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VETT 134: Veterinary Anesthesia and Surgical Assistance II Week Five Coursework and Assignments 1) Read Chapter Three: Anesthetic Agents and Adjuncts – Part Two in the Thomas and Lerche text, pages 72 to 94. When you have completed Chapter Three, you should be able to: A) Classify anesthetic agents and adjuncts based on route of administration, time of administration, principal effect, or chemistry. B) Differentiate agonists, partial agonists, agonist–antagonists, and antagonists based on their action and effect. List anesthetics and adjuncts that can be reversed. C) Apply principles of safe administration of anesthetic agents and adjuncts. D) List anesthetic agents and adjuncts commonly used as preanesthetic medications, and describe their indications, mode of action, effects, adverse effects, and use. E) List injectable anesthetic drugs in common use, and describe their indications, mode of action, effects, adverse effects, and use. F) Describe the effect of protein binding, lipid solubility, and redistribution on the pharmacokinetics and pharmacodynamics of injectable anesthetics. G) Define dissociative anesthesia; describe the actions and effects of dissociative anesthetics, and explain ways in which these drugs differ from other injectable anesthetics. H) List the inhalation anesthetic agents in common use, and describe their indications, mode of action, effects, adverse effects, and use. I) Define vapor pressure, partition coefficient, minimum alveolar concentration (MAC), and rubber solubility; explain the ways in which these properties affect the action and use of inhalant anesthetic agents. J) Describe the uptake, distribution, and elimination of the commonly used inhalation anesthetic agents. K) Be able to define, describe, or apply the flowing terms or concepts: Adjunct Agonist–antagonists Agonists Analeptic agent Anesthetic agent Antagonists Anticholinergics Apnea Apneustic respiration Ataxia Bagging Cataleptoid state Colic Cortisol Dead space Desiccated Dysphoria Fasciculations Hypoventilation Macroemulsion Microemulsion Mydriasis Myoclonus Neuroleptanalgesia Neuromuscular blockers Nystagmus Parasympatholytics Partial agonists Pharmacodynamics Pharmacokinetics Preanesthetic medications Reversal agents Somatic analgesia Status epilepticus Synergistic (supra-additive) Tachycardia Tidal volume Visceral analgesia 2) Read Chapter Two: Preoperative Patient Considerations – Part Two in the Tear text, pages 60 to 84. When you have completed Chapter Two you should be able to: A) Understand the importance of and be able to perform a complete physical examination on the day of a scheduled surgery. B) Know the legal significance of a signed surgical consent form. C) Explain to clients the details in a surgical consent form. D) Collect and analyze preanesthesic diagnostic tests. E) Describe what is considered a minimum database for particular patients. F) Bring the veterinarian's attention to any abnormal or invalid results. G) Understand the reasons for premedicating surgical patients. H) Explain the importance of preemptive analgesia. I) Describe the drug options available for preemptive analgesia. J) Explain the mechanisms of action of the different types of analgesics. K) Discuss the indications for placement of an intravenous (IV) catheter. L) Identify appropriate sites for placement of IV catheters. M) List the supplies required for IV catheter placement. N) Discuss the technique for IV catheterization of peripheral vessels. O) Identify the components of an endotracheal (ET) tube. P) Discuss factors considered for determining ET tube size. Q) List supplies required for endotracheal intubation. R) Identify the anatomic structures of the larynx. S) Discuss the differences between the one-person technique and the two-person technique of performing endotracheal intubation. T) Discuss methods of assessing proper ET tube placement. U) Describe hair removal protocols for a variety of soft tissue, orthopedic, neurologic, and miscellaneous surgical cases. V) List antiseptic products available for use to prepare patients for surgery. W) Discuss different patterns used in applying materials for the surgical preparation. X) Discuss potential patient reactions from clipper or chemical irritation. Y) Secure the patient to the surgery table in a safe, accessible manner. Z) Properly position the patient for various surgical procedures, providing access to the (1) surgical site, (2) IV catheter site, (3) ET tube, (4) other venous access sites, and (5) monitoring sites. A1) Perform a sterile preparation of the surgical site. B1) Describe the final preparation before surgery. C1) Use appropriate techniques to conserve body heat. D1) Be able to define, describe, or apply the flowing terms or concepts: Agonists Anticholinergic Auscultation Balanced anesthesia Chief complaint Nociception Premedication Prophylaxis Signalment 3) Watch the Week Five presentations on the reading in the Thomas and Lerche, and Tear texts. 4) Successfully complete Quiz 4 over Chapter Three in the Thomas and Lerche text. 5) Successfully complete Quiz 5 over Chapter Two in the Tear text. 4) When you have completed all the coursework and assignments for Week Five you should begin the Week Six coursework.