WorksheetsTemperature
Total questions: 82
Worksheet time: 41mins
The consequences of hypothermia and hyperthermia include:
Organ failure and possible death
Improved immune response
Increased muscle strength
Enhanced memory retention
Why is monitoring body temperature important?
It helps identify temperature trends in patients
It allows implementation of corrective measures
Both A and B
None of the above
How is temperature monitored in patients?
Via oral thermometer
Via rectal thermometer or recta/esophageal probe connected to monitor
Via skin thermometer
Via ear thermometer
Hypothermia occurs when ________ is greater than heat production.
heat loss
heat gain
oxygen intake
blood pressure
Hypothermia occurs frequently with patients who undergo general anesthesia.
True
False
Where does the majority of heat loss occur in hypothermia?
From body surface
From respiratory tract
From digestive tract
From blood
One anesthetic event that can cause hypothermia is the blunting of __________ mechanisms in the central nervous system.
thermoregulatory
respiratory
digestive
cardiac
Exposure of body cavities to __________ temperature air during anesthesia can cause hypothermia.
room
high
cold
humid
__________ predisposes patients to redistribute heat from core to periphery, increasing the risk of hypothermia.
Vasodilation
Bradycardia
Hyperglycemia
Leukocytosis
Hypothermia can occur when the patient becomes __________ during anesthetic events.
wet
hungry
excited
angry
Cold, dry incoming fresh __________ into the breathing circuit can contribute to hypothermia.
oxygen
nitrogen
carbon dioxide
air
Decreased cellular metabolic rates and muscle activity while __________ can cause hypothermia.
anesthetized
exercising
eating
awake
Cool ambient room air and body contact with __________ surfaces can lead to hypothermia.
cold
soft
rough
dry
Low weight, surface area ratio, advanced age, debilitation, and __________ are patient characteristics that increase the risk of hypothermia.
emaciation
hypertension
hyperglycemia
tachycardia
osteoporosis
Which of the following is a consequence of hypothermia?
Increased minimum alveolar concentration (MAC)
Reduced minimum alveolar concentration (MAC)
Faster rate of drug metabolism
Decreased risk of drug overdose
Hypothermia can lead to a slower rate of drug metabolism, which can result in ________ recovery and increased risk of morbidity.
prolonged
rapid
immediate
shortened
Severely hypothermic patients become bradycardic and unresponsive to anticholinergics, increasing the risk for developing ________.
arrhythmias
hypertension
hyperglycemia
seizures
Which of the following is NOT an adverse effect of hypothermia?
Respiratory depression
Coagulopathy
Increased blood viscosity
Decreased need for blood transfusions
Hypothermia increases the possibility for drug overdose due to a lower percent of inhalant anesthetic agent needed to maintain anesthetic depth.
True
False
Other adverse effects of hypothermia include respiratory depression, coagulopathy, altered blood viscosity, increased incidence of postoperative infections, and increased need for ________.
blood transfusions
oxygen therapy
antibiotics
fluid restriction
What is the best treatment for hypothermia?
Prevention
Rapid cooling
Excessive exercise
Fasting
What should be done as soon as patients arrive at the hospital to treat hypothermia?
Keep patients warm
Give them cold drinks
Leave them in wet clothes
Lower their body temperature further
Which of the following is NOT a method to maintain body temperature during anesthesia?
Circulating warm water blanket
Wrapping patient’s feet in bubble wrap
Using isopropyl alcohol
Warming IV fluids
Wrapping a patient’s feet in bubble wrap, baby socks, or exam gloves is a recommended method to maintain body temperature during anesthesia.
True
False
Which fluids should be warmed to help maintain body temperature during anesthesia?
IV fluids and fluids for lavage
Blood only
Saline only
Oral fluids
Isopropyl alcohol should be used to keep surgical prep solutions warm during hypothermia treatment.
True
False
Why should electrical heating methods be used carefully in the treatment of hypothermia?
High risk of thermal burns
Risk of dehydration
May cause allergic reactions
Can lead to excessive sweating
What is hyperthermia?
Heat production less than heat loss
Heat production equal to heat loss
Heat production greater than heat loss
Heat loss greater than heat production
Is hyperthermia common in anesthetized patients?
True
False
Malignant hyperthermia is a ______ genetic condition.
rare
common
benign
contagious
Malignant hyperthermia is most common in which animal?
Dogs
Cats
Swine
Horses
Uncontrolled skeletal activity and increased metabolism during general anesthesia can lead to rapid increases in body temperature.
True
False
Increase in body temperature increases metabolic activity and energy consumption, which can lead to ______ hypoxemia.
cellular
arterial
venous
tissue
Permanent organ damage is a risk if body temperature reaches what value?
100°F
104°F
107°F
110°F
Hyperthermia can also cause ventricular arrhythmias, organ failure, and death.
True
False
What should be done when a patient's temperature reaches 101–102°F during treatment of hyperthermia?
Remove supplemental heat.
Increase fluid intake rapidly.
Apply ice packs to the entire body.
Continue supplemental heat until temperature normalizes.
Which of the following may be beneficial during the treatment of hyperthermia?
Decrease oxygen flow rate
Increase oxygen flow rate
Stop oxygen flow
None of the above
Naloxone can be given to cats that have been administered ______ during treatment of hyperthermia.
opioids
antibiotics
antihistamines
steroids
Which of the following is an active cooling measure for hyperthermia?
Apply cool water or alcohol to footpads and skin
Administer room temperature IV fluids
Both A and B
None of the above
Name one aggressive cooling measure used in the treatment of hyperthermia.
Cool water enemas, cool abdominal lavage, or cool water submersion.
Warm blankets and heated IV fluids.
High-calorie diet and bed rest.
Administration of vasoconstrictors.
Which drug is administered intravenously to cause vasodilation during aggressive cooling measures for hyperthermia?
Acepromazine (Promace®, generic)
Atropine
Epinephrine
Furosemide
Dantrolene (Dantrium®) is administered intravenously for ______ hyperthermia.
malignant
benign
febrile
chronic
Dantrolene (Dantrium®) is typically available in veterinary hospitals for the treatment of hyperthermia.
True
False
Adequate blood pressure is needed to perfuse and deliver oxygen to which part of the body?
Muscles
Organs
Skin
Bones
Which device reliably provides only systolic arterial pressure?
Noninvasive oscillometric device
Ultrasonic Doppler
Arterial catheter
Manual palpation
Noninvasive oscillometric device displays systolic, diastolic, and mean pressures.
True
False
Direct measurement with arterial catheter is more accurate than noninvasive oscillometric device.
True
False
The gold standard for blood pressure measurement is placement of ________.
arterial catheter
venous catheter
blood pressure cuff
pulse oximeter
Arterial catheter is connected by a fluid-filled tube to a(n) ________ transducer.
electronic
mechanical
hydraulic
thermal
Manual palpation and assessment of peripheral pulses provides impression of the difference between ________ and ________ pressures.
systolic; diastolic
arterial; venous
pulmonary; capillary
mean; pulse
Manual palpation is not necessarily indicative of mean or perfusion pressures.
True
False
What is the minimum systolic arterial pressure (SAP) recommended for blood pressure goals?
90 mm Hg
120 mm Hg
80 mm Hg
100 mm Hg
What is the minimum mean arterial pressure (MAP) recommended for blood pressure goals?
60 mm Hg
50 mm Hg
70 mm Hg
80 mm Hg
What is the minimum diastolic arterial pressure (DAP) recommended for blood pressure goals?
40 mm Hg
60 mm Hg
80 mm Hg
100 mm Hg
Autoregulatory mechanisms are most effective when MAP is within which range for autoregulation of cerebral blood flow?
50–150 mm Hg
30–80 mm Hg
100–200 mm Hg
70–120 mm Hg
Autoregulatory mechanisms are most effective when MAP is within which range for autoregulation of renal blood flow?
80–180 mm Hg
60–100 mm Hg
100–200 mm Hg
50–150 mm Hg
Low diastolic arterial pressure (DAP) could result in which of the following?
Increased myocardial perfusion
Myocardial hypoxemia
Cardiac arrhythmias
Both B and C
Oxygen delivery (DO2) to tissues is a function of which two factors?
Cardiac output and arterial oxygen content
Heart rate and stroke volume
Preload and afterload
Systemic vascular resistance
What is the formula for oxygen delivery (DO2) to tissues? DO2 = ___ × CaO2
CO
VO2
SaO2
PaO2
Cardiac output is a function of heart rate (HR) and which other factor?
Stroke volume (SV)
Preload
Afterload
Contractility
Stroke volume (SV) is a function of preload, afterload, and _______.
contractility
heart rate
blood pressure
oxygen saturation
Blood pressure is a function of cardiac output and which other factor?
Systemic vascular resistance (SVR)
Heart rate
Stroke volume
Arterial oxygen content
What is the formula for mean arterial pressure (MAP)? MAP = CO × ____
SVR
HR
TV
PCO2
True or False: Blood pressure is an exact indicator of tissue perfusion and cardiac output.
True
False
What is the definition of hypotension?
Low blood pressure
High blood pressure
Normal blood pressure
Irregular heart rate
Which of the following is a contributing factor to hypotension?
Effects of anesthesia drugs and underlying hemodynamic status
Increased preload
High blood pressure
Increased contractility
Why is it crucial that an anesthetist monitors blood pressure during anesthesia?
To recognize abnormalities, identify underlying cause, and treat hypotension quickly.
To ensure the patient remains unconscious throughout the procedure.
To prevent the patient from feeling pain during surgery.
To monitor oxygen saturation levels.
Clinical hypotension is defined as MAP less than ____ mm Hg when SAP and/or DAP are low.
60
70
50
80
An anesthetist should assess all three pressure values (MAP, SAP, DAP) whenever possible during clinical hypotension.
True
False
Cardiac output may drop as a result of which of the following? Select all that apply.
Decreased stroke volume
Decreased contractility
Decreased afterload
Decreased preload
Bradycardia
Before anesthesia, ensure the patient is __________ stable.
physiologically
emotionally
financially
socially
Which type of anesthesia plan should be selected for treating hypotension?
Single-agent anesthesia plan
Multimodal anesthesia plan
No anesthesia plan
Emergency anesthesia plan
If possible, turn down __________ anesthetic agent to help treat hypotension.
inhalant
topical
local
regional
Treat patient with __________ if bradycardia occurs during hypotension treatment.
anticholinergic
beta-blocker
vasopressor
calcium channel blocker
Propofol can cause dosage-dependent transient hypotension.
True
False
Administer fluid bolus of __________ and/or colloid to treat transient hypotension caused by propofol.
crystalloid
saline
glucose
albumin
According to AAHA guidelines, what is the recommended IV bolus of isotonic crystalloid for anesthetized patients?
1–5 mL/kg over 5 minutes
3–10 mL/kg delivered over 10 to 20 minutes
10–20 mL/kg over 30 minutes
5–15 mL/kg over 15 minutes
Low SAP may indicate hypotension due to decreased cardiac contractility. What is an appropriate treatment in this case?
Administration of positive inotropic agent
Administration of vasopressor
Administration of antihypertensive agent
Administration of diuretic
Hypotension may arise from severe drops in systemic vascular resistance. What treatment may be indicated?
Administration of positive inotropic agent
Treatment with vasopressor
Administration of antihypertensive agent
Administration of diuretic
Agents commonly used in anesthetized patients include ________ (generic), Dobutamine (generic), Dopamine (generic), and Norepinephrine (Levophed®).
Ephedrine
Atropine
Lidocaine
Furosemide
Which of the following is NOT an agent commonly used in anesthetized patients?
Ephedrine
Dobutamine
Dopamine
Acetaminophen
Norepinephrine used in anesthetized patients is also known as:
Ephedrine
Levophed®
Dobutamine
Dopamine
