Exam Revision Flashcards

1
Q

Medical Model

A

the diagnosis of condition from clinical signs and tests, and the treatment prescribed to rectify complaints

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2
Q

Nursing Model

A

the identification of patient needs to assist it in carrying out it’s normal daily activities

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3
Q

What are the stages of the nursing process?

A

Assessment
Planning
Intervention
Evaluation

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4
Q

Describe three sources of information required to effectively assess a patient.

A

The pet owner to provide information regarding normal activities

Nurse’s observations and clinical examination

Vet’s diagnosis and treatment plan

Patient history and records

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5
Q

Nursing Diagnosis

A

The nurse identifying the patient’s actual and potential problems/patient needs.

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6
Q

Nursing Model

A

A system that can be used to provide a structure for assessing the patient and standardising the nursing care planned.

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7
Q

Orpet & Jeffery (Ability model)

A

Developed from human nursing models by vet nurses for use in veterinary nursing

Ten abilities

Assesses the patient’s abilities to achieve health

Lifestage measured from birth to death

Key influencing factors: cultural, financial, owner compliance

Care plan identifies actual and potential problems

Covers all animal species

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8
Q

Orem (Self care requisites)

A

Developed for human nursing

Eight universal self-care requisites

Assesses patient’s ability to meet the self-care requisites for themselves

Interventions affected by developmental self-care requisites i.e. affected by patient’s lifestage which is measured from conception to death

Health-deviation self-care requisites affect ability to self-care

Nurse also assesses which interventions are needed now, and which may be required in the future

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9
Q

Roper, Logan & Tierney (Activities of Living)

A

Developed for human nursing

Twelve activities of living

Includes ‘dying’ and ‘expressing sexuality’ as activities of living

Lifestage measured from neonate to geriatric

Measures how well patient can perform ALs on their own; dependence-independence continuum

Five factors influencing ALs; biological, psychological, sociocultural
Environmental, politicoeconomic

Individuality in living

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10
Q

How does effective goal setting assist in devising a care plan?

A

Assists in identifying nursing priorities and long term aims

Provides a structure for evaluation

Aids in identifying most appropriate nursing intervention for particular problem

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11
Q

What factors influence the timescale for evaluation of each nursing intervention?

A

The severity of the patient’s condition

The age of the patient

The normal frequency of the activity

The timescale of each goal/aim

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12
Q

What information may be required in order to effectively evaluate the efficacy of the nursing intervention?

A

The goals set in the planning stage to identify if they are met

Nursing observations and clinical examination

Vet information

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13
Q

How is the information from the evaluation used?

A

It identifies which nursing interventions have been successful, and by how much.

This is then used to decide whether to change the intervention, alter the frequency, adapt it or stop it completely.

Therefore revising the care plan.

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14
Q

Dog Normal Parameters

A

38.3 - 38.7°C
60 – 140 bpm
10 – 30 breaths/min

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15
Q

Cat Normal Parameters

A

38 - 38.5°C
110 – 180 bpm
20 – 30 breaths/min

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16
Q

Rabbit Normal Parameters

A

38.5 - 40°C
205 – 235 bpm
35 – 60 breaths/min

17
Q

Different environmental conditions which can be altered

A
Ventilation
Humidity
Light
Heating and insulation
Noise
18
Q

Care of Patient on IVFT

A

Check administration site for swelling, bruising, pain and perivascular fluid

Check line regularly for kinks, blockages and interference

Check fluid is running, volume of fluid still to be administered

Monitor clinical signs for hydration level, TPR, mucous membranes, urine output and SG
Monitor ongoing losses

Check for signs of over-hydration - soft, moist cough, dyspnoea, tachypnoea, tachycardia, lethargy, runny nose, decreased PCV, increased urine output

19
Q

Re-introduction of food

A

Veterinary surgeon clears patient to be fed

Gradual re-feeding to reduce risk of vomiting recommencing

Small amounts lukewarm water/electrolyte solution every 15 minutes

If tolerated, small meals of light, highly digestible food

As long as no further vomiting, gradually change to normal diet over three/four days

20
Q

Nursing Care of Vomiting Patient

A

Possibly nil by mouth – refer to veterinary surgeon. Feeding should be re-introduced at the earliest possible stage.

Where infectious disease is suspected – isolation and barrier nursing

Ensure patient and kennel are not soiled
Monitor patient

Provide correct medication

Assess hydration levels
Maintain IVFT

21
Q

Feeding Plan

A

Identify normal preferences

Perform baseline assessments – BW, BCS, muscle score

Calculate individual’s daily calorie requirement

Identify appropriate diet for method and amount

Identify appropriate
proportion of daily requirement and number of feeds until full requirement met

22
Q

Patient assessment

A

Check history

Use owner knowledge

Observe general demeanour

Measure vital signs

Patient examination

23
Q

Pain Classification

A

Pain can be classified in several ways

Duration
Location and anatomy affected
Disease causing the pain
Intensity

24
Q

Effects of Pain

A

Creates a stress response

Increased heart rate, BP, respiratory rate

Increased intestinal secretions

Urine retention

Increased metabolism and O2

Reduced efficacy of immune system

Increased sensitivity to pain

25
Q

Pain Assessment

A

Behaviour
Facial expression

Physiological indicators

Pain scoring charts
Owner questionnaires

26
Q

Common Pain Indicators

Name 5

A
Vocalisation
Aggression
Withdrawn
Avoiding eye contact
Tensed facial muscles
Dilated pupils
Licking, chewing, self-mutilation
Restlessness
Unwilling to move
Insomnia
Anorexia, weight loss
Loss of coat condition, soiling
Abnormal posture, gait, guarding
27
Q

tachypnoea

A

respiratory rate increased

28
Q

antiemetic

A

Suppresses vomiting

29
Q

Dog/Cat Catheter

A

not indwelling

used for male and female dogs/cat

30
Q

Foley Catheter

A

Usually used in females

latex or silicon

indwelling

31
Q

Tieman’s catheter

A

Used for female dogs

PVC

not indwelling

32
Q

Jackson cat catheter

A

indwelling

nylon

males

33
Q

Tomcat catheter

A

indwelling

silicone

males

34
Q

Reducing Soiling

A

Regular walking to allow elimination

Cat litter appropriate to patient

Indwelling catheter

Regular monitoring of wounds

Regular checking to remove soiling from patient/kennel/stable

Regular removal of excess saliva/mucus etc.

Bed baths

Absorbent bedding

Tail protection in horses