sx and pc Flashcards

1
Q

night before sx meds, route, doses

A

robenacoxib 6mg tab PO
cerenia 8mg tab PO
convenia 8 mg/kg SQ

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2
Q

premed day of sx, doses, routes

induction med, dose, route

A

dexmedetomidine 20 ug/kg IM
morphine 0.1 mg/kg IM
ketamine PRN 4mg/kg IM

propofol 6mg/kg IV, to effect

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3
Q

isoflurane MAC in cats

A

1.6%

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4
Q

post op analgesic med

A

morphine 0.1mg/kg IM

or

Simbadol SQ

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5
Q

LRS drops /x sec calculation

A

10ml/kg * wt in kgs / 3600 sec/hr * 60drops/mL * 10 = drops per 10 secs

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6
Q

monocryl and PDS characteristics

A

monocryl - higher initial breaking strength, `75% strength loss at 2 weeks

pds - 50% strength loss at 6 weeks

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7
Q

the most common cause of diagnostic test error

A

clinician suspecting the wrong disease

young over use diagnostics

older rely on patterns too much

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7
Q

the most common cause of diagnostic test error

A

clinician suspecting the wrong disease

young over use diagnostics

older rely on patterns too much

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8
Q

classifications of diagnostic tests

A

in house versus reference labs

screening versus illness

methodology and modality

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9
Q

what makes a good screening test

A

depends on the repercussions from missing a positive or negative

spin vs snout

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10
Q

implications of series vs parallel screening testing

A

in series you trust positives more as all results must be positive SPIN
in parallel you trust negatives more as all must be negative SNOUT

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11
Q

why must you know the quirks of the machines or labs you use?

A

for ex the AHDC tends to read potassium high on all animals artificially

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12
Q

clinical implications of increasing numbers of comorbidities

A

longer hospital stays, worse outcomes, can require opposing treatments like renal and cardiac disease together. higher costs, QOL concerns for pet, owner

harder to identify many conditions with diagnostic tests with comorbidities masking the results we have to see

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13
Q

main goals of healthy visits

A
  • increase confidence in medicine

- early diagnosis, tx and prevention

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14
Q

pillars of PC for cats AAHA-AVMA

A
  • reinforce consistency
    S - lifestyle, behavior, diet
    O - PE, condition, dental, comfort, wellness
    A - New or progressing dz, preventitives, maint dentals, signalment predispositions,
    P - Diagnostics, therapeutics, prevention
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15
Q

pillars of canine PC

A

S - lifestyle, travel, geographic location, purpose, boarding, socializing
O - PE, BCS, congenitals, behavior, dental, derm, heart dz,
A - ranked findings by importance
P - dx, tx, follow-up, recheck

16
Q

importance of preventative medicine

A
  • health of pets, humans wildlife, community
17
Q

cutaneous larval migrans sp

visceral/ocular migrans sp

A
visc/oc = toxocara canis
cut = ancylostoma/uncinaria
18
Q

lifestyle questions to determine best preventatives

A

indoor/outdoor, boarding, grooming, day care, parks, purpose, travel, swimming, hunting, hiking, other animals in the house, route (PO, PerCut, collar), seizure hx, pt tolerance (# products to coverage)

19
Q

main side effects of preventatives

A

alopecia, sz (isoxazolines), gi upset (oral), pruritis

20
Q

patient behavioral considerations for preventative selection

A
  • texture, restraint req’d, flavor, odor, collar tolerance, skin tolerance
21
Q

owner considerations for preventative selection 5 Cs

A

compliance, comfort, cost, children (topical uptake, zoonoses), cats (permethrin intolerance)

22
Q

why give preventatives year round 4Rs + 2

A
  • -relocation through the year,
  • -reducing resistence,
  • -rescue relocation from endemic areas,
  • -roundworms/other internals,
  • -ensure efficacy,
  • -climate change altering endemic areas
23
Q

why are annual heartworm screenings req’d even with full coverage

A

resistance

negative result isnt definitive

24
Q

most common parasites with resistance

A

heartworm, hookworm,