Medication Administration
What five different routes can you give medications?
1- SQ 4-PO
2- IM 5-Topically
3- IV
True or False- You can give another NSAID 24 hours after an owner has used Aspirin.
FALSE- there should be a 5 day rest period between Aspirin and NSAIDs. Use Gabapentin or Tramadol in meantime.
What does LDDST stand for?
Low dose dexamethasone stress test
What are the six different colored blood collection tubes?
Blue, Purple, Green, Red, Tiger, White
How do you stain an FNA slide?
Stain, GENTLY rinse, air dry for JMS to read; Add to FNA sheet and whiteboard
Rinse gently so cells or lipid are not washed off the slide
What two locations do we typically give IM injections?
Abaxial and Gluteal
What oral antibiotics do we have that need reconstituted and which require refrigeration?
Clavamox, Azithromycin, Amoxicillin
Refrigerate Clavamox after mixing
Which 2 procedures require fasting prior to doing?
Ultrasounds and Bile Acids test
What are the 3 most common blood draw sites?
Cephalic, Saphenous and jugular
How do you tell owners how to use Atopica for cats?
Use only provided syringe and draw up with bottle sitting on table, do NOT wash syringe between doses.
Two Part!
1) Explain in detail how to give a SQ injection. (Pretend you are teaching an owner)
2) What should you keep in mind when giving SQ medications to cats?
1) Tent skin, pull back on plunger prior to administering to ensure not in vessel or poked through skin, dispense medication
2) DO NOT give SQ injections in scruff of cats, give low on limbs/trunk
What are two reasons a patient would be contraindicated to receive a steroid?
Has a hear murmur, kidney failure, using NSAIDs or Apoquel regularly
What is the protocol for an ACTH stim test?
Place IVC, draw pre-sample in SST, administer Cortrosyn through IVC, draw post-sample in SST at 1 hour post Cortrosyn injection
What are the additives in the blue top, green top and the purple top?
Blue- Citrate
Green- Heparin
Purple- EDTA
Where are the 4 main locations you can find a patient's pulse?
Digital, femoral, ear and tongue
What drug is the exception to the rule of 'Give with food' in antibiotics?
Baytril, aka-Enrofloxacin
When applying neopolydex ophthalmic what problem should be ruled out FIRST?
Corneal ulcer
Using a steroid on a corneal ulcer can result in a melting ulcer- these can lead to potential enucleation.
What is the protocol for a LDDST?
Place IVC, draw pre-sample in SST, administer Dexamethasone through IVC, draw post-sample in SST at 4 hours and 8 hours post Dexamethasone injection.
What blood collection tube should be used for a Phenobarbital test?
Red top- no additive
What is an Agglutination test and what is it used for?
Agglutination test is used to check for IMHA
It is a test that uses 1 drop of EDTA whole blood mixed with 1 drop saline on a slide, you then look under the microscope for clumping of white blood cells.
What medication must be followed by water when given to cats?
Bonus +100 pts- Why?
Doxycycline
If not followed by a syringe of water cats can develop an esophageal ulceration!
How do you reconstitute Telazol and Convenia?
Telazol- Mix with 5 mL sterile water marked for euthanasia.
Convenia- Mix with 10 mL sterile water- vials specifically for Convenia kept in tupperware on bottom door shelf of fridge
What is the protocol for Bile Acid test?
Have patient fast for 12 hours prior to drop off, pull pre-sample in SST, feed fatty meal, draw post-sample in SST 2 hours after eating.
What are the bi-products from each tube when sent through the centrifuge?
Blue, Purple and Green- Plasma
Red, Tiger- Serum
What is the most important part when it comes to restraining patients?
COMMUNICATION