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10 Cards in this Set

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  • Back
What is the minimum for a patient database in patient preparation?
1. History and signalment
2. Physical examination
a. Diagnostic/complain related
b. Thorough PE - prior to surgery
c. Anesthesia PE - CNS, Cardio, Resp
3. Diagnostic and Laboratory tests
a. Lab blood
b. Additional disease/organ exams
What are some anesthetic risks?
1. Patient's physical status
2. Elective vs. emergency procedure
3. Anesthesiologist experience
4. Available facilities
5. Available help
6. Length of the procedure
What are the regulations for fasting?
1. Small animal: 6-12 hours fast with access to water

2. Ruminants: 24-28 hours fast with 12-24 hours off water

3. Equine: 6-12 hours fast with access to water
Define and describe Stabilization or immediate surgery.
Stabilization: correct abnormalities prior to anesthesia/surgery
a. Replace fluid deficits
b. Correct comorbidities
c. Antibiotics, analgesia, support

Proceed immediately to anesthetize and surgery
What tissues are susceptible to decreased oxygen delivery?
1. Brain - visual cortex
2. Heart - myocardium
3. Skeletal muscle - horse
4. Kidney - chronic renal disease
5. Liver
6. GI mucosa
7. Pancreas
How should you care for the patient regarding fluid therapy?
Must balance patient hydration, electrolyte, hematologic and acid-base. Blood loss &/or severe dehydration may lead to hypovolemia (low circulating blood volume)
What is a crystalloid?
Isotonic solutions containing electrolyte and non-electrolyte solutes capable of entering all body fluid compartments.

Rapidly diffuse across capillary membrane out of the vascular space and into the interstitial space.

Hypertonic solutions initially will pull in fluids and can increase BV rapidly.
What is a colloid?
Colloid solutions contain large-molecular weight substances that remain in the vascular space.
a. Blood products: plasma, whole blood and albumin
b. Hetastarch - large carbohydrate molecule
What plan should anesthesiologists have?
1. Drug selection
a. Species
b. Physical status
c. Duration of procedure

2. Intravenous access

3. Monitoring plan
a. Physiologic
b. Anesthetic "depth"

4. Anticipated complications
a. Blood loss
b. Lung collapse
What kind of patient support and monitoring should you do?
a. IV fluids - crystalloids &/or colloids
b. Padding
c. Thermal insulation and warming

a. Cardio: heart rate and rhythm; BP
b. Pulmonary: SpO2, Resp rate, Exhaled CO2 concentration