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153 Cards in this Set

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aught

0

bigger #

bigger suture

what is the max size for a suture

7

true or false. sutures can go smaller than zero

True; put number in front of zero

what is the smallest size of suture

11-0

absorbable sutures

dissolves with time

non-absorbable sutures

does not dissolve or only after a really long amount of time

memory

how flexible a suture material is

PDS (polydioxanone suture)

a lot of memory, harder to make a knot

silk

no memory, easy knot

knot dyed

colored to be able to see when suturing

is Cat gut suture absorbable

yes, absorbs in 7-14 days

how long do PDS sutures take to absorb

180 days

are staples, silk sutures, and thin metal absorbable

no

surgery

muscle, SQ (close dead space), skin suture; decreases dehinsence

Post- Op

TCTC rules

Neuter

prevent prostatitis, reduce congential problems, prevent testicula cancer, perianal tumor prevention

laparotomy

flank incision

what is a celiotomy and why are they performed

entering the abdominal cavity, foreign body, tumors, etc.

what instruments are needed for a laparotomy

Balfour retractor


laparotomy sponges


warm fluids

what position is a patient in for a laparotomy

dorsal

what is another name for laparotomy

celiotomy

what are the borders for a laparotomy

xiphoid to prepuce

how is a laparotomy closed, and what is the post op

same a spay

AAFCO stands for

Association of American Feed Control Officials

what is the purpose of the AAFCO

sets standards for wording of labels and ingredients

what is the purpose of a food label

the primary display shows what animal it is for and brand

ingredients

shows what makes up the food

information panel

ingredients

why is protein the 1st ingredient in dry food

better quality

dry food should be what percentage of moisture

10%

what percentage of water should canned food have

70%

what nutrient do cats need more of

protein

why can't cats have a high carb diet

they will get fat

feed instructions

tend to be higher and not account for treats, etc

what are the reasons to study nutrition

enhance patient health throughout all life stages


maintains pet quality of life


provides therapeutic support following disease or injury


elevate overall quality of veterinary practice

what does good nutrition provide for an animal

energy

what are teh six categories of nutrients

proteins


fats


carbohydrates


water


vitamins


minerals

what are the three macronutrients

proteins


fats


carbohydrates

what is the most important nutrient

WATER

what are the 2 micronutrients

vitamins and minerals

what is essential for survival

water

what does water do for the body

facilitates cellular reactions


transport medium for nutrients


controls body temperature


facilitates digestion by hyrdolysis


takes away the waste products

how is water lost daily in an animal

urine


fecal


respiration


vomiting

consumption must compensate what

water in food


metabolic water


drinking water

what do proteins do

function as enzymes, hormones, carry substances

what do carbs provide

energy, used to maintain and repair cell structure

what is the purpose of fat

store energy, make up cell membrane, form compounds like cholesterol


fatty acids make energy


need essential fatty acids (from plants/animals)

what 2 things are soluble

sugars and starches

what are the 5 types of fibers

pectin


lignin


cellulose


mucilage


gum

what is the purpose of fibers

helps digestion, gut bacteria needs fiber


(plant product)

how are carbs stored

stored as glycogen or fat

sugars

glucose (simple sugar)

what is the primary form of carbohydrate used by the body's cells for energy

glucose

what is fructose

fruit sugar

what is lactose

only significant animal carbohydrate


glucose + galactose

what is sucrose

table sugar


glucose + fructose

what does polysaccharide mean

many sugar molecules

what are the 4 polysaccharides

starch


glycogen


dextrins


dietary fiber

what are the 3 stages of labor

stage 1 - nesting


stage 2 - full dilation, entry of first fetus into birth canal, rupture of membranes, birth


stage 3 - passage of placenta

how long is stage one of labor

last 36 hours before birth (small animal)

what are some signs of stage 1

anxious, panting, licking vulva, shiver, drop in temperature toward end of stage

delivering litter should be about how long

30 min - 1 hour



what are some reasons to go to the vet during labor

more than 2 hours between puppies


foul odor


vaginal discharge present

true or false: dogs can pass a placenta after each pup

true

how long can it take for a placenta to fully pass

several hours to a day

will you usually see the placenta

no cat/dog will usually eat

how many placentas for a cow/horse

1

what should the owner be told to look for

signs of stages


always better to have medical help



travelling with pregnant animal

blankets, careful when picking up


BRING LITTER WITH

cesarean delivery (c-section)

delivery of a fetus or fetuses by incision through the abdominal wall

what suture pattern should be used on the uterus with a c-section

2 layer inverted suture pattern and 2nd is imposing

c-section with spay

en bloc: clamp uterus/ovaries and remove with puppies still inside so techs take puppies out


or can be performed normal way

reasons for c-section

fetus too large


maldeveloped


faulty pelvic presentation of fetus


small pelvic canal


insufficient dilation


uterine inertia

which breed of dog commonly have dystocia

english bulldog

planned vs emergency

planned is cheaper, talk with vet, scheduled in day, monitored


emergency is expensive

what is needed for a c-section

intruments (normal Sx pack, bulb syringe)


towels (keep pups warm)


box for neonates


doxapram (sublingual) as resp enhancer


rub on them/sling


pup feed tube (neg. pressure if in stomach w/ syringe)

prep of dam

shave prior to anesthesia


don't pre-med


popofol good anesthetic


sevoflurane sometimes used

recovery

wake quick, analgesic (meloxicam/ rimadyl)


introduce to pups quickly once dam is fully awake


send home soon to bond

care of neonate

place pups on warm place (heat blanket, rice socks, warm fluid bag, snuggies, towels)



what reverses opiods

naloxone (to wake up faster)


epi: vasocontrictor (stop bleed in umbilical jump start heart)

what is the home care for the umbilical cord

no home care needed

what are some things to make sure of for care of neonates

mammary glands of mother are clean


neonates nurse ASAP


make sure mother is fully awake and caring for neonates before leaving them alone

what are the 3 primary methods for treating dystocias in large animals

mutation and delivery by traction


fetotomy


c-section

what is the most common procedure to resolve dystocia

mutation and delivery by traction

what is mutation

changing th epostion of the fetus so that it can be delivered

what is fetotomy

if the fetus is dead and cannot be delivered by mutation and traction, one or more cuts to the fetus to amputate portions

what are some reasons for a c-section in large animal

fetus too large


size of female prohibits vaginal manipulations


failure to dilate


vaginal prolapse


fetal emphysema (dead, partially autolyzed fetus)


fetus too malformed (fetal monster)


planned termination of pregnancy, before term, to save life of dam

what is a calf-jack

instrument used to pull calf out of mother

what is a calf saw/knife

cut dead or calf that's too big to get out

how are c-sections performed on bovines

standing, left flank incision, pull calf out (80 - 120 lbs)

what is the treatment for calves

same as puppies or kittens, rub or compression to breathe

how are c-sections performed on horses

ventral midline incision, dorsal recumb., general anesthesia

when should a c-section done on equine

only in life threatening situation or if can afford

is it common to do a c-section on horses

no has less than 30% success rate

is it common for a horse to twin

no rare, less than 7%, c-section is needed if mare twins

what is red-ball

vaginal prolapse

how is red-ball treated

pack with sugar and wrap to decrease swelling to allow to push back in

what is the birth weight of a foal

200-400 lbs

what is a caslicks

suture material to suture vulva opening leaving small opening to urinate about 1-1.5"

what is a wound

created when an insult, either purposeful or incidental disrupts the normal integrity of the tissue

what is a purposeful wound

Sx incision, vaccinations

what is an incidental wound

snake bite, scratch, etc

what are the 4 stages of healing

inflammatory


debridement


repair


maturation(depends on size)

when does inflammatory stage of healing start

immediately after wound


blood clots, platelets come in

when does stage 2 of healing start

within 6 hours of wound


WBC (monocytes/macrophages) enter wound

when does stage three begin

with in 3-5 days after wound


fibroblast and granulation tissue appear, wound begins to have strength

when does stage 4 start

with in 3 weeks after the wound


collagen comes in to form scar, can take weeks to years to complete depending on size of wound)

what are some things that can delay healing

age


malnourished


poor protein production


kidney and liver disease


corticosteriods


certain disease (diabetes mellitus)


immune status

which heals slower bigger or smaller wounds

bigger wounds

blood supply affects healing in what way

low blood supply slows healing

1st degree burn

superficial, confined to outermost layer of skin


red/painful, recovers on its own

2nd degree burn

partial thickness dermal injury


can have fluid-filled blisters

3rd degree burn

full thickness of dermis; thick, leathery, sometimes black dead dermis (escher forms over burn), can require skin graphs

4th degree burn

can affect muscles, require skin graphs and reconstruction, large area, critically ill, and require intensive care to survive

what are the types of wounds

puncture


degloving


decubitus ulcers


recumbent patients

puncture wounds

cause infection, pus, abcess


need lavage, explore surgically if needed, drain put in

degloving

skin peeled away


require skin graphs usually, clean area

decubitus ulcers

usually thinner animal lies on hard surface for long time (pressure sores)

recumbent patient

get wounds/sores from laying too long (paralyzed patient)

proud flesh

wound produces large/excessive amount of granulation tissue

external factors of wound care

certain drugs (corticosteroids - prednisone) reduce healing


radiation reduce healing

wound debridement

clean wound to remove all contamination, surgical removal of tissue if necessary, done under anesthesia

layered

doing it in stages over several days

en bloc

local anesthesia to help with pain and then close

enzymatic

put enzymes in wound to breakdown necrotic tissue

clean wound

after surgery, created under sterile conditions, only skin (not GI) spay/neuter

clean-contaminated

minimal contamination; cutting into GI or bladder surgery

contaminated

heavy contaminated, HBC, bite wound, come to vet quickly after wound

dirty

go to vet days after wound, pus, discharge, etc

primary closure

surgery wound closing with apposition (en bloc example)

delayed primary

abscess wound cleaned up, leave open for couple of days and closed before granulation tissue forms

secondary closure

granulation tissue forms before close infected necrotic wound


(third intention) ex: burn wound, deglove injury

secondary intention wound healing

leave wound open and heal on its own


ex: cat bite abscess


(clean and lavage, give antibiotics)

what are some important factors in wound management

time since injury


degree of wound contamination


degree of tissue trauma


thoroughness of initial debridement


blood supply to wound


animals physical status


wound tension and possibility of closure


location of wound

which breed of equine are predisposed to lameness

ponies (big bodies and tiny hooves)

sub acute laminitis

mild


caused by ride on hard surface


hoof trimmed too short


resolved quickly

acute laminitis

little more severe


doesn't respond as rapid to Tx


coffin bone starts to rotate

refractory laminitis

bad


does not respond to Tx/ minimal response


digital pulses seen/felt, painful, non-weight bearing

early chronic laminitis

days to months (rotation of coffin bone)



chronic active laminitis

coffin bone rotates/ is unstable


can penetrate bottom of sole

chronic stable laminitis

coffin rotated but stabilized through Tx

causes of laminitis

endotoxin induced microthrombosis, alteration to blood flow in hoof

what are predisposed factors of laminitis

grazing in lush pastures, grain overload, inflammation, GI tract, stand on one leg too long (race horses, etc)

what is a Tx for laminitis

trim hoof to try to realign coffin and hoof wall

what are the signs of a bruised sole and the Tx

reddish discoloration


rest to recover


can turn into abscess

Abscesses of the equine hoof

rupture at any spot (sole, coronet, etc)


can detect early with hoof testers


clean abscess after it is drained


give tetanus shot

navicular syndrome



small feet, low heels, workload, pastern too high


necrotic heel, unhealthy tissue cushion


short choppy stride indicates syndrome


corrective shoes help

quittor

deep-seated sore


drain at coronet


caused by puncture wound, bruise, chronic inflammation of collateral cartilage

cracks

caused by dry hoof, injury at coronet band, or if hoof is too long


Tx: corrective shoes, trim hooves, acrylic fillers, wires along crack to bring together

grease heal

dermatitis veritosa


plantar surface usually pastern/fetlock area, sometimes front leg


foul smell, greasy


clip, wash, antiseptic, owner education

stringhalt

involuntary flexion of hock as animal moves forward


one or both limbs


degenerating nerves cause this


Tx: remove part of lateral digital extensor tendon

bowed tendon

caused by severe strain on superficial or deep flexor tendon


sheath separate from tendons cause hemorrhage in sheath, tendon tears sometimes


usually front limb