sx and pc Flashcards
night before sx meds, route, doses
robenacoxib 6mg tab PO
cerenia 8mg tab PO
convenia 8 mg/kg SQ
premed day of sx, doses, routes
induction med, dose, route
dexmedetomidine 20 ug/kg IM
morphine 0.1 mg/kg IM
ketamine PRN 4mg/kg IM
propofol 6mg/kg IV, to effect
isoflurane MAC in cats
1.6%
post op analgesic med
morphine 0.1mg/kg IM
or
Simbadol SQ
LRS drops /x sec calculation
10ml/kg * wt in kgs / 3600 sec/hr * 60drops/mL * 10 = drops per 10 secs
monocryl and PDS characteristics
monocryl - higher initial breaking strength, `75% strength loss at 2 weeks
pds - 50% strength loss at 6 weeks
the most common cause of diagnostic test error
clinician suspecting the wrong disease
young over use diagnostics
older rely on patterns too much
the most common cause of diagnostic test error
clinician suspecting the wrong disease
young over use diagnostics
older rely on patterns too much
classifications of diagnostic tests
in house versus reference labs
screening versus illness
methodology and modality
what makes a good screening test
depends on the repercussions from missing a positive or negative
spin vs snout
implications of series vs parallel screening testing
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
why must you know the quirks of the machines or labs you use?
for ex the AHDC tends to read potassium high on all animals artificially
clinical implications of increasing numbers of comorbidities
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
main goals of healthy visits
- increase confidence in medicine
- early diagnosis, tx and prevention
pillars of PC for cats AAHA-AVMA
- 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
pillars of canine PC
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
importance of preventative medicine
- health of pets, humans wildlife, community
cutaneous larval migrans sp
visceral/ocular migrans sp
visc/oc = toxocara canis cut = ancylostoma/uncinaria
lifestyle questions to determine best preventatives
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)
main side effects of preventatives
alopecia, sz (isoxazolines), gi upset (oral), pruritis
patient behavioral considerations for preventative selection
- texture, restraint req’d, flavor, odor, collar tolerance, skin tolerance
owner considerations for preventative selection 5 Cs
compliance, comfort, cost, children (topical uptake, zoonoses), cats (permethrin intolerance)
why give preventatives year round 4Rs + 2
- -relocation through the year,
- -reducing resistence,
- -rescue relocation from endemic areas,
- -roundworms/other internals,
- -ensure efficacy,
- -climate change altering endemic areas
why are annual heartworm screenings req’d even with full coverage
resistance
negative result isnt definitive
