Fluids Module 3 Case Practice dehydration or hypovolemia and route PDF

Fluids Module 3: Practice The First Steps Of Making A Fluid Plan Practice cases: Dehydration/Hypovolemia, Route, and Type of Fluid Learning Outcomes Review questions/concerns from Modules 1&2. Identify if a patient is dehydrated and/or hypovolemic based on clinical signs. Choose...

Fluids Module 3: Practice The First Steps Of Making A Fluid Plan Practice cases: Dehydration/Hypovolemia, Route, and Type of Fluid Learning Outcomes Review questions/concerns from Modules 1&2. Identify if a patient is dehydrated and/or hypovolemic based on clinical signs. Choose a fluid delivery route for each patient. Choose a fluid type for each patient. 1. Frenchie Signalment: 3 yo MN Terrier Mix, 15 kg History: 2 days vomiting, anorexia and diarrhea after getting into trash Physical exam findings: o T 101.5 P 108 R 22 o Mm pink, tacky o CRT 2 sec o Skin tent prolonged o Pulses strong o Extremities warm Is Frenchie dehydrated, hypovolemic, or both? O A. Dehydrated B. Hypovolemic C. Both Via what route should Frenchie receive fluid therapy? A. Per os (by mouth) B. Subcutaneous ALREADY 2ⁿᵈ CHOICE IFFY DEHYDRATED C. Intravenous D. Intraosseous Choose an IV fluid for Frenchie’s fluid therapy: A. Isotonic crystalloid B. Hypotonic crystalloid C. Hypertonic crystalloid D. Synthetic colloid E. Natural colloid  2. Bella Signalment: 8 yo FI, mixed breed goat, not pregnant nor lactating currently 70 lbs Presenting complaint: Bella had a tussle with the neighbor’s dog last night. T = 102.5F (39.2C) P 140 bpm, no murmurs PERFUSIONPARAMETER R 40 br/minONIY with some upper airway noises due to facial trauma but is stable 1 rumen contraction/2 min MM tacky, skin tent 4 seconds, CRT 2 sec Lacerations on face, nose, udder, sides of the neck. Is Bella dehydrated, hypovolemic, or both? A. Dehydrated B. Hypovolemic C. Both Via what route should Bella receive fluid therapy? A. Per os 1ST CHOICE W HORSES B. Subcutaneous C. Intravenous FACIAL TRAUMA D. Intraosseous Choose an IV fluid for Bella’s fluid therapy: A. Isotonic crystalloid B. Hypotonic crystalloid C. Hypertonic crystalloid D. Synthetic colloid BREIT THEY Is.cl rDEIYPEFIEIII E. Natural colloid 3. Sally Signalment: 18-year-old pony mare, 858 lbs History: She had colic surgery 6 hours before for a small intestinal strangulation. Physical exam findings: o T: 100.1 F o HR: 66 bpm o RR: 16 bpm o CRT: 2-3 sec SEPSIS o Oral MM: dark pink + tacky IF o Delayed jugular fill p O'FEHA o Reflux: 6 liters every 3 hours (Post operative ileus) CAN'T USESUNKENEYES FOR ADULT HORSES Is Sally dehydrated, hypovolemic, or both? A. Dehydrated B. Hypovolemic C. Both Via what route should Sally receive fluid therapy? A. Per os REFLUX GIT NON FUNCTIONAL B. Subcutaneous C. Intravenous D. Intraosseous Choose the best fluid for Sally’s fluid therapy: A. Isotonic crystalloid 1st B. Hypotonic crystalloid C. Hypertonic crystalloid FOLLOWUPWÑ D. Synthetic colloid IF Occurs E. Natural colloid p 4. 221 Signalment: 221 is a 4-year-old intact female Holstein. She freshened 5 days ago with twins and is currently lactating. Presenting complaint: She has been anorexic with decreased milk production the past 2 days. She developed a displaced abomasum and is now 1-hour post-surgical replacement and omentopexy. Physical exam findings: o T 101 P 80 R 24 o 1 weak rumen contraction/2 min o Vulvar mm pink, CRT 2 sec o Skin tent 6 seconds o Extremities are cool o Nose is dry EYELID o Some muscle fasciculations Is 221 dehydrated, hypovolemic, or both? A. Dehydrated B. Hypovolemic C. Both Via what route should 221 receive fluid therapy? A. Per os B. Subcutaneous C. Intravenous D. Intraosseous Choose a fluid for 221 based on the route you chose: A. Tap water B. Electrolytes + water C. Rumen fluid D. Isotonic crystalloid E. Hypotonic crystalloid F. Hypertonic crystalloid G. Synthetic colloid H. Natural colloid 5. Beau Sig: 3 yo MN Scottish Fold, 3 kg History: 12 hour hx straining to urinate, vocalizing, acute onset vomiting, lethargy PE: o T 97.0 P 108 (bradycardia) R 55 o Mm pale pink, very tacky o CRT 3-4 sec o Skin tent prolonged o Pulses weak o Extremities cold o Large firm bladder, not expressable Is Beau dehydrated, hypovolemic, or both? A. Dehydrated B. Hypovolemic C. Both Via what route should Beau receive fluid therapy? A. Per os (by mouth) B. Subcutaneous C. Intravenous D. Intraosseous Choose an IV fluid for Beau’s fluid therapy: A. Isotonic crystalloid B. Hypotonic crystalloid C. Hypertonic crystalloid D. Synthetic colloid E. Natural colloid  6. Ramon Signalment: 4 yo Shire gelding, 2640 lbs History: low grade intermittent colic for 4 days due to a pelvic flexure impaction Physical exam findings: o P 44 R 12 o Mm pink, slightly tacky o CRT 2 sec o Pulses strong o Jugular fill is normal Is Ramon dehydrated, hypovolemic, or both? A. Dehydrated B. Hypovolemic C. Both Via what route should Ramon receive fluid therapy? A. Per os (by mouth) B. Subcutaneous C. Intravenous D. Intraosseous Based on the route you chose, choose a fluid for Ramon fluid therapy: A. Tap water PO B. Isotonic electrolytes PO C. Hypertonic fluids PO D. Isotonic crystalloid E. Hypotonic crystalloid F. Hypertonic crystalloid G. Synthetic colloid H. Natural colloid 7. Penny Sig: 5 yo FS Terrier Mix, 15 kg History: Hit by car PE: o T 98.9 P 190 R 65 o Mm pale pink, moist o CRT 3-4 seconds o Skin tent normal o Pulses weak o Extremities cold o Bruising on abdomen, pelvis Is Penny dehydrated, hypovolemic, or both? A. Dehydrated B. Hypovolemic C. Both Via what route should Penny receive fluid therapy? A. Per os (by mouth) B. Subcutaneous C. Intravenous D. Intraosseous Choose an IV fluid for Penny’s fluid therapy: A. Isotonic crystalloid B. Hypotonic crystalloid C. Hypertonic crystalloid D. Synthetic colloid E. Natural colloid The slide details will be published after class.