Animal Nursing 2 Flashcards
The dominant hand scrubs or gets the sponge from the bowl?
scrubs, other gets sponge
Use the scrubbing agent then the rinising agent ___ times for a total of ___ mins of contact time
3x, 5mins
This is healing by which intention: Without infection or excessive granulation tissue
1st Intention (Avoid wiping edges, Scar strong enough by 10 days, full strength takes another 2-4 weeks)
This is healing by which intention: Two granulating surfaces and some degree of suppuration
2nd intention (Most common reasons-Infection, No hair follicles on resulting new skin)
How can you assist in maintaining hemostasis (a process which causes bleeding to stop, meaning to keep blood within a damaged blood vessel) during surgery?
- Clamp and ligate (tie up)
- Electrocautery
- Ground
- Alcohol
How are suture materials classified?
- Absorption characteristics
- Number of strands
- Capillary characteristics
- Fiber origin
Suture selection depends on what?
- Should be as strong as the tissue it holds
- Selection is based on the tensile strength of the tissue as well as the organ (Stomach & SI stronger than bladder & colon, Organ strength can vary within the same organ)
- Also depends on age and size of animal
What are some reasons for an OVH and disadvantages?
Indications: -Sterilization -Removal of estrous cycle -Infection of tract (pyometra) -Congenital abnormalities -Neoplasms Disadvantages: -No more puppies -No estrogens may cause skin disorder -Urinary incontinence
Definition of C-section?
removal of fetuses through an uterine incision
What are some indications that a C-section is needed?
- Dystocias
- Brachycephalics
- Pelvic injuries
- Uterine inertia (absence of effective uterine contractions during labor)
- Obstructive
What are Post-op complications of a C-section?
- Hypovolemia and hypotension of the dam
- Uterine hemorrhage
- Peritonitis (rare)
- Agalactia (is absence of or faulty secretion of breast milk following childbirth)
What are some clinical signs of FLUTD (Feline lower urinary tract disease)
dysuria, stranguria (strainging), pollakiuria (frequent attempts), hematuria, periuria
Feline idiopathic cystitis is similar to what in humans
interstitial cystitis
____ is the #1 cause for FLUTD
FIC (Feline idiopathic cystitis )
FIC usually lasts how long?
3-7 days
What test is best to detect FIC?
there is no test, must rule out other causes to diagnose
FLUTD what test is the best to use?
urinalysis
T/F Crystals may not be present with uroliths
true
What type of crystals cannot be seen on a radiograph?
urate and cystine
T/F C/D multicare decreases the number of reoccurrences and is an anti-inflammatory with omega 3 fatty acids
true
What FIC management option has the highest level of evidence?
grade 1 (c/d multicare)
Stones can develop within ____ weeks
2 weeks
Dissolve nutrition usually takes ___ days to up to ___ days
7 to 28
S/D is used for? How long?
struvite dissolution (13 days short term)
What is the most likely urolith type?
struvite
Name 3 Vet Tech responsibilities prior to surgery
1) Verify ID
2) Verify procedure
3) Verify site
4) Clip hair
The prep area is a designated site where what duties are performed on the patient prior to surgery?
1) scrubbing the patient
2) clipping the patient
3) pre-anesthetics/anesthetizing the patient
Name 5 duties of the vet tech while assisting in surgery.
- Assist in the sterile draping of the patient
- Maintain orderly sx field and prevent contamination
- Organize the instrument table
- Count sponges and instruments at the beginning and prior to closing
- Pass instruments and other supplies
- Assist in proper tissue handling/retraction/etc.
What do we mean by a wound healing by 2nd intention?
healing will occur on its own without suturing
What are 5 of the general post-op rules for the vet tech?
- Carefully monitor for swallowing
- Maintain warmth of patient
- Keep patient clean and dry
- Monitor BT, pulse, RR
- Record in record, address changes in pattern with DVM
Name 5 reasons to spay a dog.
- Sterilization
- Removal of estrous cycle
- Infection of tract
- Congenital abnormalities
- Neoplasms
What 5 parts of the sterile gown are considered non-sterile?
1) the back of the gown
2) just the top of the cuff
3) anything below the waist
4) the shoulders of the gown
5) the collar/neckline of the gown
What is the name of the new additive in CD food that helps manage inflammation?
OMEGA-3 fish oil
What is the term for castration?
orchiectomy
When preparing for a castration what first must you verify?
Verify male and not cryptorchid
What is the term for a declaw?
onychectomy
What is being amputated for a declaw?
Amputation of nail and 3rd phalanx
When are sutures removed?
10-14 days post op
Name an NSAID.
Rimadyl, Zubrin, Meloxicam
____ must be used with caution in cats because they stay in their system for long periods of time without being broken down.
NSAIDs
T/F Never use Acetaminophen in cats and be careful in dogs because of Heinz body anemias
true
T/F Most dosages of NSAIDs are on an every 2-3 day basis.They must be monitored VERY carefully. Use of NSAIDs in cats is extra-label.
true
What are some opioids?
morphine, butorphanol, buprenorphine, oxymorphone
_____ effect is 10 times more potent than morphine
oxymorphone
____ analgesia is 100 times more potent than morphine
fentanyl
T/F Corticosteroids have some analgesic properties
true
T/F Corticosteroids can be used in conjunction with NSAIDS.
false
Remodeling of bone refers to _______ whereas, resorption refers to ______
reforming calcium, the bone is being broken down
Non-union refers to an orthopedic complication in which ____
that healing is not occurring or cannot occur because of poor decision making or technical failure
T/F Antibiotic therapy is usually given to all patients with closed fractures
false
Which the is the best physical therapy for orthopedic patients after suture removal?
swimming
T/F Pain management should be initiated while the animal is undergoing the orthopedic procedure and is still under the effects of anesthesia
true
T/F During a traumatic injury, stabilization of the patient is more important than addressing a fractured limb.
true
T/F The Robert-Jones bandage is only useful when applied to injuries below stifle or elbow
true
Bandages are usually removed or replaced every?
24-48 hours
What are some Post Operative Care of Coaptation Devices?
- Observe toes twice daily for swelling
- Device must be kept clean and dry
- Observe limb for signs of irritation or discharge
- Device should be removed on regular schedule to make observations
Patient must always be ____ before further consideration of fracture
stabilized
Bone location:
- Open (bone through skin):
1) small puncture hole around fx
2) larger puncture or tear
3) large tears & perhaps loss of tissue in area of impact - Closed
1) Grade I
2) Grade II
3) Grade III
What are the 5 types of fractures?
- Transverse-split in middle
- Oblique-split diagonally
- Spiral
- Comminuted reducible-spiral and diagonally
- Comminuted nonreducible-everywhere
_____ fractures are frequently seen in young growing animals
articular
Limits bony contact between the femoral head and the acetabulum, allow formation of fibrous false joint
femoral head ostectomy
Healed fractures where anatomic alignment was not achieved or maintained
Malunion
What test is this and what is this used to determine which orthopedic procedure: Excessive craniocaudal movement of the tibia relative to the femur as a result of ligament injury
cranial drawer signs, cranial cruciate rupture
6 Basic Steps of Wound Management
- Prevention of further contamination
- Debridement of dead and dying tissue
- Removal of foreign material and contaminants
- Provision of adequate wound drainage
- Promotion of a viable vascular bed
- Selection of appropriate method of closure
Name and describe the 3 layers of bandaging.
1) Primary= rests on wound and may or may not be adherent
2) Secondary= provides absorbency & padding
3) Tertiary= outermost layer that holds the rest together
When clipping an area of traumatic injury, the use of K-Y jelly is to?
to control hair around wound
What is the purpose of the Ehmer Sling?
Figure eight for non-weight-bearing of pelvic limb
Healing of a properly sutured surgical wound is most appropriately termed:
a) first-intention healing
b) granulation
c) secondary union
d) second-intention healing
a) first-intention healing
Proper splint and bandage care include all of the following except:
a) washing the splint or bandage daily
b) preventing the bandage or split from becoming wet
c) inspect the bandage or splint daily for any change such as swelling above or below the splint or bandage
d) inspect the bandage or splint for any shifting or change in position on the limb
a) washing the splint or bandage daily
What is the purpose of stirrups when apply a bandage?
stirrups decrease bandage slippage and “lock” bandage in place
A woman brings to a veterinary clinic a mixed-breed Terrier dog that she found lying by the side of the road. The animal is bloody, Palpation of the right forelimb elicits significant pain. After physical examination, which of the following is the most appropriate initial diagnostic study:
a) ultrasonography
b) complete blood count
c) magnetic resonance imaging
d) radiography
e) computed tomography
d) radiography
Which antiseptic is more effective against Staphylococcus gureus in dogs?
Chlorhexidine
A new veterinary technician is asked to take a thorough patient history on a dog that has been diagnosed with a scapular fracture that may have to be surgically repaired. Which of the following best explains why the history is so important in this case?
a) to determine which type of fixation is best
b) to determine if the dog is a good surgical candidate
c) to determine the dog’s temperament for effective healing processes
d) to determine if any preexisting conditions will increase anesthetic risk
e) all of the above
e) all of the above
A woman brings to a veterinary clinic a mixed-breed Terrier dog that she found lying by the side of the road. Physical examination shows a fracture of the right radius with a small puncture hole in the skin around the fracture site. The bone is not exposed, which of the following types of fracture is this?
a) closed
b) grade I open
c) grade II open
d) grade III open
b) grade I open
Before transporting a patient with a wound, what should you do to the wound?
cover the wound
____ more effective on anaerobes and spores
Hydrogen Peroxide
What is an example of a passive drain? What is an example of a active drain?
penrose, closed suction
What is the main goal of the Primary layer?
to minimize tissue injury upon removal
The most misunderstood and misused bandage, immobilizes and provides traction
Schroeder-Thomas Splint
Bandage that Immobilizes the shoulder joint
Velpeau Sling
Transmitted by inhalation, ingestion or skin exposure, “coal-like” lesions
Anthrax
A 3-year old female Border Collie dog is recovering from surgery to repair the cranial cruciate ligament. Which of the following is the most important advice to give the client regarding physical activity of this dog?
a) short leash walks for at least 6 weeks after surgery
b) no physical activity for at least 8 weeks after surgery
c) abundant physical activity for the first week after surgery
d) long leash walks twice weekly for at least 4 weeks after surgery
e) allow the dog to run freely in the backyard until the animal is brought for recheck in 10 weeks
a) short leash walks for at least 6 weeks after surgery
Bandage that Immobilizes the shoulder joint
Velpeau Sling
A 6-year old Irish setter dog is brought to the emergency clinic after being struck by a vehicle. Radiographs show a fractured left tibia. Which of the following is the most appropriate first step in treatment.
a) splint fixation
b) external coaptation
c) administration of opioids
d) administration of analgesics
e) fiberglass cast fixation
f) application of modified robert jones bandage
d) administration of analgesics
Causative agent for cat-scratch disease (CSD) (BITE)
Bartonella henselae
What is the TLC approach to cancer?
- Tissue diagnosis
- Location of the tumor
- Condition of the patient
What are the 3 commandments of cancer care?
1) Do not let them hurt
2) Do not let them vomit
3) Do not let them starve
What are some early cancer warning signs?
- Abnormal swelling that persists and grows
- Sores that don’t heal
- Weight loss
- Loss of appetite/difficulty eating or swallowing
- Bleeding/discharge from body opening(s)
- Offensive odor
- Persistent lameness/stiffness
- Hesitation to exercise/loss of stamina
- Difficulty urinating, breathing, defecating
Chemotherapeutic drugs are _____ to rapidly proliferating cells, which results in clinical side effects of chemotherapy. Most treatment protocols will combine two or more chemotherapeutic drugs for maximum efficacy.
cytotoxic
Antineoplastic agents are often administered in various protocols known as
combination therapy
Give 4 comparisons between a wolf vs dog’s social behavior.
1) wolves have a closed wolf pack, dogs have an open wolf pack
2) wolves come into estrous once a year, dogs come into estrous twice a year
3) wolves all take care of their babies, dogs usually only the dam does
4) wolves don’t accept outsiders into their pack (usually all related), dogs accept any dog
Explain 4 feline social behavior and hierarchies.
1) develop a kitten0mother relationship with human
2) aggression is usually fear based
3) they don’t have a dominance trait
4) they don’t have a submissive trait
Define socialization and when at what age it begins in dogs, cats, and horses.
- Socialization is when the animal interacts with people or the same species
- dogs: 4-12 weeks
- cats: 3-7
weeks
-horses: at birth
What are the 4 common reasons for relinquishment of a dog?
1) eliminating in the wrong place
2) aggression
3) not listening to owner
4) animal attacking family member or small child