emergency medicine Flashcards
define SIRS
systemic inflammatory response syndrome
define compensated shock
where body compensates for shock by increasing heart rate and stroke volume
uncompensated shock define
where body compensations are no longer adequate for shock
characteristic of maldistributive shock
poor pulse quality with inappropriatly red mucous membranes
what measureable product of metabolism can indicate shock
increased lactate as more anaerobic respiration
tx hypovolaemic shock
isotonci crystalloids fluids at shock dose for 30 min, reevaluate regulalry
shock dose isotonic crystalloids dog
60-90ml/kg
shock dose isotonic crystalloids cat
40-60ml/kg
cardiogenic shock tx
- fluids are contraindicated
- relieve pressure on heart with diuresis
- improve cardiac function
what catheter for quick fluid administration in shock
- large gauge
- short catheter
define respiratory distress
cessation of active breathing
define cardiopulmonary arrest
cessation of effective cardiac activity and respiration
define basic life support
chest compression and assisted ventilation
define advanced cardiac life support
basic life support with medical and electrical intervention
ECG changes that indicate CPA
- ventricular flutter
- third degree AV block
- atrial standstill
- ST depression
- R on T phenominon
things defo need in crash box (6)
- ET tubes
- IV catheters
- bandaging material
- laryngoscope
- syringes/needles
- drugs
minimum number people required for CPR
3
jobs for the 3 people in CPR
- perform ventilation
- perform compressions
- keep written record/help get equipment
position animal in for CPR
right lateral recumbancy
how many breaths per min CPR
12-15
if difficulty in ventilating check
DOPE
- displacement of the tube
- obstruction of the tube
- pneumothorax
- equipment failure
compressions how to CPR small dog or cat
cup chest with both hands over heart and squeeze
CPR compressions how to big dog
push down on widest part of chest
CPR compressions per minute how many
100
how often should swith person doing compressions
every 2 minutes
ECG activity with no pulse is called
pulseless electrical activity
pulseless electrical activity tx CPR
adrenaline
no electrical activity and no pulse called
asystole
tx CPR asystole
adrenaline
sinus bradycardia tx
atropine
sinus tachycardia tx
lidocaine
fluids and CPR
given to help drugs given in circulation
given via pressure bags
post CPR 6 problems animals get
- neurological dysfunction
- myocardial injury
- rib fractures
- renal failure
- shock gut
- respiratory failure
