Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
VTT ER Procedures
Metabolic/anesthetic emergencies Hypo/Hyperthermia
| Question | Answer |
|---|---|
| True or False: Insulin allows glucose to enter the cell. | True |
| True or False: DKA is a life threatening emergency. | True |
| True or False: DKA will change the PH of the blood stream. | True |
| True or False: Urinalysis is not helpful when diagnosing a DKA patient as it does not give us a blood glucose level. | False, it tells us if there is spillover which is a symptom of DKA |
| True or False: Serial blood tests are required of hospitalized DKA patients. | True, it tells us if the treatment is working and will help you monitor the blood ph so they don't go from acidosis to alkalosis which can happen |
| True or False: Bloodwork is typically a valuable indicator of a patient with Addison's Disease. | True |
| True or False: Stress can bring on an Addisonian Crisis. | True |
| This test is used to determine if a patient has Addison's Disease. | ACTH Stim |
| Ketonic breath is often described as smelling like? | sweet or like nail polish remover |
| A DKA patient may present with what? | Vomiting and oral/GI ulceration, Pre-renal failur severe dehydration and/or hypovolemia, hypertension, and neurological symptoms |
| One of the most important factors in a successful recovery of a DKA patient at home is what? | Client education and understanding |
| Should a DKA patient always have access to water? | Yes, they'll be dehydrated |
| Will a DKA patient need aggressive fluid therapy? | Yes |
| Should a DKA patent be put on an insulin CRI? | Yes |
| Patients in Addisonian Crisis often have what type of shock? | Hypovolemic |
| What are two (lab) symptoms you would find in a DKA patient? | High serum glucose (diabetes), Glucose in urine (spillover), Ketones in urine and or serum (ketosis), and a low blood Ph (acidosis) |
| Please list 3 presenting symptoms of a patient in Addisonian Crisis. | Very weak, dehydrated, bradycardic, depressed |
| Please list two treatments for patients in Addisonian Crisis. | Steroids (Dexamethasone SP injection and oral steroids after first day), Dextrose administration (either IV bolus of 25% solution or less or CRI in fluids |
| When do we treat hyperthermia? | When the temp is above 106 except for breeds where that is within the normal limits |
| What happens to the body as temperature increases? | The organs start to fail. Kidneys fail, GI becomes compromised, and the brain damage becomes possible. |
| What are some physical symptoms hyperthermic animals experience? | Seizures, vomiting, excessive panting, depression, & collapse |
| How do you treat hyperthermia? Please be detailed. | Cold water/Ice water baths (not typically recommended) Alcohol on foot pads Cool IV fluids With them down and cool with a fan. |
| Besides monitoring temperature, what is one of the most important parameters we monitor in hyperthermic patients? | Mentation |
| What are the varied stages (temperatures) for hypothermia? | Mild hypothermia 98.5-99.5 degrees F Moderate hypothermia 97-98 degrees F Severe hypothermia <90 degrees F |
| What is the difference between passive and active warming? | With passive you don't have an outside heat source |
| What is active rewarming? | With active you are using heat sources other than just the animal’s own natural body heat. It can take the form of everything from warmed towels to hot water bottles to incubators. |
| What is passive rewarming? | Passive you are using measures such as blankets to keep them from losing heat while allowing their bodies to generate the heat to warm them up. |
| What types of patients may present with hypothermia? | Those exposed to cold, those immersed in cold water, those who have a systemic disease like renal (esp cats), young puppies and kittens, anesthesia patients, patients presenting with hypervolemic shock, hypertensive patients, and debilitated patients. |
| Explain why you would use pain medication while actively re-warming a patient. | Patients that have had body temps below 93 degrees can experience substantial pain on rewarming |
| Why would you get an ECG on a cold patient who presents with no palpable pulses? | Because while they might not have a palpable pulse or audible heart beat they may still have one and if you use an ECG you can get otherwise unreadable heart activity |
Created by:
Adeprey4311
Popular Veterinary sets