The Triage Tango
The two parts of Triage
What are: Primary Survey (obtaining vitals) and brief medical history
Reversal for Midazolam
What is Flumazenil
The color of a patient's mucus membranes that is poorly oxygenating
What is cyanotic?
(I'll take "muddy" as well even though I'm not as impressed)
The objective score that measures a patient who has suffered a traumatic brain injury and can be used to determine prognosis.
What is the Glasgow Coma Score
Presenting Complaints for a blocked cat that have nothing to do with not urinating
What are :
Constipation
Yowling
Vomiting
Lethargy
Seizures
Hiding
The cause of brick red mucus membranes
What is Septic Shock
The reason animals have pale mucus membranes after administering Dexmedetomidine
Peripherial Vasoconstriction
Two risks for using an OXYGEN MASK to provide O2 delivery to a patient
What are:
Risk of CO2 Rebreathing
Risk of Hyperthermia
Standard dose of Midazolam given to a seizing patient
What is 0.5mg/kg (I will also take 0.25mg/kg but I never use it)
The reason most blocked cats die
- Hint: It causes bradycardia, heart arrythmias and cardiac arrest
Hyperkalemia
When the pulse rate is less than the heart rate
What is pulse deficits
This sedative should never be used as a sole agent because of increased muscle rigidity.
What is Ketamine
The O2 Flow Rate for a rebreathing system
The three ways to assess the spinal cord on physical examination
What is conscious proprioception, motor function, superficial and deep pain
Medications/Treatments that lower serum potassium concentrations.
What are:
IV fluids
Unblocking
Terbuatline
Insulin + Dextrose
Who should receive care first:
2 year old Labrador, Hit by car - Non-weight bearing on right HL with a laceration on the medial aspect that is oozing blood. T: 102.1, P: 130, R: Panting, Pink/Moist MM, CRT <2
2 year old DSH, anorexic, hiding. Indoors only. No trauma. Unsure when last ate. T:97.1, P:110, R: 30, light pink/Tacky, CRT 2-3 seconds
Who is THE CAT
The main side effect of Acepromazine that makes it CONTRAINDICATED in shock, hypovolemia, dehydration, hypothermia.
What is vasodilation
A dyspneic patient is laying with their neck extended and elbows in tight. What is the name for this position?
What is Orthopnea (or Orthopneic)
The medical term for pinpoint pupils
What is miosis
Why is it important to monitor a cat's urinary output AND body weight at least every 4 hours after unblocking?
What is Post Obstructive Diuresis
The kidneys will start diuresing and making more urine. We need to make sure we are keeping up with higher rates of IV fluids so the cat does not become dehydrated. If they are producing more urine than fluids we are putting in, their weight will go down.
An owner calls about Princess, a 1.5 year old intact female Chihuahua. She gave birth to puppies about 2 weeks ago. She's shaking and he doesn't know if its normal Chihuahua shaking or if she should be seen. What is your recommendation?
She should come in for assessment. Muscle shaking/tremors could be a sign of hypocalcemia (Eclampsia/Milk Fever) a VERY COMMON and potentially fatal condition seen in post partum/nursing animals - especially smaller breeds.
The reason dogs pant when given hydromorphone
Opioids cause the thermoregulatory center of the brain to reset itself
Breathing pattern with waxing and waning depth of breathing followed by a short period of apnea and then the pattern starts over.
What is Cheyne-Stokes breathing
- Often associated with congestive heart failure, kidney problems, severe neurological disorders
Stuporous: Unresponsive to environmental stimuli, responds to painful stimuli
Comatose: No response to environmental or painful stimuli
The medication that is commonly given to a Blocked Tom to protect the heart and reverse arrhythmias from hyperkalemia while working to correct the imbalance
What is Calcium Gluconate
GIVEN SLOWLY, IV WHILE MONITORING ECG