Emergency Flashcards
What are types of Emergency Surgery?
GDV, Splenectomy, Pyomtera
What does a GDV involve?
gastric dialation, pyloric rotation- 90-360’ angle
What can rotation result in (GDV)?
spleen displacement, gas accumulation, tissue necrosis- stops BS
What can aprox. 40% of dogs develop with GDV?
arrythmias, low perfusion to myocardium- ischemia
Clinical signs of GDV?
adominal distension, bloated,
tympanic abdomen- drum sound
vomiting/ retching
hypersalivation
restleseness- pacing
What is the difference between compensatory and decompensatory shock?
comp- tachycardia, weak pulses
decomp- pale MM, bradycardia, cold extrememties- hypothermia
GDV treatment?
stabilisation, decompression- surgery. suctioning/ stomach pump- via oesphagus- shock rate NSAIDS
surgery- de-roation, twisting stomach back normal
When should a stomach pump ideally be used?
increased vomitin, prevents aspiration
What are causes of splenectomy?
Malignant masses- lymphoma
Benign masses- haematoma
Trauma - Torsion (twisting)
When is a spleen life-threatning?
start bleeding, mass secondary trauma- removal needed
How is blood supply affected with torsion?
compromised, possible emergency
What are clinical signs of Splenectomy?
Pale MM- oxygen therapy, lethargy, vomiting, bloated abdomen, dyspnoea-respiratory system, anorexia, unexplained weight loss and collapse.
What are nursing considerations for Splctomy?
Preoxygenation, analgesia, monitoring for bleeding, standard TPR, calculation for drugs
What is an open pyometra?
cervix (womb entrance) is open. More obvious- visual blood and pus from the dog’s vulva.
What is a closed pyometra?
cervix (womb entrance) is shut. Dangerous- less obvious- pressure build up inside womb, putting bursting risk.
What infection is high risk with pyometra?
sepsis- into body systems
Clinical signs of pyometra?
Pus leaking from vulva, polydipsia, vomiting, bloat abdomen, lethargy, anorexia, collapse
What are nursing care considerations for pyometra?
Monitoring for post-op bleeding, antibiotics, weigh closed pyo when removed- takes off patient weight. IVFT, analgesia, monitoring patient throughout
