arrival and monitoring Flashcards
Non-urgent, urgent, or emergent/life-threatening?
patient can wait
non-urgent
Non-urgent, urgent, or emergent/life-threatening?
patient is taken to the exam room for examination
urgent
Non-urgent, urgent, or emergent/life-threatening?
stabilization begins while medical history is acquired
emergent/life-threatening
Non-urgent, urgent, or emergent/life-threatening?
history and physical exam findings presented to veterinarian
non-urgent
Non-urgent, urgent, or emergent/life-threatening?
thorough exam and diagnostics are recommended
non-urgent
the decision to hospitalize cannot be made until
after the animal is examined by the doctor
3 (5) things needed in the medical record
- client contact info
- signed copy of estimate, treatment consent form, CPR sheet
- treatment sheets
(objective/subjective) is measured, not just observed
objective
6 examples of subjective parameters
- attitude
- character of respiration
- comfort level
- heart and lung sounds
- pulse intensity
- MM color
arrhythmias are monitored by
EKG
animals are continuously connected to EKGs with these 2 cases
- chronic arrhythmia
- GDV
this measures
- the % of hemoglobin saturated w/ O2
- how well animal is absorbing O2
- respiratory and CV function
pulse oximeter
this measures how well blood is getting to the tissues
BP monitor
this indicates tissue perfusion and is a good indicator of overall CV function
blood pressure
abnormal BP can be seen in (3)
- shock
- heart disease
- chronic renal failure
what does capnography deal with?
measuring CO2
this is used for monitoring ventilation on those undergoing cardiopulmonary cerebral resuscitation
end-tidal CO2 monitor
- also under anesthesia
this provides vital info to guide immediate therapy
blood chemistry/electrolyte panel
this assesses the hydration status during fluid administration
urine volume and specific gravity
this reveals acid-base and oxygenation abnormalities
blood gas analysis
you can measure all gases with (venous/arterial) blood
arterial
you can’t measure ___ with venous blood
PO2
this helps identify and determine severity of respiratory problems (pneumonia, CHR) and metabolic abnormalities (urinalysis tract obstruction, diabetic ketoacidosis)
blood gas analysis
lactic acid is produced during
anaerobic metabolism
increased concentrations of this is indicative of inadequate blood flow to the tissues
lactate
this is a good prognosis indicator
lactate concentration
- primary cardiac disease
- trauma
- shock
- systemic inflammatory response syndrome
may result in:
arrhythmia
with this, you can diagnose hypoxemia in patients with respiratory problems
pulse oximeter
abnormalities in this monitoring method are often seen with
- diabetes mellitus
- diarrhea/vomiting
- urinary tract disease
- eclampsia
blood chemistry/electrolyte panels
