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Vet Sci IV -Jessie Loberg > Emergencies > Flashcards

Emergencies Flashcards

1
Q

Compensated Shock Type

A

Pt use own compensitory mech. to get better

c/s- normal- bounding pulse, Rapid CRT , Tachycardia

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2
Q

Decompensated Shock Type

A

Medical intervention is necessary

c/s- Tachycardia, poor pulse, Muddy MM

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3
Q

Irreversible Shock Type

A

Death is certain, but try to tx.

c/s- >40% blood loss, sever hypotension, necrotic tissues

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4
Q

Hypovolemic Shock Category

A

Low BV d/t hemorrhage or sever dehydration

MM= pale or white

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5
Q

Neurogenic Shock Category

A

Sever loss in BV with NO blood loss, head trauma (dilation)

MM= brick red

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6
Q

Cardiogenic Shock Category

A

d/t sever heart failure= sever decrease in perfusion

MM= pale

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7
Q

Endotoxic/Septic Shock Category

A

Bacterial toxin causes vasodilation= death by toxic shock, NOT systemic infection
MM= brick read

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8
Q

Goals of Tx

A

Return cardiovascular peramators to normal and optimize O2 delivery

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9
Q

Cornerstone of Shock Tx

A

Fluid Therapy

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10
Q

Fluid of Choice

A

Replacement Crystalloids

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11
Q

Best indicator for how a pt is tolerating fluids

A

CVP, measures

  • hears ability to pump fluid thats returned to it
  • relationship of BV to BV compacity 1:1
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12
Q

Hemolysis/Hemolytic Anemia

A

IMHA/AIHA
Onion ingestion
Zinc toxin
Ehrlichia/Babesia

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13
Q

Ineffective Erythropoesis/Aplastic Anemia

A 
Nutritional 
Drugs
Infection
BM infiltration 
Organ disorders
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14
Q

Platelet Disorders

A 
IMT
Vw Dz
Hemophilia A and B
Warfarin Toxin
DIC
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15
Q

Clotting disorder lab tests

A

CBC, PT, aPTT, Buccal (<5min)

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16
Q

Large/Upper airway Dz

A

Larynx and Trachea

17
Q

Small/Lower airway Dz

A

Feline Asthma and Pneumonia

18
Q

Gas Exchange Dz

A

Pulmonary Contusion and Edema

19
Q

Pleural Cavity Dz

A

Pneumothorax (air in pleural space), Pleural Effusion (fluid between visceral and parietal pleura), Diphragmatic Hernia, and Flail Chest (broken ribs fee float)

20
Q

Hypoglycemia- Division 1

A

Disorders that promote rapid glucose removal form serum

  • Insulinoma (tumor)
  • Polycythemia/^RBC production (utilize all glucose)
21
Q

Hypoglycemia- Division 2

A

Disorders that are associated with a failure to produce or secrete glucose

  • Neonate/Toy breeds (low glucose storage)
  • Hunting Dog Hypoglycemia (need extra food for energy)
22
Q

Primary effects of Hypoglycemia

A

Muscle/skell weakness

Nervous system- lethargy, ataxia, Fly bitting and star gazing

23
Q

Hypoglycemia Tx goal

A

50-100mg/dl of glucose

24
Q

Esophageal FB Tx

A

Push FB to stomach and remove or remove with scope and foreceps
**avoid cutting into esophages

25
Q

GI FB Tx

A

R/O other dz first. Then sx if item wont pass.

26
Q

GDV Tx

A

Stabilization with Hypertonic Saline Solution fluids, followed by maintance fluids.
Sx- Gastric derotaion with spleenectomy and gastropexy

27
Q

Pancreatitis Dx

A

PLI test- pancreatic lipase immumoreactivity test
CBC- inflamation
Chem- ^ALT and AST

28
Q

Pancreatitis Tx

A

Fluid with Dextrose
NPO 24-72 hrs
Anti-emetics (Cerena)

29
Q

Peritonitis Causes

A

Primary- FIP

*Secondary- ruptured bowl or uterus= systemic infection

30
Q

Peritonitis Tx

A

Hypertonic Saline Solution Fluids followed by maintance crystalloids and Colliods

31
Q

DM Causes

A

Chronic Pancreatitis

32
Q

DKA Insulin Deficiency Steps

A
  1. Initiates Lipolysis- Stored fat breaks down into fatty acid
  2. Conversion of the release of fatty acids- process called BETA OXIDATION
  3. Increase secretion of stress hormones- cortisone and glucose= by products of the entire process
33
Q

DKA Tx

A

Insulin Therapy- CRI, run fluid line with 30-50 mls of insulin solution prior to admin.

34
Q

DKA Tx Goal

A

Slowly decrease blood glucose levels to opt. range of 50-100mgldl

35
Q

Hypoadrencorticism (Addison’s Dz)

A

Deficiency in Meineralocorticoid (aldosterone)

36
Q

Hypoadrencorticism Tx Goals

A
  • Correct Hypovolemia with NaCl fluids
  • Correct Electrolyte imbalance with dilute K
  • Provide hormone replacement therapy with inj of Dex (short term) and Aldosterone (long term)

Vet Sci IV -Jessie Loberg (11 decks)

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