Anesthesia Monitoring – Flashcards
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The adverse affects of anesthetic compounds are:
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dose dependent
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The most reliable sign of inadequate anesthetic depth is:
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responsive movement
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The oxygen flush valve:
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allows oxygen to flow into the breathing system without going through the vaporizer
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All inhalant anesthetic machines should have:
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an anesthetic waste gas scavenging system
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Pulse oximetry monitoring devices give an estimate of:
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percentage of hemoglobin saturation with oxygen in arterial blood
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When monitoring the vital signs of an anesthetized patient, you must observe and record all of the following, except?
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reflexes
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The responsibilities of the anesthetist during a surgical procedure include continuous monitoring of the patients vital signs and recording observations at approx.?
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5 min. intervals
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Adequate oxygen may be evaluated subjectively during anesthesia by the:
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m.m. color and capillary refill time
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Hypoventilation that occurs in the anesthetized patient is characterized by:
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decreased oxygen levels and increased carbon dioxide levels
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In nonbrachycephalic breeds of dogs recovering from anesthesia, the endotracheal tube should be removed when?
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stimulation can include talking to the patient, moving the limbs, or pinching the toes
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Following discontinuation of the anesthetic gas, periodic bagging of the patient with pure oxygen is advisable, because it:
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helps re inflate collapsed alveoli
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When monitoring the m.m. color of an anesthetized patient with pigmented gingivae, you could use each of the following alternative sites except?
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pinnae
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During the maintenance period of anesthesia in a cat or dog, resp. rates lower than how many breaths/min. may indicate excessive anesthetic depth that should be reported to the vet?
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8
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The causes of true hyperventilation and tachypnea during anesthesia may include all of the following except:
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progression from light to moderate anesthesia
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If the rectum of a patient is covered by a surgical drape, or is otherwise inaccessible to the anesthetist, a rough estimate of body temp. can be obtained by?
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touching the patients feet or ears
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Throughout anesthesia, the animal's temp. should be maintained as close to normal as possible. Hypothermia can be prevented by all of the following measures except:
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warming the stainless steel V trough before using it
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Malignant hyperthermia is a potentially fatal syndrome to the anesthetized patient. Which of these species is most prone to this condition?
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pigs (porcine)
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Which statement concerning eye position, pupil size, and responsiveness to light as indicators of anesthetic depth is least accurate?
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in stage lll, plane 3 of anesthesia, the eyes are usually central to slightly eccentric, with normal pupils that are responsive to light.
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The presence or absence of salivary and lacrimal secretions may give clues regarding anesthetic depth. In an animal that has not received an anticholinergic, which statement concerning observance of these secretions is most accurate?
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tear and saliva production diminishes as anesthetic depth is increased
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The anesthetized patient may respond to surgical stimulation if the anesthetic depth is inadequate. Response to a painful stimulus may be indicated by all of the following except?
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a decrease in lacrimation and salivation
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A 10 year old dog has been anesthetized for removal of a skin tumor and is now maintained on a 2% isoflurane. The anesthetist observes that its respirations are 8/min. and shallow, its heart rate is 80 beats/min, its pupils are centrally positioned, its jaw tone is slack, and all of its reflexes are absent. This animal is in what stage and plane of anesthesia?
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stage lll, plane 3
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A 10 year old dog has been anesthetized for removal of a skin tumor and is now maintained on 2% isoflurane. The anesthetist observes that its respirations are 8/min and shallow, its heart rate is 80 beats/min, its pupils are centrally positioned, its jaw tone slack, and all of its reflexes are absent. What should be your response or actions to the condition of this animal?
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you should reduce the vaporizer setting to 1.5% isoflurane and continue to monitor for signs of decreased depth
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The estimated blood volume in dogs is:
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75 ml/kg
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Tachycardia in an anesthetized patient may be an indication of any of the following except?
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xylazine overdose
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A cardiac rhythm disturbance detected shortly after induction of anesthesia may be the result of any of the following except?
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breathing oxygen enriched air
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Hypothermia has become significant in a 4 kg anesthetized cat. The best way to restore body heat is?
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to warm the air in the breathing circuit by some method
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In a cat that is too deeply anesthetized, all of the following may be present except?
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voluntary movement
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An isoflurane anesthetized cat suddenly begins breathing 30 times a minuet during a surgical procedure. Your first response should be to:
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evaluate vital organ function and endotracheal tube placement and make necessary adjustments
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If a dog is too deeply anesthetized, all of the following may be seen except?
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increased jaw muscle tone
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The only accurate way to evaluate the effectiveness of respiration is by?
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measuring the arterial blood oxygen and carbon dioxide partial pressures
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Which of the following would NOT cause pale m.m.?
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hyperthermia
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The patient is in an excessively deep plane of anesthesia. Which answer would not be an explanation?
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the endotracheal tube is kinked
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A dog under anesthesia has a heart rate of 230 beats/min. Which of the following is the best explanation?
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the patient is in too light a plane of anesthesia
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It is generally safe to extubate the patient when the patient:
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swallows
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A canograph measures:
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expired CO2
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The piece of equipment that facilitates intubating a patient is the:
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layngoscope
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A dog in an appropriate plane of anesthesia under isoflurane would be expected to have a pulse oximeter of:
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97
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The pulse oximeter probe is generally placed on the:
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tongue
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An esophageal stethoscope can be used to monitor:
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heart and respiratory rates
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Which of the following is NOT normally present in stage 4 of general anesthesia?
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constricted pupils
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Which of the following cannot be used to detect blood pressure?
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pulse oximeter
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What reflex may still be present under a light surgical plane of anesthesia?
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palepbral
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The optimal plane of anesthesia for most surgeries is?
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stage 3, plane 2
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Which of the following does NOT describe a true reflex response?
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jaw tone
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Which of the following is NOT likely to result in a patient demonstrating stage 2 of anesthesia?
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injecting an anesthetic agent IV too quickly
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Ideally, in a patient under anesthesia:
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the PaO2 should be high, and the PaCO2 should be low