First aid Flashcards

(96 cards)

1
Q

Define first aid

A

Provision of initial care for illness or injury to preserve wellbeing and promote recovery

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2
Q

Who can perform first aid?

A

Any as long as it is to preserve life, prevent suffering and prevent deterioration until vet can diagnose and treat

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3
Q

What does schedule 3 state about providing first aid?

A

Vet nurses must be competent at first aid and vets are allowed to direct nurses to carry out limited surgery

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4
Q

How to answer telephone calls for emergency situations

A
Introduce self and be polite and calm
Ascertain whether life-threatening or not
Get mobile number 
Check if new or existing client
Quote price for emergency consult
Clear directions to get to practice and give practice phone number
Get ETA
Ask to bring in ASAP
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5
Q

How to determine urgency of patients over the phone?

A
Known toxins?
Onset time of signs?
Current conditions or medications?
Breathing?
Normal walking?
Consciousness?
Trauma?
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6
Q

What are examples of life threatening emergencies?

A
Respiratory distress
Severe bleeding
Collapse/unconscious
Rapid abdominal distension
Inability to urinate
Neurological abnormalities
Vomiting and diarrhoea
Extreme pain
Toxin ingestion
Bone fracture
Dystocia
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7
Q

How to advise owners when animal is haemorrhaging?

A

Keep calm to reduce heart rate
Apply pressure with clean cloth
Tourniquet distal limbs when less than 20 minutes to practice

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8
Q

How to advise owners when animal has foreign object?

A

Don’t remove
Keep calm and still
Get to vets ASAP

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9
Q

What should you do when you establish condition is non life threatening?

A

Take standard history

Ask further questions

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10
Q

What are examples of non-life threatening conditions?

A
Mild vomiting and diarrhoea
Small wounds
Minimal blood loss
Polyuria
Polydipsia
Weight bearing lameness
Short single seizure
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11
Q

How to advise owner with broken bones?

A

Keep patient confined
Support patient
Prevent further movement

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12
Q

How to transport emergency patients?

A

Be aware they may be unpredictable
Best kept in crate
For large dogs carry on board/blanket

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13
Q

What should be the priority when giving first aid out of practice?

A

Own safety especially with wildlife

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14
Q

What is the purpose of an emergency crash trolley?

A

Immediate access to life saving drugs and equpitment

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15
Q

What emergency equipment is used in practice?

A
ET tubes
Laryngoscope
Oxygen
Anaesthesia 
IV catheters 
Clippers
Scissors
Tape and bandages
ECG
Syringes and needles
Suction
Urinary catheters
Drug dosage charts
Fluids
Scalpels
Suture materials
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16
Q

What drugs should be present on crash trolley?

A
Cardiac resuscitation
Anticonvulsants
Steroids
Analgesics
Anaesthetics
Fluids
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17
Q

Define triage

A

Organising according to condition severity to provide appropriate treatment

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18
Q

List the stages of triage

A
Phone call
Primary survey
Assessment of 3 major body systems
Urinary
Pain
Capsule history
Secondary survey
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19
Q

How to prepare for triaging an incoming patient?

A

Prepare consent forms and critical care monitoring sheet
Prepopulate with patient information
Highlight areas for owner to complete
Note down history and each examination result

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20
Q

What needs to be observed as the initial primary survey?

A

Airways
Breathing
Circulation

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21
Q

What are the 3 major body systems?

A

Cardiovascular
Respiration
Neurological

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22
Q

What cardiovascular parameters need to be assessed?

A

Heart rate
Pulse quality
Mucous membrane colour
CRT

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23
Q

What respiratory parameters need to be assessed?

A

Respiratory rate
Respiratory effort
Changes with inspiration and expiration

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24
Q

What neurological factors need to be assessed?

A
Gait
Mentation/consciousness
Temperature
Sensation in all of body
Seizures
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25
What urinary system parameters need to be assessed?
Any obstructions | Size of bladder
26
When is capsule history not taken in triage?
When patient is unstable and needs to go straight to vet, gets taken later
27
What is recorded in capsule history?
``` Age Sex and neuter status Breed Last seen normal Last eaten, drank Last urinated Vomiting or diarrhoea Coughing Toxins or trauma Static or progressive condition Other conditions ```
28
What is the purpose of the secondary survey?
Identify problems that could rapidly become life threatening
29
What should be assessed in secondary survey?
``` Nose Mouth Eyes Ears Thorax Abdomen Limbs and tail ```
30
What are general nursing requirements alongside providing first aid?
``` Keep calm and quiet Keep comfortable Allow toileting Managing dressings and catheters Monitoring parameters Feeding ```
31
What parameters need to be monitored in patients undergoing first aid and how often?
``` Pulse MM Respiration Temperature Demeanour Every 15 minutes Body weight every 12 hours Also consider urine output, BP, ECG, CVP, blood gases where appropriate ```
32
Define CPR
Cardiopulmonary resuscitation | Basic life support to keep blood and oxygen circulating
33
What are signs of impending cardiac arrest?
``` Gasping, laboured breathing Lack of or weak heart beat Rapid pulses Unconsciousness Fixed dilated pupils and lack of reflex ```
34
List the stages of CPR
``` Record time Call for help Assign roles Start compressions Secure airway and give oxygen Monitor Place IV catheter Connect ECG ```
35
What are the roles in a CPR team?
``` Cardiac compressor, swapped every minute Ventilation provider Recorder Medicating and placing catheters Monitoring for pulse and repsiration ```
36
How should you perform compressions?
1/2-2/3 width of thorax 100-120 per minute Place ideally in lateral recumbency Cats and small dogs- compress over heart using whole hand around chest Large dogs- compress widest part of thorax
37
How to ventilate in a patient
Secure airway with ET tube Inflate lungs to normal rise and fall 20 breaths per minute Can use capnograph to measure CO2
38
What equipment is needed for CPR?
``` Ambubag Anaesthetic machines and circuits ET tubes, face masks and laryngoscope IV catheters Recording sheet and pen ECG and capnograph ```
39
What are the different stages of collapse?
Alert- normal mentation but cant walk or move Depressed- quiet but responds to noise Obtunded- respond to pain Unconscious- non-responsive, has heart beat and respiration
40
What are causes of the different stages of collapse?
Alert- fractures and spinal problems Depressed- shock Obtunded- severe shock, metabolic disease, neurological disease Unconscious- severe shock, neurological disease
41
Nursing considerations for unconscious patients
Positioned to keep airway open and clear Lateral recumbency with head slightly tilted upwards, mouth open and tongue pulled out behind canine Check no airway blockages
42
What equipment is needed for unconscious patients?
``` ET tube, laryngoscope Conforming bandage Oxygen supply Mouth gag/vet wrap ECG, BP monitor, capnograph ```
43
What are common ocular emergencies?
``` Proptosis- forward globe displacement Foreign body Corneal scratch or ulcer Glaucoma- increased pressure in globe Hypaemia- bleeding into anterior eye chamber Sudden onset blindness ```
44
What are nursing considerations for ocular emergencies?
Collar to prevent self trauma Analgesia Keep eye moist Keep quiet in dimly lit kennel
45
What are examples of nasal emergencies?
Epistasis- bleeding from nostrils | Foreign body
46
What are nursing considerations for epistasis?
``` Keep calm Elevate nose Cold compress Plug with absorbent dressing Monitor for hypovolaemia ```
47
What are nursing considerations for nasal foreign bodies?
Examine nose | Flush under anaesthesia making sure patient is in sternal recumbency with rostral end tilted down
48
What equipment is needed for nasal emergencies?
``` Surgical swabs Dressings Anaesthesia Otoscope Laryngoscope Syringe Saline ```
49
Define shock
Acute state of circulatory collapse so circulation cant provide enough oxygen to tissues
50
What are the types of shock?
Hypovolaemic Obstructive Distributive Cardiogenic
51
What is hypovolaemic shock?
Loss of blood volume so reduced volume circulating
52
What is cardiogenic shock?
Heart not pumping properly
53
What is distributive shock and what are examples?
Septic, toxic, anaphylactic or neurogenic shock | Loss of peripheral resistance so blood pools in small vessels and less is circulating
54
What is obstructive shock?
Obstruction prevents heart beating properly or prevents proper blood flow
55
What are some causes of obstructive shock?
Pericardial effusion- sac around heart fills with fluid preventing pumping Pulmonary thromboembolism- clot in lung prevents movement of blood Gastric dilation and twisting- blocks blood returning to the heart
56
What are signs of shock?
``` Lethargy Vomiting Diarrhoea Bleeding Swollen abdomen Abnormal heartbeat Weak or bounding pulse Red, pale or blue MM Slow CRT ```
57
How to nurse for shock
Close monitoring Oxygen provision Slow warming Calm environment Hypovolaemic- IV fluids and stop haemorrhage Distributive- find underlying cause, IV fluids
58
What needs monitoring in shock patients?
Blood pressure Heart beat Urine output indicates blood volume Blood lactate and oxygen level
59
What are examples of cardiovascular emergencies and why are they dangerous?
``` Acute congestive heart failure Pericardial effusion Aortic thromboembolism Arrhythmias Stop heart beating effectively ```
60
What is equipment needed for CV emergencies?
``` Oxygen IV catheter ECG Analgesia Butterfly catheter Ultrasound Pericardial or pleural tap preperation 3 way tap ```
61
List common aural emergencies
Aural haematoma Foreign body Infection
62
What equipment should be used for aural emergencies?
Head collar | Otoscope
63
What are common environmental emergencies?
``` Hyperthermia Hypothermia Electrocution Smoke inhalation Burns ```
64
What are causes of hyperthermia?
Excess exercise Hot day Seizure Prone to Brachycephalics
65
How to nurse hyperthermia
Cool to 39.5 as continues to cool after that point | Dont wet as insulates
66
What are causes of hypothermia?
``` Shock Disease Cold weather Anaesthesia Cats and young prone ```
67
How to nurse hypothermia?
Fluids warmed to body temperature Bear hugger under anaesthesia Bubble wrap
68
What are symptoms of electrocution?
Pulmonary oedema | Burns
69
What are symptoms of smoke inhalation?
Pulmonary oedema | Low oxygen exchange
70
What are different causes of burns?
``` Chemical Heat Sun Cold Electrocution ```
71
How to nurse burns?
``` Look at body % covered Treat shock Run under cold water for 15 minutes Analgesia Keep clean ```
72
What are signs of trauma?
Haemorrhage, internal or external Wounds Fractures
73
What are the main types of wounds?
Incisions- sharp cut Contusion- bruise Abrasions- not full thickness Laceration- cut by dirty object
74
What is the first aid for trauma?
``` Stop external bleeding Cover wounds while stabilising Analgesia Clip, clean, flush, suture and dress wounds Limit movement of fractures ```
75
List common metabolic emergencies and signs
Hypoglaecemia- weakness, collapse, coma, seizures Hyperkalaemia- high K+, bradycardia, asystole Hypocalcaemia- panting, tremoring Hypoadrenocorticism- uncontrolled BP, collapse, vomiting, bradycardia Diabetic ketoacidosis- weight loss, collapse, high urination
76
What questions help determine metabolic emergencies?
``` Lactating? Urination? Diabetes? Polydipsic prior to collapse? Vomiting or diarrhoea? Pale MM? Long CRT? ```
77
What are common urological emergenices?
Urethral obstruction- inability to urinate so waste builds up Uroabdomen- waste build up as urine leaks into abdomen Acute renal failure- infection, medication, blood clots
78
What is the first aid for urological emergencies?
History of drinking and urination or any trauma Aware of pain IV catheter to dilute waste Analgesia Monitor urine output, catheters and imaging
79
What equipment is needed for urological emergencies?
IV fluids Urinary catheter Suturing material
80
What questions should be asked for toxological emergencies?
``` What How much How long ago Body weight Symptoms Make sure owner safe Bring packet ```
81
Describe first aid for toxological emergencies
Identify toxin and amount Prevent further absorbiton Treat developing signs Give antidote or treatment
82
What are some treatments for toxological emergencies?
Induced emesis Dermal decontamination Ocular decontamination
83
When should and shouldnt you induce emesis for toxological emergencies?
Should- 1-3 hours after ingestion | Shouldnt- acidic substance, cardiac or laryngeal disease, seizing, cant vomit, depressed
84
Why shouldnt you use hot water for dermal decontamination?
Increases absorbtion
85
What are examples of gastrointestinal emergencies?
Obstruction Vomiting Diarrhoea Gastric dilation volvulus
86
What triage information is needed for GI emergencies?
``` Ingestion history Unproductive retching Restless Salivating Hard bloated abdomen Vomiting, diarrhoea ```
87
What is first aid for GI emergencies?
``` PPE in case infectious ABCs Catheterise Prepare stomach tube Check for hypothermia and hypoglaecemia ```
88
List reproductive emergencies
``` Dystocia Neonatal resuscitation Paediatric emergencies Pyometra Paraphimosis (foreskin stuck behind tip of penis) ```
89
How are respiratory emergencies presented in cats?
``` Hunched over Hiding Coughing Open mouth breathing Blue gums Foam at mouth ```
90
What are signs of respiratory emergency in dogs?
``` Coughing Exercise intolerance High RR Panting Restless Stretched neck Cant lay on side Abdominal breathing Blue gums ```
91
How to treat respiratory emergencies?
Secure airway Supplement oxygen Limit movement Maintain temperature
92
What are common neurological emergencies?
``` Head trauma Seizure Spinal cord disease Loss of sensation Vestibular disease ```
93
Define status epilepticus
Long lasting seizures
94
What is first aid for common neurological emergencies?
Limit movement ABCs Immobilise spine when needed Head trauma- elevate head to 30 degrees to reduce brain pressure Check temperature, toxin exposure or if hypoglycaemic
95
Common toxins for dogs
Raisins Chocolate Onion Grapes
96
Common toxins for cats
``` Lilys Paracetamol Raisins Onions Chocolate Grapes ```