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45 Cards in this Set

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