroke
Doctor wants a 15ml/kg fluid bolus over 20 minutes. The dog weighs 35kg. What your TVI and rate?
Rate: 1575
TVI: 525
Name 3 of the 5 Mars Principles
Quality
Responsibility
Mutuality
Efficiency
Freedom
What is the most common side effect of propofol and alfaxalone? How do you give these drugs?
Apnea
Slowly titrate to effect!
Name two vasopressors that must be given as a CRI.
1. Dopamine
2. Dobutamine
3. norepi
How long until irreversible brain damage occurs from not breathing?
10 minutes
3.6ml fentanyl drawn up
You're having a stressful day at work, and need to take some time to relax and breathe, what room should you visit?
The Zen Room!
How do you draw up and deliver Acetylcysteine?
All five parts must be correct
1. Wipe top with alcohol
2. Draw up using a filter needle
3. Dulute 1:3 - 1:5 with D5W
4. Deliver using a micron filter
5. Give over 20 minutes.
Your patient has a BP of 70/40 (50) during anesthesia. What is the first thing you should consider doing to fix it?
Lower the ISO if the patient's anesthetic plane permits
What are the two most common CPR drugs and what do they do?
2. Epinephrine: shunts blood to the heart and brain
Fluffy needs 2mg/kg/day of reglan as a CRI. He weights 15kgs. There are 800mls left in the bag of norm-R. Fluids are running at 32ml/hr. Reglan concentration is 5mg/ml. How much reglan will you add to the bag?
6.25ml Reglan added to the bag
In our hospital, who is responsible for the workplace culture?
EVERYONE