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Surgical Nursing > Equine orthopeadic surgery > Flashcards

Equine orthopeadic surgery Flashcards

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1
Q

What is important to consider in pre-op care for fractures in the horse?

A

Stabilisation the joint above and below the fracture

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2
Q

What should you include in you initial clinical exam in the fractured horse?

A 
Look for signs of shock 
Pain 
crepitus
severe lameness 
swelling 
palpable instability
Do not move until stabalised
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3
Q

What is adequate initial care to treat a fractured horse?

A

Sedation-Detomidine
Wound care (clip and prepare, sterile bandage, contamination)
Fracture stabilisation
medication

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4
Q

What are the goals of fracture stabilisation?

A

Stabalise the fracture
reduce discomfort and distress
minimise further trauma to the bone, soft tissues and vasculature
prevent further contamination

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5
Q

How do you stabilise a horse fracture?

A

Robert jones bandage
Splint bandaged
Cast

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6
Q

What medication should you consider administering to a fractured horse?

A

NSAIDS
Opiods
Tetanus toxoid
Intra-venous fluid therapy

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7
Q

What equipment do you need to have ready for when a fractured horse comes in?

A 
Splint 
bandaging material 
sedation 
catheter 
fluids 
x-ray equipment turned on 
Analgesia
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8
Q

What is important to do before beginning surgery on a fractured horse?

A

Ensuring all the equipment is there and working before induction

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9
Q

What equipment do you need for orthopeadic surgery in the horse?

A 
Fracture kit 
screws and locking plates
Drill
Intra-op imaging protective gowns 
Arthroscopy equipment
Bone reduction forceps 
plate bender
hand held retractors (Hohmann, mathieu) 
Self retaining retractors (Gelpi, Weitlaner)
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10
Q

What materials do you need for orthopaedic surgery in the horse?

A 
Fluids 
analgesia 
bandaging material 
cast material 
clippers 
check recumbency 
antiseptic solutions for prep 
suture material 
ropes 
support stands for legs
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11
Q

What are the intra-operative considerations for the orthopaedic surgery in the horse?

A 
Position fractured limb
Make sure horse is well positioned 
well padded 
legs are supported
fractured limb accessible
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12
Q

How do you prepare a horse for orthopaedic surgery?

A

Clip the area (10-15cm away from inteded surgical site)
clean with horse shampoo
second scrub with hibi outside the theatre
covert feet and tail

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13
Q

Discuss the characteristics of Chlorhexidine

A 
Residual activity 
low toxicity (toxic for fibriblasts)
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14
Q

Discuss the characteristics of iodine compounds

A

stains
radiopaque
only free iodine is bactericidal
povidone iodine (must be diluted to free iodine)
Low toxicity
inactive in the presence of organic debris
synergistic effect with alcohol

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15
Q

Discuss the characteristics of alcohol

A

no residual activity
inactivated by organic debris
only effective against bacteria

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16
Q

How do you recover a horse after orthopaedic surgery?

A

Assisted recovery
head and tail rope
sling recovery
pool recovery

17
Q

What should you monitor during the post-operative period after orthopaedic recovery

A 
TPR
MM CRT 
Gut sounds 
Faecal output 
Swelling and strike through at the bandage site 
Pain 
appetite 
check breakage or heat coming through the cast 
Support opposite leg frog
18
Q

What are the complications after orthopaedic surgery in the horse?

A

Infection
Unstable fixation
Laminitis

19
Q

What do you need to prepare for arthroscopy in the horse?

A 
Catheter 
Medication 
Arthroscopy equipment 
pre-pare theatre 
radiographs
20
Q

What arthroscopic equipment do you need to prepare for the horse?

A 
Make sure the light is working 
white balance the arthroscope 
ensure the video camera is working 
prepare the canulas and obturator for insertion 
fluid irrigation system 
motorized equipment
Egress cannula 
forceps 
probes
osteotome and elevators
cutting instruments 
curettes
21
Q

What are the intra-op considerations for arthroscopy in horses?

A

Position of the horse
Clip and perp
Bandage and suture material
recovery

22
Q

What are the post-operative considerations in the horse that has undergone arthroscopy?

A

Lameness 24 hours in the stifle
temperature
bandage
appetite

Surgical Nursing (24 decks)

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