Preanesthetic 1.txt

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Author:
kris10leejmu
ID:
128606
Filename:
Preanesthetic 1.txt
Updated:
2012-01-17 22:51:27
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Clinical Practice
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Clinical Practice
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  1. define tranquilize
    alteration of behavior. quiets and calms the patient. awake, no analgesia, calm. implies calm, not sleepy like sedation.
  2. define sedation
    patient is awake, but it slightly depressed as sleepy. decreased activity and excitement. implies sleepier than tranquilized.
  3. define anesthesia
    an/esthesia. without feeling or sensation. patient is asleep, cannot be awakened until drug wears off, has amnesia and loss of reflexes
  4. define analgesia
    relief of pain without loss of consciousness
  5. define amnesia
    loss of memory, patient does not remember surgery
  6. define ataxia
    Incoordination - stumbling gait, falling to side
  7. define hypnosis
    greater depression than sedation. patient is asleep but can be awakened
  8. define narcosis
    patient is asleep, can be awakened but goes back to sleep. implies good analgesia
  9. define preanesthesia
    period immediately preceding the induction of anesthesia
  10. define pre-anesthetic medication
    preop, any drug given within 1 hour before anesthesia
  11. define anesthetist
    a person such as a nurse or technician, trained in the administration of anesthetics
  12. define anesthesiologist
    a physician or veterinarian specializing in anesthesiology - doctor
  13. what is the primary and secondary goal for anesthesia
    • primary - safety and health
    • secondary - success of procedure
  14. anesthesia is _____.
    controlled death
  15. what is the role of the LVT
    patient induction, maintenance, and recovery
  16. what is idiosyncratic response?
    unexpected patient response
  17. what is the Virginia state law concerning anesthesia
    allows LVT to induce anesthesia, including intubation, "under the direct supervision of a licensed veterinarian"
  18. why do we use anesthesia?
    restraint, surgery, control seizures, euthanasia
  19. what should you do for the owners before anesthesia
    get an informed consent, give estimate, get contact phone numbers
  20. what should get from the patient before anesthesia
    minimum data base, patient history, physical examination
  21. what is the minimum data base?
    nature of the procedure, patient history, physical exam, diagnostic tests, classification of patient status
  22. what is patient history?
    • ask open questions
    • up to date vaccinations
    • current medication
    • previous - allergies, anesthetic episodes, surgery, and drugs given, and patients response to each
    • current or recent illnesses or injuries, possibly contagious
  23. what is the physical examination?
    • look for problems: respiratory disease, cardiovascular disease, abnormal size of organs, disorders to treat, physical factors affecting procedure
    • signalment: species, breed, age, sex, if neutered, weight okie
    • age pediatric - unable to metabolize injectable a as week, use inhalants and geriatrics - decreased ability to metabolize is decrease dose
  24. what is class I?
    minimal risk - normal, healthy, no underlying disease
  25. what is class II?
    slight risk - slight to mild disorder, able to compensate, no clinical signs
  26. what is class III?
    moderate risk - moderate systemic disorder, mild clinical signs
  27. what is class IV?
    high risk - severe preexisting systemic disorder
  28. what is class V?
    grave risk - life threatening disorders, moribund, surgery performed in desperation

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