Anesthesia II: Recovery and Pain Management

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Author:
heather.dundas
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224993
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Anesthesia II: Recovery and Pain Management
Updated:
2013-06-25 21:44:22
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  1. The time period from the discontinuation of anesthesia to the time that the patient has normal mentation.
    Recovery Period
  2. What is imperative?
    Knowledge of when to extubate and how to properly do so.
  3. 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
  4. 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
    • Pigs
  5. What xan be done to avoid hypotension?BIOI
    • BP taken frequently
    • Increase fluid Rates
    • option to add a colloid
    • Identify the cause
  6. 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
  7. What is easily confused with pain post op?
    excitement
  8. What does the ability to differentiate between pain and excitement depend on?HHDBA
    • Hypothermia
    • Hypoxia
    • Drugs
    • Breed/Individual
    • Anxiety
  9. 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
  10. Behavior responses to pain: VPFBAAAGAFA
    • Vocalization
    • Puring
    • Facial expression
    • Body posture
    • Activity level
    • Attitude
    • Appetite
    • Grooming
    • U+/BM patterns
    • Facing the back of the cage
    • Agression
  11. What is considered inhumane?
    Not treating pain to the best of your ability
  12. Pain is directly linked to what?
    mortality rate
  13. What do AAHA standards require?
    A pain assessment in every patient, regardless of the presenting complaint
  14. Pain has effects on what?CGPRMIS
    • Cardiovascular system
    • Gastrointestinal system
    • Pulmonary system
    • Renal system
    • Metabolic system
    • Immune function
    • Sleep patterns
  15. What can we as technicians do to make the patient comfortable?PTPITLBCQT
    • Positioning
    • Turning frequently
    • Pillows/blankets
    • 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
  16. Pain Meds:NMOFBB
    • Narcotics(Opiods)
    • Morphine
    • Oxymorphine
    • Fentanyl
    • Butophanol
    • Buprenorphine
  17. NSAIDS:AKCM
    • Aspirin
    • Ketoprofen
    • Carprofen
    • Metacam
  18. No Pain Score
    0
  19. Slight Pain Score
    1
  20. Mild Pain Score
    2
  21. Moderate Pain Score
    3
  22. Severe Pain Score
    4
  23. What is used for severe pain?
    Morphine Sulfate -the gold standard of pure opiod agonists
  24. What are some side effects of Morphine Sulfate?HV
    • hypotension
    • v+
  25. What is similar to Morphine Sulfate but has fewer side affects?
    Hydromorphone
  26. 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.
    Fentanyl Citrate
  27. What is used for moderate to severe Pain.
    Buprenorphine (Buprenex)
  28. Buprenorphine is a _ agonist.
    mu
  29. Buprenorphine can be used more easily in cats and has a _ duration than morphine.
    longer (6-8hrs)
  30. What mixed antagonist/agonist is used for mild pain?
    Butorphanol
  31. Butorphanol is a _ agonist and _ antagonist.
    • kappa
    • mu
  32. Should Butorphanol be used as the sole analgesic?
    nope unless mild pain or short duration

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