Lab: Emergency Sx, Ceilotomy, OVH, Castration Flashcards Preview

SAS scs RUSVM > Lab: Emergency Sx, Ceilotomy, OVH, Castration > Flashcards

Flashcards in Lab: Emergency Sx, Ceilotomy, OVH, Castration Deck (72)
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1

What should the internal diameter of a temporary tracheostomy tube be in relation to the diameter of the trachea?

1/2 of diameter of trachea

2

Why should you extend a dog's neck over a rolled towel when preparing to place a tracheostomy tube?

To get the trachea closer to the skin

3

Where is the incision usually made for a temporary tracheostomy?

Between 3rd and 4th OR 4th and 5th rings, through the annular ligament

4

For how long should you suction the trachea and at what level, after placing a trach tube?

<10 sec (to prevent hypoxia)

Carina

5

What wound classification is used when you remove a trach tube? How do you close this?

Clean contaminated

Don't close, allow to heal by second intention

6

What start and end point do you use to pre-measure a thoracostomy tube?

Start: Dorsal third of thoracic wall at 7-9 ICS

End: Around point of elbow

7

How far from the desired intercostal entry point do you make your incision for a thoracostomy tube?

2-3 rib spaces caudal

8

Why is this hemostat placement for a thoracostomy tube incorrect?

Hemostat tips should extend beyond the end of the tube (otherwise difficult to get through hole)

9

How do you secure a thoracostomy tube? (incl suture type)

Mattress or purse-string suture and fingertrap suture 

Non-absorbable suture 

10

You take an x-ray to evaluate the placement of a thoracostomy tube and notice that it is not deep enough in the thorax. Can you reposition the tube?

No, must re-place tube

(can back out but not insert further into thorax)

11

In what position do you place a dog for pericardiocentesis? How should you position your patient to clip the area which you will insert the needle? Where is this area?

Left lateral recumbency (left side down)

Sternal recumbency

Mid-ventral right 5th-6th ICS (point of elbow)

12

Why do you need to advance a catheter before removing th stylette?

Stylette extends beyond the catheter

13

What is the least invasive enteral feeding tube? 

Nasoesophageal 

14

Which side of the stomach do you place a feeding tube for nutritonal support?

Left side

15

What layer must you include when securing a gastrostomy tube?

Fascia (not just skin)

16

What is one of the most important things to do when placing an enterostomy tube to prevent food accumulating in case of gastro/interstinal paresis?

Advance tube down further into the GIT

17

What type of approach is a laparotomy?

Flank

18

What is gossypiboma? How do you prevent it?

Retained foreign object during surgery

Sponge and instrument counts pre- and post-op

(Also: Radioopaque sponges, but $$$)

19

What is a common reason to use a paramedian approach for a neuter?

Inguinal Cryptorchid 

20

When would you do a flank approach?

To access ovaries, kidneys or adrenals

21

What must you ID and ligate when you deviate your incision laterally from ventral midline?

Branches of caudal superficial epigastric vessels

22

Which muscle do you want to avoid when making a ventral midline approach? 

Rectus abdominis muscle

23

How can you deal with the falciform ligament when doing a ceiliotomy?

1. Push it out of the way

2. Ligate and remove

3. Cauterize and remove

24

What is almost always indicated with an exploratory ceilotomy even if no gross lesions are identified?

Biopsies

25

What is found in the cranial quadrant?

Diaphragm

Stomach

Gallbladder 

Left limb of pancreas

26

What is found in the right quadrant?

Right limb of pancreas

Right kidney

Ureter

Adrenal gland (right)

27

What is found in the left quadrant?

Descending colon

Adrenal gland (left)

Left uterine horn

Spleen

28

What is found in the central quadrant?

Cecum

Mesentery

Mesenteric/intestinal LNs

Transverse, ascending colon

29

What is found in the caudal quadrant?

Duodenocolic ligament

Bladder

Ventral ligament of bladder

Prostate

Uterine body

30

Until when do you lavage the abdomen with warm saline before closing?

Until what you're taking out looks like what you're putting in