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Veterinary Technician Emergency Care
ER
109
Other
Undergraduate 3
10/24/2013

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Cards

Term
6 components that should be in a crash kit are:
Definition

ET tube

Laryngoscope

IV catheter/fluids

ER drugs

Ambu bag

Suction

Term
Clinical evaluation should focus on what four organs?
Definition

Respiratory

Cardiovascular

Central NS

Renal

Term
Triage list in order (8):
Definition

-Respiratory

-Circulatory (cardiac)

-Hemorrhage

-Shock

-Toxin ingestion

-Obstruction

-Neurologic

-Other (fracture/laceration)


Term
What should be assessed in the first few seconds?
Definition

-HR & Rhythm

-Puls & Quality

-CRT & MM

-Temp

-BP

-Wt

Term

What should be obtained after the patient is stabilized?

 

Definition

-Wt (if not before)

-PCV/TPP

-Urine SG

-Blood gas (from artery)

-Pain assessment

Term
What are some causes of respiratory arrest?
Definition

-Shock

-Overdose of Anesth

-Severe head injury

-Structural disorder (chest wall/diaphragm)

-Pulmonary thromboembolism

-Disorders of pulmonary parenchyma (pneumonia, edema, contusions)

-Oral/Tracheal foreign bodies

Term
What are the treatments for respiratory arrest?
Definition

-Provide O2

-Clear airway

-ET tube

-Artificial respiration

-Jen Chung

 

(Treat underlying pulmonary disease:)

`Pul Edema: give diuretic`

`Pleur effusion: thoracocentesis`

Term
What are causes of Cardiac arrest?
Definition

-Hypoxia

-OD

-Shock

-Hypothermia

-Head/Chest trauma

-Embolism

-Electrical shock

Term
Warning signs of Cardiac arrest?
Definition

-Change in EKG/Puls rate

-Pulse deficit

-Rapid shallow respirations, cyanosis

-Dark blood

-Dilated pupils

 

Term
Treatment for Cardiac arrest:
Definition

-If under anesth turn off

-Check airway

-Provide adequate ventilation(ambu/artificial)

-CPCR

Term
CPCR: ABCDEF's
Definition

Airway

Breathing

Circulation (compressions)

Drugs

ECG

Fluids

Term
Airway:
Definition
Check for obstructions & place ET tube if available
Term
Breathing
Definition

(Artificial Respiration)

Give 2 quick breaths if nothing then do 12-20 per min (1breath q 3-5 s)

Term
Circulation (compressions)
Definition

-Position (RLat for most, Dorsal for barrel chested)

-Clench hands 

-Compress

(80-100 times p/min > 15 #)

(120 times p/min < 15 #)

Term
What is recommended if no cardiac response within 10 min?
Definition
Open cardiac massage
Term
Which drug is one of the most common and increases HR?
Definition
Atropine
Term
Which drug is also very common, increases HR, & is a cardiac stimulant?
Definition
Epinephrine
Term
Which drug is controversial because it will increase the brain's demand for oxygen and is a respiratory stimulant?
Definition
Dopram
Term
Lidocaine is an
Definition
Antiarrhythmic
Term
What are the 4 preffered routes in order for drug administration?
Definition

-Jugular

-Peripheral forelimb

-Intratracheal

-Intracardiac (during open chest compressions only)

Term
ECG leads go where?
Definition
Green & white on the right & Christmas in the rear
Term
Pneumothorax is defined as
Definition

Free air in the pleural cavity

(makes breathing difficult)

Term
What are some treatment options for Pneumothorax?
Definition

-Cage rest (mild case)

-Thoracocentesis (air from pleural cavity)

-Chest tube (severe)

Term
Hemothorax is
Definition
Blood in the pleural cavity
Term
Treatment for a hemothorax is
Definition
Thoracocentesis
Term
_____ can cause painful breathing and/or puncture a lung.
Definition
Rib fractures
Term

__ chest destroys normal function of the chest wall & ends of at least 2 ribs are broken.

-Will require surgery

Definition
Flail Chest
Term
Treatment for a fractured rib?
Definition
Cage rest
Term
Puncture wound treatment requires:
Definition
Bandage & surgery
Term
Laryngeal Paralysis treatment requires:
Definition

O2 & sedation

surgery ( tracheostomy or tie back)

Term
What can cause severe dyspnea and is a tear in the diaphragm which alows abdominal contents to move into the chest?
Definition
Diaphragmatic Hernia
Term
How would you treat a diaphragmatic hernia?
Definition
Surgery to repair defect
Term
What are some general treatments for Thorax problems?
Definition

-Maintain airway

-Give O2 

-Treat shock (if present)

-Avoid stress

-Place functional side upward

Term
Name 4 cardiac emergencies:
Definition
- Pericardial effusion
- Arrhythmias
- Heart failure
- Saddle thrombus
Term
Fluid/blood in pericardial sac
Definition
Pericardial effusion
Term
Three types of arrhythmias:
Definition
V-tach, V-fib, & A-V blocks
Term
PVC's > 20
Definition
V-tach
Term
Not common in animals and only time a defibrillator is used.
Definition
V-fib
Term
Lack of conduction of electrical impulses through AV node
Definition
AV-block
Term
Heart disease is defined as ____ or ____ backing up.
Definition
Blood or fluid
Term
Happens mainly in cats and is when a blood clot is lodged at bifurcation of abdominal aorta to iliac artery.
Definition
Saddle thrombus
Term
What are 4 methods to control a Massive Hemorrhage:
Definition
- Pressure bandage
- Pressure points
- Clamping w/ forceps
- Tourniquet
Term
Tourniquet can only be left on for ____ minutes and can never be covered!
Definition
20
Term
Shock leads to
Definition
A fall in blood pressure causing insufficient perfusion of blood to tissues, cellular hypoxia, and death.
Term
The _____/_____ sign of shock where the body is attempting to maintain BP by ^ cardiac output.
Definition
Early/hyperdynamic
Term
The _____/______ sign of shock that occurs if there is progressive underlying disease.
Definition
Uncompensated/hypodynamic
Term
What are four types/forms of shock?
Definition
- Cardiogenic
- Distributive
- Obstructive
- Hypovolemic/Hemorrhagic
Term
Cardiogenic results from:
Definition
The heart failing due to diseases.
Term
Distributive shock is associated with:
Definition
flow maldistribution assoc w/pathologic vasodilation.
Term
Obstructive shock has to do with the ____ obstruction of the _____ system.
Definition
Physical & Circulatory
Term
Hypovolemic/Hemorrhagic is the most common form of shock and deals w/ decreased __ volume.
Definition
Intravascular
Term
What are four neurologic emergencies?
Definition
Mentation, Spine or head injury, IVDD, & Seizures.
Term
Four factors of mentation are:
Definition
Quiet
Dull/obtunded
Stuporous (loss/partial of consciousness)
Comatose (complete loss of consciousness)
Term
Maintain body temp, Rotate q 4h, IV fluids, Nutrition =
Definition
General care for comatose/stuporous patients.
Term
Anisocoria
Definition
unequal pupil size
Term
What position should an animal be in when moving w/ a head /spine injury?
Definition
Lateral Recumbency
Term
Name two clinical signs associated w/ a head/spine injury:
Definition
Change in mentation/consciousness & change in Papillary light response.
Term
Mannitol is contraindicated in _____ or _____ bleeding cases. But can reduce brain swelling.
Definition
Hypovolemic or Intracranial
Term
Ways to treat head/spine injury:
Definition

Maintain airway

Fluids

Drugs:

(Mannitol & Furosemide)

Term
IVDD stands for ____ _____ _____.
Definition
Intravertebral disc disease
Term
IVDD happens when
Definition
Disk material is protruded/extruded compressing on the spinal cord.
Term
IVDD is common in which breeds?
Definition
Dachsunds, corgis, basset hounds, poodle, cockers, & Pekingese. (Chondrodysplastic breeds)
Term
Treatment for acute paralysis of IVDD has to be done in ____ to ___ hours to preserve function.
Definition
24-48
Term
Status epilepticus is
Definition
continues seizures
Term
What are some forms of poisoning?
Definition
- Acetaminophen
- Chocolate (theobromine)
- Ethylene Glycol (antifreeze)
- Zinc (batteries, pennies, shampoo)
- NSAIDs (Non-steroidal Anti-inflammatories)
- Pyrethrin
- Organophosphate
Term
Emetics
Gastric lavage
Cathartics (laxative)
Washing
Chelation (binds & eliminates)
Definition
Methods of decontaminating a poisoned animal:
Term
Antidote for tylenol toxicity is ____.
Definition
Mucomyst
Term
Methemoglobinemia
Definition
Brown/muddy MM
Dark/Chocolate colored blood
Term
The type of _____ and size of patient is important when dealing with ____ toxicity.
Definition
Chocolate (Theobromine)
Term
What is the lethal dose of Ethylene Glycol for a dog? and cat?
Definition
Dog= 4-6 ml/kg
Cat= 1.5 ml/kg
Term
Treatment for Ethylene Glycol?
Definition
Antizol Vet or run alcohol IV
Term
What are some common sources of Zinc toxicity (only known in dogs)?
Definition
- Batteries
- Pennies after 1982
- Calamine lotion
- Paints
- Shampoo
Term
Treatment for Zinc toxicity is:
Definition
Removal of source via surgery/endoscopy
Term
Nonsteroidal Anti-inflammatories (NSAIDs) are known as human/Vet OTC ____ ____ . A clinical sign is dark tarry stool called _____. And there is only ______ care for this toxicity.
Definition
Pain meds
Melena
Supportive
Term
Pyrethrin toxicity is due to ____; such as in flea products, shampoo's, and topicals. Mainly in ____ and also from __ __ __ products. Treatment is to bathe w/ ____ dish soap.
Definition
Chemicals
Cats
Over the counter
Dawn
Term
Organophosphate toxicity is due to ___ control products and is ____ potent. Treatment for this would be a ____ or emesis.
Definition
Insect
More
Bath
Term
What are four forms of rodenticide toxicity?
Definition
- Anticoagulant (Vitamin K1)
- Bromethalin
- Phosphide
- Cholcalciferol (Vitamin D3)
Term
Occurs 3-7 days post ingestion and can cause hemorrhage.
Definition
Anticoagulant Vit K1
Term
Bromethalin toxicity
Definition
found in rodenticides, sensitive to cats, and causes cerebral edema.
Treatment: corticosteroids and emesis
Term
Found in mole/gopher baits and causes phosphate gas. Treatment is decontamination and gastric lavage.
Definition
Phosphide (Zinc, Aluminum, Calcium) toxicity
Term
Cholcalciferol (Vit D3) can cause ____ in excessive amounts, promotes ____ retention. Treatment is preventing _____ and diuresis.
Definition
Hypercalcemia
Calcium
Absorption
Term
Decreases calcium absorption from the bone
Definition
Calcitonin
Term
Four GI emergencies are:
Definition
- Foreign body
- Hemorrhagic Gastroenteritis
- Pancreatitis
- Gastric Dilitation & Volvus (GDV)
Term
Symptoms occur 1-3 days post ingestion. Two most common areas to obstructs are ____ outflow and _____ junction.
Definition
Foreign body
Pyloric
Ileocecal
Term
Hemorrhagic Gastroenteritis is common in ___. Caused by ___ indiscretion, ____, and Viral.
Definition
Dogs
Dietary
Bacterial
Term
Inflammation due to activation of digestive enzymes resulting in auto digestion.
Definition
Pancreatitis
Term
Causes and treatment of Pancreatitis are
Definition
Dietary ind
Breed: schnauzers, yorkies, beagle
&
Fluids and pain meds
Term
Gastric dilitation volvus is caused by an animal with a ____ chest. ____ eating and ______ after eating.
Definition
Deep
Over/rapid
Exercising
Term
GDV is also known as ____. Treatment is relieving the gas with ___ or a gastropexy (surgery to abd wall).
Definition
Bloat
Trocar (needle)
Term
Proptosis & Glaucoma are
Definition
Two of the Opthomalogical emergencies
Term
Bulging of the eye due to trauma. Common in brachycephalic breeds. Can be put back in if ____ humor isn't escaped. Eye sutured shut while healing.
Definition
Proptosis; Vitreous
Term
Increased intraocular pressure and can cause blindness.
Definition
Glaucoma
Term
What is used for a glaucoma patient to measure their intraocular pressure?
Definition
Tonopen or Tonometer
Term
Drug that decreases fluid production (Glaucoma treatment).
Definition
Methazolamide
Term
Drug that opens angle by constricting the pupil allowing fluid to drain (also Glaucoma treatment).
Definition
Xalatan
Term
Enucleation
Definition
removal of the eye
Term
List four other emergencies not in a specific group:
Definition
- Electric shock
- Burns
- Urinary obstruction
- Gorilla glue
Term
Electric shock is common in ____ & ____ because they like to chew on wires. Signs are burns on the ____ , ____ edema, or heart ____.
Definition
Puppies and Exotics
Mouth
Pulmonary
Arrhythmia
Term
Treatment for Electric shock is ___ , ___ , and ___.
Definition
Oxygen
Diuretics
Steroids
Term
How many degrees of burns are there? Prognosis of this is based upon the ___ body surface area affected.
Definition
4
Percent
Term
1st degree burn
Definition
Superficial (epidermis) w/ no blisters but red.
Term
2nd degree burn
Definition
Superficial of all layers of dermis w/ blisters.
Term
3rd degree burn
Definition
Full thickness all layers of dermis white/black leathery. Will heal w/ scarring.
Term
4th degree burn
Definition
Full thickness of dermis, SQ fat, and others.
Term
Treatment for burns:
Definition
Clip & clean
Fluids
Antibiotics
Pain meds
Bandage
Nutrition
Term
Smoke/steam inhalation can cause ____ and ____ edema and is critical w/ in the first 4-5 days (72 hours).
Definition
Lung and Larynx
Term
Fairly common in ___ cats, it is known as a blockage in the urethra/ureters.
Definition
Urinary blockage
Male
Term
Treatment for urinary obstruction:
Definition
Catheter to unblock
Flush bladder
Diuresis
+- Surgery
Term
Expands and drys in the stomach, tastes good to dogs, most always surgery is needed.
Definition
Gorilla glue.
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