anesthesia note packet one

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lbethune
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anesthesia note packet one
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2011-02-01 14:50:35
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anesthesia note packet one
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  1. anesthesia
    state of controlled and reversible unconsciouness acheived through use of injectable or inhaled drugs
  2. analgesia
    absence of pain induced by analgesic drug agent
  3. local anesthesia
    loss on sensation in a limited area of the body
  4. regional anesthesia
    loss of sensation in a section of the body
  5. general anesthesia
    complete unconciouness and muscle relaxation that allows surgical manipulation with struggling or pain PERCEPTION by patient
  6. preanesthesia
    period of patient preparation
  7. induction
    period from awake to unconsciousness
  8. maintenance
    period during which an animal is kept unconscious
  9. recovery
    perioud from unconsciousness to awake
  10. balanced anesthesia
    combination of drugs that provide components of anesthesia that include uncosciousness, muscle relaxation and analgesia.
  11. surgical anesthesia
    anesthetic state of plane of anesthesia in which surgery can be perfomed
  12. dissociative anesthesia
    anesthetic state where the animal appears awake but immobile and is unaware
  13. sedation (traquilization)
    state of CNS depression and drowsiness with a reduced awareness of surroundings
  14. neuroleptanalgesia
    state of profound sedation and analgesia
  15. crystalloids
    provides water and electrolytes
  16. colloids
    maintains blood pressure and volume
  17. maintenance fluid rate
    2-4 ml/kg/hr
  18. surgery fluid rate
    5-10/ml/kg/hr
  19. shock fluid rate
    10-20 ml/kg/hr
  20. one kilogram
    2.2 pounds
  21. 1% solution
    10mg/ml
  22. mass =
    wieght x drug dosage, dosage is mg/kg
  23. volume =
    drug mass/drug concentration concentration is mg/ml
  24. preanesthetic drug
    agent that is administered prior to induction anesthesia
  25. categories of preanesthetic drugs
    • anticholinergics
    • tranquilizers/sedatives
    • opioids
  26. anticholinergics
    agents that have the ability to block acetylcholine and oppose the actions of the parasympathetic nervous system
  27. mydriasis
    pupils dilate
  28. miosis
    pupils constrict
  29. anticholinergic drugs
    atropine, glycopyrrolate
  30. atropine
    1-1.5 hours duration, crosses placenta
  31. glycopyrrolate (Robinul-V)
    2-3 hour duration, does not cross placenta
  32. Traquilizers
    agents that reduce anxiety but do not necessarily decrease awareness and wakefulness
  33. sedatives
    agents that cause reduced mental activity and cause sleepiness
  34. tranquilizers/sedatives
    • phenothiazines
    • benzodiazepines
    • alpha-2 agonists
  35. phenothiazine drug
    acepromazine (Acetylpromazine)
  36. caution with boxers!
    antiemetic
    antiarrythmic
    sedation
    seizures!
    fall in blood pressure!
    phenothiazine properties
  37. traquilization
    skeletal muscle relaxation
    anticonvulsant
    poorly metabolized!
    benzodiazepines
  38. diazepam (Valium), midazolam (Versed), zolazepam (component of Telazol)
    benzodiazepines
  39. sedative
    analgesic
    muscle relaxation
    fast onset
    reversible!
    do not use with other tranq!
    vomiting!
    young healthy patients only!
    Alpha-2 agonist properties
  40. dexmedetomidine (Dexdomitor), xylazine (Rompun)
    alpha-2 agonist drugs
  41. opioid
    synthetic narcotic agent with very potent analgesic action
  42. narcotics
    class of drugs derived from morphine
  43. 3 types of receptors
    delta, kappa, mu
  44. anti-anxiety
    analgesia
    reversible
    farting!
    get hooked on it!
    sensitive to light!
    opioid properties
  45. butorphanol (Torbutrol and Torbugesic), morphine, hydromorphone
    opioid drugs
  46. catalepsy
    muscle rigidity
  47. catalepsy
    amnesia
    somatic analgesia
    sting IM!
    reflex exaggeration
    nystagmus
    can still swallow
    apneustic respiration!
    dissociative properties
  48. nystagmus
    side to side movement of eyeballs
  49. apneustic respiration
    patients holds their breath for several seconds at end of inspiration
  50. cocktail
    technique of combining drugs to acheive desired effects and counterate undesirable effects
  51. ketamine cocktails
    ketamine mixed with sed/tranq to increase musc relaxation and smooth recovery
  52. need to be titrated
    irreversible!
    safe
    crosses placenta
    caution with sight hounds!
    sloughing!
    barbiturate drug propeties
  53. thiopental (Pentothal)
    barbiturate drug
  54. milk of anesthesia
    lipid soluble
    repeat boluses safe
    no analgesic!
    good for sight hounds
    propofol (Rapinovet) drug properties
  55. muscle relaxation
    used for induction
    repeat boluses OK
    no analgesia
    etomidate (Amidate) drug properties
  56. neuroleptanalgesia
    opioid + tranquilizer
  57. endotracheal tubes
    breathing tube placed within the lumen of the trachea via the oral cavity
  58. laryngospasm
    reflex closure of laryngeal cartilages upon mechanical irritation
  59. anatomical dead space
    portions of the breathing pathway that contain air but where no gas i being exchanged
  60. latrogenic trauma
    damage of larynx and glottis that may occur from improper handling of ET
  61. mechanical dead space
    space in the ET occupied by gases that are being breathed in and out without change in composition

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