anesthesiology VTNE – Flashcards

Unlock all answers in this set

Unlock answers
question
the drug xylazine is best described as an: antiinflammatory analgesic and sedative antiemetic anesthetic
answer
analgesic and sedative
question
detomidine is approved for use in which animal? dogs cats horses cattle
answer
horses but used in other species
question
butorphanol is best describes as a/an: antiinflammatory analgesic anesthetic diuretic
answer
analgesic
question
diazepam is considered to be a good choice in patients when which body system is compromised? Hepatic Renal Cardiovascular All body systems
answer
cardiovascular
question
how does diazepam affect patients with impared renal or hepatic function?
answer
recovery may be significantly prolonged as a result of the metabolic requirements of diazepam
question
In the US, Xylazine is not approved for use in: Dogs, cats, horses, or cattle?
answer
it is not approved for use in cattle, but is sometimes used
question
Guaifenesin is most often used in horses and cattle to provide....
answer
Muscle relaxation
question
the combination of Xylazine and butorphanol is used to...
answer
provide greater analgesia and muscle relaxation. These are synergistic, and together the dose of each is reduced, causing less side effects and more therapeutic effects
question
which is the most potent sedative: Xylazine, Detomidine, Acepromazine, or Diazepam
answer
detomidine is much more potent on a volume to volume basis
question
which drug is most likely to cause hypotension in normal doses: diazepam, butorphanol, acepromazine, or flunixin meglumine
answer
Acepromazine. It is an alpha blocker with significant potential to produce hypotension; this is rarely a problem in healthy, normovolemic patients
question
acepromazine is an alpha blocker with significant potential to produce hypotention, is this usually a problem? Elaborate.
answer
it is rarely a problem in healthy, normovolemic patients
question
the combo drug telazol contains what two drugs? Elaborate.
answer
Zolazepam is a benzodiazepine tranquilizer and tiletamine is a dissociative anesthetic
question
Epidural techniques are used in many species, but the primary disadvantage in animals is what
answer
movement of patient. Epidurals are used for analgesia, but patient movement prevents use for many surgical procedures
question
which inhalant anesthetic drug is most likely to cause cardiac arrhythmias in dogs and why
answer
halothane. It sensitizes the myocardium to catecholamines such as epinephrine, which can lead to arrhythmia.
question
which inhalant anesthetic drug is biotransformed to the greatest extent in the animal body
answer
halothane
question
is nitrous oxide an inhalant analgesic or an inhalant anesthetic
answer
it is an inhalant analgesic
question
all of the following cross the placental barrier in significant amounts except: Acepromazine, diazepam, isoflurane, or neuromuscular blocking agents
answer
neuromuscular-blocking agents
question
why do neuromuscular blocking agents have minimized placental transfer
answer
they are highly ionized and have high molecular weights, minimizing placental transfer
question
which drug is not classified as a barbiturate: phenobarbital, Thiopental, Pentobarbital, or Propofol? Elaborate.
answer
propofol is an alkylphenol, nonbarbiturate, highly lipid-soluble hypnotic agent used to produce short term anesthesia
question
which crosses the placental barrier, atropine or Glycopyrrolate
answer
atropine
question
which has a longer duration of action, glycopyrrolate, or atropine
answer
glycopyrrolate
question
which is less likely to cause cardiac arrhythmia, glycopyrrolate, or atropine
answer
glycopyrrolate
question
which requires a larger dose volume, atropine, or glycopyrrolate?
answer
atropine requires a larger dose volume
question
at normal doses, what effect does atropine have on the heart rate
answer
prevents decrease. It is often used to prevent drug or parasympathetic nervous system-induced bradycardia in anesthetized animals
question
which drug is an antagonist of xylazine: butorphorhanol, detomidine, yohimbine, or pentazocine
answer
yohimbine antagonizes depressive effects of xylazine
question
opiod drugs are used in anesthetic protocols primarily as...
answer
analgesics
question
the advantage of xylazine over acepromazine is that it...
answer
produces a short period of analgesia (ace has no analgesic effects)
question
why should routine use of atropine in horses be avoided
answer
it causes colic and
question
how does the routine use of atropine negatively affect horses
answer
anticholinergic effects of atropine on the intestinal tract of horses may include ileus, intestinal distention, and colic
question
atropine use in horses should be limited to treatment of what
answer
bradycardia caused by increases in vagal tone
question
which drug should be avoided in the stallion because it may cause permanent prolapse of the penis: glycopyrrolate, acepromazine, xylazine, or diazepam
answer
acepromazine
question
why should phenothiazine tranquilizers such as acepromazine be avoided in stallions
answer
they all have the potential to produce paralysis of the penis in stallions
question
which is a narcotic antagonist: naloxone, atropine, pancuronium, or droperidol
answer
naloxone
question
a 10% solution of thiopental sodium for antesthetic induction contains: 10 mg/ml, 100 mg/ml, 20 mg/ml, 40 mg/ml
answer
100 mg/ml
question
what effect might depressant preanesthic medication have on the anesthesia procedure
answer
prolong recovery time
question
diazepam is used to produce what effects
answer
muscle relaxation
question
why does epinephrine increase the heart rate
answer
has adrenergic (sympathetic) effects
question
why does the use of nitrous oxide in anesthesia decrease the amount of inhalant anesthetic needed
answer
it is an inhalant analgesic, and when used with potent inhalant anesthetics, it allows lower levels of more potent drugs to be used
question
what is a disadvantage of breathing 50% nitrous oxide
answer
decreases arterial PaO2
question
how many milligrams per milliliter (mg/ml) does a 2% lidocaine solution contain
answer
20 mg/ml
question
what volume of thiopental sodium should be administered intravenously to a 500 kg horse for induction of anesthesia? The dosage is 8 mg/kg and you are using a 10% solution
answer
40 ml
question
apneustic breathing patterns are frequently seen in cats with the use of what drug
answer
ketamine
question
apneustic respirations are characterized by ...
answer
an inspiratory hold and rapid respirations
question
which is not a good reason to use preanesthetics: calm patient, minimize dose of induction agent, smooth induction and recovery, or increase vagal activity
answer
increase vagal activity
question
if 180 ml of a 5% solution of guaifenesin is administered to a 150 kg foal, how many mg/kg would be administered
answer
60 mg/kg
question
are mask inductions more appropriate in aggressive or calm dogs and cats
answer
calm
question
which is not an effect associated with atropine: tachycardia, excessive salivation, mydriasis, decreased gastrointestinal motility
answer
excessive salivation
question
the dosage of acepromazine is 0.1 mg/kg and the maximum dose is 4 mg. how many milligrams would you administer to a 60 kg dog?
answer
4 mg
question
halothane concentrations of 1% to 2% may produce any of the following except: hypotension, hypoventilation, hypothermia, increased cardiac output
answer
increase cardiac output. all inhalation anesthetics are expected to decrease cardiac output at working concentrations
question
the adverse effects of anesthetic compounds are: nothing to worry about, never present with smaller doses, dose dependent, not dose dependent
answer
dose dependent- the more given the more adverse effects
question
the most reliable sign of inadequate anesthetic depth is: increased heart rate, increased respiratory rate, active palpebral reflex, responsive movement
answer
responsive movement
question
propofol is a/an: xylazine antagonist, ultrashort-acting barbiturate, ketamine-like dissociative, nobarbiturate intravenous anesthetic with hypotensive potential
answer
nonbarbiturate, intravenous anesthetic with hypotensive potential
question
acepromazine should be avoided in which patients
answer
patients with a history of seizures
question
why should acepromazine be avoided in patients with a history of seizures
answer
lowers seizure threshold
question
in dogs, normal doses of opioids generally produce all of the following except: respiratory distress, decreased HR, analgesia, excitement
answer
excitement is rare
question
when comparing inhalation anesthetics, you should use the minimum alveolar concentration (MAC) as a guide in assessing what
answer
potency of the agent
question
what is MAC
answer
minimum alveolar concentration- percent at 1 atmosphere that prevents gross, purposeful skeletal muscle movement in response to noxious stimulus in 50% of patients. It is an expression of the potency of a drug.
question
which drug is a dissociative anesthetic: thiopental sodium, ketamine, xylazine, or acepromazine
answer
ketamine
question
which inhalant anesthetic is associated with the longest induction and recovery times?
answer
halothane
question
in rabbits, intravenous anesthetics should be injected into which of the following veins: femoral, jugular, auricular, cephalic
answer
auricular provides easy access and adequate vessel size
question
the oxygen flow rate necessary to prevent rebreathing of exhaled gases with an Ayre's T piece is: 0.5 L/min, 1L/min, 2L/min, or greater than 1.5 times the minute ventilation
answer
greater than 1.5 times the minute ventilation.
question
a half-full tank of nitrous oxide gas has a pressure of how many psi
answer
750 psi
question
when inflating lungs with the thoracic cavity open to the atmosphere, be sure that the pressure reached on the manometer is...
answer
20 cm H2O
question
precision vaporizers, such as those used for isoflurane, work correctly when placed
answer
out of the circle
question
if hte unidirectional valves are missing from an anesthetic machine, is it ok to use
answer
definitely not okay to use, except with a nonrebreather
question
the absence of unidirectional valves allows the rebreathing of what
answer
carbon dioxide
question
why can a non rebreather be used with the absence of unidirectional valves
answer
it is attached to the fresh gas port, which bypasses the circuit
question
what does the oxygen flush valve do
answer
allows O2 to flow into the breathing system without going through the vaporizer, thus not adding additional amounts of anesthetic agent
question
the advantages of a nonrebreathing system as compared with a circle breathing system include all of the following, except: reduced resistance to breathing, greater potential for hypothermia caused by high flows needed, reduced mechanical dead space, no soda lime required
answer
greater potential for hypothermia caused by high flows needed
question
the minimum fresh gas flow in a semiclosed system is correctly determined by what
answer
patients metabolic rate determines the minimum gas requirement
question
all inhalant anesthetic machines should have: nitrous oxide flowmeter, blood pressure monitors, respiratory monitors, or an anesthetic waste gas scavenging system
answer
anesthetic waste gas scavenging system
question
vaporizers may be classified according to all of the following except the: method of regulating output, method of vaporization, location in the anesthetic circuit, or type of breathing circuit with which they can be used
answer
type of breathing circuit with which they can be used (all vaporizers can be used with any breathing circuit)
question
why arent vaporizers classified according to the type of breathing circuit with which they can be used
answer
all vaporizers can be used with any breathing circuit
question
an IV catheter should be large enough to allow adequate fluid delivery in case what occurs
answer
cardiac arrest
question
the volume of the rebreathing bag on an anesthetic machine should be at least how many times the patient's tidal volume and why
answer
3Xs to ensure adequate vol of gases for patient's needs
question
what do pulse oximetry monitoring devices give an estimate of
answer
percentage of hemoglobin saturation with oxygen in arterial blood
question
which statement concerning soda lime is least accurate: removes carbon dioxide from breathing circuit, capacity should be at least one to two time patient's tidal volume, can be nonfunctional and still maintain norm color, should be changed once a monthe
answer
should be changed once a month. It should be changed based on the amount of hours it has been used
question
if the rebreathing bag is empty during anesthesia, all of the following may be the cause, except: the O2 flow may be too light, the O2 flow may be too high, there may be a leak in the system, scavenging system not working properly
answer
O2 flow too high- this would cause the bag to overinflate
question
what color are nitrous oxide cylanders
answer
blue is the standard color for medical nitrous oxide cylinders
question
what is the approximate volume of O2 in an E cylinder
answer
700L
question
the approximate volume of O2 in an H cylinder is...
answer
7000L
question
the pressure of gas that enters the flowmeter of an inhalant anesthetic machine is...
answer
50-60 psi
question
which statement concerning the pressure manometer in an inhalant anesthetic circuit is least accurate: calibrated in centimeters of water or millimeters of mercury, helpful when ventilating patients, related to pressure in patient's airway, measures O2 partial pressure
answer
least accurate: measures O2 pressure in patient's airway
question
how is the pressure manometer in an inhalant anesthetic circuit calibrated
answer
centimeters of water of millimeters of mercury
question
activated charcoal devices absorb all inhalation agents except
answer
nitrous oxide
question
according to the National Institute for Occupational Safety and Health (NIOSH), the maximum recommended level of exposure of people to volatile anesthetic agents in the environment is...
answer
2 pp
question
there is evidence of increased health risks among people exposed chronically to trace levels of inhalant anesthetic gases. All of the following conditions have been associated with such exposure except: abortion and congenital abnormalities, hepatic and renal disease, CNS dysfunction, or insomnia
answer
insomnia
question
all of the following are methods that reduce waste gas levels except: scavenging systems, elimination of breathing circuit leaks, careful filling of vaporizers to avoid spillage, or chamber and mask inductions
answer
chamber and mask inductions cause increased waste anesthetic gas exposures to personnel
question
when inflating the cuff on an endotracheal tube, you should change to a larger diameter tube if cuff inflation requires injection of more that what volume of air?
answer
5 ml
question
if the diameter of the endotracheal tube is too small, what can occur?
answer
restricts patient ventilation and can cause pressure damage to tracheal lining
question
Ideally an endotracheal tube should be inserted so that its tip is...
answer
its tip is midway between the thoracic inlet and the larynx
question
why does the et tube tip need to be midway between the thoracic inlet and the larynx
answer
to reduce deadspace and prevent endobronchial intubation
question
when an endotracheal tube is being inserted in a horse, how should the animal be placed
answer
lateral recumbency with head, neck, and back extended
question
why does the horse need to be in lateral recumbency with its head, neck and back extended during entubation?
answer
in this position, a horse's long, soft palate will usually guide the tube into the larynx
question
which animal is most likely to experience laryngospasm during endotracheal intubation: thoroughbred mare, hereford cow, persian cat, dalmation dog
answer
cats are most likely to experience laryngospasms than any other species listed
question
which of the following is the most common complication of endotracheal intubation: tube in esophagus, damage to teeth and oral MM, overinflated cuff injuring trachea, underinflating cuff collapsing trachea
answer
all are complications, but most common is placing the tube in the esophagus
question
teh best method for determining the proper inflation of an endotrachel tube cuff is...
answer
inject air while applying pressure from the reservoir bag until no air escapes around tube
question
the preferred method for treating a cat with laryngospasm is to
answer
1-2 drops lidocaine and wait few minutes for relaxation
question
which of the following is not an advantage of using an endotracheal tube: prevents atelectasis of lung alveoli, provides a means for treating respiratory and cardiac arrest, increases chances of airway obstruction, or encourages proper exam of animal's mouth, pharynx, and larynx
answer
increases chances of airway obstruction- the et tube is specifically used to decrease chances of having airway obstruction
question
in a siamese cat, the endotracheal tube should be removed when
answer
as soon as swallowing and coughing... (nonbracycephalic)
question
when should the ET tube be removed in a pug
answer
only after fully conscious and able to maintain free airway
question
why should the ET tube be removed when the animal begins swallowing and coughing, if it is a non brachycephalic breed
answer
so they do not chew on tube and/or injure themselves
question
why should the ET tube on a brachycephalic breed be removed only after full consciousness and ability to maintain free airway
answer
chances of respiratory complications are greater than other animals.
question
what is the best technique to secure an endotracheal tube to an animal
answer
gauze strips around head in cats and brachy dogs, caudal to upper canines in other dogs
question
which statement concerning use of IV anesthesia in large animals is least accurate: works well on procedures that require complete immobilization of patient, should not be used on procedures requiring more than 45-50 min to complete, requires use of preanesthetic for sedation an a barbiturate, or is routinely used for cast applications, castrations, and umbilical hernias
answer
least accurate: works well on procedures requiring complete immobilization of patient (with large animals)
question
when monitoring the vital signs of an anesthetized patient, you must observe and record all of the following, except: MM color and CRT, HR and RR and depth, reflexes, pulse quality and strength
answer
reflexes (not vital signs)
question
the responsibilities of the anesthetist during a surgical procedure include continuous monitoring of the patient's vital signs and recording observations at approximately what intervals
answer
at least every 3-5 minutes
question
adequate O2 may be evaluated subjectively during anesthesia by...
answer
MM and CRT
question
hypoventilation that occurs in the anesthetized patient is characterized by what
answer
decreased O2 levels and increased carbon dioxide levels
question
how often do patients given anesthetic drugs hypoventilate
answer
always. every patient given anesthetic drug is hypoventilating
question
concerning physical stimulation of the recovering anesthetized patient, which statement is LEAST accurate: stimulation should not include rubbing the chest because it may interfere with respiration, stimulation increases the flow of information to the reticular activation center of the brain, lack of stimulation may cause drowsiness in the conscious animal, stimulation can include talking to the patient, moving limbs, or pinching toes
answer
Least accurate: stimulation should not include rubbing the chest, because it may interfere with respiration. (rubbing the chest is good)
question
It is advisable to turn the anesthetized patient from side to side during the recovery period of anesthesia. Which is LEAST accurate: turn every 10-15 min until regains consciousness, turning prevents pooling of blood, turn all animals dorsally not sternally to prevent GDV, turning patient helps stimulate respiration and consciousness
answer
turning the patient dorsally is the least accurate. In order to prevent GDV, the patient should be turned sternally.
question
once extubated, all animals should be placed in what position
answer
sternal recumbency with neck extended to maintain patient airway
question
following discontinuation of anesthetic gas, periodic bagging of the patient with pure oxygen is advisable, because...
answer
it helps reinflate collapsed alveoli
question
in the anesthetized surgical patient, pale MM can indicate all of the following except: Inadequate O2 levels, cyanosis, excessive blood loss, decreased tissue perfusion
answer
cyanosis- this would be indicated by blue MM
question
in patients with which characteristic is it recommended to wait longer period before extubation because of the likelihood of vomiting or airway obstruction
answer
brachycephalic
question
the structure of a brachycephalic animal's nasal passages and palate makes them more prone to what after anesthesia
answer
vomiting and possible airway obstruction
question
Which is not advisable for a patient immediately following surgery? ample bedding to prevent heat loss and increase comfort, fresh food and water once conscious, source of heat in hypothermia cases, postoperative analgesics as directed by veterinarian
answer
providing fresh food and water once conscious- some patients experience nausea and vomiting after anesthesia
question
the minimum acceptable heart rate for an anesthetized medium-sized dog is...
answer
60 bpm
question
it is cause for concern if an anesthetized cat's heart rate falls below...
answer
100 bpm
question
When used as preanesthetics, atropine and acepromazine can cause all of the following, except: prolapse of nictitating membrane, respiratory depression, reduced salivation and tear production, pupil dilatation in cats
answer
respiratory depression- phenothiazines such as ace do not cause this
question
a CRT that is over 2 seconds indicates: CHF, decreased peripheral blood perfusion, decreased ventilation, or hypertension
answer
decreased peripheral blood perfusion
question
use of an indwelling catheter in an artery to monitor blood pressure is termed...
answer
direct monitoring
question
direct monitoring refers to the measuring of...
answer
arterial blood pressure through use of an indwelling catheter placed in the femoral or dorsal pedal artery
question
indirect monitoring refers to...
answer
use of external devices when recording blood pressure
question
when monitoring the MM color of an anesthetized patient wiht pigmented gingivae, you could use each of the following alternative sites except: pinnae, tongue, buccal MM, membranes lining the prepuce or vulva
answer
pinnae
question
alternative sites for monitoring MM color include...
answer
tongue, buccal mucous membranes, conjunctivae of lower eyelids, lining of prepuce or vulva
question
during the maintenance period of anesthesia in a cat or dog, RR lower than how many bpm may indicate excessive anesthetic depth that should be reported to the veterinarian
answer
8 breaths per minute
question
some anesthetists routinely bag the patient under inhalation anesthesia once every 5 minutes to help prevent what
answer
atelectasis
question
what is atelectasis
answer
respiratory condition characterized by partially collapsed alveoli. May result in shallow breathing, which causes a decrease in tidal volume
question
the causes of true hyperventilation and tachypnea during anesthesia may include all of the following except: progression from light to moderate anesthesia, response to metabolic acidosis, response to mild surgical stimulus, presence of pulmonary edema
answer
progression from light to moderate anesthesia- hyperventilation can occur from moderate to light anesthesia
question
if the rectum of a patient is covered by a surgical drape or is otherwise inaccessible to the anesthetist, a rough estimate of body temperature can be obtained by...
answer
feeling temp of extremities, such as paws and ears
question
throughout anesthesia, hypothermia can be prevented by all of the following except: warming stainless steel V trough before use, administering warm IV fluids, circulating warm water heating pad, or providing comfortable air temp in the surgery room
answer
all except- warming stainless steel V trough- impractical, metal doesn't retain heat, use towels/blankets to keep off stainless steel
question
malignant hyperthermia is a potentially fatal syndrome to the anesthetized patient. which of these species is most prone to this condition: cattle, pigs, dogs, goats
answer
pigs- although may be seen in dogs anesthetized with ketamine or halothane, pigs are more prone to this condition
question
use of succinylcholine in combination with general anesthetics may be advantageous to the surgeon during certain procedures, but it gives the anesthetist one less measure with which to monitor anesthetic depth. What measure would be of no use in monitoring patients given succinylcholine
answer
jaw muscle tone- this is a muscle-paralyzing agent that may be used to achieve pronounced muscle relaxation for certain procedures
question
using ketamine as an anesthetic agent diminishes the value of what measure in assessing anesthetic depth
answer
eye position- does not cause eye rotation, even at moderate depths of anesthesia
question
how does ketamine diminish the value of measuring anesthetic depth through assessment of eye position
answer
does not cause eye rotation, even moderate depths of anesthesia
question
describe stage III, plane 3 of anesthesia
answer
eye usually central to slightly rotated, pupils moderately dilated and respond slowly to light or not at all
question
describe stage III, plane 2 of anesthesia
answer
eyes usually rotated ventrally with slightly dilated pupils
question
describe stage II of anesthesia
answer
eyes usually central, pupils may be dilated and responsive to light
question
describe stage IV of anesthesia
answer
eyes central with widely dilated pupils that are unresponsive to light
question
the presence or absence of salivary and lacrimal secretions may give clues regarding anesthetic depth. How might an animal that has not received an anticholinergic be affected
answer
tear and saliva production diminishes as anesthetic depth is increased
question
Response to a painful stimulus during anesthesia may be indicated by all of the following except: considerable increase in heart rate an blood pressure, decrease in lacrimation and salivation, increase in respiratory rate, sweating on foot pads
answer
decreased lacrimation and salivation- if anesthesia was to light, these would be increased
question
10 yr old dog anesthetized to remove skin tumor, is maintained on 2% iso. RR is 8 bpm and shallow, HR is 80 bpm, pupils central, jaw tone is slack, all reflexes absent. What stage and plane of anesthesia is this describing?
answer
stage III, plane 3
question
10 yr old dog anesthetized to remove skin tumor, maintained on 2% iso, RR 8 bpm and shallow, HR 80 bpm, pupils central, jaw tone is slack, all reflexes absent. What should be your response or actions to the condition of this animal?
answer
reduce vaporizer to 1.5 iso, continue to monitor for signs of decreased depth. Prob to deep for given procedure. Age is also risk.
question
what stage of anesthesia may be characterized by vocalization, struggling, and breath holding?
answer
stage II - "excitement stage"
question
stage II of anesthesia is aka
answer
excitement stage
question
how should the excitement stake aka stage II of anesthesia be avoided
answer
bolus of injectable anesthetic to take animal past phase of excitement
question
dog received correct dose of Xylazine IM. 2nd degree heart block and bradycardia developed. Based on most common cause of this adverse reaction, what would be the best therapy
answer
glycopyrrolate. anticholinergic effects block vagal-induced bradycardia and 2nd degree heart block commonly associated with xylazine
question
an abnormally elevated central venous pressure that develops during anesthesia and surgery in an animal receiving IV fluids may indicate....
answer
IV fluid overload
question
a 1:10,000 dilution of epinephrine contains how much epinephrine per milliliter?
answer
0.1 mg/ml (1/10,000 = 0.01% = 0.1 mg/ml
question
cardiac arrhythmias that occur during anesthesia are commonly associated with all of the following except: normocapnia, excessive halothane concentration, hypoxemia, myocardial ischemia
answer
normocapnia
question
mean arterial blood pressure of the isoflurane-aneshthetized horse can be used as an indication of...
answer
anesthetic depth
question
when dealing with a horse, which is a more accurate indicator of anesthetic depth, heart rate, or arterial pressure?
answer
arterial pressure
question
surgical evaluation of a dog hit by a car revealed a PCV of 18% and plasma protein below 2.5 g/dl. All of the following are true, except the: patient predisposed to pulmonary edema, fluid admin rates should be watched closely, patient should receive plasma or whole blood before surgery, or patient should not receive fluids before surgery
answer
all are true except: patient should not receive fluids before surgery. Patient needs fluids to help compensate for blood loss indicated by low PCV and plasma protein levels
question
the estimated blood volume in a dog is...
answer
75 ml/kg
question
the volume of blood administered to a patient is determined by all of the following except: PCV of donor, PCV of recipient, desired PCV, age of recipient
answer
all except age of recipient
question
horse under inhalation anesthesia, HR suddenly increases to 80 bpm, most appropriate response is to: increase delivered anesthetic concentration, administer IV 10 mg butorphanol, evaluate peripheral pulse, MM, and other vital organ function before responding, not be concerned, because horse is not moving
answer
most appropriate response would be to evaluate the peripheral pulse, MM, and other vital organ function before responding
question
horse receiving O2 at rate of 8 L/min, iso at 2.5%, fluids at 10ml/kg/hr, blood pressure suddenly falls to 60 mm Hg, and peripheral pulse gets weak. Your first response:
answer
Lower iso and increase fluid delivery rate-falling BP indicates increasing depth of anesthesia in horse. lowering iso will lighten depth. Increased fluid will help increase BP.
question
whole blood should be administered in which of the following presurgical situations: PCV 30%, PCV 14%, Von WIllebrands, or chronic anemia with PCV of 25%
answer
PCV 14%
question
10kg dog: 50ug/kg/min of lidocaine. How many drops per min from a minidrip infusion set are necessary if the concentration of lidocaine is 1mg/ml?
answer
30----- 10kg x 50g/kg/min = 500g/min; 500g = 0.5mg = 0.5ml = 30 drops/min
question
the most common arrhythmia associated wiht use of thiobarbiturates in dogs during induction of anesthesia is
answer
Bigeminy
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New