Anesthesia3- K9 and Fe

  1. What lab evaluations should you do in young to middle aged animals with a normal history and PE? In middle aged to geriatric animals?
    • Young: PCV/ TPĀ 
    • Geriatric: CBC, Chem, +/- chest rads
  2. What conditions absolutely need to be addressed before anesthesia? (9)
    • hemodynamic shock
    • severe dehydration
    • anemia or hypoproteinemia (PCV<20, albumin <2)
    • acid-base and electrolyte disturbances
    • pneumothorax
    • cyanosis
    • oliguria/anuria
    • congestive heart failure
    • severe cardiac arrhythmias (Vtach, complete AV block)
  3. Describe protocols for pre-operative fasting in small animals.
    • food but not water is withheld prior to elective general anesthesia
    • >4 months old: 6-8 hours fasting
    • <4 months old: 2-4 hours fasting
    • <2 months old: 1 hour fasting
  4. What is the standard premedication regimen for a dog OHE physical status I or II?
    • IM pre-med acepromazine (dexmedetomidine for difficult to handle dogs/ cats)
    • combined with an opioid (morphine or buprenorphine)
  5. What is the standard premedication regimen for a cat OHE physical status I or II?
    • IM pre-med acepromazine (dexmedetomidine for difficult to handle dogs/ cats) and ketamine (or alfaxalone)
    • combined with an opioid (morphine or buprenorphine)
  6. Describe neuroleptanalgesia.
    • combining a sedative and an opioid to enhance sedation and analgesia
    • sedatives: ace, alpha-2, midazolam (debilitated patients)
    • opioids: morphine, methadone, hydromorphone, oxymorphone, buprenorphine (longer-lasting), butorphanol (shorter duration)
  7. Describe the components and use of telazol.
    • 50:50 combination of tiletamine (dissociative anesthetic) and zolazepam (benzodiazepine)
    • can be used for mild sedation or surgical anesthesia at higher doses (not recommended- prolonged recoveries)
  8. What is "kitty magic" and when is it used?
    • dexmedetomidine + ketamine + morphine
    • can all be combined in same syringe
    • can be reversed with antisedan/ atipamezol (reverses the dex)
    • used for very fractious cats
  9. What is simbadol?
    • buprenorphine for subcutaneous injections in cats for post-op pain
    • first dose given 1hr prior to sx
  10. How is anesthetic induction achieved for dogs and cats physical status I or II?
    IV injection of propofol, ketamine+midazolam, or alfaxalone
  11. How is maintenance achieved for dogs and cats physical status I or II?
    inhalant anesthesia with isoflurane or sevoflurane
  12. Describe a standard perianesthetic fluid regiment.
    • crystalloids at 3-5mL/kg/hr [LRS, plasmalyte]
    • colloids if indicated- blood products or vetstarch
  13. Use a non-rebreathing system is the patient is _________.
    <3kg
  14. It is important to monitor __(3)__.
    circulation, oxygenation, and ventilation
Author
Mawad
ID
325758
Card Set
Anesthesia3- K9 and Fe
Description
vetmed anesthesia3
Updated