SA Med & Sx Exam 1

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lacamp11
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235361
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SA Med & Sx Exam 1
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2013-09-17 21:47:29
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SA Exam
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SA Exam 1
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  1. Procedures that use anesthesia
    • Surgery
    • Dentistry
    • Grooming
    • Diagnostic Imaging
    • Wound Care
  2. Analgesia
    a loss of sensitivity to pain.
  3. Sedation
    • CNS depression or drowsiness.
    • Slightly aware/ unaware of surroundings
    • Aroused by noxious stimulation
  4. Tranquilization
    • Calm, reluctant to move
    • Aware of, but unconcerned of surroundings
  5. Hypnosis
    • Sleeplike state
    • Can be aroused with sufficient stimulation
  6. Narcosis
    • Sleeplike state induced by narcotics
    • Not easily aroused
  7. Local Anesthesia
    Small, specific area of the body
  8. Example of local anesthesia
    lidocaine used in a laceration repair, or tumor removal
  9. Topical anesthesia
    applied to body surfaces or a wound
  10. Example of topical anesthesia
    Proparacaine used in a corneal exam
  11. Regional anesthesia
    loss of sensation to a limited area of the body
  12. Example of regional anesthesia
    • nerve block
    • epidural
  13. Balanced anesthesia
    Multiple drugs in smaller quantities
  14. List roles of the vet tech as the anesthetist
    • Preparation, operation and maintenance of anesthetic equipment
    • Administration of anesthetic agents
    • Endotracheal intubation
    • Patient monitoring
  15. Asphyxiation
    cutting off oxygen supply; suffocation
  16. Atelectasis
    collapse of a portion or all of one or both lungs
  17. Breathing circuit
    delivers inhalation anesthetic and carrier gas to patient and removes exhaled co2.
  18. Closed only system
    pop off valve is kept nearly or completely close. Flow of oxygen is low.
  19. Fresh gas inlet
    point where carrier and anesthetic gases enter the breathing circuit
  20. Tidal Volume
    Volume of a normal breath: 10-15mL/Kg
  21. Purpose of ET tube
    • Open airway
    • Less dead space
    • Precise administration of anesthetic agent
    • Prevent pulmonary aspiration
    • Respiratory emergencies
    • Monitors respirations
  22. B,D,F,G
    • B: Pilot Balloon
    • D: Connector
    • F: Length Scale
    • G: ID Scale
  23. What is the ratio of Oxygen: Nitrous Oxide
    1:2
  24. What are the four components of an anesthetic machine?
    • Compressed Gas Supply
    • Anesthetic Vaporizer
    • Breathing Circuit
    • Scavenging System
  25. What minimum level of oxygen content does the anesthetized patient need to sustain cellular metabolism?
    30%
  26. Color coding of compressed gas:
    Oxygen
    Nitrous Oxide
    Medical Air
    Carbon Dioxide
    • Oxygen: green
    • Nitrous oxide: blue
    • Medical air: yellow
    • Carbon dioxide: gray
  27. What is the function of the tank pressure gauge?
    Indicate the pressure of gas remaining in a compressed gas cylinder
    • A: Outlet port
    • B: Pressure reducing valve
    • C: Tank pressure gauge
    • D: Line pressure gauge
    • E: Tank valve
  28. The pressure reducing valve reduces the pressure in the line to ___ -____psi
    40-50 psi
  29. What is the function of the flowmeter?
    • Indicates gas flow. Expressed in L/min.
    • Reduces pressure to 15psi
  30. Non precision vaporizer
    • low pressure
    • VIC- vaporizer in circuit
    • Ex: methoxyflurane
  31. Precision vaporizer
    • delivers precise amount of anesthetic
    • high vapor pressure
    • VOC
  32. Isoflurane
    Purple`
  33. Sevoflurane
    Yellow
  34. Halothane
    Red
  35. Desflurane
    Blue
  36. What is the induction and maintenance rate for isoflurane
    • 3-5% induction
    • 1.5-2.5 maintenance
  37. What is the induction and maintenance rate for sevoflurane
    • 4-6% induction
    • 2-4.5 maintenance
  38. What is the induction and maintenance rate for desflurane?
    • 10-15% induction
    • 8-12 maintenance
  39. List the steps of air flow of anesthetic and carrier gases.
    • inhalation unidirectional valve
    • inhalation tube
    • animal
    • exhalation unidirectional valve
    • CO2 absorber canister
    • reservoir bag
    • pop-off valve
    • pressure manometer
  40. The reservoir bag should be ____ full at peak expiration.
    3/4
  41. What is the rule of thumb for selecting size of the rebreathing bag?
    • 1L-10#
    • 2L-20#
    • 3L- 30-40#
    • 4L-40-80#
    • 5L- >80#
  42. To minimize atelectasis, how often should you manually bag?
    5-10 mins
  43. What does the pressure manometer do?
    indicates the pressure of gases within the breathing circuit
  44. RMV
    • Respiratory Minute Volume
    • Tidal volume X Resp. Rate
  45. Non rebreathing systems require ____ rates during all periods.
    High
  46. Which parts of the anesthesia machine require no regular maintenance?
    Tank and line pressure gauges, manometer, oxygen flush valve
  47. List the parts of the vaporizer
    • Inlet port
    • Outlet port
    • Safety lock
    • Indicator window
    • Fill port
  48. Three parts to the Minimum Patient Database
    • Patient History
    • Physical exam & assessment
    • Pre anesthetic diagnostic workup
  49. Five parts of signalment
    • Species
    • Breed
    • Age
    • Sex
    • Repro status
  50. List parts of the PE/PA
    Body weight, BCS, hydration, LOC, pain score, body temp, general condition, exterior surfaces, PLR, cardiovascular exam, MM, respiratory, abdominal.
  51. List parts to the pre-anesthetic diagnostic workup
    • CBC
    • Urinalysis
    • Blood chemistry
    • ECG
    • Radiography
    • Other
  52. Class P1 use _________ anesthetic risk
    minimal
  53. P1 & P2 use _______ anesthetic risk
    Standard
  54. P3-P5 use ____________ anesthetic risk
    Special
  55. P5 use _______ anesthetic risk
    Extreme
  56. What are the complications of not withholding food before surgery?
    esophageal reflux, vomiting, regurgitation, pulmonary aspiration, pneumonia
  57. List reasons for placing an IV catheter.
    • Fluid administration
    • Emergency access 
    • CRI
    • Administration of vesicants
    • Sequential administration of incompatible drugs

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