Advanced Surgery-Lecture 4 (Exploratory Surgery Part 2)

Front 1

When would you send mom home with her babies? Why?

Back 1

Send home the same day because of the risk of infection.

Front 2

What are some post operative considerations after performing a c-section?

Back 2

clean mammary glands (babies don't like iodine or chlorohexadine), place with mother ASAP (make sure mom is awake enough to know what is going on), Observe mom for proper care of babies.

Front 3

What can you do with a needle to stimulate breathing?

Back 3

20-22g needle can be placed at philtrum, and rotated.

Front 4

If your neonates are having poor respirations, you should place ______ drops of ______ ______(where).

Back 4

1-5 drops of dopram under the tongue

Front 5

If opioids were used during the c-section, you should put a drop of naloxone ______ to help reverse the effects.

Back 5

under the tongue

Front 6

What temperature should your incubator be set at for puppies?

Back 6

90-95 degrees

Front 7

When examining a puppy for birth defects, what are some things that you look for?

Back 7

cleft palate, umbilical hernia, atresia ani (limb deformities)

Front 8

What is the umbilical stump disinfected with?

Back 8

povidine-iodine solution

Front 9

What are a couple of ways to encourage respiration in newborns?

Back 9

Rub briskly with a towel, use bulb syringe to suction out the mouth and nose.

Front 10

Who is responsible for the care of neonates?

Back 10

A non sterile person or the tech

Front 11

Name some potential post-operative complications that can occur after a c-section.

Back 11

hemorrhage, pyometra, mastitis, wound infection, peritonitis.

Front 12

If, during an endometrial hemorrhage, your patient experiences profuse and intractable bleeding, what is recommended?

Back 12

ovariohysterectomy

Front 13

During caesarean section, one of the complications that can arise is endometrial hemorrhage, what would you do in this situation?

Back 13

administer oxytocin and apply pressure

Front 14

What are the maternal mortality rates in dogs and cats?

Back 14

0-2%

Front 15

What are the reported neonatal survival rates, in healthy mothers?

Back 15

70-90%

Front 16

What is a positive thing about performing the c-section with OVH (spay)?

Back 16

Less risk of abdominal contamination

Front 17

What happens when you perform a c-section with and OVH (spay)?

Back 17

You remove the entire uterus with the neonates in it, the perform the rest of the spay.

Front 18

Describe the process of a c-section without OVH (spay).

Back 18

Larger incision, isolate uterus, 1 incision made, neonates milked toward the incision, break sac, clamp, cut cord, pass to non sterile person, remove ALL of placenta, close with monofilament absorbable suture.

Front 19

What is one thing to consider doing with your patient when doing a c-section (so that you don't have to knock them out cold)?

Back 19

line block or epidural

Front 20

What are two drug categories that may affect neonates?

Back 20

Opiods and NSAIDS

Front 21

What drug reverses most of the effects of opioids?

Back 21

Naloxone

Front 22

What drug is often used during c-sections, because it has minimal effects on the neonates?

Back 22

propoflo

Front 23

When clipping for a c-section, how should you clip? Is the patient awake or asleep during this process?

Back 23

You should make a wide clip, and the patient should be awake

Front 24

What are two levels that you should always know before performing a c-section?

Back 24

calcium and glucose

Front 25

Prior to performing a c-section, you should know the ______ status of the mother dog.

Back 25

Health

Front 26

How can radiographs be helpful before performing a c-section?

Back 26

If owner doesn't know how many puppies there are, then you can get an accurate count as to how many there are.

Front 27

List some of the extra supplies that may be needed when delivering puppies by c-section:

Back 27

Box with a heating pad/hot water bottles, lots of towels, suture material, bulb syringe, dopram, needle.

Front 28

List some of the important supplies that you may need when performing a Caesarean section:

Back 28

General spay pack, extra hemostats, extra carmalts, lots of extra people.

Front 29

When is the placenta usually delivered?

Back 29

Within 24 hours of the end of labor

Front 30

If you get a mother who is having strong contractions for more than 1 hour with no delivery, what is this considered?

Back 30

an emergency

Front 31

List some things that are going on while an animal is in Stage 2 of labor:

Back 31

cervix fully dilated, first fetus enters canal, abdominal contractions, fetuses occuring about every 30 minutes.

Front 32

When does the nesting stage end?

Back 32

When the cervix is dilated.

Front 33

How long does the nesting stage usually last in an animal? (on average)

Back 33

6-12 hours

Front 34

List the 3 stages of labor:

Back 34

Stage 1: Nesting stage, Stage 2: Full dilation of cervix/delivery of neonates, Stage 3: Delivery of the placenta.

Front 35

Give a couple of reasons why a patient may have dystocia.

Back 35

Oversized fetus, small pelvis, previous pelvic trauma, insufficient cervical dilation, uterine inertia (caused by overstretching of the uterus, toxemia, or exhaustion).

Front 36

When is a Caesarean section indicated in animals?

Back 36

It is indicated in dystocias and predisposed breeds