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Anesthesia The Start

vet tech anesthesia VT250 general vitals

Patient Evaluation Pt HX Nature of procedure Complete PE Diagnostic Tests requested Consult w/ DVM for determination Pt anesthetic risk.
Pt HX What is the procedure to be performed How old is the patient Has the patient had an illness that required medical or surgical treatment. Has the patient shown signs of being sick in the last 24 hr How well does your pet tolerate exercise.
PT HX Questions to ask cont. Is or has your pet undergone recent treatment with drugs or insecticides Is there any HX of allergies or drug reaction. When was the last time your pet was vaccinated. Has your pet been spayed or neutered if not spayed when was the last heat cycle
After a PT HX the owner should sign a release form for sedation or anesthesia. The owner needs to be informed of the unusual risks associated with anesthesia or surgery.
Physical Examination Respiratory Cardiovascular CRT Dehydration Enlarged Liver Small kidney
Singalment Species Breed Weight Age Sex Repo status
Repro status Is important In heat friable tissue, harder to suture ? Male, Female One or two tumors (Gonads) possible crypt-orchid
Species Each Species can react to drugs given differently.
Weight Drugs and fluid rates are given according to weight
Age Neonate up to 8 weeks old at this age they don’t have the necessary liver metabolic pathways are not fully developed. Geriatrics may have poor hepatic and renal function
Breed Brachycephalic have elongated soft pallets Grey hound don’t have enough body fat content Chihuahua have allergic reactions to bupernorphine
Temp Norms Cat 100-102.5F Dog 100-102.5F Horse 99-100.5F Cow 100-102.5F Sheep 101-104F Goat 101-104F Llama 99-101 Pig 101-103F
Temp Norms under anesthesia Cat 97-100F Dog 97-100F Horse 97-100F Cow 97-100F
Heart Rate Beats Per Minute Dog 60-180 Cat 120-240 Horse 30-45 Foal 70-80 Cow 60-80 Calf 100-120 Sheep 60-90 Goat 60-90 Llama 60-90 Pig 70-90 Piglet 100-130
Heart Rate Beats Per Minute under anesthesia Dog 60-150 Cat 120-180 Horse 28-40 Cow 50-80
Respirations Norms Cat 15-30 Dog 10-30 Horse 8-20 Cow 8-20 Sheep 16-24 Goat 16-24 Llama 10-30 Pig 8-18
Respirations Norms under anesthesia Cat 8-20 Dog 8-20 Horse 6-12 Cow 6-12
Getting a Heart & Resp. Rates TIME Pulse or Breaths Per 6 sec x 10 = Down and dirty ER use need it now!!! Pulse or Breaths Per 15 sec x 4 = Ok rate Pulse or Breaths Per 30 sec x 2 = Good rate Pulse or Breaths Per 60 sec = Most accurate
Getting a Heart & Resp. Rates (need) The rate needed is acquired by need If you have time get the most accurate rate possible Breathing or pulse dropping a faster stat may be required.
Created by: calleenO