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VM 611 > Critical Care Final > Flashcards

Critical Care Final Flashcards

1
Q

What are the 3 stages of shock?

A

compensatory - hyperdynamic
early decompensatory - hypodynamic
late decompensatory - refractory

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2
Q

What CS are associated with the compensatory stage of shock?

A

normal mentation, high HR, RR and BP

pink MM

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3
Q

What are the 2 ddx for bounding pulses?

A

anemia and sepsis

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4
Q

What are CS for early decompensatory stage of shock?

A

mental depression
inc HR, RR, pale MM
prolonged CRT, weak pulses

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5
Q

What are the CS of late decompensatory stage of shock?

A

dec HR, BP, pale MM

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6
Q

What are causes of distributive shock?

A

sepsis, obstruction (HW, thrombosis, GDV), anaphylaxis

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7
Q

What happens to a cats heart rate while in shock?

A

decreases (bradycardia)

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8
Q

What is the approach to giving fluids to cats in shock?

A

always hypovolemic - can get pulmonary edema!

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9
Q

What is the defintion of septic shock?

A

refractory hypotension in the face of adequate fluid resuscitation

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10
Q

What are the CS of feline sepsis?

A

HR under 150, hypothermia, hypotension (septic triad in cats)

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11
Q

How can you estimate the percent body burned?

A

each forelimb = 9
each rearlimb = 18
neck, head = 9
throax and abdomen = 18 each

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12
Q

What does a first degree burn involve?

A

epidermis (superficial)

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13
Q

What does a 2nd degree burn involve?

A

superficial dermal or deep dermal

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14
Q

What does a 3rd degree burn involve?

A

full thickness - to subq

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15
Q

How long does a 2nd degree burn take to heal?

A

3-4 weeks

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16
Q

Which crystalloid fluid has calcium?

A

LRS

17
Q

What is the fluid shock dose in dogs?

A

90 ml/kg, start with quarter dose

18
Q

What is a quarter shock dose for cat?

A

50 mls

19
Q

Whats the equation for anion gap?

A

AG = (NA+K) - (Cl-HCO3)

20
Q

Which antibiotic is safe for most exotic species?

A

baytril (enrofloxacin)

21
Q

What is the universal donor blood type for dogs?

A

DEA 1.1 negative and DEA 4 positive

22
Q

What is a minor crossmatch?

A

recipient RBCs and donor plasma

23
Q

What is lost in stored whole blood?

A

platelets and factors 5 and 8

24
Q

What are indications for using fresh plasma in a patient?

A

anticoagulant rodenticide, hypoproteinemia, pancreatitis

25
Q

What does fresh frozen plasma lose when it is stored?

A

platelet viability

26
Q

What does regular frozen plasma lose after it is stored?

A

factors 5 and 8

no viable platelets

27
Q

What diseases is cryoprecipitate used in?

A

VWD and hemophilia A

28
Q

What should be given to a patient if there is a transfusion complication?

A

oxyglobin

VM 611 (16 decks)

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