Pre-Anaesthetic Assessment Flashcards Preview

Veterinary Nursing Anaesthesia and Analgesia > Pre-Anaesthetic Assessment > Flashcards

Flashcards in Pre-Anaesthetic Assessment Deck (14)
Loading flashcards...
1

What are the 6 components of the pre-anaesthetic period?

1. period of fasting
2. Assessment of patient history and thorough physical examination
3. Selection of relevant diagnostic procedures
4. Selection of anaesthetic protocol
5. Other pre-anaesthetic procedures as recommended by veterinary surgeon
6. Preparation of other anaesthetic equipment, drugs and surgical equipment

2

What is the purpose of fasting?

Prevent vomiting / regurgitation during the procedure or recovery
Reduce the risk of aspiration pneumonia

3

What animals should not be fasted or have a reduced fast time

short fast for juveniles
do not fast mammals that cannot regurgitate
Various reptile species
Animals that continuously graze e.g. rabbits (also dont vomit)

4

What do you do if an animal has not fasted

Postpone surgery or administer drugs to induce vomiting

5

Give four questions that you should ask an owner for patient history

Confirm ID
Breed, age, sex
Owner details
Any anaesthetic history
Recent health
Health status over last few months
Vaccination status
Reproductive status
Have they been fasted?
On any meds
last dose?
temperment?

6

What things should be focused on during the pre-anaesthetic exam

TPR
CNS
CVS
Respiratory
hepatic
Renal
Haematological
Specific pre-neutering checks - double check sex and presence of testis

7

What is the ASA Risk Categories?

Created by anaesthesiologists
Class 1 - 5
Level of risk assigned according to patient status

8

What is class I - V

I - minimal risk
II - Slight risk
III - Moderate risk
IV- High risk
V - Grave/extreme risk

9

What kind of consent must you get from a client

INFORMED consent

10

What should be on the consent form?

Name, address and telephone number of practice
Name and address of owner
Contact telephone number(s) – as many as possible up to date and correct
Pets details – name, breed, age, sex, markings, neuter status, weight
Any relevant history eg. Drug reactions
Details of procedure – worded so the owner can understand, estimate of cost may be included
Owner or authorised person must sign – over 16/18

11

How would a pre-general anaesthetic diagnositc be decided and any extended diagnostics

- standard for all patients
- offered for all
- geriatrics
- dependent on animals individual health status
- potential extended diagnostic undertaken

12

What does haematology look at

PCV
RBC count
WBC count

13

What does biochemistry look at?

- Total Protein
- Glucose
- ALT/ ALKP
- Urea / creatinine /phosphorus
- Electrolytes (NA and K)

14

What other diagnostics may be used?

Urinalysis
ECG
Blood gases
Radiography
Clotting profiles