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16 Cards in this Set
- Front
- Back
What is the definition of a surgical emergency?
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Life threatening situations involving SA and LA patients that require surgery for resolution
OR Situations developing during surgery which are potentially life-threatening and require resolution for successful outcome |
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What are 7 surgical emergencies that can occur?
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1) Premature awakening
2) Anesthetic complications- excessive depth 3) Regurgitation -ruminants and camelids 4) Hemorrhage 5) Rupture or leakage from a viscus 6) Loss of power 7) Building or operative suite on fire |
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What are the steps to dealing with premature awakening of a patient during surgery?
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1) anesthetist's response
-deepen anesthesia 2) Surgeon's response 3) Operating personnel |
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What are the 3 things that the surgeon should do when responding to premature awakening of a patient?
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1) Stop operating
-reduce noxious stimulation 2) Remove instruments from within confined spaces 3) Restraint patient if needed |
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What are the 3 responsibilities of the operating personnel when a patient starts to awake prematurely on the operating table?
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1) Restraint
2) Replace supplies 3) Reassess positioning |
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What are the 6 types of clinical signs that can occur with a patient that has reached an excessive depth of anesthesia?
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1) Bradyapnea, tachycardia
2) Bradycardia, tachycardia 3) Hypoxemia, hypercapnia 4) Vasoconstriciton 5) Hypotension (critical in LA), hypertension 6) Hypothermia, hyperthermia |
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What are the 4 ways to respond to regurgitation during surgery (camelids, ruminants)?
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1) Assure endotracheal cuff in place and inflated
2) Lower head to drain 3) Suction 4) Placement of E-t tube if not already there |
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What risk is associated w/ regurgitation in a patient during surgery?
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Aspiration pneumonia
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What are 3 sequelae to hemorrhage during surgery?
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1) Loss of visual field
2) Cardiovascular effects 3) Sometimes no treatment |
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What 3 things are important as a patient starts to hemorrhage and you lose the visualization of the surgical field?
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1) Remain calm
2) Direct pressure 3) Logical thought |
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What are 2 things you can do to provide cardiovascular support for an animal that is hemorrhaging on the surgery table?
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1) Fluid support
2) Transfusion support |
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Compare the prognosis of a ruptured intestine VS bladder during surgery.
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Rupture of the intestines can be a disaster, ruptured bladder in a foal might have a better prognosis
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What type of drain would you put in a contaminated abdomen?
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? Active drain- want efficiency, want quick so faster at increasing evacuation of material and probably going to use a lavage of sometime and put sterile fluid in abdomen so want to recover the fluid, have to get fluid out or just spreading the bacteria around
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What are 4 things to consider/ do when there is rupture or leakage from a viscus during surgery?
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1) Time of the "accident"
2) Prevent further contamination -direct pressure followed by closure 3) Lavage of surgical site 4) Placement of drains |
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What are some alternatives to use of there's a loss of power in a hospital during surgery?
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Can use regenerator otherwise manual instrumentation, modern equipment is battery powered
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What should you do if there's a fire while you're in surgery?
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have a technician go check and see what's happening, theoretically can put on maintenance by machine and cover surgical wound, but liability?
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