CPE

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Author:
lynnsy
ID:
169418
Filename:
CPE
Updated:
2012-09-07 01:31:16
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  1. -Pulse Ox
    • -measures 02 Saturation,. Systolic, diastolic and mean blood pressure
    • Systolic-100-160 mm/Kg
    • Mean-80-120 mm/Hg
    • Diastolic-60-100 mm/Hg -place on non-pigmented skin
  2. -Esophageal stethoscope
    • -take heart rate
    • -measure form the tip of the nose to mid-sternum
  3. -02 flow rates
    • -less than 7kg patient- 200ml/kg/min (non-rebreathing) no less than 2000 ml/min
    • -greater than 7kg patient- 30ml/kg /min (rebreathing)- no less than 500ml/min
  4. Res bag size
    60ml/kg
  5. liter of O2
    PSI x 0.3
  6. Tidal volume calc
    10-15mg/kg
  7. Maint fluids
    30ml/lb/24hrs
  8. -hypovolemia
    2x maintenance fluids -
  9. Shock fluid rates
    88dog or 66cat/kg/hr (remember to divide by 4 for 15min sets)
  10. -Soluset (Butrol)
    - type of micro drip, allows for more precise measurement and delivery
  11. Atropine
    bradycardia (anticholinergic)
  12. Narcan
    2) Narcan (Naloxone HCL) reversal for opioids
  13. Epinephrine
    3) Epinephrine increase heart rate & force of-contractions
  14. Dopram
    4) Dopram (Doxapram) stimulates respiratory system & CNS
  15. Yohmibine
    (a-2-antagonists) reversal for sedative {Rompun, Xylazine)
  16. Lidocaine
    • Local anesthetic
    • anti-dysrhytmic,
    • agent for ventricular tachycardia
    • decreases incidence of laryngospasms in cats
  17. Solu-Delta-Cortef
    •  shock (push on lid to blow out cork and activate)
    • -Prednisolone sodium succinate
  18. Isoflurane
    •  Induction 2.5%
    • Maintenance 1.5%
  19. 2) Halothane
    • Induction 2.5%
    • Maintenance 1,5%
  20. Sevoflurane
    • Induction 4.5%
    • Maintenance 3.5%
  21. Radiology -Developing
    • -Developing -develop for 3 min at
    • 68 degrees
    • -decrease time by 30 seconds for every degree below -never less
    • than 2 min.
    • -increase time by 30 seconds for every degree above -never greater than 5 min.
    • -overdeveloping is worse than over fixing
  22. Radiology -fixing time
    • -2 times the developing rime
    • -example. Develop 3 min., fix 6 min
  23. Radiology -clearing time
    -minimum 20 sec.
  24. Radiology -rinsing times
    • -between developing and fixing- 30 sec.
    • -final rinse variable (approximately 10 min.)
  25. Doubly dark
    • -decrease kVp by 15% -preferred
    • -decreased mAs by 50% - if unable to decrease kVp
  26. Doubly dark
    • -can distinguish borders
    • -not diagnostic
    • -decrease kVp by 10%
    • -decrease mAs by 30%
  27. 1/4 Doubly dark
    • can go out of kVp range
    • -decrease kVp by 2-3
  28. Doubly light
    • -can't distinguish different pans
    • -increase kVp by 15%
    • -preferred
    • -increase mAs by 50% -if unable to increase kVp
  29. ½ Doubly light
    • -can distinguish borders
    • -not diagnostic'
    • -increase kVp by 10%
    • -increase mAs by 30%
  30. ¼ Doubly light
    • can go out of kVp range
    • -increase kVp by 2-3
  31. kVp ranges
    -thorax 75-95 -abdomen 65-85 -extremities 55-65
  32. Radiology ID caliper
    • -measures in cm
    • -measure at widest point
    • -abdomen-measure at the 13th rib
    • -thorax- measure at the 9th rib
    • -rear extremity- measure the distal femur
    • -front extremity- measure the distal humerus
  33. Large animal -Injection sites
    • -Neck Dorsal: Nuchal ligament - origination or the mane location Caudal: Scapula Ventral: Cervical Vertebrae -Semimembranosus & Semitendinosus (hamstrings)
    •    -Pectoral & Gluteals
  34. poll/nuchal crest
     knot between -ears (to occiput)
  35. Withers
     Point of scapula; where the neck and back meet
  36. Equine Metacarpals
     Medial splint (M2), Cannon (M3) Lateral splint (M4)
  37. fetlock
     joint between metacarpals and P1
  38.  Pastern joint
    Between PI andP2
  39. frog
    triangle shaped fleshy pan underneath the hoof
  40. Sole
    white area around the frog
  41. Stifle
     almost axillary region; true knee
  42. Tarsus "hock"
     Between tarsus and metatarsal bone III -Calcaneous tuberosity
  43. Equine Metatarsals
    Medial and lateral splints (M2 &. M4) & Cannon(M3)
  44. P1
    P2
    P3
    • P1-Long pastern Proximal phalanx
    • P2-Short pastern middle phalanx
    • P3-Coffin bone distal phalanx (in hoof)
  45. Navicular bone
    distal sesamoid bone
  46.  croup
    rump/bum
  47. Zygomatic arch
    above eye
  48. facial crest
    Below the eye
  49. -Equine normal value
    • Temperature 99.5 -100.5 F
    • Pulse 35-45 BPM
    • Respiration 10-12 BPM
  50. -Equine formulas
    • Dental 2(I 3/3, C l/0, PM3-4/3, M 3/3)=36-42 teeth -Vertebral C7,T18,L5,S5,Ca 15-21
    • -Gestation 11 months (335 days)
  51. Lg animal Practical stuff
    • what side to approach a horse on-
    • Left
    • -halter a horse and a cow- for a cow the side that tightens goes under the chin
    • Lead a horse
    • Tie a quick release knot & a tail knot
  52. Equine parasites
    • Strongylus vulgaris: Blood worm
    • Oxyuris equi: pin worm – scotch tape prep
    • Habronema spp: Summer sores
  53. common equine drugs
    Sedatives – used to depress the CNS Rompun – Xylazine® Demordedon – Detomidine® Analgesics (opioids) used for pain relief Butorphanol – Torbugesic® Demoral
  54. -Infectious Diseases -Cats and Dogs
    • 1) rabies- vaccination given at 16 wks SQ at the end of 3 shot series
    • 2) Pseudo rabies- Vaccination
    • 3) Plague- Yersinia pestis- No vaccination
    • 4) Hemobartonella~ No vaccination
    • 5) Giardia- Vaccination -be able to ID
  55. -Infectious Diseases
    -Dogs only
    • 1) canine distemper- vaccination
    • 2) canine herpes virus- no vaccination
    • 3) canine infectious hepatitis- vaccination
    • 4) canine parvovirus- vaccination
    • 5) canine corona virus- vaccination
    • 6) canine infectious tracheobronchitis- vaccination
    • 7) canine Leptospirosis- vaccination
    • 8) canine brucellosis-no vaccination
    • 9) canine lyme disease- vaccination
    • 10) canine ehrlichiosis-no vaccination set
  56. -DHLPP+C SQ 3 shot series (8, 12. 16 wks)
    • SQ 3 shot series (8, 12. 16 wks)
    • -Distemper. Hepatitis (adenovirus). Leptospirosis. Parvovirus Parainfluenza. corona virus
  57. -Infectious Diseases
    -Cats only
    • 1) Feline Panleukopenia- vaccination
    • 2) Feline upper respiratory disease- vaccination
    • 3) FeLV- Vaccination
    • 4) FIV- No vaccination
    • 5)FIP- Vaccination
    • 6) Feline Toxoplasmosis- No vaccination
  58. FVRCP+C
    • C SQ 3 shot series (8, 12, 16 wks)
    • -Feline Viral Rhinotracheitis, Calici virus. Panleukopenia,
  59. Esophageal pathology
    • 1) Megaesophagus paralysis/dilation of esophagus; regurgitation
    • 2) Vascular ring abnormality retention of embryonic right aortic arch, esophagus is trapped; aorta on right, base-of heart ventral
    • 3) Spirocerca Lupi neoplasia esophageal worm-causing regurgitation +/- vomiting
    • 4) Gastro-esophageal reflex hiatal hernia; regurgitation -early morning late day
  60.  Gingivitis
    inflammation of gingival esp. upper 4
  61. Periodontal disease
    bacterial infection in periodontal pocket
  62. Papillomatosis
    benign tumor of dogs, proliferative, cauliflower mass
  63. Epulis
     benign tumor of dogs, pedunculated {has stalk)
  64. Malignant melanoma
    #1 in dogs ulcerated proliferative mass on lip or gingiva (gingival most common)
  65. Squamous cell
    carcinoma #1 in cats, #2 in dogs, raised ulcer
  66.  Fibrosarcoma
    #2 in cats, #3 in dogs, large breed young dogs, other breed old dogs, old cats
  67. Sialocele
    (salivary gland cyst) salivary gland, sub lingual gland & duct (after sleeping), vomiting if esophagitis
  68.  Periodontal elevator
     to help separate periodontal ligament to aid in removal of teeth
  69. Dental Probe
     to determine sulcus depth
  70. Dental curette
     help remove tarter from under the gum line
  71. dental Extractor
     to extract tooth, to chip off big pieces of tarter
  72. Gastritis
     inflammation & mucosal damage to stomach: vomiting (infrequent)
  73. Gastric Ulcers
    Gastric acid &. pepsin causing erosions to stomach chronic vomiting
  74. Pyloric stenosis
     Hypertrophy of-circular smooth muscle fibers narrowing; pyloric region
  75.  Gastric Neoplasia
    common in FeLV- cats; vomiting & weight loss
  76. what is U1000
    1000U/ml
  77. Conversions
    • -1 tsp. 5ml
    • -1Tbs. 15ml
    • -1 02 30ml
    • -1gr 60ml
    • -1ml 15-16 gm
    • -1 gal 128 oz.
  78. Know the ABCs of emergency care
    Airway - breathing – Circulation - Drugs
  79. CPR
    • Cardiac compression 80 – 120/min, 80 – 100 LG dogs, 120 small animals Always do as many as you can
    • 2 people 1 breath, 1 compression Best done simultaneously Increases force on the heart
    • 1 person 15 compression, 2 breaths
  80. Blood volume
    • Dogs 88ml/kg
    • Cats 66ml/kg
  81. Ambu bag
    • ID and Use to ventilate patient with oxygen (during CPR)
    • O2 goes in small hole in rear of bag Patient large hole connects to ET tube
    • -large dog use two hands
    • -kitty use one hand and do little puffs
    • -should see the chest rise
    • -be sure to allow the bag to refill
  82. calculate drip rates
    • Surgical fluids 10ml/kg/hr
    • Hypotension 20ml/kg/hr
    • Maintenance fluids 30ml/lb/24hr
    • Drops per second volume / time / 3600 X Drip set= gtt/sec
  83. -Solu-Delta-Cortef-
    • prednisolone sodium succinate
    • -Rapid antiinflammatory
    • -comes in an hour glass shaped bottle
    • -Diluent on top
    • -powder on the bottom
    • -press on .top to blow out the -cork and mix
    • -good for 24 hrs once mixed
  84. CPR Circulation
    • -Place in right lateral recumbency -
    • Place hands at the elbow -Heart faces left -allows more force on the heart
    • -large deep chested dogs should be placed in dorsal recumbency
    • -place hands at the sternum -
    • go as fast as you can go
    • -may do intermittent chest and abdominal compressions
    • -prevent blood from pooling -
    • also may wrap legs with vet wrap to apply pressure and prevent pooling
    • -ventilation and compressions are best done simultaneously -allows more compression on the bean.
    • -keep ventilating -even if compressions are stopped-unless told other wise
  85. CPR Drugs
    • Drugs that can go down intratracheal (down the ET tube) -“LEAN” -Lidocaine
    • -Epinephrine
    • -Atropine
    • -Naloxone/Narcan
    • -given in 3 x 10 the IV dose -squirt it fast -remove the needle -use a red rubber catheter
  86. ID the landmarks for a lumbar IM injection
    • Wings of the ilium and the longissumus dorsi and ilio
    • costalis
  87. Femoral restraint cat
    cruff and stretch while Karate Chopping the leg
  88.  radiographic densitys
    • Air, Fat, Tissues of Water Density, Bone, and
    • Enamel/Metal
  89. how mayn mg in a grain
    60

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