Dysponeic cat Flashcards

1
Q

What are the first steps to take when admitting a dyspneoic cat?

A

Brief clinical history trauma/toxins
Oxygenate
Hands off!
Minimal stress until stable

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2
Q

What should you observe in a dyspneoic cat?

A
Respiration effort and rate 
Any patterns 
Auscultation of lungs 
Percussion 
Cranial rib spring 
Assessment of oxygenation
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3
Q

What does increased inspiratory effort suggest?

A

Upper airway obstruction

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4
Q

What does increased expiratory effort suggest?

A

Lower airway obstruction (asthma)

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5
Q

What does a slow laboured breathing pattern suggest?

A

Parenchymal disease

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6
Q

What does rapid shallow breathing suggest?

A

Pleural space or early paranchymal disease

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7
Q

What does paradoxical breathing indicate?

A

Thoracic wall moves in stomach moves out represents severe respiratory fatigue due to a variety of causes failure likely to be imminent

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8
Q

What should you hear from auscultation of normal lungs?

A

Symmetrical barley audible slightly louder carnioventrally

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9
Q

What do crackles on auscultation indicate?

A

Fluid in the airways

Bronchitis pneumonia pulmonary odema

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10
Q

What do respiratory wheezes suggest?

A

Airway narrowing
Inspiratory- extrathoracic airway disease
Expiratory-intrathoracic airway disease (feline asthma)

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11
Q

What does lack of lung sounds suggest?

A

Pleural space disease fluid

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12
Q

What does stretor indicate?

A

Upper airway obstructions

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13
Q

On palpatation what might decreased compressibility suggest?

A

Cranial mediastinal mass

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14
Q

What can percussion assist in diagnosing?

A

Tapping the chest wall can lead to diagnosis pleural space disease

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15
Q

What clinical measurements of oxygenation can you use?

A

SpO2
MM colour
Blood gas
Pcv (is anaemia present)

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16
Q

What are the common upper airway disorders for cats?

A

Foreign bodies nasopharyngeal polyps

Laryngeal tumours

17
Q

What are the common lower respiratory tract diseases in the cat?

A

Feline asthma
Chronic bronchitis
Neoplasia

18
Q

What are the common parenchymal diseases in the cat?

A

Pulmonary odema(heart failure)
Haemorrhage
Infection

19
Q

What are the common pleural space disease in cats?

A

Penoumothorax
Pleural effusion
Haemothorax
Diaphragmatic rupture

20
Q

What should be used to stabilise the dysponeic cat?

A
Oxygenate 
Minimal stress may need sedation 
Ultrasound chest (may need fluid drained) 
Thoracocentesis equipment 
Availability of drugs
21
Q

How should a thoracocentesis be preformed on a cat?

A
Sterile gloves 
19g butterfly needle 
Three way tap 
Ultrasound 
Clip 7th and 8th rib if air related clip 1/3 dorsally if fluid clip 2/3 ventrally insert needle at the costochondal junction
Prep chlorehex 
Insert needle over the cranial aspect of the 7th and 8th rib  aiming caudally with the bevel facing medially 
Draw back and re-direct needle 
Calculate the volume removed
22
Q

What sedation should be used for a stressed cat?

A

Buprenorphine 0.01mg/kg

23
Q

What drugs can be administered in suspected feline asthma and at what dosses?

A

Bronchodilator
Terbutaline 0.05mg/kg
Corticosteroids
Dexamethasone 0.25-0.5mg/kg

24
Q

What drugs can you administer for heart failure?

A

Fruesamide

2mg/kg