Surgical Complications Flashcards
Define mild (compensatory) hypovolaemic shock in dogs (7)
HR 120-150 bpm Bounding femoral pulse Easily palpable dorsal pedal pulse MM normal or slightly pinker Norm CRT Norm mentation Norm peripheral temp
Define moderate (early decompensatory) hypovolaemic shock in dogs (7)
HR 150-170 bpm Weak femoral pulse Just palpable dorsal pedal pulse MMs pale pink CRT 1-2s Depressed mentation Peripheral temp norm-cool
Define severe (late decompensatory) hypovolaemic shock in dogs (7)
HR 170-220 Very weak/threads femoral pulse Dorsal pedal pulse impalpable MMs very pale/white CRT >2s / undetectable Severely depressed mentation Cold peripheral temp
Clinical signs of hypovolaemia in cats (6)
Bradycardia Hypothermia Depression Weak/absent pulses Pale MMs CRT >2.5s / undetectable
Prevention of decubitus ulcers (5)
Turn q2hrs Soft bedding Extra padding on bony prominences Massage to promote circulation Slings to suspend patient and alleviate pressure
Treatment of decubitus ulcers (5)
Clipped Cleaned with mild anti-septic solution Throughly dried Barrier cream \+/- dressing
Prevention and treatment of urine scalding (4)
Turn and check patient q2hrs
Clip hair
Regular cleaning with mild anti-septic solution
Barrier cream
Pathophysiology of hypostatic pneumonia
Pooling of blood/fluid in lung
Results in decreased viability
Cause of hypostatic pneumonia
Positioned in LR too long
Coupage for hypostatic pneumonia:
Effect in patient (2)
How often/long carried out
Improved thoracic circulation
Encouraged coughing and removal of bronchial secretions
5mins, 4-5 times day
Clinical signs of hypostatic pneumonia (5)
Depression Rapid, shallow RR Increase RR effort Moist resp. Sounds Crackling resp. Sounds
Define hypovolaemia (2)
Decreased blood volume, specifically plasma
Characterised by Na+ depletion
Pathophysiology of hypovolaemic shock
Severe blood and fluid loss
Heart unable to pump enough blood around body
May lead to organ failure
Patient assessment for hypovolaemia/HV shock (6)
HR Femoral and dorsal pedal pulse quality MM colour CRT Mentation Temp of extremities
