Pharmacology CST Exam Review
questions with correct answers
Local |anesthesia |- |ANSWERS✔✔ |involves |injection |of |a |nerve |conduction-blocking |agent
|into |the |tissues |surrounding |a |peripheral |nerve |or |nerves |that |serve |only |tissue |at |the
|surgical |site |onset |happens |between |5-15 |minutes
Topical |anesthesia |- |ANSWERS✔✔ |involves |the |placement |of |a |nerve |conduction |blocking
|agent |onto |the |skin |or |mucous |membrane, |i.e. |cocaine |HCL, |onset |is |rapid
Monitored |Anesthesia |Care |- |ANSWERS✔✔ |combination |of |nerve |conduction |blockade
|supplemented |with |analgesics, |sedatives, |amnesics, |used |for |patients |with |complex
|medical |problems
Regional |anesthesia |- |ANSWERS✔✔ |involves |the |administration |of |an |anesthetic |along |a
|major |nerve |tract, |blocks |all |nerve |impulse |conduction |distal |to |the |injection |site, |onset |is
|slower |than |local
Nerve |plexus |block |- |ANSWERS✔✔ |regional, |agent |is |injected |in |the |tissues |surrounding |a
|major |nerve |plexus |such |as |the |brachial, |cervical, |caudal |and |lumbar
Spinal |block |- |ANSWERS✔✔ |regional, |agent |is |injected |into |the |CSF |withing |the
|subarachnoid |space
Epidural |block |- |ANSWERS✔✔ |regional, |Agent |is |injected |into |the |space |above |the |dura
Bier |block |- |ANSWERS✔✔ |regional, |agent |is |injected |into |a |vein |in |the |arm |that |has |been
|drained |of |blood |following |placement |of |a |tourniquet
,General |anesthesia |- |ANSWERS✔✔ |involves |an |alteration |in |patients' |perception |of |their
|environment |through |alterations |in |their |level |of |consciousness, |accomplished |by
|inhalation, |injection, |instillation
What |is |stages/planes? |- |ANSWERS✔✔ |Animals |pass |through |a |series |of |anesthetic |stages
|and |planes, |These |stages |correspond |to |changes |in |anesthetic |depth, |As |animal |passes
|through |each |stage, |there |is |a |progressive |loss |of |pain |perception, |motor |coordination,
|consciousness, |reflexes, |muscle |tone |and |eventually |cardiopulmonary |function
Stage |1 |- |ANSWERS✔✔ |Immediately |after |inhalation |or |injectable |agent |administered,
|Patient |conscious |but |disoriented, |Decreased |sensitivity |to |pain, |All |reflexes |present,
|Patient |may |struggle, |urinate, |defecate |or |show |other |signs |of |fear |or |anxiety
Stage |2 |- |ANSWERS✔✔ |Begins |with |loss |of |consciousness, |All |reflexes |present |(may
|appear |exaggerated), |Animal |can |chew |and |swallow |(may |yawn), |Brain |starts |to |lose
|control |of |voluntary |body |functions, |Animal |may |exhibit |involuntary |excitement: |rapid
|limb |movement, |vocalization, |struggling, |Breathing |may |be |irregular |or |animal |may
|appear |to |hold |its |breath, |Potentially |unpleasant |for |patient |and |hazardous |to |staff,
|Epinephrine |release, |cardiac |arrhythmias |& |arrest, |Important |to |ensure |smooth |passage |to
|Stage |III
Stage |3 |- |ANSWERS✔✔ |Subdivided |into |4 |planes |- |each |indicates |increasing |anesthetic
|depth, |Different |between |animals, |Remember |effects |of |each |drug |when |assessing |depth
|of |anesthesia,With |certain |drugs, |some |reflexes |are |not |lost
Plane |1 |- |ANSWERS✔✔ |Light |plane |of |anesthesia, |Respiratory |pattern |becomes |regular,
|Limb |movements |cease, |Eyeballs |begin |to |rotate |ventrally, |Gag |and |swallow |reflexes
|depressed |(intubation), |Pedal |and |palpebral |reflexes |present |but |weaker
Plane |2 |- |ANSWERS✔✔ |Medium |plane |of |anesthesia |(suitable |for |most |surgical
|procedures), |Eyeballs |rotate |ventromedially, |Respiration |regular |but |shallow, |RR, |HR |and
|BP |decreased, |Pedal |and |swallowing |reflexes |lost, |Laryngeal |and |palpebral |reflexes |are
|weakened |or |lost
, Plane |3 |- |ANSWERS✔✔ |Deep |plane |of |anesthesia,HR, |BP, |and |RR |decrease; |increase |in
|CRT, |Eyeball |position |- |central
Plane |4 |- |ANSWERS✔✔ |Early |anesthetic |overdose, |Marked |drop |in |HR |& |BP, |CRT |is
|prolonged; |Abdominal |breathing |(inadequate |ventilation),Pupils |dilate; |pupillary |light
|reflex |(PLR) |is |lost, |Too |deep |an |anesthetic |plane; |animal |in |risk |of |cardiopulmonary
|arrest |(CPA)
Stage |4 |- |ANSWERS✔✔ |Respiration |ceases |Cardiac |arrest |Death |Resuscitation |of |patient
|required
Induction |Phase |- |ANSWERS✔✔ |involves |altering |the |patient's |level |of |consciousness
|from |a |conscious |state |to |the |unconscious |state, |can |be |carried |out |through |IV |induction
|agent |or |inhalation |of |gaseous |vapors, |management |and |maintenance |of |the |patients
|airway |is |critical
Maintenance |Phase |- |ANSWERS✔✔ |surgical |intervention |takes |place, |anesthesia |provider
|monitors |changes |in |oxygen |saturation, |blood |loss, |muscle |relaxation |status, |and |cardiac
|status |and |adjusts |those |levels |accordingly
Emergence |Phase |- |ANSWERS✔✔ |occurs |as |surgical |intervention |is |being |completed,
|primary |focus |is |the |monitoring |of |adequate |and |independent |respiratory |rate |and
|function, |reversal |agents |may |be |given
Recovery |Phase |- |ANSWERS✔✔ |patient |returns |to |the |optimum |level |of |consciousness
|and |well-being |phase |begins |in |OR |until |they |are |discharged
Aspiration |- |ANSWERS✔✔ |inhalation |of |foreign |fluid |or |solids |into |the |lungs |such |as
|secretions |or |gastric |contents, |occurs |in |patients |where |inadequate |time |for |gastric
|emptying |has |elapsed