EM care: basics Flashcards
difference b/w EM care and critical care
EM care = w/ URGENT medical problem
= action toward assessment, trtmnt, & stabilization
critical care = ONGOING TRTMNT w/ potentially life-threathning illness
= constant monitoring, reassessment, trtmnt
a vet tech is the ___ of healthcare system
front line
vet techs should understand the _____ of ___ to udstnd patient’s condition -> ________
pathophysiology
disease process
anticipate dvping problems
name skills vet tech should have
- knowledge (pathophysiology)
- placing variety of catheters (peripheral, central venous, arterial, urinary)
- observant & recognize patient deterioration
- similar w/life saving procedures
- radiographs
- basic lab tests
when selecting area for EM area, what should be considered
readily available o2 source
good lighting
centralized & stocked
crash cart can be as ___ or as ____
simple
elaborate
what is in drawer 1 of crash cart
airway items
- large issue forceps
- endotracheal tubes
- larynxscopes
- tie gauze
- syringes (for cuff inflation)
- mouth guards
- ambu bag (resuscitator bag)
what is drawer 2 of crash cart
venous access drawer
- catheters
- 8-12” angiocatheters for EM pericardiocentesis
- spinal needles
- guide-wire central venous catheter (using Seldinger technique)
- EM infusion devices
- through-the-needle central venous catheter
- peritoneal catheters
- plastic sleeve (around catheter)
guide-wire CVC includes _____, made ____ and useful in admin of ____
single to multi-lumen device catheter systems
soft & flexible
diff fluid types, serial blood sampling, or CV pressure monitoring
what is EM infusion devices useful for
all-in-one catheters (dilution + guide-wire)
- useful for larger patients w/tough epidermal surfaces
peritoneal catheters are used to
Diagnostic peritoneal lavage or peritoneal dialysis for acute renal failure
drawer 3 contains
EM drugs
- needles
- various size syrines
- saline flush
how is most EM drugs delivered
intravenously (IV)
what happens if there is no venous access to deliver drugs
most can be intratracheal (IT)
intracardiac (IC)
intrasseous (bone marrow) (IO)
drawer 4 is ___ and includes
EM respiratory equipment
- help stabilize patient in resp distress
- shiley tracheotomy tube
- cuffs for (+) pressure vntltn
- thoracocentesis kit
- butterfly catheters, 3-way stopcock, 1.5” needles for easy penetration into thoracic cavity
- chest tubes
- C-clamps
drawer 5 is
intravenous fluids
- last drawers b/c of weight
T/F
it is impnt to keep crystalloid & colloid fluid types, and pediatric & adult fuid admin sets
TRUE
some fluids like D5W (dextose 5% in h2o) should _____ in draw in case of ______
not
accidental admin
what helps fluids with rapid fluid admin
pressure infuser bags
- useful w/bleeding appendages
list of miscellaneous EM equipment
- suction cateters & suction tubing
- large + small reservoir bags
- stomach tubes + hand held pumps
- EM surgical packs
and ALOT MORE
triage is the ______ and who’s responisbility
prioritization of trtmnt based on medical neds
- vet tech’s responsibility (first receive patient)
what should be done after initial assmnt and ressctn(primary survey)
2ndary survey and plans for definitive mngmnt
list the ABCDEs of primary survey/initial breif assmnt
A = airway
B = breathing
C = circulation
D = dysfuncion/disability
E = examination
how can you assess airway/breathing and circulation
visualization, palpation, auscultation (listening to internal)
