Pre,PeriandPost-OperativeCare.pptVIP

Respiratory Alkalosis Enhanced Elimination Of C02 Elimination Of C02 Exceeds Production Causes: Increased Effective Alveolar Ventilation From: High Intra-alveolar pressure Hyperoxemia Hypotension Pulmonary edema Interstitial fibrosis Endogenous catecholamines (from stress) Mechanical ventilation Diagnosis: EtCO2 35 mm Hg Ventilation Pressure is introduced into the trachea which inflates the lungs. Causes a significant loss in lung compliance Necessary in all procedures in the thoracic cavity. Ventilation can be severely compromised by pneumothorax, hemothorax, hydrothorax or a diaphragmatic hernia. Routine manual “bagging/sighing” of the patient can prevent atelectis. Body Temperature Anesthetized animal lose the ability to thermoregulate normally. Will lose heat via loss of hair to shaving, the evaporation of prep solutions, evaporation at and chilling of tissues within surgical incisions, and vasodilatation caused by anesthetic agents/adjuncts Hypothermia will prolong anesthesia recovery Should be countered with warmed fluids, heating blankets, and towels/wraps Hyperthermia is also possible and dangerous May be due to overheating with heating pads and tables or due to anesthesia reactions such as malignant hyperthermia in swine Anesthetized animals lose the ability to thermoregulate normally Body Temperature Monitor Temperature throughout surgery Ways to prevent Hypothermia Keep animal warm during induction Warm IV Fluids and irrigating solutions Circulating warm water/air blankets Pad between animal and metal table Hot water bags/bottles wrapped in towel Covering feet, hands, paws, head Heat lamps Blood Pressure BP = hydrostatic force that blood exerts on wall of vessels Systolic Pressure= pressure of blood when ventricles at maximum contraction Normal range 100 to 160mmHG Diastolic Pressure= pressure of blood when ventricles relax Normal range 60 to 100mmHg MAP= (2 x DP) + SP divided by 3 Normal rang