ECC1- Triage

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  1. What are the different triage systems? (3)
    • MBSA- CRAN: Major Body Systems Assessment- Cardiovascular, Respiratory, Abdominal, Neurological
    • ABCDE: Airway, Breathing, Circulation, Disability, External assessment
    • CRASH PLAN S: Cardiovascular, Respiratory, Abdomen, Spine, Head, Pelvis, Limbs, Arteries, Nerves, Skin
  2. What are the 6 overarching questions to address during triage?
    • Is the patient in shock?
    • Is the patient dyspneic?
    • Is it an acute abdomen?
    • What is the patient's neurologic status?
    • Is it messy?
    • Is there a specific circumstance? (pain? allergic reaction? cat? acute toxicity?)
  3. What are the 6 perfusion parameters to assess if a patient is in shock?
    • MMs
    • CRT
    • HR
    • pulse quality
    • mentation
    • temperature of extremities
  4. What are the 6 dyspnea parameters?
    • respiratory rate
    • elbow abduction
    • neck extension
    • open mouth breathing
    • nasal flaring
    • cyanosis
  5. Where do you assess pulse quality in small animals?
  6. What are some audible and some auscutable sounds to assess for dyspnea?
    • Audible: stridor, stertor
    • Auscultation: crackles, wheezes, increased/ harsh sounds, decreased lung sounds
  7. What are 3 respiratory patterns that are associate with respiratory distress?
    inspiratory, expiratory, and restrictive
  8. What are 3 respiratory patterns that are NOT associated with respiratory disease?
    apneustic breathing, cheyne-stokes breathing, kussmaul breathing
  9. Describe an inspiratory breathing pattern and the lesion localization of this.
    • deep, noisy w/ increased effort on inspiration (stertor versus stridor)
    • upper airway, extrathoracic trachea obstruction
  10. Describe an expiratory breathing pattern and the lesion localization of this.
    • increased effort on expiration with some degree of abdominal effort
    • lower airway disease
  11. Describe an restrictive breathing pattern and the lesion localization of this.
    • short, shallow, rapid breaths
    • pleural space disease, pulmonary parenchymal disease
  12. Describe an apneustic breathing pattern and the lesion localization of this.
    • deep inspiration followed by breath hold prior to exhalation
    • increased ICP, damage to pons or medulla
  13. Describe an cheyne-stokes breathing pattern and the lesion localization of this.
    • alternating pattern of tachypnea followed by bradypnea
    • medullary disease
  14. Describe an kussmaul breathing pattern and the lesion localization of this.
    • hyerventilation characterized by slow and deep breaths with regular rhythm
    • ketoacidosis, medulla receiving inputs from central and peripheral chemoreceptors (acidosis)
  15. When assessing the abdomen, what 4 things do you look at?
    • distension
    • pain
    • tympanism ("ping")
    • ballottement/ fluid wave
  16. If there is suspected fluid in the abdomen on triage,the next steps are... (3)
    • abdominal FAST (US)
    • abdominocentesis
    • analysis of belly tap fluid
  17. How do you assess neurological status? (4)
    • level of consciousness
    • pupil size and CN deficits
    • seizures or post-ictal
    • ambulation/ posture
  18. What are the 4 levels of consciousness and define each?
    • Normal
    • Obtunded/ dull: responsive to normal stimuli, like touch and sound
    • Stuporous: not responsive to normal stimuli but responsive to noxious stimuli
    • Comatose: not responsive to any stimuli
  19. What do you assess on the skin? (2)
    • wounds, especially degloving injuries
    • potential sources of infection
  20. What is the shock panel we do with trauma triage? (8)
    • ECG
    • BP (compensated or decompensated shock?)
    • abdominal and thoracic FAST (cavitary bleeding, heart function)
    • SpO2
    • place IV cath
    • PCV-TP
    • Blood gas analysis
    • Lactate (shock assessment)
Card Set:
ECC1- Triage
2016-09-19 16:40:02
vetmed ECC1

vetmed ECC1
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