Small Animal Nursing Lab Report 1 PDF

**ATE 2655L Small Animal Nursing Lab [Lab Report 1]** ** ** **Name: \_\_[Adriana]\_\_\_\_\_\_\_\_                                                 Date : \_\_\_\_[9/7/2024]\_\_\_\_\_** **[CPR] - Old CPR vs New CPR guidelines** **[Clinical signs:]** Agonal gasping Cyanotic, gray or pale white mm...

**ATE 2655L Small Animal Nursing Lab [Lab Report 1]** ** ** **Name: \_\_[Adriana]\_\_\_\_\_\_\_\_                                                 Date : \_\_\_\_[9/7/2024]\_\_\_\_\_** **[CPR] - Old CPR vs New CPR guidelines** **[Clinical signs:]** Agonal gasping Cyanotic, gray or pale white mm Nonresponsive dilated pupils Weak, barely palpable pulses Darkening of oozing blood No bleeding at surgical site [**Treatment**: ] [BLS: **CAB** recognition, compressions, intubation, ventilation ] [If two people are available one does \#1, the other person \#2 & 3. ] [If only one person is available, do \#1] ***[\#1-Circulation ]*** External compressions accomplished by applying pressure directly over heart 120 per minute for 2 continuous minutes. (Zero/one, zero/two) (2 per second) Compress chest 25-30%. Patient may be in lateral or dorsal recumbency. ***\#2 [-Airway]*** Check airway for obstruction and placement of ET tube ***\#3-[Breathing]**[- one every 6 seconds= 10 per minute]* 1 ventilation/ 3-5 chest compressions (2 people) 1 ventilation/ 15 compressions (1 person) Hold compression for brief time to maximize the elimination of blood from the heart and chest and fully released between compressions May augment with abdominal compressions **ALS: drugs, monitoring, defibrillation** **[Patient assessment]:** perform a PE and detail the findings **Respiratory and Cardiac Sounds:** 1. Listen to each one of the respiratory sounds and be familiar with the following sounds: a. Wheezes b. Crackles c. Stridor 2. Listen to the cardiac sounds and be familiar with the following sounds: a. Normal b. Murmurs 3. Note the normal and abnormal rhythms-When do you call the doctor? **[Questions]** **1. Define:** a. **Respiratory arrest: Total cessation of breathing. (AAVTN, Pg 418)** b. **Cardiac arrest: Cessation of circulation of oxygenated blood in the body due to the heart failing to pump effectively. (AAVTN, Pg 419)** **2. Which arrest comes first? Cardiac arrest and respiratory arrest follow each other but either of them can happen first. (AAVTN, Pg 419)** **3. If a patient is not breathing, before you assume arrest, what other vital signs can you check to ensure the patient is stable? Heart rate, capillary refill time, pulse strength, pupil size. (AAVTN, Pg 418)** **4. What inducing drug is given that can cause apnea? Propofol and alfaxalone (AAVTN, Pg 418)** **5. What are the signs of cardiac arrest? Cyanosis, dyspnea, respiratory arrest, prolonged capillary refill time, often accompanied by arrhythmia. (AAVTN, Pg 419)** **6. What do the following initials stand for:** a. **CPR: Cardiopulmonary Resuscitation (AAVTN, Pg 419)** **c. ALS: Advanced Life Support (AAVTN, Pg 424)** **7. What do the ABC's of CPR stand for? Airway, Breathing, Circulation** ** ** **8. What is the difference between BLS and ALS?** **Basic life support = consists of recognition of cardiopulmonary arrest and initiation of manual compressions and ventilation.** **Advanced life support = Follows initiation of BLS and involves monitoring, administration of drugs, fluid therapy and electrical defibrillation.** **(AAVTN, Pg 420)** ** Difference is that BLS does not include ECG and end-tidal CO2 monitoring, obtaining vascular access and administration of reversal agents. (AAVTN, Pg 424)** **9. How many compressions and breaths per minutes are given during CPR?** **100-120 chest compressions per minute, 10 breaths per minute. (AAVTN, Pg 420)** **10. What is the purpose of OSHA?** **  Reduce or eliminate possibility of illness or injury for employees (CTVTN, Pg 105)** **11. Describe the mucus membranes of a dog in shock.** **Pale MM (AAVTN, Pg 414)** **12. Label the EKG wave  ** **    **diagram-1-ekg-wave-quiz.png **1.P 2.Q 3.T 4.R 5.S 9. ST segment (AAVTN, Pg 201)**  ** ** **13) A very fidgety small dog need to have blood taken from the jugular. What would you do?** **Restrain properly at the end of an examination table in sternal or lateral recumbency. If proper restraint is not possible opt for the lateral saphenous vein. (CTVTN, Pg 506)** **14) After surgery, when would you extubate?** ** When swallowing reflex returns, as soon as the patient shows signs of imminent arousal. If the patient is not showing signs that swallowing reflex has returned but are exhibiting voluntary limb, head or chewing movements they must be extubated. (AAVTN, Pg 335)** **15) What are the normal TPRs for dogs and cat?** **  Dog: T:100.0-102.2F P:60-160beats/min (smaller dog: up to 200/min) R:16-32breaths/min** **Cat: T:100.0-102.2F P:140-220beats/min R:20-42breaths/min\ (CTVTN, Pg 218)** **16) When you note respiratory rate, what else do you need to observe (with regard to this)?** ** Respiratory effort. (CTVTN, Pg 218)** **17) Explain (in the simplest of terms) to a non-veterinary person, how to perform CPR on her dog, over the phone.** ** Place pet on their side with their legs facing away from you, (if the pet is brachycephalic I would tell them to lay them on their back), Start chest compressions immediately for 2 minutes to the beat of "staying alive" using two hands, (if they are on their side) locate the correct area over the heart bring their elbow back and it will point to the heart, keep elbows locked. If they are alone I will tell them to deliver 2 quick breaths after 30 chest compressions by holding the mouth closed and blowing through the nostrils until the chest is well expanded. (AAVTN, Pg 422-423)** **18) What medications do you have available while a dog is undergoing a surgical procedure?** ** Atropine, Glycopyrrolate, Flumazenil, Naloxone, Dopamine CRI, Dobutamine CRI (Vet Anesthesia and Sedation Handout)** **19) The length of recovery is dependent on what factors? ** ** Renal and hepatic function, body temperature, blood glucose, breed, disorders like shock or hemorrhage, anesthetic depth or length of anesthesia, use of certain agents (IM ketamine may be associated with prolonged recovery time) (AAVTN, Pg 431-432)** **20) Name the canine and feline core vaccines (full name, not abbreviate).** Dog: Rabies, Distemper, Hepatitis (Adenovirus 2), Canine Parvovirus Cat: Rabies, Feline Viral Rhinotracheitis (herpes virus), Calicivirus, Panleukopenia (CTVTN, Pg 250-255) **21) Reading Assignment: You are responsible for this content on any quiz at any time from now.** Small Animal Dental Procedures for Veterinary Technicians and Nurses [Jeanne R. Perrone (Editor)](https://www.wiley.com/en-gb/search?pq=%7Crelevance%7Cauthor%3AJeanne+R.+Perrone) **Chapter 1: The Basics 3\ ***Gerianne Holzman* Anatomy of the Skull 4 Odontogenesis 12 Anatomy of the Tooth 15 Directional Terminology 18 **Chapter 2: The Examination Room and the Dental Patient 23\ ***Mary Berg* Introduction 24 The Client Interview 24 The Oral Examination: Conscious Patient 25 The Dental Estimate (Treatment Plan) 27