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28 Cards in this Set
- Front
- Back
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CesareanSection |
(Hysterotomy) - Delivery of afetus by surgical incision through the abdomen and uterus |
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Indications of Cesarean Section |
o Malpositioned fetus o Oversized fetus o Abnormal fetus o Small pelvic canal of dam o Insufficient dilation o Uterine inertia |
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How to do a Cesarean Surgery |
o Gravid uterus exteriorized and placed on top ofmoistened laparotomy sponges o Make an incision on the ventral aspect of uterusand push fetuses towards incision to exteriorize o Extract fetuses, rupture amniotic sac, clamp theumbilical cord |
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NeonatalCare |
o Warm, dry area must be prepared o Have emergency drugs on hand: doxapram,naloxone, epinephrine o Clear fluid from upper airway using bulb syringeor swinging newborn downwards gently o Rub newborn dry with warm towels o Ligate umbilical cord with suture |
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Orchiectomy |
“castration”, “neutering” |
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Indications of orchiectomy |
o Sterilization of male o Prevent undesirable behavior o Treatment/prevention of reproductive tractcancer o Treatment/prevention of benign prostatichyperplasia |
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Important things clients should know |
o Castration should be performed at about 5-6months o Castration of older animals won’t immediatelyeliminate male tendencies o Dog will still be fertile for a few weeks aftercastration |
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Postoperative care |
o Restrict exercise o Keep dog clean and dry o Keep dog from licking or biting at externalsutures |
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Onychectomy |
“declaw” |
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Indication for declaw |
Prevent destruction of furniture and wall coveringsin human households |
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Procedure |
o Nerve block recommended o Wash paws and spray w/ antiseptic o Apply tourniquet proximal to elbow o Remove claw and third phalanx using scalpel,nail trimmer, or laser o Close incision site w/ surgical glue o Bandage paws |
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Roleof technician in a declaw |
· Ensure bandage remains in place · Remove bandage 1 day after surgery · Advice owner to substitute shredded paper forkitty litter until incisions heal |
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Tenectomy |
· Alternative to ocychectomy – remove a portion ofdeep digital flexor · Claws remain in retracted position Nails become thick and blunt, must be trimmedregularly! |
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PuppyTail and Dewclaw Removal |
· Performed on some breeds of dogs at 3-5 days ofage · Sedation and local anesthesia recommended · Aseptic preparation of surgery site isrecommended |
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GastrointestinalSurgery |
· Care must be exercised when performing GIsurgery · Resident bacteria live w/in GI tract · GI tract surgery is best performed on an emptystomach. Fasted 12-24hrs · Intestinal contents present a great risk ofinfection |
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Gastrointestinal Surgery- decreasing infection |
o Remove GI tract from abdomen before opening o Isolate the surgery site from abdomen by packingoff with laparotomy sponges o Always be cautious when working around an openbowel o All instruments used on the GI tract tissuesshould be placed on a sterile drape and removed after GI tract closure o Sterilepersonnel should change gloves after GI tract closuresDžO |
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Orthopedic Surgery |
· Surgery involving the skeletal system (i.e.bones) and associated structures · Include bone fracturerepair, articular joint dislocation reduction, arthroscopy, cranial cruciateligament rupture reconstruction, luxating patella stabilization |
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Bonefractures can be classified based on |
· Bone involved · Whether it’s open or closed · Location of fracture on bone · Type of fracture · Whether it’s reducible or not |
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Typesof fractures |
1. Transverse fracture 2. Oblique fracture- harder to stabilize 3. Spiral fracture 4. Reducible Comminuted fracture- more than 2 fragments 5. Non reducible comminuted |
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Surgicaloption for fracture repair |
· Internal fixation External fixation |
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Internal fixation |
o Bone plates o Intramedullary pins o Cerclage wire |
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External fixation |
o Kirschner-Ehmer (KE) fixation o Casts o Splints |
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Postoperativecare of bone fracture surgery |
· Analgesic administration · Antibiotic administration · Physical confinement to restrict activity· Follow-up radiographs every 4-6 wks. |
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ElectrosurgeryEquipment |
· Electrosurgical units transmit electricitythrough the tissue to cut or coagulate blood vessels · Monopolar electrosurgical units require a groundplate in contact with the patient to conduct electrical current away frompatient Bipolar electrosurgical units utilize a handpiece that looks like a thumb forcep and which passes electricity from one tipto the other |
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SuctionEquipment |
· Suction units are used to remove fluidaccumulations from a surgery site · Portable units run on an electrical motor thatcreates the vacuum needed for suction · Sterile vinyl tubing is attached to sterilesuction tip on one end and to the motorized vacuum unit at the other end · Suctioned fluid is collected in a plastic orglass receptacle |
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Endoscopy |
Techniqueof examining internal body structures using specialized optical instruments Minimallyinvasive procedure that provides valuable diagnostic information and allows theperformance of therapeutic procedures |
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Two types of Endoscopes |
Flexible-Used for examining organs where a long, flexible insertion tube will benecessary Rigid-Used for examining organs where the insertion tube does not need to bend |
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Endoscopecomponents |
Fiberopticlight cable and light source Airsource for insufflation Watersource for rinsing Suctionunit Biopsyand retrieval instruments Allcomponents are found within channels that run the length of the endoscopeinsertion tube |
