emergency medicine Flashcards

1
Q

define SIRS

A

systemic inflammatory response syndrome

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2
Q

define compensated shock

A

where body compensates for shock by increasing heart rate and stroke volume

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3
Q

uncompensated shock define

A

where body compensations are no longer adequate for shock

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4
Q

characteristic of maldistributive shock

A

poor pulse quality with inappropriatly red mucous membranes

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5
Q

what measureable product of metabolism can indicate shock

A

increased lactate as more anaerobic respiration

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6
Q

tx hypovolaemic shock

A

isotonci crystalloids fluids at shock dose for 30 min, reevaluate regulalry

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7
Q

shock dose isotonic crystalloids dog

A

60-90ml/kg

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8
Q

shock dose isotonic crystalloids cat

A

40-60ml/kg

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9
Q

cardiogenic shock tx

A
  • fluids are contraindicated
  • relieve pressure on heart with diuresis
  • improve cardiac function
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10
Q

what catheter for quick fluid administration in shock

A
  • large gauge

- short catheter

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11
Q

define respiratory distress

A

cessation of active breathing

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12
Q

define cardiopulmonary arrest

A

cessation of effective cardiac activity and respiration

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13
Q

define basic life support

A

chest compression and assisted ventilation

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14
Q

define advanced cardiac life support

A

basic life support with medical and electrical intervention

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15
Q

ECG changes that indicate CPA

A
  • ventricular flutter
  • third degree AV block
  • atrial standstill
  • ST depression
  • R on T phenominon
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16
Q

things defo need in crash box (6)

A
  • ET tubes
  • IV catheters
  • bandaging material
  • laryngoscope
  • syringes/needles
  • drugs
17
Q

minimum number people required for CPR

18
Q

jobs for the 3 people in CPR

A
  • perform ventilation
  • perform compressions
  • keep written record/help get equipment
19
Q

position animal in for CPR

A

right lateral recumbancy

20
Q

how many breaths per min CPR

21
Q

if difficulty in ventilating check

A

DOPE

  • displacement of the tube
  • obstruction of the tube
  • pneumothorax
  • equipment failure
22
Q

compressions how to CPR small dog or cat

A

cup chest with both hands over heart and squeeze

23
Q

CPR compressions how to big dog

A

push down on widest part of chest

24
Q

CPR compressions per minute how many

25
how often should swith person doing compressions
every 2 minutes
26
ECG activity with no pulse is called
pulseless electrical activity
27
pulseless electrical activity tx CPR
adrenaline
28
no electrical activity and no pulse called
asystole
29
tx CPR asystole
adrenaline
30
sinus bradycardia tx
atropine
31
sinus tachycardia tx
lidocaine
32
fluids and CPR
given to help drugs given in circulation | given via pressure bags
33
post CPR 6 problems animals get
- neurological dysfunction - myocardial injury - rib fractures - renal failure - shock gut - respiratory failure