Vaccines
Why do we vaccinate puppies and kittens until 15-16 weeks of age?
For a majority of animals, MATERNAL antibodies should be completely gone by 14 weeks of age. Vaccines given after Abs are gone will have a lasting duration.
What are the main client touch points (communication points) during a patient's surgical day?
Drop off, Headed to Sx Text, Headed to Recovery Text, Call for Discharge, Discharge.
50 pt bonus if you can tell me the two scenarios for when an owner would not receive text messages?
What are our two main ways of disinfecting parvovirus?
Rescue solution (at a 1:16 ratio) for 5 minutes or 10% bleach concentration for 10 minutes.
Using our in house preventatives, state three ways we are able to prevent heartworms, fleas and ticks in DOGS?
1) Simparica Trio
2) Proheart + Bravecto
3) Triheart + Bravecto
When do we start three year Rabies and DAPP?
At their first annual. However, we are looking into some new data that may change that (See Dr. Boerner).
When do we discontinue monitoring for a surgery patient?
When they are extubated and breathing well on their own. (SPO2 and BP only are okay when monitoring in recovery before extubation)
What are the main technician responsibilities when managing an appointment? (6 out of 7 correct required)
1) Record Hx
2) Gather weight
3) Facilitate exam and restrain for doctor
4) Enter Orders
5) Perform in-house test and record them in Assessment
6) Email Vx AND Rabies Certs to owner (if applicable)
7) Check owners out in the room
How do we treat heartworm in cats?
We can't :(
What is the soonest and the latest timeframes you can give booster vaccines?
No sooner than 2 weeks, no later than 6 weeks.
Why do we use premedications for anesthetic procedures? (multiple answers, will accept two!)
Pain Control, Lower the amount of gas anesthesia needed, mitigate comorbidities.
Please list all the roles and their subsequent duties for a Triage situation. I am looking for 4 main roles
1) Concierge/Intake - recognize/intake triage, manage client, approval of stabilization and CPR/DNR orders (~$400)
2) Record Keeper - Records when drugs are given and actions (compressions, O2 flowby, intubation, IVC, shock fluids etc, d/c'ing CPR efforts) by the medical team are initiated or taken. Back up for approval of stabilization and/or CPR/DNR
3) Technicians (typically 2) - Access ABCs of patient, start O2 if indicated, place IV catheter, start vital monitoring, intubate, draw and administer CPR drugs, CPR drugs
4) Veterinarian - try to coordinate the beautiful chaos while staying cool as a cucumber and support your team
What is the main ingredient in Proheart?
Moxidectin
Which vaccines do we typically not administer during puppy vaccines? 3 answer, will accept two.
Rattlesnake, Lyme, Influenza
We have determine that a patient needs to get 45 mls IV through an infusion in a timespan of 15 minutes, what do you program into the fluid pump? Two answers required.
1) Fluid Rate: 180 ml/hr (45 mls x 4) 4 because we need it in 15 minutes and there are four 15 minutes in an hour.
2) VTBI (Volume to be infused): 45 mls. So the patient does not receive an overdose of medication.
What are the four wellness laboratory options we offer our clients? (2 for dogs, 2 for cats). Tests that are included only, no need to name the codes.
K9: KA600 - Adult Chem, CBC, Accuplex, Fecal PCR
KP: KA705 - Superchem, CBC, T4, UA, Accuplex, Fecal PCR
Feline: KS607 - Adult Chem, CBC, UA, Fecal PCR
Feline: KS705 - Superchem, CBC, T4, UA, Fecal PCR
A dog missed only one dose of HW prev. for the month of Jan then was UTD from then on, tested negative for HW dz at their annual in May, then tested positive the following May. What happened?
It takes 6 months from the time a heartworm is injected by a mosquito to where it is a mature adult in the heart/lungs and tests positive. Think of the HWT as a snapshot of their HW status six months prior!
Please state the two main "lifestyle" vaccines that we discuss with owners of dogs and cats.
Bordetella and FeLV are the main ones, also influenza/rattlesnake/lyme.
Please list three acceptable ways to counteract a patient's falling blood pressure under anesthesia. (6 answers, will accept 4!)
1) Lower isoflurane
2) raise fluid rate (if safe for patient)
3) reverse premedication (if applicable)
4) administer Hetastarch
5) if coordinated with doctor, wait for surgical stimulation
6) potentially give CPR drugs
You run a FeLV/FIV SNAP test on a 4 month old kitten. The results are as follows: FeLV negative, FIV positive. What do you tell the owners?
FIV positive could be from maternal antibodies, retest after 6 months of age. If positive, we have a high degree of suspicion the cat has FIV. But if negative, the first test was a false positive.
An owner states during the history that they are stopping Simparica Trio or Bravecto because they read it causes seizures, how do you respond? Two answers will be accepted, getting both gets you bonus
1) Great question Mr. Walker! I would be insanely concerned if I read that too, luckily these are tested heavily by the FDA and they found these medications in dogs prone to seizure disorders(like Epilepsy, liver dz, brain tumors) MAY potentiate their seizures. So we definitely avoid them (You may tell them about Apollo!). But I will let Dr. Martin know of your concerns!
2) Thank you for raising that concern! I think Dr. Boerner would love to discuss that further with you to make sure you are 100% comfortable with what you are giving Dingleberry.