Vtne - Pain Management

Front 1

Name some potential signs of intraoperative pain.

Back 1

Increased BP, RR, HR, & movement

Front 2

What is the most common drug used for perineural anesthesia during a lameness exam?

Back 2

Lidocaine

Front 3

You are giving a patient an epidural when you see blood in the hub of the spinal needle; what does this mean and what should you do?

Back 3

You have entered the sinus & should withdraw the needle & start over

Front 4

What category of drugs causes loss of motor function when given epidural?

Back 4

Local anesthetic

Front 5

Phenylbutazone (bute) has what side effect in horses?

Back 5

Right dorsal colitis

Front 6

Using the hanging drop technique, what is an indication you have correct epidural placement?

Back 6

Drop of saline in hub of needle is sucked in

Front 7

When placing an epidural in a cat or dog, between which vertebrae do you insert the needle?

Back 7

L7 & S1

Front 8

Sedative of choice for horses

Back 8

Xylazine

Front 9

Ketoprofen should not be used in which patients?

Back 9

Patients with renal impairment

Front 10

What side effect does Metacam have on cats if used more than a few days?

Back 10

Renal failure

Front 11

What can happen following a SubQ injection of Cerenia (maropitant)?

Back 11

Pt may whine due to burning or stinging sensation

Front 12

Opiod that can be administered orally

Back 12

Buprenorphine

Front 13

Fentanyl

Back 13

Most common transdermal patch used for pain

Front 14

TRUE or FALSE: antibiotics can be injected into epidural space

Back 14

False

Front 15

Sympathetic nervous system

Back 15

“Fight or flight”

Front 16

Parasympathetic nervous system

Back 16

“Rest & digest”

Front 17

Phenothiazine tranquilizers

Back 17

Ex: Acepromazine; Not analgesics, synergistic with opioids (because they have anti-emetic properties), cause hypotension

Front 18

MLK

Back 18

Morphine, Lidocaine, & Ketamine; common combo used in CRI for pain in dogs

Front 19

During an epidural you see blood fill the hub of the needle, what do you do?

Back 19

You have entered the sinus, withdrawal needle & start over

Front 20

Drugs that cause loss of motor function during an epidural

Back 20

Local anesthetics

Front 21

Tramadol

Back 21

Acts on opiate receptor & very effective against bone pain in dogs

Front 22

Why is it unsafe to give multiple steroids or NSAIDs concurrently?

Back 22

High risk of GI ulcers & renal damage

Front 23

Local anesthetic of choice in dentistry

Back 23

Bupivacaine

Front 24

Phenothiazine tranquilizers are contraindicated in pts with this condition

Back 24

Epilepsy