Week four pharm/nursing

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Week four pharm/nursing
2012-05-22 11:57:34
week four pharm nursing quiz

week four pharm and nursing quiz
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  1. Is xylazine (aka Rompun) a reversible agent? If so, with what?
    • yes
    • Yohimbine
  2. Is Domitor (aka medetomidine) a reversible agent? If so, with what?
    • yes
    • Antisedan (aka atipamezole)
  3. Is Ketamine a reversible agent? If so, with what?
    No, not reversible
  4. Is Morphine reversible? If so, with what?
    • Yes
    • Naloxone
  5. T/F: Class V (five) controlled drugs have the least abuse potential
  6. What does anesthesia do?
    • Takes a patient from a conscious state to an unconscious state
    • (anesthesia does not have antibiotic properties)
  7. T/F: Only gas anes will cause analgesia
    False, no analgesia from anes
  8. T/F: post-op paim is usually intense and is best controlled by narcotics
  9. T/F: NSAIDs are used primarily for mild to moderate pain
  10. Which classes are drugs are controlled?
    Which must remained locked up?
    • one through five, I-V
    • all must be locked up
  11. What is the most important thing to consider when evaluating a pt who is having sx under anes?
    pre-existing health conditions
  12. How does body fat relate to anes?
    anes is metabolized faster when there is litte fat, so there is a smaller window for error. The anes is absorbed and burned off faster, so it is harder to keep the pt under and in the correct plane of anes
  13. What type of medication combines the relaxing effects of a tranquilizer and analgesia?
    • neuroleptanalgesic
    • neuroleptic analgesic
  14. We use pre-anes to help _________ the pt's response to anes
    (the pt's response to anes is better if pre-anes meds are on board)
    • facilitate
    • (be careful if 'decrease' is an available opt, read question carefully)
  15. name 3 side effects of narcotics in dogs:
    • bradycardia
    • panting
    • resp depression
  16. What is hyperalgesia?
    • neve t/hold is decreased so less stimulation is required to initiate pain
    • (hypersensitivity to stimuli)
  17. What is Allodynia?
    • nerves that normally transmit pleasurable/neutral sensations are re-routed to now transmit pain
    • (nerves that do not normally transmit pain are now doing so)
  18. T/F: Ibuprophen is an NSAID
  19. T/F: Ketamine is a disassociative
  20. T/F: Butorphanol is a narcotic
  21. T/F: Nalaxone is a reversal agent
    • True
    • (reverses morphine)
  22. T/F: Tranquilizers provide analgesia
  23. Name 3 properties/uses of morphine:
    What can it be reversed with?
    • narcotic, analgesic, emetic
    • reversible with Nalaxone
  24. What signs indicate excessive anes depth?
    • HR less than 50% normal
    • O2 saturation < 80%
    • respiration < 5 breaths/minute
  25. What are the 2 main physiologic responses to pain?
    • increased HR
    • increased respiration
  26. Why are pt's positioned in different ways on a sx table?
    to give the DVM access to the sx site
  27. What part of the suction machine may be touched by a NON-sterile assistant?
    the end of the tubing tossed by the surgeion, and the machine, to connect the tubing
  28. What 2 things should NOT be done IMMED after sx?
  29. Where should a pt's eyes be positioned once in the 3rd/surgical plane of anes?
    ventral and lightly in
  30. An appearance resembling coffee grounds in vomit can indicate what?
    gastric bleeding
  31. Using the wrong suture material or technique, or development of infection or seroma at an incision site may lead to what two problems?
    dehiscence or evisceration
  32. Pain from a SOFT tissue sx may last how long?
    4-5 days
  33. Pain from a bone or joint sx may last how long?
    8-10 days
  34. 2 signs of pain can include:
    • elevated HR
    • decreased appetite
  35. Thermal burns can be caused by _____ ________ b/c they concentrate heat to a small area
    heat lamps
  36. Some sort of heat support like a bair hugger or warm water blanket should _______ __________ be used to keep an animal warm while under anes
    almost always
  37. Prior to sx, we should confirm what 3 things:
    • pt was fasted
    • all test results have been rvwd by DVM
    • heating device has been placed in sx table
  38. Passive drains do what?
    drain fluid out of the body
  39. If a dehydrated animal is given fluids, there is risk of _________ which may cause the pt to need a ___________ or _________ _____________
    • hemodilation
    • blood or plasma transfusion
  40. _________ are used to treat conditions such as infection or cellulitis, whereas seromas do not generally need this type of tx.