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SX nursing quiz 1
yeah
32
Veterinary Medicine
Not Applicable
09/03/2013

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Cards

Term
What are the 5 phases of an anesthetic event?
Definition
1. Pt assessment
2. Premedication
3. Induction
4. Maintenance
5. Recovery
Term
Pt assessment includes...?
Definition
History/signalment
PE
Diagnostics (bw, ua, ekg)
Term
Advantages of premeding?
Definition
-balanced anesthesia
-smoother recovery
-keeps the pt calm
Term
Disadvantages of premeding?
Definition
-expensive
-wait until the pt is sedate
-side effects
-complex
Term
What are our goals for anesthesia?
Definition
*sedation, analgesia, anticholinergics*
Term
What classes of drugs make our pt sedate?
Definition
-phenothiazine
-a2 agonist
-benzodiazepine

sn: opioids do give sedation but are primarily for analgesia
Term
Drugs included in the phenothiazine class? What are we most concerned about when giving this drug?
Definition
Acepromazine. Hypotension.
Term
Drugs included in the a2 agonist class? What are we most concerned about when giving this drug?
Definition
Xylazine, and Dexmedetomedine. Bradycardia.
Term
Drugs included in the benzodiazepine class? What are we most concerned about when giving this drug?
Definition
Diazepam, and medazolam. Hypotension.
Term
What classes of drugs make up our analgesics?
Definition
-opioids
-nsaids
-a2 agonists
Term
Drugs included in the opioids class? what are we most concerned about when giving these drugs?
Definition
-morphine, hydromorphone, oxymorphone
-Fentanyl
-buprenorphine
-tramadol
Respiratory depression
Term
Drugs included in the NSAIDs class? what are we most concerned about when giving these drugs?
Definition
-carprofen
-meloxicam
-robenacoxib
-deracoxib
-firocoxib
-etodoiac
-ketaprophen
renal perfusion
Term
Drugs included in the a2 agonist class?
Definition
xylazine and dexmedetomidine
Term
Drugs included in the anticholinergic class? what are we most concerned about when giving this drug?
Definition
-atropine
-glycopyrolate
tachyarrhithmias
Term
What drugs/combos of drugs do we use to induce our patients? (don't forget inhalants)
Definition
-propofol
-ketamine/diazepam
-tiletamine/zolezepam
-inhalants
Term
What are we most concerned with when giving propofol?
Definition
apnea
Term
what are we most concerned about when giving a dissociative/benzodiazepam?
Definition
increased HR, rocky recovery? :/
Term
What can we maintain our pts on?
Definition
Inhalants
CRI of propofol
MLK (morphine, lidocane, ketamine)
Fentanyl
Term
Primary goal of recovery?
Definition
SMOOTH RECOVERY
Term
How do we do that?
Definition
keep pt calm, and avoid any extra stimuli
Term
What's the reversal agent for dexmedetomidine?
Definition
atipamazole
Term
What's the reversal agent for xylazine?
Definition
yohimbine
Term
What's the reversal agent for opioids?
Definition
naloxone
Term
What's the reversal agent for benzodiazepines?
Definition
flumazenil
Term
MAKE sure you have all the following in your analgesic protocol
Definition
opioids, a2 agonists, n said, dissociatives
Term
What are our controlled classes?
Definition
opioids
dissociatives
benzos
Term
What is the surgical plane?
Definition
stage 3, plane 2.
Term
MOST reliable signs for anesthetic depth?
Definition
-Movement without stimulation
-Reflexes
-Increased HR and RR and BP
-Pain response
Term
Under that, what are some reliable signs you can also look for with depth of anesthesia?
Definition
-hx on vaporizer
-muscle tone like jaw tone
-palpebral reflex
-pupillary response
-tear production
-eyeball position (VANLEARS FAV)
Term
What is something to keep in mind with the palpebral reflex?
Definition
the muscles can get fatigued and no longer blink.
Term
Equation for cardiac output?
Definition
stroke vol x HR
Term
Equation for blood pressure?
Definition
CO x total peripheral resistance
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