Lab 2 Flashcards
Why would you perform a endotracheal wash?
Collect airway fluid for cytology and culture (cat and small dog)
What are some contradictions for endotracheal wash?
Needs to be a candidate for anesthesia
What are risks of an endotracheal wash?
Hypoxia
Pneumonia
What supplies are needed for endotracheal wash?
Sterile endotracheal tube
Laryngoscope
28 inch 3 -5 french catheter
Syringe with saline
How do you perform an endotracheal wash?
Preoxygenate
Anesthesia
sterinal recumbency
Pass endortracheal tube sterile
measure cath opening to bifurcation
cath through endotracheal tube
6-10ml sterile saline in and aspirate (turbid and foamy)
remove cath
What are indications for a transtracheal wash?
Collect airway fluid for cytology and culture
What are contraindications for transtracheal wash?
Endotracheal wash small dogs and cats instead of this to avoid iatrogenic SQ emphysema and tracheal laceration
What supplies are needed for transtracheal wash?
Clippers and scrub
Sterile gloves
through the needle jug cath
syringe
lidocaine
antibiotic ointment
bandage
How do you perform a transtracheal wash?
Sedation
Stand or sit table nose raised
Clip and prep (cricothyroid ligament)
Stabize trachea and insert needle
Advance needle to center trachea lumen
tilt needle and advance
cath down
needle to gaurd
sterile saline
antibiotic ointment and wrap
What are indications for a nasogastric feeding tube?
<7 days enteral nutrition
What are contradictions of NG tube?
nasal cavity disease
coagulopathy
vomiting
What are complications NG tube?
Epistaxis, rhinitis, tracheal intubation, vomiting, dacryocytsitis
removal
What size cath needed for NG tube?
5-6 French, 8 >15kg
How do you place an NG tube?
Topical lidocaine
feed tube to 8-9th rib
mark on tube
push nose dorsal and inservt ventral and medially, pass quick
Swallow in esophagus
suture in alar groove and sygomatic arch
Confirm with rads
E-collar
What are indications for Esophagostomy tube?
Enteral nutrition - anorexia, oral disease, trauma, surgery
What are contradictions to E tube?
Esophageal
Coagulopathy
What are contraindications E tube?
Inflammation or infection
hemorrhage
vomiting tube
tube removal
How far should you insert the E tube?
8-9th intercostal
How do you determine a nutrition plan?
Liquid NE/NG
Blender E and G
Energy dense food ideal
Dont over feed
RER - 1/3 to 1/4 each day - 3-6x day
Meds before feeding
