Nursing care (SA6) Flashcards
1
Q
What is shock?
A
Reduction in ability to carry oxygen to all cells
2
Q
What causes shock (hypovalemia)?
A
- Haemorrhage
- Dehydration
- Blood clot (obstructive shock)
3
Q
What is a pulmonary embolism?
A
Blood clot from the heart taken to the lungs by the pulmonary artery
4
Q
What is an obstructive shock?
A
Shock caused by a blood clot
5
Q
What is anaphalactic shock?
A
Shock caused by allergic reaction
6
Q
What are the signs of shock?
A
- Hyperventilation/Tachypnoea
- Pale MMs
- Slow CRT
- Tachycardia
- Weak thready pulse
- Cold extremities
- Hypothermia
- Depression, lethargy, collapse
7
Q
What are the symptoms of infection?
A
- Anorexia
- Depression
- Pain
- Pyrexia
- Abnormal gait/position
- Aggression
- Discharge
8
Q
What are the symptoms of pain?
A
- Restlessness
- Vocalisation
- Thrashing around kennel
- Anorexia
- Failing to drink or groom
- Unusual posture
- Self-mutilation
- Aggression
9
Q
What are the signs of stress?
A
- Restlessness
- Vocalisation
- Panting
- Behavioural changes
- Kennel guarding
- Hiding in kennel/under bedding
- Inappropriate urination
- Food chain issues
10
Q
Interventions for recumbency
A
- Enough space in kennel
- Place in high traffic/activity area to avoid boredom
- Comfortable bedding
- Additional heat
- Take outside if appropriate
- Clean and groom
- Massage limbs/physiotherapy
- Turn patient q3-4h
- Sternal recumbency
- Prevent urine/faecal scolds
11
Q
Post surgical care
A
- Wash hands, wear gloves
- Protect from contamination
- Regular checks until recovered
- Check for haemorrhage
- Prevent self trauma
- Observe for nausea, v+ or pain
- Offer food when appropriate
- Regular toilet opportunities
- Encourage controlled mobilisation
12
Q
Trauma management
A
- Analgesia
- Comfort
- Prevent shock
- Close monitoring
- May need hand feeding
- May need assistance mobilising
- Catheterise if recumbent
- Prevent exacerbation of problems
- Consider other potential issues
13
Q
Requirement for fluid therapy
A
- Wash hands, wear gloves
- Flush catheter with heparin saline
- Catheter checks
- Change catheter q3days
- Ensure bandaged correctly, not tight
- Check fluid rate
- Auscultate chest for crackles
- Regular observations
- Regular toilet opportunities
14
Q
Assisted feeding nursing considerations
A
- Wash hands, wear gloves
- Clean incision site daily
- Flush tube before/after feeding
- Ensure tube end is plugged
- Prevent patient interference
- Observe for v+, regurgitation, bloating
- Check for d+
- Monitor weight daily
- Calculate feeding amount
- Reintroduce food slowly
14
Q
Containment and physical therapies
A
- Interaction
- Grooming/TLC
- Physiotherapy
- Monitor and record
- Exercise
- Owner visit
- Toys
