DRUGS
What is Norepinephrine used for?
Hypotension
PCV: 25 - 45%
TS: 6 - 8.6g/dl
What CRI's do you not disconnect to take a patient for a walk?
Insulin
Norepinephrine
Compressions
SPO2 represents what? What is normal?
SPO2 = blood oxygen level; how much oxygen is getting to the brain
Normals= 95% - 100%
50ml Dextrose to 500ml Norm R
What samples do you need for a D-Dimer?
How do you prepare and package?
Where does it go?
Citrated sample - clean stick
Spin down and place in WTT and freeze
Cornell University
What is important to note in a non-mobile patient staying in the ICU?
Rotate every 4 hours to avoid bed sores
What is DNR, BLS, ALS?
DNR = Do not resuscitate
BLS = Basic life support (compressions, medications)
ALS= Advanced life support (crack open the chest for compressions of the heart)
What samples are needed for a GHP?
The doctor requests 3mcg/kg of Fentanyl to be given to a 5.3kg dog. How much fentanyl would you draw up?
0.31ml
How do you complete a platelet count?
Count 10 fields on oil immersion
Add up 10 fields and divide by 10
Multiply by 15,000
What does orthopnea mean?
Difficulty breathing - associated in respiratory distress with neck stretching
What are the most common drugs used in CPR?
Atropine
Epinephrine
What is a normal BP ?
90 - 140
What is the concentration of cerenia? What is the dosing? How much would a 10kg dog receive?
10mg/ml
1mg/kg
What are the blood types of Felines and canines?
How do you find the goal rate?
How do you start a blood transfusion?
What are signs of a reaction?
Felines: A or B (A is universal)
Canines: DEA 1.1 + or DEA 1.1 - (Negative is universal)
Goal Rate: Amount / time (ex. 350ml / 4hrs = 88ml/hr)
Titrate the transfusion : Goal rate x 0.25, goal rate x .50, goal rate x 0.75
Anaphylaxis - ↑ HR, RR, TEMP, BP or ↓ HR, RR, TEMP, BP
*Remember we are monitoring trends
A patient is being treated for ITP. What does ITP stand for and what are we monitoring?
Immune thrombocytopenic
Platelets , PCV/TS, Bruising, MM color
What does PEA mean?
Pulse-less electrical activity
Patient is considered dead.
When do you use a burette for IVF?
A patient is <20 pounds
Specific additives needing constant changing and monitoring
What is Acetylcystine? How is it diluted and how is it given? Any special precautions?
Liver Protectant
Diluted 1:5 with NACL or D5W
IV
Given over 20-30 minutes, can cause GI symptoms if given to fast
↑ pH HCO3
Explain how to properly monitor a MILA chest tube?
Wipe the port with alcohol
Attach syringe to port
Unclamp line
Aspirate air or fluid
Reclamp line
Disconnect syringe
How do you properly do compressions on a Doberman, Lab, Bulldog, and cat?
What are the two CPR theories? (extra points)
Doberman - directly over the heart
Lab - Highest point of the chest
Bull dog- On their back
Cat - directly over the heart
Thoracic Pump Theory and Cardiac pump theory
What ECG rhythm will you defribrilate?
Ventricular Fibrillation