The use of PVP in patients with FAS and/or aggression:

• A. May result in a decreased dosage of in-hospital sedation and a prolonged recovery from sedation
• B. Is okay in healthy (ASA I-II) patients but not recommended for sicker (ASA III-IV) patients
• C. Is really not necessary in any patient since it is easier to sedate them in the hospital
• D. Is complicated since most of the drugs used for PVP cannot be used in conjunction with the in-hospital drugs

Answer: (A)

Pre-Visit Pharmacologic Sedation (PVP) is used with fearful, anxious, or aggressive patients to calm them before they arrive. When this approach works, the animal is calmer at the clinic, so you typically need less sedative in-hospital. However, the sedative effects from the pre-visit medications can linger or interact with drugs given during the visit, leading to a slower or more prolonged recovery from sedation even though less is used in the hospital. So the best answer captures both effects: a decreased in-hospital sedation dose paired with a potentially prolonged recovery. This approach improves safety and welfare but requires careful dosing, timing, and monitoring to manage interactions and recovery. Other statements don’t fit because they either imply PVP isn’t useful or applicable to all patients, or they claim incompatibility with in-hospital drugs, which isn’t the general rule when used with proper planning.