Triage Categories and Examples
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Questions and Answers

Which of the following is NOT an upper airway obstructive disease?

  • Brachycephalic syndrome
  • Tracheal collapse
  • Laryngeal paralysis
  • Asthma (correct)
  • What condition is characterized by accumulation of fluid in the alveoli and pulmonary interstitium?

  • Aspiration pneumonia
  • Chronic bronchitis
  • Hemothorax
  • Lung edema (correct)
  • Which factor is a risk for secondary pneumothorax in cats?

  • Chronic bronchitis
  • Foreign bodies
  • Asthma (correct)
  • Laryngeal paralysis
  • Which of the following is a common cause of pyothorax?

    <p>Neoplasia</p> Signup and view all the answers

    Which type of lung edema is considered more common, particularly in cats?

    <p>Cardiogenic</p> Signup and view all the answers

    What characteristics typically describe chylothorax fluid?

    <p>Milky white chylomicron rich fluid</p> Signup and view all the answers

    Which is a contraindication for using a nasoesophageal tube?

    <p>Coagulopathy</p> Signup and view all the answers

    What is a common indicator for thoracocentesis in dogs?

    <p>Pyothorax</p> Signup and view all the answers

    Which of the following is a clinical sign of traumatic brain injury (TBI)?

    <p>Altered mentation</p> Signup and view all the answers

    What is an appropriate management step for a patient suspected to have increased intracranial pressure (ICP)?

    <p>Administer mannitol or hypertonic saline</p> Signup and view all the answers

    Which option describes an indication of increased intracranial pressure (ICP)?

    <p>Anisocoria</p> Signup and view all the answers

    What is the maximum recommended IV dose of hypertonic fluid for dogs per kg of body weight?

    <p>4 ml/kg</p> Signup and view all the answers

    What neurological deficit might indicate a need for a pain relief strategy like mithadone or fentanyl?

    <p>All of the above</p> Signup and view all the answers

    What is a potential complication associated with esophagostomy tubes?

    <p>Pneumothorax</p> Signup and view all the answers

    Which of the following is NOT a recommended method for dermal decontamination of toxic substances?

    <p>Using high pressure water sprays</p> Signup and view all the answers

    What should be used for ocular decontamination in cases of toxin exposure?

    <p>Physiological saline</p> Signup and view all the answers

    What is the first step in emergency management during an animal's toxicosis?

    <p>Check airways</p> Signup and view all the answers

    Which statement about esophagostomy tubes is true?

    <p>They allow for a wider selection of diets</p> Signup and view all the answers

    What is a key consideration before inducing emesis in the case of gastrointestinal decontamination?

    <p>Underlying medical history</p> Signup and view all the answers

    Which of the following is an appropriate method for gastrointestinal decontamination?

    <p>Administering activated charcoal after a delay</p> Signup and view all the answers

    What is a common consequence of tube migration associated with esophagostomy tubes?

    <p>Infection at the placement site</p> Signup and view all the answers

    What is a primary clinical sign of rodenticide toxicity that may appear 6-12 hours after ingestion?

    <p>Vomiting</p> Signup and view all the answers

    Which treatment should NOT be administered while treating with vitamin K1 due to potential interference?

    <p>PT monitoring</p> Signup and view all the answers

    Which symptom is commonly associated with permethrin poisoning in cats?

    <p>Weakness</p> Signup and view all the answers

    What is the primary aim of fluid therapy?

    <p>Maintain adequate perfusion in the body</p> Signup and view all the answers

    What is the primary finding expected from abdominal fluid in case of hemoabdomen?

    <p>Red fluid</p> Signup and view all the answers

    Which condition is characterized by an insufficient amount of blood in the bloodstream?

    <p>Hypovolemia</p> Signup and view all the answers

    In a symptomatic patient receiving treatment for rodenticide toxicity, what is crucial for stabilization?

    <p>Hospitalization until PT normalizes</p> Signup and view all the answers

    For hypovolemic shock, what is the recommended fluid rate using isotonic crystalloids?

    <p>15-20 ml/kg within 10-15 minutes</p> Signup and view all the answers

    Which of the following is NOT a part of the treatment for permethrin toxicity?

    <p>Inducing vomiting with apomorphine</p> Signup and view all the answers

    What is the upper limit for potassium supplementation in hypokalemia?

    <p>0.5 mEq/kg/h</p> Signup and view all the answers

    What is the PCV value expected in a case of hemoabdomen?

    <p>Typically extless 1%</p> Signup and view all the answers

    How is daily fluid requirement calculated for dogs?

    <p>Weight (kg) * dehydration % * 10</p> Signup and view all the answers

    Which intravenous treatment is recommended for tremor control in cases of permethrin toxicity?

    <p>Methocarbamol</p> Signup and view all the answers

    When should hypertonic fluids be avoided?

    <p>In hypernatremia and severe dehydration</p> Signup and view all the answers

    What is the typical concentration range for potassium levels in blood?

    <p>3.5-5.5 mmol/L</p> Signup and view all the answers

    Which solution is primarily used for glucouse supplementation in hypoglycemia?

    <p>Isotonic fluid + glucose solution (10-40%)</p> Signup and view all the answers

    Which of the following is NOT considered a risk factor for gastric dilatation and volvulus (GDV)?

    <p>Slow eating habits</p> Signup and view all the answers

    What cardiovascular change occurs in GDV due to compression of the portal vein?

    <p>Reduced blood volume in the vessels</p> Signup and view all the answers

    Which lactate level indicates a low chance of survival after GDV?

    <p>≥ 9 mmol/L</p> Signup and view all the answers

    What is the recommended initial fluid therapy for treating shock in GDV patients?

    <p>Isotonic solutions</p> Signup and view all the answers

    Which medication can be used as a broad-spectrum antibiotic prior to surgery in GDV treatment?

    <p>Cefazolin</p> Signup and view all the answers

    What should be closely monitored after surgery for GDV?

    <p>Hydration and blood pressure</p> Signup and view all the answers

    What is an inappropriate post-operative measure for GDV patients?

    <p>Using NSAIDs for pain management</p> Signup and view all the answers

    What should be avoided in GDV patients because of potential adverse effects?

    <p>Opioids for home pain management</p> Signup and view all the answers

    In the management of GDV, what could be a sign of successful post-surgery recovery?

    <p>Drop in lactate levels by more than 50%</p> Signup and view all the answers

    Which method is often used to assess for arrhythmias during GDV treatment?

    <p>Electrocardiography (EKG)</p> Signup and view all the answers

    Study Notes

    Triage Categories

    • Triage is a method of classifying patients to determine priority, and the order of treatment.
    • RED: Immediate, life-threatening situations.
    • ORANGE: Very urgent, potentially life-threatening situations.
    • YELLOW: Urgent, but not life-threatening situations.
    • GREEN: Standard, non-emergency situations.

    Triage Examples

    • RED: Severe respiratory distress, circulatory shock, neurological seizures, unresponsive, rapid abdominal distension, hypoglycemia, rectal temperature over 41°C or under 36.7°C .
    • ORANGE: Moderate respiratory distress, subcutaneous emphysema, uncontrollable major hemorrhage, arterial thromboembolism signs, pale mucous membranes without shock, altered consciousness, cluster seizures, evisceration, proptosis of the eye, toxin or foreign body ingestion, labor, urethral obstruction, severe pain.
    • YELLOW: Mild respiratory distress, uncontrollable minor hemorrhage, acute spinal neurological deficit, head tilt, open fracture, medium to large skin wound, possible foreign body, persistent vomiting, melena, red urine without stranguria, moderate pain, moderate dehydration, severe pruritus, anorexia.
    • GREEN: Local inflammation, stranguria, vomiting, mild pain or pruritus, one seizure, swelling, rectal temperature 39-39.9ºC .

    Triage Clinical Examination

    • Primary triage focuses on evaluating the respiratory, cardiovascular, and nervous systems.
    • Determine if the systems are normal or abnormal.

    Fluid Therapy Calculation

    • Fluid therapy aims to maintain adequate perfusion, restore fluid balance, treat dehydration, restore electrolyte balance and restore normal blood circulation.
    • For rehydration: body weight (kg) * dehydration % *10 = ml + daily requirement.

    Potassium Supplementation

    • Normal potassium in blood is 3.5-5.5 mmol/L.
    • Potassium supplementation should not exceed 0.5 mEq (mmol)/kg/h.

    Shock

    • Shock is an imbalance between oxygen delivery and consumption.
    • Most commonly classified by hemodynamic effects. -Hypovolemic -Cardiogenic -Obstructive (physical obstruction) -Distributive (maldistribution of blood flow)

    Shock Clinical Signs

    • Hypovolemic Shock: decreased intravascular volume, ranging from mild to severe.
    • Cardiogenic Shock: occurs when cardiac output is reduced, due to dysfunction.
    • Distributive Shock: maldistribution of blood flow, for example, vasodilation, or vasoconstriction.

    Oxygen therapy

    • Oxygen therapy is used to treat hypoxemia. Multiple methods exist, from nasal prongs and masks to hoods and cages.

    • The most appropriate method depends on the patient's tolerance and situation.

    Fluid Therapy

    • Fluid therapy aims to maintain adequate circulation and restore fluid balance in a patient.
    • Types of fluids relevant to shock include isotonic crystalloids and colloids. The appropriate fluid and rate needs to be tailored to the patient.

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    Veterinary Triage Questions PDF

    Description

    This quiz covers the classifications and examples of triage categories used in medical emergencies. Test your knowledge of RED, ORANGE, YELLOW, and GREEN scenarios to understand patient prioritization for treatment. Ideal for students and professionals in healthcare.

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