When we are keeping a patient fasted for a procedure, we use this abbreviation
NPO (nil per os)
This ingredient common in tea can be toxic leading to vomiting, diarrhea, respiratory distress, photosensitivity, dermatitis, etc. I'll take Green tea over Earl Grey for that reason.
Bergamot
#7 is called what portion of the spine?
Cervical
This inhalant anesthetic is preferably used since it has less irritation when breathing and patients recover more quickly when it is turned off. It is hella expensive though
Sevoflurane
You have a 33 pound dog that needs 20 ml/kg of plasma over 4 hours. How much total is he getting and what is the rate?
Total: 300ml
Rate: 75ml/hr
Gabapentin can sometimes be given like this depending on the patient's comfort level.
PRN
As needed (Pro Re Nata)
This medication is commonly used to treat hypothyroidism and is more commonly prescribed in dogs, though people occasionally use it too.
Levothyroxine
Name the RED directional term
Rostral
This anesthetic has no pain relief but works well as an induction agent. However, if given too fast, it causes bradypnea and apnea. Maybe someone should have explained that to Michael Jackson?
Propofol
A 65 pound dog is staying in hospital and the doctor wants to run the fluids at 90 ml/kg/day due to dehydration. What is the rate per hour for fluids and how much will she get over a 24 hour period if she is kept at the same rate?
Rate: 111 ml/hr
Total: 2659ml
This is a common disorder affecting male cats specifically.
FIC
Feline Idiopathic Cystitis
This common produce item (which is technically a fruit) has a toxin called "persin" which can lead to vomiting and diarrhea. The high fat content can lead to pancreatitis and the pit can cause a GI obstruction. Stick to the salsa and queso then
Avocado
Patients with a HYPOnatremia and HYPERkalemia have abnormalities with which two electrolytes?
HYPOnatremia= Sodium
HYPERkalemia= Potassium
This medication is routinely used as a local anesthetic and lasts ~6-8 hours but takes about 45 minutes to take effect. Unlike its local anesthetic counterpart, it CANNOT be given intravenously.
Bupivicaine
You have a 1.5 pound Yorkie who presents for vomiting. The vet wants to give Cerenia 1 mg/kg SQ. How much in ml will you draw up? If you are using an U-100 insulin syringe, what would you draw it up to?
Amount: 0.068ml
Using a U-100 syringe, draw it up to the 7 unit mark
This disease is more common in dogs (large breed dogs like Dobermans specifically) which leads to an enlarged left ventricle.
DCM
Dilated Cardiomyopathy
This medication is considered a Beta blocker which is helpful with hypertrophic cardiomyopathy cases in cats but also treats Vtach. No one is laughing out loud with this medication.
Sotalol
Name the blue medical term (HINT: bottom of the paw)
Plantar
This dissociative medication is an analgesic and common induction agent but has no muscle relaxation, which is why it is used in combination with other drugs while inducing. Hint: it causes temporary amnesia when used in humans
Ketamine
A cat has a low potassium of 2.9. The vet wants you to add KCl at 40 mEq/L to the fluids. You put 30 mEq/L in a 1L bag for the cat previously and now there is 500ml left. How much extra do you need to add?
30mEq/L= 7.5ml in 500ml
40 mEq/L= 10ml in 500ml
10ml- 7.5ml= 2.5ml extra
When CPR is considered successful?
ROSC
Return of Spontaneous Circulation
The plant contains a drug which is technically legal (if you're over 21) but very addictive. When ingested by animals, it can lead to drooling, tremors/seizures, vomiting, diarrhea, and miosis. Maybe a camel isn't a good mascot then?
Tobacco (nicotine)
The difference between a gastrotomy and a gastrostomy, besides the extra "s"
BONUS: how does a gastrectomy differ?
Gastrotomy: make an incision into the stomach for a temporary opening (ex. FB removal)
Gastrostomy: make a more permanent opening into the stomach (ex. placing a stomach feeding tube)
Gastrectomy: Removing a all or a portion of the stomach (ex. removing necrotic tissue or a mass)
If a patient needs CPR after giving a Benzodiazepine, this reversal agent should be given as one of the first medications. Hopefully they won't start seizing again after you reverse it.
Flumazenil
Benzodiazepines (Midazolam, Diazepam, etc.)
Vesuvius, a 19 pound cat, needs a Lasix 2 mg/kg IV bolus injection followed by 1 mg/kg/hr CRI. The doctor wants you to pull up a 12h dose and mix with saline to run at 1ml/hr.
How much is the bolus injection?
How much Lasix are you drawing up for a 12 hour dose?
How much saline are you mixing with it to make a 1ml/hr solution?
Bolus amount: 0.35ml
Ml/hr dose (undiluted)= 0.17ml/hr
0.17 x12= 2.07ml Lasix
12- 2.07= 9.93ml Saline