-
Simpathetic stim by the iris
Pupil dilation
-
Simpathetic stim by the salivary glands
Saliva Production reduced
-
Simpathetic stim by the oral/nasal mucosa
mucus prodution reduced
-
Sympathetic stim by the heart
increase HR and force
-
Sympathetic stim by the lungs
bronchial muscle relaxed
-
Sympathetic stim by the stomach
peristalsis reduced
-
Sympathetic stim by the small intestines
motility reduced
-
Sympathetic stim by the large intestines
motility reduced
-
Sympathetic stim by the liver
increased conversion of glycogen glucose
-
Sympathetic stim by the Kidney
decreased urine secretion
-
Sympathetic stim by the adrenal medulla
norepinephrine and epinephrine secreted
-
Sympathetic stim by the bladder
wall relaxed/sphincter closed
-
Parasympathetic stim by the iris
pupil constriction
-
Parasympathetic stim by the salivar glands
saliva prod. increased
-
Parasympathetic stim by the oral/nasal mucosa
mucus production increased
-
Parasympathetic stim by the heart
decreased HR and force
-
Parasympathetic stim by the Lung
bronchial muscle contracted
-
Parasympathetic stim by the stomach
gastric juice secreted; motility increased
-
Parasympathetic stim by the Sm. Intestine
digestion increased
-
Parasympathetic stim by the Lg. intestine
secretions and motility increased
-
Parasympathetic stim by the kidney
increased urine secretion
-
Parasympathetic stim by the bladder
wall contracted/sphincter relaxed
-
Ataxia
muscle incoordination
-
paresis
muscle weakness that may lead to paralysis
-
opisthotonus
spasm, head and neck are arched backward, poor prognosis
-
schiff-Sherrington
K-9 only sever spinal cord injury front legs extended & rigid hind legs paralyzed
-
Proproception
the sense of body placement foot knuckling delay in righting response indicates cerebellar injury
-
Cheyne stokes breathing
- cyclic hyperventilation
- cycles to perods of apnea
- cerebrum damage
-
Apneustic
long inspiration with pause
-
Corneal relfex
blink reflex; last reflex to go
-
Palpebral Reflex
touch medial cantus; sensory and motor nerves of the eyelids
-
Pupillary light reflex
afferent & efferent pathways; Only tests for functioning of autonomic control of pupil
-
Menace reflex
movent towards the eye
-
Nystagmus
involuntary movement of eyes
-
-
Somatic system
voluntary portion -skeletal muscle
-
Autonomic
- Involuntary
- -smooth muscle and glands
- Sympathetic-fight or flight
- Parasympathetic-Rest & digest
-
4 Parts of the Brain
- Cerebrum
- Diencephalon
- Cerebellum
- Brainstem
-
Cerebrum
higher order of behavior contols muscle movement
-
-
Cerebellum
regulates motor activity of the trunk, limbs, and head equilibrium
-
Brainstem
- midbrain
- pons
- medulla oblongata
-
what does the brainstem reulate
- HR
- -RR
- -blood vessel diameter
- -swallowing
- -vomitting
-
Levels of Consciousness
- 1 Counscious
- 2 Hysterical
- 3 depressed
- 4 Stupor
- 5 Coma
-
Dorsal root of the spinal Cord
sensory, senses pain or stimuli
-
Ventral root of the spinal cord
Motor fx
-
vertebral formula
C7,T13 L7 S3 ca 3-24
-
Brachial plexus
bundle of nerves that intervate the front limbs
C5-C2
-
Lumbosacral plexus
intovates the hind limbs
L4-S3
-
Idiopathic Epilepsy Def.
repeted seizures w/o any demonstraited cause, animal normal between seizures
-
Epilepsy tx
phenobarbital, Potassium Bromide
-
breeds predisposed for epilepsy
- goldens
- germans
- toy poodles
- labs
-
Status Epilepticus Def
Continual seizure activity 5-10 mins in duration Always and emergency
-
Status epilepticus c/s
prolonged uninterupted seizure activity
-
Stat. Epilep. tx
- ~valium rectally (sodium pentobarbital)
- ~establish an airway
- ~Place IV in recurrent tarsal vein
- ~cool bath if above 105
- ~+/- diuretics/steroids
- ~gen. anethesia if seizures dont stop
-
Intervertebral disc dz type 1 heniation
acute rupture of annulus fibrosis (young animals with short legs and long back)
-
Intervertebral disc dz type 2 herniation
- chronic issue occuring primarily in large breed dogs
- -bouldging disk
-
C/S of type 2 herniation
pain, unilateral or Bilateral paralysis, decreased response during panniculus tst, altered deep pain, fecal and urinary incontinance
-
tx of type 1 herniation
- Medical
- Confinement
- Analgesia
- Steroid admin
- *Surgical*
- laminectomy asap
-
Type 2 herniation tx
long term steroids and physical therapy
-
Idopathic Vestibular Dz def
neurologic equipment that helps to precieve one position in space
-
Idiopathic Vestibular dz receptor
roational exceleration, detects tumbling
-
Idiopathic Vestibular dz linear exelerator
detects up from down
-
C/S of Idiopathic Vestibular dz
- ataxia
- headtilt (halmark)
- motion sickness
- circling
- nystagmus
- hard to control facial muscles
-
Idiopathic Vestibular dz roll outs
- otitus interna
- thyamin dif
- trauma
- middle ear pollips
-
DX Idiopathic Vestibular dz
otoscopic exam
-
tx Idiopathic Vestibular dz
- tranquilizers
- cage rest
- maclazine-Dramamine
-
Hypoxia causes
- impaired pulmonary fx
- hypoventilation
- ineffective delievery w/in the body
- increased tissue O2 demand
- inadequate inpired conc. of O2
-
halmark sign of dyspnea
cyanosis (late stage)
-
c/s of dsypnea
- cyanosis
- anxiety
- tachypnea
- panting
- excessive effort (abdominal breathing)
- extended head and neck
- tachycardia
- aggression and thrashing
-
PaO2
- partial pressure O2 concentration
- pressure of arterial oxygen
- measure from arterial blood
- GTT
- pt must be off O2
- bst indicator of pulmonary fx
-
-
Pulse Ox
- amt of Hb saturated w. O2
- norm 95% or greater
- hypoxia 90% or below
- HR and Pulse tare should be the same
-
Factors that can affect Pulse ox reading
- body temp
- mvmnt
- skin pigmentation
-
goal of O2 delivery
- create an O2 rich enviornment
- 40% or greater
-
C/s of O2 toxicity
- fibrosis
- pulmonary edema
- atelectisis
- hemorrhage
- blindness
-
short term O2
- flow by
- mask
- nasal prongs
- oxygen tent
- oxyhood
- nasal catherter
-
long term O2
- Intratracheal Cath
- O2 Cage
-
laryngeal paralysis (roar) causes
- aquired
- -lead toxicity
- -2ndary to rabies
- -trauma
- Idiopathic
- -middle to older large breed dogs
- Hereditary
- -neutered male dogs
-
laryngeal paralysis C/S
- inspiritory stridor
- resp. Distress
- exercise intolerance
- Voice (bark) change
- dyspnea
- sinosis
-
laryngeal paralysis Dx
Laryngoscopy
-
laryngeal paralysis tx
arytenoidectomy (vocal folds)
-
Tick paralysis cause
- common dog tick
- rocky mtn wood tick
salivary neuro toxin by female tck intereferes with release of acetylcholine at neuromuscular junction
-
Tick paralysis C/s
- paralysis of hind limb that leads to flacid paralysis
- presence of tick
-
total body water
- adult 60% of body weight
- neonate 80%
-
intracellular fluids
40% of body weight
-
extracellular fluids
20% of BW
intervascular 5%
-
Sensible flood loss (can be measured)
-
insensible fluid loss (cannot be measured)
- perspiration
- respiration
- fecal loss
-
five basic fluids
- crystalloid
- Colloids
- hemoglobin based O2 carrying solutions
- blood products
- inravenous nutrition
-
Crystalloid fluids
h2o with sodium or glucose may contain electrolytes
-
Replacement cystalloids
- for rapid replacement of intravascular volume and electrolytes
- ~ dehydratio
- ~hemorrage
- ~shock
-
0.9% NaCl
- ringers solution
- replacement crystalloid
- lactaed or non lactaded
do not use in neonates geriatrics or lver failure pts
-
Normasol-R
Plasmalyte-A
replacement cystalloids
-
mainenance crystalloids
indicated in a pt w. norm physiologic losses but cannot intake fluid
-
fluid maintenace rate
30mls/lbs/hr
-
maint. cryst. solutions
- 0.45% NaCl+dextrose
- LRS+dextrose
- plasmalyte-56
-
Hypertonic saline
- Pulls fluid into vessels
- indicated for pts who are
- severly hypovolemic
- severly dehydrated
- usually in shock
works quick but leaves the body fast follow with replace. crystalloids
-
Ex's for use of hypertonic saline
-
hypertonic saline solution
7.2% NaCl
-
5% dex in water
used to infuse iv meds
-
Colloids
fluid w. a high molecular weight that do not readily leave the intravascular space
expands IV vol. by drawing fluids in and holding it there
-
idications for colloids
- hypovolemia
- sepsis
- pancreantitis
- gastroenteritis
- burn pts
-
Colloid solutions
- plasma
- hetastarch
- dextrans
- oxyglobin
-
contraindications for colloids
- coagulopathys
- heart dz
- pulmonary dz
-
Oxyglobin
syntetic crosslinked bovine HB
-
indications for oxyglobin
- IMHA
- AIHA
- hemorrage
- rat poison
-
advantages of oxyglobin
- rapid o2 trans to tissues
- universally compatable
- last longer than rbc
-
disadvans of oxyglobin
- invalidates plasma evals
- acts as a colloid
- bad for heart and lung pts
-
blood products
used to replace whole blood
-
rates of admin for blood products
- 15-30mins at 0.11 ml/lb/min (watch for reaction)
- then give entire unit w/in 4hrs
-
Parenteral Nurtition
- for pts where enteral nutri. not feasible
- admin through peripheral or central vein
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