First Aid & Wound Management Flashcards

1
Q

What is a physical examination?

A
  • the act of examining an animal’s body to check for abnormalities
  • should be done in a systematic manner
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2
Q

Why are physical examinations done?

A
  • an essential part of the diagnostic process
  • enables us to check an animal’s vital signs (TPR)
  • gives us an overview of the health of a patient
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3
Q

What is TPR/how to check an animal’s vital signs?

A
  • Temperature
  • Heart rate/Pulse rate
  • Respiratory rate
  • Mucous membranes
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4
Q

Describe a severely underweight dog and state its body condition score.

A
  • Ribs, backbone and hip bones are highly visible, even from a distance, with complete absence of fat
  • obvious muscle loss particularly around shoulders and thighs
  • severely exaggerated waistline
  • BCS 1/5
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5
Q

Describe a slightly underweight dog and state its body condition score.

A
  • ribs, backbone and hip bones easily seen, with no overlying fat layer
  • some mild muscle loss particularly noticeable around shoulders and thighs
  • obvious waistline
  • marked tummy tuck
  • BCS 2/5
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6
Q

Describe a dog of ideal body condition and state its body condition score.

A
  • ribs can be easily felt, and may/may not be seen with minimal layer of overlying fat
  • a clear waistline can be easily seen
  • noticeable tummy tuck
    BCS 3/5
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7
Q

Describe a slightly overweight dog and state its body condition score.

A
  • ribs are hard to feel and see under a thickened layer of overlying fat
  • distinct pads of fat can be felt along the lower back and at the base of the tail
  • waistline absent or difficult to see
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8
Q

Describe an obese dog and state its body condition score.

A
  • ribs are impossible to feel with a marked layer of very thick overlying fat
  • very chunky pads of fat can be felt along the back, at the tail
  • waistline is absent
  • tummy distinctly bulges outwards and sags noticeably downwards
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9
Q

What is mentation and what are the commonly used descriptors?

A
  • mentation is used to describe a patient’s level of consciousness and behaviour
  • Bright, alert and responsive (BAR)
  • Quiet, alert and responsive (QAR)
  • Depressed
  • Obtunded
  • Comatose
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10
Q

What are the normal vital signs for a dog?

A
  • Temperature: 38.3-39.2°C
  • Heart Rate: 80-160 beats per minute (depends on size)
  • Respiratory Rate: 15-30 breaths per minute
  • Pulse rate: same as heart rate
  • Gum colour: pink
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11
Q

What are the normal vital signs for a cat?

A
  • Temperature: 38.0-39.0°C
  • Heart Rate: 110-200 beats per minute
  • Respiratory Rate: 20-40 breaths per minute
  • Pulse Rate: same as heart rate
  • Gum colour: pink
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12
Q

Describe how to obtain a dog’s heart rate.

A
  • make the dog stand up
  • find the point of the elbow
  • place your hand where the dog’s elbow meets its chest
  • count the number of beats you feel in 15 seconds and multiply that number by 4.
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13
Q

Describe the two ways to obtain a dog’s respiratory rate.

A
  • When the dog is resting, observe how many times its chest rises and falls over 15 seconds, and multiply that number by 4
  • Place the hand near to but not touching the dog’s nose and feel for air movement. Count the number of times you feel air brush your hand over 15 seconds, and multiply that number by 4.
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14
Q

Describe how to obtain a dog’s temperature.

A
  • make sure the thermometer is clean and that you use K-Y jelly for lubrication
  • have someone hold onto the dog
  • lift its tail and insert the thermometer into the anus
  • wait for the thermometer to beep then read the temperature.
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15
Q

Describe how to assess gum colour.

A
  • have someone help you restrain the patient
  • use one hand to support under the dog’s chin
  • the other hand is used to lift the upper lip
  • observe the colour of the gums
  • normal: pink
  • abnormal: pale, icteric (yellow)
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16
Q

What are some indicators of healthy teeth and gums?

A
  • pink gums with no gingivitis (redness of gums)
  • teeth have little or no dental calculus
  • no halitosis (bad breath)
17
Q

What are some indicators of healthy ears?

A
  • clean, dry, non-painful
  • no redness or swelling
  • no head shaking or scratching
18
Q

What are some indicators of otitis externa?

A
  • red inflammed ears
  • painful and itchy
  • exudate present (dirty ears)
19
Q

What are some indicators of healthy eyes?

A
  • eyelids and eyes are dry and clear of any crusting or inflammation
  • no discharge
  • patient is comfortable
20
Q

What are some indicators of conjunctivitis?

A
  • conjunctiva red and inflamed

- purulent ocular discharge

21
Q

State 3 other examinations usually done by vets.

A
  • lameness examination
  • neurological examination
  • ocular/otic examination
22
Q

What is triage?

A
  • Triage is the assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of patients
23
Q

State the colour, respective urgency and respective target waiting time of a triage list.

A
  • Red; immediate; 0 mins
  • Orange; very urgent; 15 mins
  • Yellow; urgent; 30-60 mins
  • Green; standard; 120 mins
  • Blue; non-urgent, 240 mins
24
Q

What are the 2 stages of trigae?

A
  • telephone triage

- physical assessment

25
Q

What is the point of telephone triage?

A
  • gather general information about the patient and the type of emergency
  • determine the urgency for veterinary attention
  • helps the client decide the next course of action
26
Q

What are the conditions that require immediate attention?

A
  • Respiratory distress
  • Pale mucous membranes
  • Neurological abnormalities
  • Protracted vomiting
  • Severe coughing
  • Bleeding
  • Weakness
  • Rapid abdominal distention
  • Inability to urinate
  • Toxin ingestion
27
Q

What are the components of physical assessment?

A
  • Airway
  • Breathing
  • Circulation
28
Q

Check the airway to ensure…

A
  • gag reflex and swallowing is present

- no airway obstruction is evident

29
Q

What are some signs of airway obstruction?

A
  • stridor (high-pitched wheezing sound)/stertor (like a snoring sound)
  • cyanosis (blue mucous membranes)
  • extension of head and neck (maybe to breathe)
  • choking
  • honking sounds
30
Q

What therapy should be used for:

a) absent gag reflex
b) foreign body obstruction
c) obstruction prevents intubation

A

a) immediate intubation (insert an endotracheal tube through the mouth into the airway)
b) immediate removal
c) emergency tracheostomy (create an opening in the neck to place a tube in the windpipe)

31
Q

Checking on breathing involves…

A
  • observe the patient’s breathing: taking full breaths? breathing effort; normal, increased, decreased?
  • breath sounds: normal; increased; decreased; crackles or wheezes?
32
Q

What are the possible therapies for breathing?

A
  • oxygen therapy (deliver oxygen through tubes resting in nose, face mask, tube placed in trachea/windpipe
  • intubation and manual ventilation (use of bag-valve mask)
  • thoracocentesis (needle is inserted into the pleural space between the lungs and chest wall)
33
Q

What parameters do you need to assess for circulation?

A
  • mentation
  • mucous membrane colour
  • capillary refill time (CRT)
  • heart rate
  • pulse rate and quality
  • temperature (core body and extremities)
34
Q

What are abnormal mucous membrane colours and what do they indicate?

A
  • white/pale: anaemia, vasoconstriction

- deep pink/red: shock, sepsis (body’s response to an infection damages its own tissues)

35
Q

What is capillary refill time and what conditions can be associated with abnormal CRT?

A
  • CRT is the time taken for the mucous membrane to regain colour after being blanched by digital pressure
  • normal time taken: 1-2 seconds
  • prolonged: conditions causing vasoconstriction
  • rapid: conditions causing vasodilation
36
Q

State the normal heart rate for large dogs, medium dogs, and small dogs, puppies and cats

A
  • large dogs: 60-140 bpm
  • medium dogs: 70-160 bpm
  • Small dogs, puppies, cats: 100-220bpm
37
Q

What are the abnormalities in heart rate called?

A
  • increased heart rate: tachycardia
  • decreased heart rate: bradycardia
  • irregularity in the heart’s normal rhythm (may or may not be normal): arrhythmia
38
Q

Where is pulse rate usually checked and what can a diminished pulse indicate?

A
  • femoral pulse because it is one of the most prominent

- a diminished pulse could indicate haemodynamic disturbances (e.g. hypotension: low blood pressure)