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Types of exposure:OOID
- Oral Occular
When is emesis contraindicated with oral exposure?PCSAA
- petroleum distillates (kerosine)
- caustic substances
- sharp or traumatic objects
Emesis is effective how long after ingestion?
How much does emesis empty the stomach?
3 methods to induce emesis:HAX
- H2O2 (3%)
What is the dose of 3% H2O2 given?
How many ml in a teaspoon?
What is the max dose of 33% H202
How often is administration of H2O2 repeated?
How long should it take to causes emesis?
- repeat only once
- should take 10-15 each dose
What is the dose of apomorphine?
How is apomorphine usually given?
tablet of part of tablet is placed in the conjunctiva
What are two other routes for apomorphine?
What should be done after the drug is effective?
What are 2 things to note with apomorphine?
- don't use it in cats
- is poorly absorbed through the GI tract
What can be used in cats?
What are some side effects of using Xylazine?
dec RR and HR
What can be done to the emesis agents to make them more palatable? This works well in cats.
What can be used for dilution?MHJ
- milk from canned tuna
Indications for gastric lavage:VS
- v+ ineffective or contraindicated
What does gastric lavage require?
general anesthesia with cuffed ET tube
When is gastric lavage most useful?
w/in 2-4 hrs
What forms does activated charcoal come in?PLGC
Activated charcoal is given bt syringe or stomach tube what is the dose?
How can initial doses be given
2 doses one hour apart
When can activated charcoal be repeated?
every 4-8hrs at half the original dose
Review placement of a orogastric tube for the administration of activated charcoal
What 2 things increase elimination from the GI tract by moving toxin through more rapidly?CE
When are cathartics contraindicated?DEH
- electrolyte imbalance
- high sodium
What is the first thing done with ocular exposure?
rinse eyes with warm water or saline
How long are the eyes rinsed?
What should be checked in the eye? Repeat in 24hrs
corneal ulcers with flurosene stain
What is done in the case of an inhalant exposure?RPM
- remove from area
- provide fresh air or O2
- monitor for pulmonary edema
What is used to bathe an animal in a dermal exposure?
mild dish soap and warm water
The animal is kept warm and if the substance is stinky what may be used?
What would you like to do?
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