Exam 1 Flashcards
What are the components of systemic collection of information?
Signalment, owners complaint, history and TPR, physical exam, working problem list, DDx list, diagnostic plan for each DDx, prognosis and treatment plan, therapy and monitoring, medical records
What is lumping and prioritizing?
when creating the working problem list it is connecting the existing problems to a possible source.
T/F: the top priority is the most severe clinical sign
FALSE
Client complaint is ALWAYS top priority
what does signalment include?
age, sex, breed
begins the mental process of what can be wrong
When a young patient enters the room, before getting a history, what can be deduced based from signalment?
congenital disease, infectious disease
When an old patient enters the room, before getting a history, what can be deduced based from signalment?
degenerative disease, neoplasia
T/F: when taking history create a timeline of events and summarize to client
True- want to avoid miscommunication
what does SOAP stand for? and when is it performed?
Subjective
Objective
Assessment
Plan
used when monitoring patient
T/F Medical records are the law
True- they will save you in law suits. write everything down to a phone call that wasnt answered!
T/F: the body is 60% water
True
T/F: 2/3 of body water is in extracellular space and 1/3 is intracellular
FALSE!!!!
1/3 of body water is in extracellular space and 2/3 is intracellular
what are the 2 types of fluids?
crystalloid and colloid
define crystalloid fluid
solutes (electrolytes and non-electrolytes) that can freely move between fluid compartments.
define colloid fluid
remains in the intravascular space
T/F: you can use any type of fluid in cases of dehydration
FALSE
collloids wont help becaus eit stays in the intravascular space and hypertonic fluids will take more water out of the cells
Crystalloid fluids are used for___, ___, ___
correct dehydration, expand vascular space in shock, correct electrolyte/acid-base imbalances
What are the 3 classifications of crystalloid fluid
hypertonic, isotonic and hypotonic
Isotonic fluid is used for ___ and ___
maintenance and replacement
Normosol R, LRS, Plasmalyte and 0.9% Na are used when?
replacement
T/F replacement fluids have 130-140 mmol/L of Na
True
T/F: replacement fluids can be given rapidly and are best for long term use
FALSE
can be given rapidly but not best for maintenance use
T/F: even at maintenance levels, patients can become hypernatremic
True
Normosol M, Plasmalyte 56 and 0.45% Na with dextrose are used when?
maintenance
T/F: Maintenance fluids have 77mmol/L Na
True