Respiratory emergencies

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Questions and Answers

Abnormal breathing effort characterized by changes in respiratory rate, rhythm, and character as well as altered behavior

  • Dyspnea (correct)
  • Apnea
  • Eupnea
  • Tachypnea

Which of the following is a common respiratory emergency

  • Trauma and respiratory paralysis
  • Pulmonary edema and pleural effusion
  • Pneumonia and airway obstruction
  • All are respiratory emergencies (correct)

On a typical triage scale of I to IV, respiratory emergencies must be classified as __________

  • High (class I or II) (correct)
  • Low (class IV)
  • Moderate (Class III)
  • Super low (Class V)

Always observe the patient from a distance before approaching to be able to assess respiratory rate and effort

<p>True (A)</p> Signup and view all the answers

Abnormal posture characterized by extension of the head and neck and abduction of the elbows

<p>Orthopnea (C)</p> Signup and view all the answers

Cyanosis is usually not readily apparent until the oxygen saturation is ____________ suggesting severe hypoxemia.

<p>50% to 60%, (A)</p> Signup and view all the answers

Flow-by oxygen provides the most oxygen enrichment at flow rates of

<p>100 to 150 ml/kg/min (A)</p> Signup and view all the answers

Human nasal cannulas (prongs), available in adult, pediatric, and infant size, can be a very effective, low-stress method in many dogs and are often very well accepted and quickly placed

<p>True (A)</p> Signup and view all the answers

Because hypoxia causes vasodilation and shock, leading to a difficult cannulation.

<p>False (B)</p> Signup and view all the answers

A common strategy for dyspneic cats is to

<p>Administer intramuscular or subcutaneous sedation and then place the patient in an oxygen cage or oxygen hood in a cage for 10 to 15 minutes (A)</p> Signup and view all the answers

Least stressful catheter for dyspneic cats

<p>Hind limb (A)</p> Signup and view all the answers

The process of very quickly inducing anesthesia and intubating

<p>Rapid sequence intubation (A)</p> Signup and view all the answers

RSI is a necessity when an animal presents with

<p>profound work of breathing (A), cyanosis (B), severe upper airway disease with obstruction that does not rapidly improve with oxygen, sedation, and emergency therapies such as thoracentesis, or diuretics (C)</p> Signup and view all the answers

The primary survey should include assessment of

<p>Temperature, pulse rate/strength, and respiratory rate (A), Mentation, mucous membrane color, and capillary refill time, (B)</p> Signup and view all the answers

The minimum database for an animal with respiratory disease is going to be dependent on what is available at your clinic. In a full-service facility, it will usually include

<p>PCV , TS, blood gases, electrolytes, glucose, BUN, and ECG (A), ACT, PT, PTT (B)</p> Signup and view all the answers

It is always appropriate to obtain radiographs on patients with dyspnea

<p>False (B)</p> Signup and view all the answers

Respiratory patients that are sleeping and have a normal respiratory rate would most benefit from cage-side observation of respiratory rate, effort, and pattern.

<p>True (A)</p> Signup and view all the answers

Supplement oxygen only as long as necessary and wean the level down as soon as possible.

<p>True (A)</p> Signup and view all the answers

In cases of continued dyspnea after the emergent phase, it is important to note that these patients easily become ____________ as a result of the effort of breathing.

<p>Hyperthermic (B)</p> Signup and view all the answers

Patients involved in ___________ are most at risk of respiratory distress secondary to trauma

<p>Falls (C), Motor vehicle accidents (A), Animal attacks (B)</p> Signup and view all the answers

When performing a thoracentesis where would air be located

<p>Middle to dorsal third of the chest when standing or sternal (A), Highest point of the chest when laterally recumbent (B)</p> Signup and view all the answers

Laryngeal trauma is often caused by

<p>Animal attacks (A), Extensive neck wounds (B)</p> Signup and view all the answers

Tracheal trauma can arise from

<p>Tracheal tears (A)</p> Signup and view all the answers

Pleural space conditions may arise following

<p>Ruptured bullae (C), Caediac disease (D), Trauma (A), Coagulopathies (B)</p> Signup and view all the answers

When pressure in the pleural space exceeds that in the lungs, causing the lungs to compress or collapse.

<p>Tension pneumothorax (A)</p> Signup and view all the answers

Because the pressure is so high in this compartment, thoracentesis is best performed with a large-gauge catheter, such as a

<p>14 gauge (A)</p> Signup and view all the answers

An autologous blood patch pleurodesis may be performed when

<p>Air continues to accumulate (B)</p> Signup and view all the answers

Occurs secondary to a ruptured vessel in the chest cavity.

<p>Hemothorax (A)</p> Signup and view all the answers

Occurs when there is a tear in the diaphragm

<p>Diaphragmatic hernia (A)</p> Signup and view all the answers

Chest wall deformities can occur following

<p>Blunt trauma (A), Penetrating trauma (B)</p> Signup and view all the answers

Occurs with penetrating chest trauma, causing air to rush in through the defect

<p>Sucking chest wound (A)</p> Signup and view all the answers

Pulmonary contusions occur secondary to blunt force trauma to the chest. Contusions may not be evident initially on radiographs but continue to develop (just like any bruise) over

<p>24 to 36 hours following the insult (A)</p> Signup and view all the answers

Which of the following is a major concern following smoke inhalation

<p>Hypoxemia (A), Pulmonary damage (B), Thermal injury (C)</p> Signup and view all the answers

In cases of smoke inhalation antibiotics are not recommended unless an infection develops

<p>True (A)</p> Signup and view all the answers

Airway obstructions are often secondary to or caused by

<p>Foreign object lodging in the larynx, trachea, or deeper in the lungs (A), Conformation and genetic factors (B), Anaphylaxis (C)</p> Signup and view all the answers

Laryngeal paralysis, often known as “Lar-Par,” is a relatively common emergency in large, older dogs, most typically geriatric, male Labrador retrievers. It results from paralysis of the

<p>Arytenoid cartilages (B)</p> Signup and view all the answers

Paralysis of the arytenoids may be unilateral or bilateral, and puts the patient at risk of aspiration pneumonia, as they do not close properly to avoid aspiration.

<p>True (A)</p> Signup and view all the answers

Brachycephalic airway syndrome is frequently associated with

<p>Hot and humid weather (A)</p> Signup and view all the answers

Cat presents dyspneic, with open mouth, tachypnea, orthopnea, expiratory effort and/or cough, and auscultable wheezes on expiration

<p>Asthma (B)</p> Signup and view all the answers

RSI is often required in BAS, and brachycephalic animals will often maintain an ET tube with minimal sedation for hours while they sleep.

<p>True (A)</p> Signup and view all the answers

Patient presents hyperthermic and tachypneic with increased respiratory effort, cyanosis, and hypercapnia.

<p>Brachycephalic airway syndrome (A)</p> Signup and view all the answers

Often administered as an inhaler for feline asthma

<p>Salbutamol (A)</p> Signup and view all the answers

Noncardiogenic pulmonary edema is a result of

<p>Dramatic and abrupt pressure changes within the thorax (B)</p> Signup and view all the answers

Auscultation will usually reveal loud pulmonary crackles and wheezes

<p>Pulmonary edema (A)</p> Signup and view all the answers

Cardiogenic pulmonary edema is typically treated with

<p>All answers are correct (D)</p> Signup and view all the answers

Noncardiogenic pulmonary edema can occur after which of the following

<p>Strangulation (B), Seizure (A), Near drowning (C), Electrocution (D)</p> Signup and view all the answers

If a pulmonary edema patient requires intubation, many times pink, foamy, edema fluid will immediately fill the tube.

<p>True (A)</p> Signup and view all the answers

Bacterial pneumonia is often secondary to respiratory tract infections such as

<p>Bordetella bronchiseptica (A)</p> Signup and view all the answers

Most commonly found along the Eastern Seaboard and Great Lakes regions of the United States and Canada.

<p>Blastomycosis (A)</p> Signup and view all the answers

Prevalent in the central United States, from the Great Lakes to Texas.

<p>Histoplasmosis (C)</p> Signup and view all the answers

Common in the southwestern United States, California, and Mexico.

<p>Coccidioidomycosis (A)</p> Signup and view all the answers

Respiratory disease identified in greyhounds in Medley Florida in 2004

<p>Canine influenza (A)</p> Signup and view all the answers

Usually secondary to profuse vomiting, vomiting or regurgitation while recumbent, regurgitation associated with megaesophagus or following anesthesia administration, or as a complication of laryngeal paralysis

<p>Aspiration pneumonia (A)</p> Signup and view all the answers

Aspiration pneumonia most commonly affects

<p>Right middle lung lobe (A)</p> Signup and view all the answers

Signs of aspiration pneumonia typically occur within _______ of the occurrence of aspiration

<p>24-36 hours (A)</p> Signup and view all the answers

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