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29 Cards in this Set
- Front
- Back
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Why is patient signalment important?
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Patient ID
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What's included in the patient signalment? (5)
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- Accurate body weight
- Species and breed - Sex - Age - Temperament |
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What's the most important part of the client interview?
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Informed consent
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3 important things to get from a client interview (history)
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- Informed consent
- Previous anesthetic complications - Current medications |
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Be sure to determine the owner's wishes regarding a resuscitation code.
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Be sure to determine the owner's wishes regarding a resuscitation code.
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4 things that you should assess during a physical exam prior to surgery
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- Confirm patient ID and sex
- Emphasis on cardiopulmonary systems - General condition - Age |
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Two factors you should consider when testing a neonate preanesthetically
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- Glucose levels
- Body temperatures |
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Two factors you should consider when testing a juvenile/young adult preanesthetically
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- HW
- Parasites |
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Four organ systems you should test when testing a middle age/geriatric patient preanesthetically
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- CV
- Liver - Renal - Thyroid |
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4 conditions you should run an ECG in
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- Trauma
- Cardiac cisease - Electrolyte disturbances - Unfamiliar species |
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3 conditions that radiographs of thoracic cavity should be taken in preanesthetically
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- Trauma
- Cardiac disease - Respiratory disease |
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What is thoracocentesis used for?
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Corrects free fluid or free air in thorax which is compromising ventilation prior to anesthesia
- If pathology exists which may require intraoperative tapping, clip and prep chest prior to draping |
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What is ASA classification based on? (3)
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- Physical exam
- Hx - Lab data |
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What is an ASA category I?
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Normal, healthy patient
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What is an ASA category II?
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Mild abnormality which does not compromise systemic health
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What is an ASA category III?
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Limiting systemic disease that's possibly incapacitating, but currently under control
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What is an ASA category IV?
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Life threatening, uncompensated systemic disease
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What is an ASA category V?
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Moribund
- Not expected to live without surgery longer than 24 hours |
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What is ASA category VI?
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Maintaining the animal for organ harvest
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How do you designate an emergency case in the ASA classification system?
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Add an 'E' after the category.
- Only applicable for categories II - VI - EX: ASA II - E |
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Benefits of fasting prior to surgery (3)
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- Decreased stomach content
- Decreased vomiting or regurgitation - Less bloating |
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4 species that are fasted 8 - 12 hours prior to Sx
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- Dog
- Cat - Horse - Pig Ad libitum water |
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How long should ruminants be fasted prior to Sx?
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48 hours
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How long should ruminants be cut off from water prior to Sx?
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24 hours
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3 patient types that require special considerations for fasting
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- Neonates
- Small patients - Patients with high or low metabolic rates |
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5 components of designing an anesthetic plan
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- Drug choices
- Equipment choice - Fluid therapy - Plan to maintain body temperature - Consider how anticipated intraoperative body position will affect ventilation and circulation |
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Two things you need to do to horses prior to anesthesia
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- Wash mouth out
- Remove shoes or wrap feet |
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What's unique about brachycephalics under anesthesia?
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They all have delayed gastric emptying
- Important for pre-anesthetic fasting period |
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2 steps that may want to be taken during a respiratory obstruction/arrest
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- Reintubatation
- Poke GV 26 (stimulus point under frenulum of nose) |
