The Perioperative Patient + Surgical Suite Prep

With dogs and cats, food is most commonly withheld before anesthesia for a. 1 to 2 hours b. 3 to 5 hours c. 6 to 8 hours d. 10 to 12 hours

10 to 12 hours

Ideally the surgery room is: a. at least 12 x 12 feet in dimension b. a separate room used only for surgery c. adjacent to the scrub sinks d. has no doors for easy communication

A separate room used only for surgery

What information is included in the patient's signalment? a. age, gender, breed b. "proceed with caution" signals c. previous surgical history d. all of the above

Age, gender, breed

What is the purpose of pre-medicating a patient before inducing anesthesia for surgery? a. to provide a smooth transition to anesthesia b. to provide pre-emptive analgesia c. to facilitate a smooth recovery from anesthesia d. all of the above

All of the above

Cautery must never be applied directly to the tissue, but must always be used indirectly through a surgical instrument T/F

False

It is best to vaccinate a puppy or kitten the day of surgery rather than before T/F

False

Pre-emptive analgesia involves using a combination of various analgesic drug classes to control pain in our patients T/F

False

Prophylactic antibiotics should be given to all animals undergoing surgery T/F

False

The anesthesia consent form just needs to include the patient and owner names, procedures to be done, and owner's signature T/F

False

the minimum database of pre-anesthetic diagnostic tests is all that is required for all surgical procedures. No other tests are usually necessary T/F

False

The values of the PCV/TP may indicate that all of the following present except: a. anemia b. hypoproteinemia c. dehydration d. infection

Infection

Of the procedures listed below, which should be scheduled as the first of the day? a. corneal laceration b. splenectomy c. OHE d. Knee replacement

Knee replacement

When a queen is presented to the hospital for an ovariohysterectomy, the technician should do all the following except a. make sure that the cat is female b. get a telephone number where the client can be reached that day c. make sure that the cat is not in heat d. get the client or guardian's signature on the consent form

Make sure that the cat is not in heat

All of the following are goals of balanced anesthesia/analgesia except: a. maximize the positive effects of certain drugs b. minimize the side effects of certain drugs c. maximize the likelihood of allergic reactions d. minimize cardiac depression

Maximize the likelihood of allergic reactions

A minimum database of diagnostic tests for surgical procedures on a young, healthy patient includes: PCV/TP, BUN, ALT, and blood glucose T/F

True

Any storage cabinets located within the surgery room should have doors to protect sterile items from environmental contaminants T/F

True

Cautery can be activated by hand or foot control devices and can be monopolar or bipolar T/F

True

Equipment in the surgery room should be wiped down daily before procedures start T/F

True

Even if we have a phone number in the record for the owner, it is still recommended to double check the phone number or get a different number where the owner can be reached within 2 minutes if there is an emergency T/F

True

It is acceptable for surgical patients to have access to water prior to surgery T/F

True

Prophylactic antibiotics may be administered either before or during surgery to prevent infection T/F

True

Surgeries that will be dirty (aka non-sterile) can be performed in the surgery room, but must be done at the end of the day

True

The pre-surgical/pre-anesthetic physical exam should be performed with the owner present T/F

True

as many surgical supplies as possible should be stored on open shelves within the surgery room T/F

True

the patient preparation area and the scrub area should be located within the surgery suite as a whole, but outside of the actual surgery room T/F

True

to achieve therapeutic drug levels in a surgical wound, prophylactic antibiotics should be administered no less than 20 minutes prior to the first incision T/F

True

Why is it important to review all medications and supplements that a patient is taking before beginning the surgery? a. to avoid possible drug interactions b. to know whether other diagnostic tests are indicated c. to make any necessary adjustments to the anesthetic protocol d. all of the above

all of the above

A surgical consent form includes with of the following? a. all of the patient's prior surgeries, medical history, and current medications b. an estimate for the surgical procedure to be performed c. identification of the patient, the specific procedure(s) to be performed along with potential risks, the veterinarian's name, and the owner signature d. the patient's current diet e. none of the above

identification of the patient, the specific procedure(s) to be performed along with potential risks, the veterinarian's name, and the owner signature

When a male dog is presented to the hospital for a castration procedure, the technician should do all of the following except a. make sure that the dog is male b. make sure that there are two testicles in the scrotum c. make sure that he is not heat d. make sure that there is a telephone number to reach the client

make sure that he is not in heat