Quiz 1 Review

jkluger's version from 2016-11-19 14:21

Quiz 1

Question Answer
When do most anesthesia related deaths occur?Within 48 hours post-operatively
What is the best way to decrease morbidity and mortality associated with anesthesia?Monitor closely for at least 3 hours
Why does PU/PD require further testing before surgery?May indicate renal disease, diabetes, or pyometra
You have a healthy cat with an uninfected cut on its cheek. ASA Status?1
You have a dog with treated mitral insufficieny. ASA Status?2
You have a patient with chronic anemia. ASA Status?3
You have a patient with GDV comes in for surgery. ASA status?4
You have an almost dead patient. ASA Status?5
Which species has the highest anesthetic risk?Horses
What is the therapeutic range measuring?Safety of a drug
Which premedication has the longest DOA?Acepromazine
Which drug has anti-arrhythmic affects?Acepromazine
Contraindications of Acepromazine?Boxer dogs, breeding stallions, animals with hypotention, shock, anemia, or bleeding disorders
Butyrophenones are usually used in which species?Pig
What are the side effects of alpha-2 agonists?Bradycardia and decreased CO, arrhythmias, induce abortion, insulin inhibition
Which alpha-2 is most often used for horses?Romifidine (causes less ataxia)
How do you reverse alpha-2s?Atipamezole, Yohimbine, and Tolazoline
Do alpha-2s provide analgesia?Yes
What groups can you use benzodiazepines on?Very young or old, Very sick adults
Which species should benzodiazepines not be used in?Horses
Which Benzodiazepine is soluble in water?Midazolam
Which benzodiazepine can only be given IV?Diazepam
What should be used to antagonize the effects of benzodiazepines?Flumazenil
What is tealozol?a benzodiazepine combined with a dissociative
Guaifenesin causes what?Muscle relaxation
What route can guaifenesin be given? IV only
What are the 2 major effects of Guaifenesin?Hemolysis and Thrombophlebitis
What might anticholinergics be used for? to treat bradycardia from vagal stimulation
In which species should you use glycopyrrolate instead of atropine?Rabbits
What drug group is the gold standard for analgesia?Opioids
In which species do opiods cause excitement instead of sedation?Cats and Horses
Which 2 opiods cause histamine release when given IV?Morphine and Meperidine
Which opiods are most likely to cause emesis?Morphine, Hydromorphone, and Oxymorphone
Why are opioids discouraged in pregnant patients?Can cross the placental barrier
Which opioid drug is not metabolized in liver?Remifentanil (plasma esterases
Which is the longest acting opioid?Buprenorphine
What would you use to antagonize opioids?Naloxone or Naltrexone
Which Barbiturate is ultra-short acting?Thiopental
Which Barbiturate has anti-convulsant effects?Phenobarbital
Extravascular injection of thiopental causes what?Tissue necrosis
Which Barbiturate is not soluble in LRS?Thiopental
What are thiopental's effects on the cardiovascular system?Hypotension, tachyarrythmias, and ventricular bigeminy
When should you not use Barbiturates?Patients with hepatic disease,neonates, greyhounds, cachexic, c-sections, or splenectomies
Why should propofol not be used in cats often?Causes oxidative injury/ Heinz body anemia
Why is propofol not used often in horses?Requires a large volume
What is the effect of propofol on the cardiovascular and respiratory systems?Hypotension and Apnea
What should you be prepared to do when you induce with propofol?Intubate and ventilate
What is the caution with use of classical preparation etomidate?Necrosis and phlebitis with perivascular injection
Why should etomidate not be used in patients with adrenal insufficiency?Inhibits adreal steroid production
Which drug is a neuroactive steroid?Alfaxalone
What does alfaxalone do to the cardiovascular system?Myocardial depression leading to hypotension
What are Ketamine's affect on the cardiovascular system?Increased HR, BP, and CO
How does ketamine cause tachycardia? Causes catecholamine release
Which barriers can ketamine cross?Blood-Brain and Placental
Should Ketamine be used by itself?No
When should Ketamine not be used?CV disease, hepatic or renal insufficiency, hyperthyroid, high BP or Head trauma/neurologic problems