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606 Triage > Blocked Bladder > Flashcards

Blocked Bladder Flashcards

1
Q

What will you see on an ECG of a blocked cat?

A

Spiked T waves
P wave disappear
Widening of QRS

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2
Q

Unblocking the obstruction is the first thing that should be done true or false

A

False

Fluid therapy and analgesia

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3
Q

What are the clinical signs of a blocked bladder

A 
Depression 
Bradycardia 
Weak pulses 
Tachypnoea 
Distended abdomen 
Collapse
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4
Q

List what causes an obstruction

A 
Crystal
Stones 
Mucus plug 
Blood clot
Spasms
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5
Q

What must be done after each fluid volume cycle ?

A 
Assess parameters 
PR 
Pulse quality 
MM 
CRT 
Demeanour
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6
Q

What organ can hyperkalemia affect

A

Heart

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7
Q

What will you see on the blood results of a blocked bladder cat

A

High potassium
High urea
High creatine

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8
Q

What is a shock fluid rate for a blocked bladder cat ?

A

50ml/kg

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9
Q

What’s is the treatment process for blocked bladder

A 
Analgesia 
Fluids 
Treat hyperkalemia / metabolic acidosis 
Relieve obstruction 
ECG for hyperkalemia 
Calcium gluconate for hyperkalemia 
Insulin and glucose to put K+ into cells 
Sodium bicarb for metabolic acidosis 
Sedate
Cysto
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10
Q

What are the signs a owner may see for a blocked bladder

A 
Straining 
Vocal
Frequent visits to toilet
Licking 
Vomiting
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11
Q

What organ can be damaged with blocked bladders

A

Kidney due to back pressure

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12
Q

Why should we not give NSAIDS to cats with urethra obstruction

A

They are metabolised in the kidneys

The kidneys are currently impaired

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13
Q

How do you stabilise a blocked bladder in an emergency situation. Name 4 things

A

IV fluids
IV calcium
Dextrose/glucose
Sodium bicarb

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14
Q

What is the shock fluid rate for a blocked bladder

A

50ml/kg

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15
Q

Does calcium gluconate lower potassium levels?

What does it do then?

How long does it last?

A

NO

It opposes action of potassium, it reduces excitibility of heart muscle

Short period of time

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16
Q

Should calcium gluconate be admined fast or slow?

A

Slow

Over 5-10 mins

17
Q

What can insulin or dextrose fluids cause that we don’t want?

A

Hypoglycemia

18
Q

How long does it take for insulin,dextrose or glucose work via fluids?

A

Approx 45 mins

19
Q

Why would we use sodium bicarbonate to treat a blocked bladder cat?

A

To treat severe hyperkalemia

20
Q

Summaries of what we are treating for a blocked bladder cat

A 
Stabilise cardiac arrhythmias
Decompress bladder 
Maintain hydration 
Monitor K+/ glucose 
Monitor UOP ?
21
Q

What is some after care for a blocked bladder cat

A 
Post obstructive diuresis 
Potassium drop
Pain
Stress
Obstruction of urine Cath

606 Triage (8 decks)

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