Anesthesia

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Author:
lynnsy
ID:
151854
Filename:
Anesthesia
Updated:
2012-05-03 00:56:40
Tags:
bel rea
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Description:
Test 2
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  1. Why do we use PA drugs?
    • Sedate and calm the pt
    • Pre-emptive analgesia
    • Prevent movement
    • Balanced Anesthesia
    • Smooth recovery
  2. PA Drugs given
    IM / SQ 30mins prior
  3. Anticholinergics
    • Atropine Sulfate (Atropine)
    • Glycopyrrolate (Robinul-V)
  4. Anticholinergics Main effects
    • Dry secretions
    • Prevent Bradycardia
  5. Anticholinergics reactions
    • May cause intial bradycardia after IV admin
    • Arrythmias after IV admin
    • Colic in horses
  6. Anticholinergics when to use
    • Small animal : with bradycardic animals
    • Larger : Don't
  7. Atropine Specifics (Brand, Prevents/Reduce, Treats, Antidote, Contra)
    • Brand name: Atropine
    • Prevents/Reduces : Secretions
    • Treats: Bradycardia & AV blocks
    • Contraindications: Don't use in tachycardic pt / Dont use in animals with constipation
  8. Glycopyrrolate Specifics (Brand, Advantages)
    • Brand Name: Robinul-V
    • Advantages: 1. Can use for tachycardic pts
    • 2. Use for longer procedures
    • 3. Opthalmic surgery
    • 4. Neurosurgery
  9. Tranqs 3 Groups
    • Phenothiazines
    • Benzodiazepines
    • Butyrophenones
  10. Properties of Tranqs as PA drugs
    • 1. Relaxation and Calmness
    • 2. No analgesia
    • 3. Manages pts fear, anxiety
  11. Phenothiazines Drugs
    Acepromazine (Promace)
  12. Benzodiazepines Drugs
    • Diazepam (Valium)
    • Midazolam (Versed)
    • Zolezepam (in Telazol)
  13. Butyrophenones Drugs
    Droperidol (in Innovar-Vet)
  14. Acepromazine Effects / Side effects
    • Effects: 1. Water Soluble
    • 2. Mental calming, decreased moter activity
    • 3. Improves anagesic effects of other anagesic drugs activity


    • Side: 1. Hypotension
    • 2. Hypothermia
    • 3. Lowers the seizure threshold
  15. Diazepam / Midazolam / Zolazepam (Effects, Side Effects, Indications)
    • Effects: 1. Skeletal muscle relaxtion
    • 2. Anticonvulsant

    • Side: 1. aggro in cats
    • 2. Ataxia

    Indication: Seizures , High margin of safety, calming affects in aminals
  16. Droperidol Specifics
    • Dec CO
    • combined with fentanyl
    • Neuroleptanalgesia
  17. Sedatives / Alpha-2-Agonists (Drugs/Effects/Side)
    • Xylazine (Rompun, Anased)
    • Medetomidine (Domitor)
    • Detomidine (Demosedan)
    • Dexmedetomidine (Dex Domitor)

    1.Produces calming, sedation, muscle relaxation

    1.Bradycardia
  18. Xylazine Effects / Side
    1. Good muscle relaxation


    1. vomiting in dogs and cats
  19. Medetomidine Effects / Side
    1. Powerful Analgesic


    1.Causes profound bradycardia
  20. Opioids (sites/classes)
    • 1. Mu - sever pain
    • 2. Kappa - Moderate pain
    • 3. Sigma - Chronic pain

    • 1.Pure Agonist - Stimulate all
    • 2.Mixed - Stimulate and block some
    • 3.Pure Atagonist - Block all
    • 4.Partial Agonist - Stimulate certain ones
  21. Morphine (Advan/Disadvan/class)
    • 1.inexpensive
    • 2.good sedation
    • 3.good analgesia

    • 1.may cause bradycardia and resp. depression
    • 2.see mania in cats

    Pure Agonist
  22. Oxymorphone (Brand/Potency/Adv/Dis/Class)
    • Brand: Numophan
    • 5-10x
    • 1.Great sedation
    • 2. good analgesia

    • 1.Expensive
    • 2.Bradycardia

    Pure Agonist
  23. Fentanyl (Brand/Poten/Advan/Disadvan/Class)
    • Brand: Sublimaze
    • 50-100x

    1.Mild sedation/good analgesia

    1.Decrease in tidal volume

    Pure Agonist
  24. Butorphanol (Brand/Class/Poten/Advan/Dis)
    • Torbugesic
    • Mixed opioid
    • 2-5x
    • 1.Has ceiling effect
    • 2.Visceral analgesia

    • 1.Not reliable sedation alone
    • 2.Controlled substance
  25. Buprenorphine (Brand/class/ADvan/Disadvan)
    • Buprenex
    • Partial Agonist
    • 1.Schedule 3
    • 2.long term analgesia

    • 1.Has strong affinity for its receptors
    • 2.Not reliable sedation when alone
  26. M-99 (Brand/Class/Poten)
    • Etorphine
    • 1000x
    • must have Naloxone rdy
  27. Hydromorphone (Brand/Class/stuff)
    • Dilaudid
    • Pure agonist
    • 3x
    • in cats
  28. Reversal Agents
    • Naloxone (Narcan)
    • Nalbuphine (Nubaine)
  29. NSAID's 3 effects (Stands for) Drugs
    • Non Steriodal antinflammatory drugs
    • 1.Anti-inflam
    • 2.Analgesics
    • 3.Anti-pyretic

    • Phenylbutazone
    • Carprofen
    • Deracoxib
    • Tepoxalin
    • Acetominopehn
    • Meloxicam
  30. Phenylbutazone
    • Butazolidin
    • Horses
    • Toxic dogs cats
  31. Carprofen
    • Rimadyl
    • Used in dogs
    • no cats
  32. Deracoxib
    • Deramaxx
    • COX-2 inhib
  33. Acetominophen
    Tylenol
  34. Meloxicam
    • Metacam
    • COX-2
  35. Tepoxalin
    • Zubrin
    • COX-2
  36. PA Deff
    period of time that immediately precedes the induction period in which you prepare yourself and pt for anesthetic protocol
  37. PA procedures
    • Assess pt
    • collect data
    • fast
    • give PA drugs
  38. Reasons for placing IV cath
    • Allow fo admin of surgical fluids
    • -prevent hypotension
    • Allow for rapid easy admin of Emergency drugs
  39. IV cath risks
    • Introduction to air
    • broken cath tip
    • accidental overhydration
  40. ET Tubes
    • Murphy - eye
    • Cole - no cuff
  41. Norms (Temp/HR/RR)
    • Cats - 101.5 +/- 1F , 140-240bpm, 20-30rpm
    • Dogs , 60-160bpm, 15-30rpm
    • Equines 100 +/- 1F , 30-40bpm, 10-20rpm

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