Ch. 9 and 12 (3rd) and Ch. 11 and 13 (4th)
What constitutes the recovery period of anesthesia?
Cessation of anesthesia to the time the patient’s vital signs and level of consciousness return to normal
As a general rule, extubation of which of these dog breeds should be delayed until they are able to lift their head?
Pug
Shivering in a patient recovering from anesthesia indicates…
The patient’s body is attempting to produce heat
Rewarming should be considered when the body temperature is…
<97.6°F
Rewarming efforts should be decreased as the patient’s body temperature returns to normal to avoid…
Rebound hyperthermia
Which of these is a patient-related cause of prolonged recovery from anesthesia?
Hypotension
Which breed of dog is more likely to have postoperative bleeding related to Von Willebrand disease?
Doberman pinscher
The process of autotransfusion is administering…
Blood aseptically collected from a patient’s body cavity back to the patient
Premature loss of sutures that allows the surgical site to open is called…
Dehiscence
The forceful rinsing of a wound is called…
Lavage
Which material is an example of an occlusive dressing?
Natural cellulose
If a patient’s wound is left open for 2 days and protected with a dressing, then surgically closed, what type of wound closure was performed?
Delayed primary closure
The primary layer of a bandage is also known as…
Contact layer
A catheter placed in which vein allows monitoring of central venous pressure?
Jugular
What is the FDA-approved appetite stimulant for dogs?
Capromelin
Which type of physical therapy limits swelling by causing vasoconstriction?
Cryotherapy
Intervention for nutritional support should be provided when a patient has been completely anorexic for…
3 days
List three methods to prevent an animal from causing self-trauma to an incision postoperatively.
Hobbling
Foul tasting product applied around incision
E-collar
BiteNot collar
Bandage
Basket muzzle
Adequate pain management
List three things that contribute to hypothermia in a perisurgical patient.
Preanesthetic drugs
Induction drugs
Shaving of hair
Opening of abdomen or thorax
Analgesic drugs
List three clinical signs that may indicate postoperative internal bleeding.
Slow CRT
Rapid RR
Pale MM
Abdominal bloating
Swelling at/around surgical site
When bandaging a distal extremity, how can a limb be monitored for swelling?
Leave the distal digits open and monitor toes for swelling. The middle digits should only be a few millimeters apart. If they are further apart, the toes are swollen.
What is the benefit of feeding a commercially prepared diet instead of a homemade diet when feeding a patient via a tube?
The commercially prepared diet has a known caloric density, so it is easier to calculate the amount to feed.
How often should the client monitor the surgery incision after the patient is discharged?
Twice daily
Clinical signs of prolonged recovery from anesthesia include…
Lethargy, anorexia, and depression
Infection within the abdominal cavity after surgery is called…
Peritonitis
At what age should an ovariohysterectomy be performed on a dog?
When recommended by the veterinarian
A client called to ask about vaginal discharge from her bulldog that had a cesarean section 3 days ago. What would be considered a normal discharge for this patient?
Bloody and mucousy
What is the typical appearance of colostrum when expressed from the mammary gland?
Yellow and sticky
When can a cat be transitioned back to clay or clumping litter post-onychectomy?
10-14 days
Commercially fed liquid diets should be fed via feeding tubes that are less than what diameter?
8 French
How long should hematuria be expected post-cystotomy?
Up to 36 hours
Approximately how long should a patient be self-feeding before a feeding tube is removed?
2 weeks
List three reasons a patient should be rechecked post-perianal surgery.
If the patient develops diarrhea
If the patient is straining to defecate/painful when defecating
Fecal incontinence
What is a simple way to help clients monitor for migration of a feeding tube?
Draw on the tube with permanent marker at the site the tube is with skin level
What feeding recommendations should be made post-dental extraction?
Feed canned, semi-moist food or dry food that has been soaked in water until mushy
List three postoperative complications of a lateral ear resection.
Insufficient drainage of ear post-op
Sustained ear infections post-op
Possible self-mutilation of the ear by the patient
List two methods of preventing or removing discharge around a perianal incision.
Warm compresses
Petroleum jelly around the site
List the five items that should be addressed in a general post-anesthesia instruction.
Feeding
Confinement
Medications
Signs of possible adverse reactions
How to reach the hospital or 24-hour emergency clinic