DAMNIT & POMR

Question 1

Diagnostic Method: DAMNIT!
- Mission of this: (2)

Answer 1

1. Patient nursing care (LVT - your job)
2. Patient treatment plan (DVM)

Question 2

Diagnostic Method (7)

Hint: this isn’t just DAMNIT.
Also, this WILL be on the FINAL!!

Answer 2

1. Determine problems/abnormalities
2. Localize to body system(s) involved - ie what’s broken or abnormal
3. Determine disease process: DAMNIT
4. Begin supportive care/initial Tx
5. Refine Dx to specific Tx plan
6. Develop specific Tx plan
7. Monitor for improvement/resolution

Question 3

Determine problems/abnormalities (4)

Hint: Think what’s needed in order to do this step?

Answer 3

1. Signalment
2. Hx of patient and concerns
3. Physical exam
4. Test results
   - Blood eval
   - Imaging
   - Cytology/histopath
   - Others

Question 4

DAMNIT Algorithm in order
D
A
M
N
I
T

Hint: This is needed to determine the process patient will go thru!
Also, this WILL be on the FINAL!!

Answer 4

D - Degenerative, developmental
A - Auto-immune, allergic, anatomic
M - Metabolic, mechanical
N - Nutritional, neoplastic
I - Infectious, inflammatory, idiopathic (ie diet), immune mediated (ie steriods, chemo)
T - Toxic, traumatic

Question 5

What are the three basic categories of treatment?

Answer 5

1. Supportive care:
   - IV fluids
   - O2
   - Basic needs for life!!
2. Empirical:
   - Immediate Tx needed before official Dx made
   - Used in emergency situations
   - “Educated guess”
3. Specific:
   - Based on specific diagnosis/needs

Question 6

What are the three categories of a monitoring plan?

Answer 6

1. Clinical signs
2. Test results
3. Time intervals
   - Hours
   - Days
   - Weeks
   - Months

Question 7

Medical record:
SOAP meaning
S
O
A
P

Answer 7

S - Subjective
- All info that is not a test result
- Hx, attitude
O - Objective
- All info that is a test result
A - Assessment
- Problem list & status
P - Plan
- Dx
- Tx
- CE

Question 8

Medical Diagnostic Method in POMR - in order (7)

Answer 8

Form a…
1. Problem list
2. Rule out list
3. Diagnostic plan
4. Dx
5. Therapeutic plan
6. Monitoring plan
7. Client Ed plan

Question 9

Steps to vet tech notes: (4)

Answer 9

1. TE - Tech Eval
2. IP - Intervention Plan
3. AR - At Risk
4. MP - Monitoring Plan

Question 10

FAS meaning
F
A
S

Answer 10

Fear
Anxiety
Stress

Question 11

FAS scores (0-6)

Answer 11

FAS 0: Completely relaxed and comfortable.
FAS 1: Slightly worried but still cooperative.
FAS 2: Noticeable anxiety and mild stress, some hesitation.
FAS 3: Moderate stress, reluctance to be handled, may try to hide.
FAS 4: Significant stress, signs of fear or mild aggression, attempts to escape.
FAS 5: Extreme stress, severe fear or aggression, potential for self-injury or injury to handlers.