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What are some signs of organ system disease?
- Diarrhea
- vomiting VS regurgitation
- PU/PD
- seizures, personality changes
- exercise intolerance
- coughing, stidor
- weight loss, loss of body score condition
- abnormal bleeding
- difficulty passing stool or urine
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What do you find on a patient evaluation?
- Signalment and history
- body weight
- vaccine status
- duration of complaint
- concurrent medications-antibiotics, cardiac drugs, phenobarbital, NSAID's
- previous anesthetics, allergies
- duration since last meal.
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During physical exam what do you look at?
- weight and body condition
- TPR
- Cardiopulmonary
- CNS, special senses
- Gastrointestinal
- Hepatic
- Renal
- Integument
- musculoskeletal
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What do you check in the cardiopulmonary?
- Heart rate and rhythm
- Auscultation
- CRT
- Mucous membrane color
- pulse character/defecits
- respiratory rate
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What is the difference between sign release and informed consent formed?
- sign release is owner or owner's agent
- informed consent any possible complications
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How would you select the anesthetic protocol?
- procedure to be performed
- available assistance and equipment
- temperament of patient
- physical status and age
- species and breed factors
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what are the type of procedures and the duration?
- minor medical or surgical
- major invasive surgery
- anticipated post operative pain
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what are the available assistance and equipment?
- Assistance
- anesthetic machine type of inhalation anesthetic
- pharmaceutical on hand
- familiarity with agent(s)
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Give examples of temperament of patient
- Quiet, relaxed, calm
- Nervous, excitable
- Vicious
- Moribund (in dying state), comatose
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What are the species and breed factors for an anesthetic protocol?
- sight hounds
- brachycephalic breeds (periodontal tissue and soft palate)
- Toy breeds
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How long do you withhold food for adult dogs and cats before anesthesia?
12 hours
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How long do you withhold water before anesthesia?
2hours
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How long do you withhold food and water prior to planned gastric or intestinal procedures?
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Why is the IV catheter recomend it?
- Administer anesthetic agents
- Rapid administration of emergency drugs
- Administration of fluids
- Not mandatory
- Highly recommended if in shock, debilitated, dehydrated, suspect blood loss, lengthy procedures
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What is the standard fluid rate?
10ml/kg/hr
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What are two types of fluids?
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