Restraint 2 Flashcards

1
Q

Venipuncture

A

Needle into the vein

Put in drugs or take blood out

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2
Q

Supplies for blood collection

A
Syringe 
Tourniquet 
Gauze/cotton 
Vet wrap 
Maybe alcohol/clippers 
22g needle
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3
Q

VOTAS role in venipuncture

A

Grabbing supplies
Restraint
Holding off the vein/releasing when appropriate
Putting pressure on venipuncture site to prevent bruising

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4
Q

Placing a catheter

A

Stand on dogs right side
Hold head with right hand (hug)
Hold behind elbow with left hand and twist vein up.
Release when person holding the catheter tells you to
Keep holding the elbow

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5
Q

Supplies needed for catheter placement

A
Tape 
Chlorhexadine scrub 
Cotton balls/gauze 
Alcohol 
T port 
Selection of iv catheters 
Adapter plug
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6
Q

Holding for jugular venipuncture cat

A

Equipment you can use:
Cat bag, towel, 1/2 burrito
Hold on the table, over the edge
3 finger hold for front legs, pulling down so they are straight
Hold over top of head with thumb and middle fingers, pull head up slightly
Tuck rest of body with head holding arm
Do not over extend neck

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7
Q

Holding for big dog and possibly medium dog jugular

A
Done on floor normally 
Holder stands behind/beside dog 
Have dog sit 
Pull/hold head up to the sky (make sure collar out of the way) 
Hold mouth closed
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8
Q

Med small dogs

A
On top of table 
Holder on one side of the table 
Have dog near end of table 
Hold head up to the sky, hold collar away 
May have to hold front legs 
May have to turn head slightly
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9
Q

Other things to know for jugular veins

A

Neck (one on each side)
Use left jugular if right handed
Occlude (hold off) vein (person collecting)
Have supplies collected already
Make sure you have correct patient
You can do these in lateral (usually when asleep)
After needle leaves veins, cover with one or two fingers
Jugulars are not bandaged
Hold 30s to 1 min
Hold longer if suspected bleeding disorders
Clean blood off with water or hydrogen peroxide after
20-30s to draw blood

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10
Q

How do you take animal from owner

Placement/removal of dogs/cats from enclosures

A

Bum first if small dog

Alternative is for owner to put animal on floor (if on leash) and walk it to the back area

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11
Q

Assessing concerns

A

Animals will feed off owners feelings (nervous, scared, anxious)
Watch the body language of the animal
If there is no leash, put on a clinic leash
Owners may help take to the back or at least start in that direction
Owner leaving all together shifts focus to New handler

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12
Q

Approaching an animal

A

Calm and slow
Speak softly to them (no baby talking)
Come from the side (dogs/horses)
Maybe use treats (or other distraction methods)
Don’t corner animal, crouch, angle body, extend hand palm up, calming signals

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13
Q

Identification of animal

A
Dogs can have tattoo on flank 
Right ear: usually spay/neuter 
Left ear: usually breeder tag 
Tattoo: you can read them 
Microchips: don't fade (can last forever), easier to find animal if not in region
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14
Q

Reasons to take animal from owner

A
Hospitalization 
Procedures done out of sight 
Reduces stress 
Safety
Avoid owners restraining their own pets
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15
Q

Picking up an animal

A

Ideally in a carrier
Otherwise you can scoop them up under chest and support back end with elbow. Free hand for face/head
Football hold
Towel/blanket

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16
Q

Picking up good small dogs and cats

A

Hand going under belly-scoop and tuck
Secondary hand to hold head against body for more security especially if they wiggle around a lot
Medium sized- scoop with both hands (chest and butt)
Make harness with leash
Can use gloves to handle pets/blankets

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17
Q

Walking dogs that are hospitalized
Reason for hospitalization
Ways to walk

A

Reasons: ACL/CCL, c section, leg injuries, extensive wounds , incisions
IVF (IV fluids)

To walk:
Two leashes
Covering vulnerable areas (catheters ect)
Short leash
Pay attention to elimination (stones, consistency, blood, straining)
Bring poop bags
Be aware of surroundings

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18
Q

Ways to hold cats

A
Burrito wrap 
1 person wrap 
1/2 burrito wrap 
Blanket wrap 
Emergency blanket wrap 
Scruff 
Cat bag 
Cat muzzles 
ISO box 
Fish net
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19
Q

One person wrap

A
Make sure animal is relaxed 
Use thick towel 
Use for vaccinations for cats, nervous 
Pull front of towel over head (hold cat with little pressure) 
Cat is in middle of towel 
Fold both sides over
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20
Q

Burrito wrap

A

Lay towel on flat surface
Set cat on towel with her face by the top edge
Have enough towel at top to fold over head
Place one hand on neck/body of cat and use other hand to fold one side over and wrap it snug
Switch hands
Wrap other side of towel and put flap under

21
Q

Why do dogs bite

A
Fear 
Aggression 
Play
Prey drive 
Resource guiding 
Defense
22
Q

Types of dog collars

A
Buckle 
Martingale 
Choke 
Break away 
Quick release 
Slip 
Prong or pinch 
Head halters 
Harnesses 
Elizabethan collars
23
Q

Muzzles for dogs

A
Gauze roll/stockinette 
Basket muzzles 
Tape muzzles 
Quick muzzles 
Temporary leash muzzles 
Air muzzle
24
Q

Why would you use muzzles

A
No biting 
Distraction 
Safer for others (animals/people) 
Get procedure done quicker (alt sedation) 
Barking 
Food control 
Grey hounds off track
25
When would muzzles be an issue
``` Face injuries Heat stroke Vomiting Seizures Brachycephalic ```
26
How to clean muzzles
Disinfectant Hot water or bleach Can also put in disinfectant machine Can put some cloth material in washer
27
Other techniques for dogs
``` Rabies poll Double leashes: dogs we don't know Cross tie (1 leash to 1 person, 1 leash to another) Leash through the door Neck grab (not recommended) Muzzle instead and hug Brachycephalic (cone or towel around neck) Chemical drugs ```
28
Ways to prevent an animal from escaping
Double leashes Handle fractious animals in confined spaces Never have doors or windows open to the outside Always check collars Leave leash on some dogs
29
General rules of escaping animals
``` Make known to everyone Secure all exits (doors and windows) Minimize area Minimize noise Always check escape artist kennels Always check collars (two fingers) Double leashing ```
30
Loose dogs
Rabies pole Can use owner Treats Commands
31
Escaped cats
``` Use small room Turn off lights Herding into kennel Blankets Cat grabber (fish net) Gloves ```
32
Who should handle the most dangerous dogs
AHT and DVM
33
If attacked by dog
Clean out dog wound | Compress if bleeding
34
If attacked by cats
Go to hospital
35
If attacked
Tell your boss Know vets policy for biting and know where the paperwork is Always ask someone else if uncomfortable with an animal Owner can muzzle before coming into the clinic
36
Getting a dog to sit if they are restraining
``` Treats Push bum down while raising head up Push on knee to force them to sit Pressure on hips to keep them sitting One hand hugging ```
37
Reason for laying down (sternly rexumbancy)
Dog is laying on stomach and chest Nail trims Blood draw IV catheter placement
38
3 finger hold
Using three fingers on the front and back legs to flip dog into lateral position Little bit of pressure on neck when being held down
39
Lateral
``` Left and right 3 finger hold Cystocentesis Nail trim Urine catheterization SQ, IM, Left lateral most commonly used Can roll them onto side while sitting ```
40
Restraining for PE
Know handlers technique Large dogs on ground, others on table Cats just lay there Stand opposite side of vet Usually start at head (keep head still, grab on sides of neck) Pay attention if pet is panting , try to hold mouth closed (muzzle) Abdomen/sides- standing, hold stomach up Know directional terms Never leave animal unattended Never allow animal to jump off table
41
Oral meds
Try in food, put directly in Tilt head up, put down throat (use utensils) Poke it down if using hand Use syringe of water to flush down
42
Liquid medication
Animal can be sitting | Use syringe
43
Cephalic venipuncture
Left and right cephalic veins on front legs Rolled onto top of leg by the holder Preferred site for IV catheters Holder must extend the elbow for duration of blood draw Don't let dog tuck back (can contaminate) Restraint has to be firm enough that pet doesn't jump when needle is inserted Hold head away from other person (muzzle) Hold off/occlude with thumb Always hold elbow, don't let go Sternal or lateral recumbancy
44
Saphenous venipuncture
Femoral (inside of back leg) Medial and lateral- out of back leg, closer to hock Standing or laying down for lateral saphenous Lateral only for medial saph
45
How to saphenous venipuncture
``` Place 1 hand around leg below knee Apply pressure (occlude) Restrain remainder of animal Laying down- lay on top, hold front leg Standing-bear hug , knee hold off Use muzzles ```
46
Femoral saphenous venipuncture
``` Cats Fatty part Head hold/scruff Stretch Occlude with heel of hand while you are holding tummy up out of the way But also holding other hind leg and tail ```
47
Different types of injections
``` IV intravenous SC subcutaneous IM intramuscular IM/SC quicker, do not have to find vein Blood supply-IV-Fastest ```
48
Why are injections given in different locations
``` Manufacture instructions How rapidly the drug needs to be given Gauge of needle How irritating drug is If drug is given IV, SC, IM ```
49
Why are some injections made with empty syringes
For the purpose of removing liquid of air or "centesis"