Iatrogenic emergencies Flashcards
if haemorrhage after nasogastric intubation
appropriate actions?
do not pack
give time to stop
if not, endoscopy and clotting profiles
blood on rectal sleeve after examination
next steps?
inform owner
butylscopamine sedation
lube and lidocaine: protoscopy
evaluation grade of tear and location
which grade of rectal tear is this:
mucosa and submucosa
grade 1
which grade of rectal tear is this:
muscularis only
grade 2
which grade of rectal tear is this:
mucosa and muscularis
serosa intact
grade 3a
which grade of rectal tear is this:
mucosa and muscularis
tear into mesocolon
grade 3b
which grade of rectal tear is this:
all layers affected
grade 4
3 surgical options for rectal tear
1) direct suture
2) rectal liner
3) temporary diverting colostomy
medical management of rectal tear
penicillin
flunixin
tetanus status check
+/- epidural and packing of rectum
antimicrobial ointment useful for burns?
silver sulfadiazine
after a stable fire why may a horse have hypovolaemia
burn shock
tx iv fluids
what temp water apply to burns on horse?
lukewarm
not too cold
ideal suture material for equine skin layer?
monofilament polypropylene 3-3.5 metric
ideal suture material for equine subcutaneous layer?
3 metric absorbable poliglecaprone
when managing an equine wound:
1) analgesia IV followed by oral course
2) antibiotics IV/IM followed by oral
- which antibiotic is best for this?
- why can you not give it if you plan on sedating the horse later
trimethoprim sulphonamide
will give fatal arrhythmia
give different AB, sedate and suture, then give trimethaprim sulphonamide after