ER Clinical Skills Flashcards
(112 cards)
Which of the following is least useful when resuscitating a dog in shock?
D5W
Hetastarch
Hypertonic saline
Plasma-Lyte 48
D5W
Which of the following conditions heals best through first intention?
Abscess
Degloving
Simple laceration
Puncture wound
Simple Laceration
Oxygen can be administered to a patient via any of the following routes except:
Chest tube
Endotracheal tube
Nasal oxygen catheter
Tracheotomy tube
Chest Tube
Which of the following is the most important goal when treating a patient with heat stroke?
Cooling
Infection control
Oxygen therapy
Pain control
Cooling
All of the following are recommended treatments for a dog experiencing paraphimosis, except?
Lubricating the penis
Cleaning the penis
Applying hypertonic solutions to the penis
Applying a warm compress to the penis
Applying a warm compress to the penis
Initial treatment for a dog with an open fracture includes all of the following, except:
Copiously cleaning and flushing the wound
Covering the wound
Applying a temporary splint to the limb
Taking radiographs of the fracture
Taking radiographs of the fracture
Which statement concerning a dog having a seizure is most correct?
Grasp the dog’s tongue and pull it forward to prevent airway obstruction
Administer oral anticonvulsants
Prevent the dog from injuring itself
Immediately start infusion of intravenous fluids
Prevent the dog from injuring itself
A client calls the hospital to say that his Pekingese has suffered an eye proptosis. Your advice to the client should include all of the following, except:
Apply pressure to the globe to replace it in the socket
Protect the globe from further trauma
Keep the globe moist
Immediately bring the dog to the veterinarian
Apply pressure to the globe to replace it in the socket
A client calls and says that his Rottweiler has been shot in the abdomen with a BB gun but appears perfectly fine. What should be recommended?
Observe the animal at home for vomiting or abdominal pain
See the veterinarian immediately
See the veterinarian at your earliest convenience
Observe the animal for hemorrhage
See the veterinarian immediately
Which statement is least accurate concerning the emergency treatment of cats with urethral obstruction?
Cats must always be sedated to have a urinary catheter passed
Massaging the tip of the penis can relieve the obstruction
Cats with a slow, irregular heart rate probably have a high serum potassium level
If the obstruction is not relieved, the cat will die
Massaging the tip of the penis can relieve the obstruction
What procedure is not routinely performed to resuscitate neonates following cesarean section?
Clean the nose and mouth of secretions
Rub the neonate with a towel to stimulate breathing
Administer a drop of oxytocin under the tongue
Ligate the umbilical cord
Administer a drop of oxytocin under the tongue
A patient is experiencing cardiopulmonary arrest. The most desirable route of drug administration is:
Intratracheal
Intracardiac
Intravenous
Intraosseous
Intravenous
Inducing emesis after ingestion of a solid toxin is imperative. However, emesis has little value if induced more than ____ hours after ingestion.
0.5 hours
1.5 hours
4 hours
8 hours
4 hours
Which is not an immediate consideration in cardiopulmonary resuscitation?
Airway
Analgesia
Breathing
Circulation
Analgesia
At what rate (breaths per minute) should respirations be administered to a patient in cardiopulmonary arrest?
4–8 breaths per minute
8–12 breaths per minute
12–26 breaths per minute
16–20 breaths per minute
8-12 breaths per minute
All of the following are signs of end-stage decompensatory shock, except:
Hypothermia
Vasodilation
Prolonged capillary refill time
Tachycardia
Tachycardia
A patient that has been hit by a car and has no palpable pulse or detectable heartbeat requires chest compressions. These compressions should be performed at a rate (per minute) of:
60–80 compressions per minute
80–100 compressions per minute
100–120 compressions per minute
120–140 compressions per minute
100-120 compressions per minute
To minimize hemorrhage to the head of a canine trauma patient, where should pressure be applied?
At the thoracic inlet in both jugular grooves
At the thoracic inlet of the left jugular groove
To the area adjacent and ventral to the mandible
To the lateral points of the temporomandibular joint
To the area adjacent and ventral to the mandible
In emergency care cases in which it is not possible to administer large volumes of desired fluids, it may be beneficial to properly administer:
D5W
Hypertonic saline
Hypotonic saline
Isotonic saline
Hypertonic saline
During emergency intubation, the cranial nerve _______ may be stimulated, resulting in ________________.
I; bradycardia
IV; tachycardia
X; bradycardia
XII; tachycardia
X; bradycardia
A man phones the veterinary practice to say that he has just hit a dog with his car and it is now lying on the side of the road. It appears to be breathing with minimal distress; however, there is blood coming from both nostrils and there is a small river of dark blood coming from a laceration on the lateral side of its hind leg. The dog can raise its head and is attempting to stand. In advising the man, your recommendation is to do all of the following except:
Be aware for any signs of aggression
Tie the mouth securely closed with your shoelace
Transport the dog on a board lying on its side
Apply direct pressure to the wound
Tie the mouth securely closed with your shoelace
A normal central venous pressure (CVP) range is:
0–5 cm H2O
5–10 cm H2O
10–15 cm H2O
15–20 cm H2O
0-5cm H2O
When monitoring patients on fluids and/or patients that undergo diuresis, urine output is an important consideration. The normal urine production for a healthy dog or cat is approximately:
0–1 mL/kg/hr
1–2 mL/kg/hr
2–3 mL/kg/hr
3–4 mL/kg/hr
1–2 mL/kg/hr
Multiple parameters are measured to determine a category of shock that an animal might be experiencing. The central venous pressure is high in which of the following types of shock?
Cardiogenic
Distributive
Hypovolemic
Septic
Cardiogenic