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VETT 134: Veterinary Anesthesia and Surgical Assistance II Week Ten Coursework and Assignments 1) Read Chapter Six: Anesthetic Monitoring – Part One in the Thomas and Lerche text, pages 159 to 187. When you have completed Chapter Six you should be able to: A) Explain the principles of anesthetic monitoring, including the reasons for and goals of monitoring. B) List the physical monitoring parameters, and classify each in one of the following categories: (1) vital signs, (2) reflexes, (3) other indicators of anesthetic depth. C) List and describe each of the stages and planes of anesthesia. D) List the monitoring parameters used primarily to determine whether or not the patient is safe, and group them according to whether they primarily assess circulation, oxygenation, or ventilation. D) Explain and demonstrate assessment of each of the vital signs, reflexes, and other indicators of anesthetic depth. E) List normal values for each physical monitoring parameter, and identify values that should be reported to the attending veterinarian. F) Explain setup, operation, care, maintenance, and troubleshooting of an esophageal stethoscope, electrocardiograph, Doppler monitor, oscillometric blood pressure monitor, pulse oximeter, apnea monitor, and capnograph. G) Interpret output and data from an esophageal stethoscope, electrocardiograph, Doppler monitor, oscillometric blood pressure monitor, pulse oximeter, apnea monitor, and capnograph. H) Describe how to determine the blood pressure using a Doppler monitor, oscillometric blood pressure monitor, or arterial catheter and transducer. I) Identify the following rhythms on an electrocardiographic tracing: normal sinus rhythm (NSR); sinus arrhythmia (SA); sinus bradycardia and tachycardia; first-, second-, and third-degree atrioventricular (AV) heart block; supraventricular premature complexes (SPCs) and ventricular premature complexes (VPCs); supraventricular and ventricular tachycardia; atrial and ventricular fibrillation; and QRS and Twave configuration changes. J) Identify machine-generated data that should be reported to the VIC. K) Identify abnormal monitoring parameters, and list common causes of abnormal monitoring parameters. L) Use monitoring parameters to determine anesthetic depth. Explain adverse consequences of hypothermia, and identify strategies to prevent hypothermia. J) Be able to define, describe, or apply the flowing terms or concepts: Apnea monitor Atelectasis Blood gas analysis Blood pressure Calculated oxygen content Capnogram Capnograph Cardiac arrhythmias Central venous pressure Circulation Diastolic blood pressure Doppler blood flow detector Esophageal stethoscope Flaccid Icterus Mean arterial pressure Monitor Oscillometer Oxygenation Partial pressure of oxygen Percent oxygen saturation Pressure transducer Pulmonary thromboembolism Pulse oximeter Respiration Respirometer Sphygmomanometer Systolic blood pressure Tachypnea Ventilation 2) Watch the presentation on the material in the Thomas and Lerche text for this week. 3) When you have completed all the coursework and assignments for Week Ten you should begin the Week Eleven coursework.