-
-Pulse Ox
- -measures 02 Saturation,. Systolic, diastolic and mean blood pressure
- Systolic-100-160 mm/Kg
- Mean-80-120 mm/Hg
- Diastolic-60-100 mm/Hg -place on non-pigmented skin
-
-Esophageal stethoscope
- -take heart rate
- -measure form the tip of the nose to mid-sternum
-
-02 flow rates
- -less than 7kg patient- 200ml/kg/min (non-rebreathing) no less than 2000 ml/min
- -greater than 7kg patient- 30ml/kg /min (rebreathing)- no less than 500ml/min
-
-
-
Tidal volume calc
10-15mg/kg
-
Maint fluids
30ml/lb/24hrs
-
-hypovolemia
2x maintenance fluids -
-
Shock fluid rates
88dog or 66cat/kg/hr (remember to divide by 4 for 15min sets)
-
-Soluset (Butrol)
- type of micro drip, allows for more precise measurement and delivery
-
Atropine
bradycardia (anticholinergic)
-
Narcan
2) Narcan (Naloxone HCL) reversal for opioids
-
Epinephrine
3) Epinephrine increase heart rate & force of-contractions
-
Dopram
4) Dopram (Doxapram) stimulates respiratory system & CNS
-
Yohmibine
(a-2-antagonists) reversal for sedative {Rompun, Xylazine)
-
Lidocaine
- Local anesthetic
- anti-dysrhytmic,
- agent for ventricular tachycardia
- decreases incidence of laryngospasms in cats
-
Solu-Delta-Cortef
- shock (push on lid to blow out cork and activate)
- -Prednisolone sodium succinate
-
Isoflurane
- Induction 2.5%
- Maintenance 1.5%
-
2) Halothane
- Induction 2.5%
- Maintenance 1,5%
-
Sevoflurane
- Induction 4.5%
- Maintenance 3.5%
-
Radiology -Developing
- -Developing -develop for 3 min at
- 68 degrees
- -decrease time by 30 seconds for every degree below -never less
- than 2 min.
- -increase time by 30 seconds for every degree above -never greater than 5 min.
- -overdeveloping is worse than over fixing
-
Radiology -fixing time
- -2 times the developing rime
- -example. Develop 3 min., fix 6 min
-
Radiology -clearing time
-minimum 20 sec.
-
Radiology -rinsing times
- -between developing and fixing- 30 sec.
- -final rinse variable (approximately 10 min.)
-
Doubly dark
- -decrease kVp by 15% -preferred
- -decreased mAs by 50% - if unable to decrease kVp
-
Doubly dark
- -can distinguish borders
- -not diagnostic
- -decrease kVp by 10%
- -decrease mAs by 30%
-
1/4 Doubly dark
- can go out of kVp range
- -decrease kVp by 2-3
-
Doubly light
- -can't distinguish different pans
- -increase kVp by 15%
- -preferred
- -increase mAs by 50% -if unable to increase kVp
-
½ Doubly light
- -can distinguish borders
- -not diagnostic'
- -increase kVp by 10%
- -increase mAs by 30%
-
¼ Doubly light
- can go out of kVp range
- -increase kVp by 2-3
-
kVp ranges
-thorax 75-95 -abdomen 65-85 -extremities 55-65
-
Radiology ID caliper
- -measures in cm
- -measure at widest point
- -abdomen-measure at the 13th rib
- -thorax- measure at the 9th rib
- -rear extremity- measure the distal femur
- -front extremity- measure the distal humerus
-
Large animal -Injection sites
- -Neck Dorsal: Nuchal ligament - origination or the mane location Caudal: Scapula Ventral: Cervical Vertebrae -Semimembranosus & Semitendinosus (hamstrings)
- -Pectoral & Gluteals
-
poll/nuchal crest
knot between -ears (to occiput)
-
Withers
Point of scapula; where the neck and back meet
-
Equine Metacarpals
Medial splint (M2), Cannon (M3) Lateral splint (M4)
-
fetlock
joint between metacarpals and P1
-
Pastern joint
Between PI andP2
-
frog
triangle shaped fleshy pan underneath the hoof
-
Sole
white area around the frog
-
Stifle
almost axillary region; true knee
-
Tarsus "hock"
Between tarsus and metatarsal bone III -Calcaneous tuberosity
-
Equine Metatarsals
Medial and lateral splints (M2 &. M4) & Cannon(M3)
-
P1
P2
P3
- P1-Long pastern Proximal phalanx
- P2-Short pastern middle phalanx
- P3-Coffin bone distal phalanx (in hoof)
-
Navicular bone
distal sesamoid bone
-
-
-
facial crest
Below the eye
-
-Equine normal value
- Temperature 99.5 -100.5 F
- Pulse 35-45 BPM
- Respiration 10-12 BPM
-
-Equine formulas
- Dental 2(I 3/3, C l/0, PM3-4/3, M 3/3)=36-42 teeth -Vertebral C7,T18,L5,S5,Ca 15-21
- -Gestation 11 months (335 days)
-
Lg animal Practical stuff
- what side to approach a horse on-
- Left
- -halter a horse and a cow- for a cow the side that tightens goes under the chin
- Lead a horse
- Tie a quick release knot & a tail knot
-
Equine parasites
- Strongylus vulgaris: Blood worm
- Oxyuris equi: pin worm – scotch tape prep
- Habronema spp: Summer sores
-
common equine drugs
Sedatives – used to depress the CNS Rompun – Xylazine® Demordedon – Detomidine® Analgesics (opioids) used for pain relief Butorphanol – Torbugesic® Demoral
-
-Infectious Diseases -Cats and Dogs
- 1) rabies- vaccination given at 16 wks SQ at the end of 3 shot series
- 2) Pseudo rabies- Vaccination
- 3) Plague- Yersinia pestis- No vaccination
- 4) Hemobartonella~ No vaccination
- 5) Giardia- Vaccination -be able to ID
-
-Infectious Diseases
-Dogs only
- 1) canine distemper- vaccination
- 2) canine herpes virus- no vaccination
- 3) canine infectious hepatitis- vaccination
- 4) canine parvovirus- vaccination
- 5) canine corona virus- vaccination
- 6) canine infectious tracheobronchitis- vaccination
- 7) canine Leptospirosis- vaccination
- 8) canine brucellosis-no vaccination
- 9) canine lyme disease- vaccination
- 10) canine ehrlichiosis-no vaccination set
-
-DHLPP+C SQ 3 shot series (8, 12. 16 wks)
- SQ 3 shot series (8, 12. 16 wks)
- -Distemper. Hepatitis (adenovirus). Leptospirosis. Parvovirus Parainfluenza. corona virus
-
-Infectious Diseases
-Cats only
- 1) Feline Panleukopenia- vaccination
- 2) Feline upper respiratory disease- vaccination
- 3) FeLV- Vaccination
- 4) FIV- No vaccination
- 5)FIP- Vaccination
- 6) Feline Toxoplasmosis- No vaccination
-
FVRCP+C
- C SQ 3 shot series (8, 12, 16 wks)
- -Feline Viral Rhinotracheitis, Calici virus. Panleukopenia,
-
Esophageal pathology
- 1) Megaesophagus paralysis/dilation of esophagus; regurgitation
- 2) Vascular ring abnormality retention of embryonic right aortic arch, esophagus is trapped; aorta on right, base-of heart ventral
- 3) Spirocerca Lupi neoplasia esophageal worm-causing regurgitation +/- vomiting
- 4) Gastro-esophageal reflex hiatal hernia; regurgitation -early morning late day
-
Gingivitis
inflammation of gingival esp. upper 4
-
Periodontal disease
bacterial infection in periodontal pocket
-
Papillomatosis
benign tumor of dogs, proliferative, cauliflower mass
-
Epulis
benign tumor of dogs, pedunculated {has stalk)
-
Malignant melanoma
#1 in dogs ulcerated proliferative mass on lip or gingiva (gingival most common)
-
Squamous cell
carcinoma #1 in cats, #2 in dogs, raised ulcer
-
Fibrosarcoma
#2 in cats, #3 in dogs, large breed young dogs, other breed old dogs, old cats
-
Sialocele
(salivary gland cyst) salivary gland, sub lingual gland & duct (after sleeping), vomiting if esophagitis
-
Periodontal elevator
to help separate periodontal ligament to aid in removal of teeth
-
Dental Probe
to determine sulcus depth
-
Dental curette
help remove tarter from under the gum line
-
dental Extractor
to extract tooth, to chip off big pieces of tarter
-
Gastritis
inflammation & mucosal damage to stomach: vomiting (infrequent)
-
Gastric Ulcers
Gastric acid &. pepsin causing erosions to stomach chronic vomiting
-
Pyloric stenosis
Hypertrophy of-circular smooth muscle fibers narrowing; pyloric region
-
Gastric Neoplasia
common in FeLV- cats; vomiting & weight loss
-
-
Conversions
- -1 tsp. 5ml
- -1Tbs. 15ml
- -1 02 30ml
- -1gr 60ml
- -1ml 15-16 gm
- -1 gal 128 oz.
-
Know the ABCs of emergency care
Airway - breathing – Circulation - Drugs
-
CPR
- Cardiac compression 80 – 120/min, 80 – 100 LG dogs, 120 small animals Always do as many as you can
- 2 people 1 breath, 1 compression Best done simultaneously Increases force on the heart
- 1 person 15 compression, 2 breaths
-
Blood volume
- Dogs 88ml/kg
- Cats 66ml/kg
-
Ambu bag
- ID and Use to ventilate patient with oxygen (during CPR)
- O2 goes in small hole in rear of bag Patient large hole connects to ET tube
- -large dog use two hands
- -kitty use one hand and do little puffs
- -should see the chest rise
- -be sure to allow the bag to refill
-
calculate drip rates
- Surgical fluids 10ml/kg/hr
- Hypotension 20ml/kg/hr
- Maintenance fluids 30ml/lb/24hr
- Drops per second volume / time / 3600 X Drip set= gtt/sec
-
-Solu-Delta-Cortef-
- prednisolone sodium succinate
- -Rapid antiinflammatory
- -comes in an hour glass shaped bottle
- -Diluent on top
- -powder on the bottom
- -press on .top to blow out the -cork and mix
- -good for 24 hrs once mixed
-
CPR Circulation
- -Place in right lateral recumbency -
- Place hands at the elbow -Heart faces left -allows more force on the heart
- -large deep chested dogs should be placed in dorsal recumbency
- -place hands at the sternum -
- go as fast as you can go
- -may do intermittent chest and abdominal compressions
- -prevent blood from pooling -
- also may wrap legs with vet wrap to apply pressure and prevent pooling
- -ventilation and compressions are best done simultaneously -allows more compression on the bean.
- -keep ventilating -even if compressions are stopped-unless told other wise
-
CPR Drugs
- Drugs that can go down intratracheal (down the ET tube) -“LEAN” -Lidocaine
- -Epinephrine
- -Atropine
- -Naloxone/Narcan
- -given in 3 x 10 the IV dose -squirt it fast -remove the needle -use a red rubber catheter
-
ID the landmarks for a lumbar IM injection
- Wings of the ilium and the longissumus dorsi and ilio
- costalis
-
Femoral restraint cat
cruff and stretch while Karate Chopping the leg
-
radiographic densitys
- Air, Fat, Tissues of Water Density, Bone, and
- Enamel/Metal
-
how mayn mg in a grain
60
|
|