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15 Cards in this Set

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Anatomic dead space

breathing passages (bronchi, trachea, larynx, pharynx, and nasal cavity) that convey fresh oxygen from the source to the alveoli but in which no gas exchange occurs

Anesthetic induction

the process by which an animal loses consciousness and enters general anesthesia

anesthetic maintenance

the process of keeping a patient in a state of general anesthesia. The period between induction and recovery.

anesthetic protocol

a list of the anesthetic agents and adjuncts prescribed for a particular patient including doses, routes, and order of administration

anesthetic recovery

the period between the time the anesthetic is discontinued and the time the animal is able to stand and walk without assistance.

central nervous system vital centers

areas of the brain that control cardiovascular function, respiratory function, and thermoregulation.

hypostatic congestion

pooling of blood in the dependent lung and tissues (those nearest the floor or table).

laryngospasm

a reflexive closure of the glottis in response to contact with any object or substance

mechanical dead space

the tubes that convey fresh oxygen from the source to the alveoli, but in which no gas exchange takes place

pneumomediastinum

the presence of air in the space between the lungs that contains the heart and great vessels.

pneumothorax

the presence of air in the space between the lungs and the chest wall associated with collapse of the lungs

stridor

noisy breathing caused by turbulent air flow in the upper airways

titration

administration of an anesthetic agent in small increments until the desired depth of anesthesia is reached, as opposed to administration of the entire calculated dose.

total intravenous anesthesia

induction and maintenance of anesthesia by intravenous injection of ultra-short-acting anesthetics with no concurrent use of inhalant agents. Accomplished using repeat bolus injections or a constant rate infusion.

Chapter 8 notes

Induction:



-isoflurane: 3% -5% by mask or chamber


-sevoflurane: 4% - 6% by mask or chamber


-propofol: 6-8mg/kg IV to effect, if not premedicated, 2-4mg/kg IV after premedication


-IV ketamine/diazepam: Ket 5.5mg/kg and diazepam 0.28mg/kg



Maintenance with gas inhalants:



-sevoflurane: 2.5% - 4%


-isoflurance: 1.5% - 2.5%


-desflurane: 8% - 12%


-IV propofol: repeat boluses to effect every 3 - 5 minutes, or 0.2 - 0.4mg/kg/min by CRI



Recovery:


-monitor vitals every 5 minutes (HR, pulse quality, MM, respiratory pattern, signs of pain, and temperature.


-turn every 10-15 minutes to prevent hypostatic congestion.


-administer oxygen at 50-100ml/kg/min for 5 minutes to allow waste anesthetic gases to be scavenged and to help reinflate collapsed alveoli through bagging.


-most cats require a 3 - 4.5mm et tube


-a dog weighing 20kg will require a 9.5-10mm et tube, increase or decrease the size approximately 1mm for each 5kg of body weight under or over 20kg, applies to patients weight 10-40kg