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45 Cards in this Set
- Front
- Back
What are five things you should obtain when evaluating a patient?
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- Patient history
- Procedure to be performed - Complete physical exam -Diagnostic test - Determination of patient's phyisical status and anesthetic risk |
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What is CC?
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Cheif complaint
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True or False: You should wait for the client to tell you the cheif complain prior to asking additional directed questions?
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True
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What are examples of specific questions for patient history?
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-How much if Fluffy drinking?
- Confirm age, and sex of patient - Confirm procedure to be done - When the patient last had access to food and water - Has the patient ever recieved anesthetic agents before -Any previous adverse reactions to medications - Any specific problems in the last 24 hrs - Are they currently on any medication |
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What do you do if a client is unable to answer a question?
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Formulate a different way of asking a question
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When taking a patient history, what should you do to make sure you have the right information?
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Periodically repeat the information back to the client
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What should you do to maintain good communication skills?
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-Good eye contact
- Body language that encourages client to speak - Allow client to finish statements w/o interuption` |
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True or false: You obtain less information about a patient if they are in critical condition
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True
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Why is it important to accurately record history obtained from a client in sufficient detail ?
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To convey all needed information to the veterinarian
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When obtaining information on specific systems during the patient hisotry what should you ask?
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Any coughing, Sneezing, Vomiting, Diahrrea, excessive drinking, excessive urination
- Any exercise intolerance, weakness, fainting, seizures, bruising |
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When taking the patients history what are some things you need to get from the client?
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A signed consent form for anesthesia and surgery
- A emergency contact number - A signed review written estimate of fees if provided by vet |
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When performing a phyisical exam what should you note ?
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Signalment- species, breed, weight, age, sex
- Disposition - BAR, QAR, lethargic, depressed -Obvious lameness, weakness, neurologic problems |
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When examining the overall body system what are some things you would record?
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Dehydrated
Obese Emaciated Thin Pregnant |
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What is the normal Temperature for dog and cat?
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Dog - 100.5- 102.5
Cat 100.5 - 102.5 |
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What is the normal heart rate for a dog and cat?
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Dog- 60-180 bpm
Cat- 140-220 |
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True or False: When doing a physical exam you should note the mm color and CRT
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True
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What should the respiratory rate for a dog and cat be?
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Dog- 10-30 br/min
Cat- 24-42 br/min |
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When examining the abdomen what organs should be evaluated?
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Liver, spleen, GI, Kidney, Bladder
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When examining the peripheral lymph nodes what should be examined?
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Submandibular, prescapular, axillary, inguinal, popliteal
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What is the normal ranges for PCV/hematocrit for a dog and cat?
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Dog- 37-55%
Cat- 30-45% |
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When the PCV is increased what is that a sign of?
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Dehydration
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When PCV is decreased what is that a sign of?
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Hemorrhage
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What is the normal total Protein for a dog and cat?
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6.0-7.5 g/dl
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What should be included in a CBC?
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PCV/Hematocrit
TP WBC count Urinanalysis Platelet count |
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What is the normal ranges of WBC in a dog and cat?
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Dog- 6000-17000
Cat- 5500- 19500 |
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What is the normal platelet count for a dog and cat?
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Dog- 200000-500000
Cat- 300000-700000 |
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What are some diagnostic blood test that can be run?
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Blood chemistry
Glucose BUN SGPT AP Blood clotting times |
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What diagnostic tests would you run to confirm Heart disease, chest trauma, hyper K+, GDV
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Electrocardiogram
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What are the different ways of classifying patient?
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Class I
Class II Class III Class IV Class V |
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In order from greatest risk to least risk place the classes
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Class V
Class IV Class III Class II Class I |
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What type of animal would you place in Class I
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A healthy patient
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What type of procedures would Class I consist of?
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OHE, Castration, declaw, OFA rad's
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What type of patient would you place in Class II?
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Slight risk/minor disease present
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What procedures would be Class II
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Neonate, Geriatric, obesity, skin tumor, uncomplicated hernia
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What type of patient would be class III
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Moderate risk/ obvious disease
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What type of patient would be class IV?
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High risk. significantly compromised disease
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What type of patient would class V consist of?
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grave risk/ moribund
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What is the selection of anesthetic protocol influenced by?
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-Patients physical status
-Availability of facilities and equiptment - Familiarity with agent - Nature of procedure requiring anesthesia - Special Patient circumstances -Cost - Speed |
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How long prior to recieveing anesthesia should a patient be fasted?
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12 hrs food 2 hrs water
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When performing GI surgery how long should food and water be withheld?
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Food 24 hrs
Water 8-10 hrs |
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When performing colon surgery how long should a animal be fasted?
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24 hrs and enemas day before and day of surgery
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What circumstances would you not fast an animal?
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Dogs and cats < 3 mo of age
Birds Rodents Rabbits |
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Why is a intravenous catheter a good choice for preanesthetic care?
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-Safe to admin agents that shouldnt be given perivascularly
- Allows concurrent use of incompatible drugs - Allows rapid admin of emergency drugs -Allows fluid administation during surgery |
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What is the usual fluid administation during anesthesia?
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10ml/kg/hr
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What are the shock therapy doses for dogs and cats?
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dogs- 90ml/kg
Cats- 44ml/kg |