Anesthesiology exam 2

Based on the picture and video (link below – if the link does not work, the video is posted on Canvas in the Monitoring Module) what would be your general assessment of the depth of anesthesia in this anesthetized dog?

Video: https://echo360.org/ui/player/4300763e-4a35-4178-9de2-6e9211c54dd3?secureLinkAccessDataId=5366745d-671f-43cf-8656-c054f351e08f&autoplay=false&automute=false

• The patient is at a light plane of anesthesia

• The patient is on a medium/surgical plane of anesthesia

• The patient is in a deep plane of anesthesia

• There is not enough information to know

Answer explanation

If the patient was in a deep state the globe would be positioned centrally

How frequently should readings of vital functions such as heart rate, respiratory rate, blood pressure and end-tidal carbon dioxide be recorded on the anesthetic record?

• Every 3 min

• Every 5 min

• Every 15 min

• Every 30 min

Which of the following is TRUE regarding using an electrocardiogram (ECG) for monitoring during anesthesia?

• All 4 of the common cardiac arrest rhythms can be identified using only an ECG.

• An ECG monitors both the electrical and mechanical activity of the heart.

• An ECG is helpful, but not required to diagnose cardiac arrhythmias and the response to treatment.

• A base apex electrode placement is a modified Lead I and is preferred in large animals (horses and cattle) because it accentuates the P wave.

Which blood pressure value(s) do/does a Doppler with a sphygmomanometer measure?

•  

  Systolic blood pressure only.

• Systolic and diastolic blood pressure.

• Systolic, diastolic and mean blood pressure.

• Systolic, diastolic, mean and pulse pressure.

You are monitoring a 1 year old 35kg Labrador retriever anesthetized for an ovariohysterectomy. Which of the following interventions would be MOST appropriate for the capnogram wave and end-tidal carbon dioxide (EtCO2) value displayed on the monitor?

• Increase the oxygen flow rate

• Give the patient manual breaths

• Change the sodasorb canister

• Decrease the vaporizer setting to lighten the patient’s anesthetic depth