Anesthesia II: Recovery and Pain Management
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The time period from the discontinuation of anesthesia to the time that the patient has normal mentation.
What is imperative?
Knowledge of when to extubate and how to properly do so.
What 3 things should be remembered about hypoventilation?O,A,EP
- O2 may be required in post op
- acidosis can happen due to this
- Extubating prematurely should be avoided
Although stuggling with the temperature is not necessary since most patients are hypothermic after surgery, which patients can get malignant hyperthermia?HSP
- Halothane induced patients
- Sight Hounds
What xan be done to avoid hypotension?BIOI
- BP taken frequently
- Increase fluid Rates
- option to add a colloid
- Identify the cause
What should be done in the case of a hemorrage?IPFOM
- Identify the cause
- Post op bandages
- Frequent monitoring of PCV/TS
- Option to transfuse
- Monitor mm/CRT
What is easily confused with pain post op?
What does the ability to differentiate between pain and excitement depend on?HHDBA
Physiological Responses to Pain:B,HR,D,L,S,VD,M
- BP increase
- HR/RR increase
- Dilated pupils
- Loss of appetite
- Salivation excess
- v+ d+
- Muscle tremor
Behavior responses to pain: VPFBAAAGAFA
- Facial expression
- Body posture
- Activity level
- U+/BM patterns
- Facing the back of the cage
What is considered inhumane?
Not treating pain to the best of your ability
Pain is directly linked to what?
What do AAHA standards require?
A pain assessment in every patient, regardless of the presenting complaint
Pain has effects on what?CGPRMIS
- Cardiovascular system
- Gastrointestinal system
- Pulmonary system
- Renal system
- Metabolic system
- Immune function
- Sleep patterns
What can we as technicians do to make the patient comfortable?PTPITLBCQT
- Turning frequently
- Items from home(if allowed)
- Temperature control
- Lubrication of eyes
- Bladder expression (if ordered)
- Cages kept clean and dry
- Quiet environment
- Talk to the patients
What is used for severe pain?
Morphine Sulfate -the gold standard of pure opiod agonists
What are some side effects of Morphine Sulfate?HV
What is similar to Morphine Sulfate but has fewer side affects?
What can be used in an Rapid IV or IM onset for short duration or a transdermal patch for long term use. May also be administered in a CRI.
What is used for moderate to severe Pain.
Buprenorphine is a _ agonist.
Buprenorphine can be used more easily in cats and has a _ duration than morphine.
What mixed antagonist/agonist is used for mild pain?
Butorphanol is a _ agonist and _ antagonist.
Should Butorphanol be used as the sole analgesic?
nope unless mild pain or short duration
What would you like to do?
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