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Medical Nursing Midterm 1 > Pt History > Flashcards

Pt History Flashcards

(82 cards)

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0
Q

Chief Complaint - why is the owner brining the Pt in? (2?s)

A
  1. The reason the client is brining the pet into the hospital?
  2. Why the owner feels the pet is sick/injured?
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1
Q

What is signalment?

A
  1. Age
  2. Breed
  3. Sex (neutered or intact)
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2
Q

If an animal is having diarrhea, coughing, or sneezing what could the prime problem area be?

A

Diarrhea or vomiting is GI issues and coughing/sneezing is respiratory

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3
Q

Past medical history…what questions should be asked?

A
  1. Previous illness?
  2. Previous surgery?
  3. On any medications or treatments?
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4
Q

Current health status…what needs to be known? (6)

A
  1. Vaccine history
  2. Indoor/Outdoor pet
  3. Other pets
  4. Environment
  5. Diet
  6. Toxin exposure
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5
Q

Name the 4 prime vital signs

A
  1. Weight
  2. Temp
  3. Pulse
  4. Resp
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6
Q

Name the 2 additional vital signs that are a great measure for BP and blood circulation

A

Capillary (crt) and mucous membrane (mm)

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7
Q

Name the 4 techniques

A
  1. Inspection
  2. Palpation
  3. Percussion
  4. Auscultation
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8
Q

When inspecting an animal, what is being done?

A

A visual, over body look of the animal is done

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9
Q

When palpating an animal, what is being done

A

Over all touching the animals body feeling for any abnormalities

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10
Q

When percussing an animals, means?

A

when auscultating an animal, what is

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11
Q

When auscultating an animal, what is being done?

A

One is listing to the animals heart, lungs, GI tract

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12
Q

SOAP stands for

A

S- subjective information
O- objective information
A- assessment
P- plan

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13
Q

In SOAP, the subjective information is considered to be

A

Complaint and history

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14
Q

In SOAP, the objective part is considered to be

A

The physical exam (T.P.R.Ws)

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15
Q

In SOAP, the assessment is considered to be

A

Tentative diagnosis (causes)

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16
Q

In SOAP, the plan is considered to be

A

Diagnostic test and treatment

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17
Q

Behavior & Mentation is considered what technique?

A

Inspection

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18
Q

BAR and QAR stand for

A

Bright and alert or quiet and alert

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19
Q

What is the normal temp range for cats/dogs?

A

99-103

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20
Q

What is the average temperature for cats/dogs?

A

102.3

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21
Q

What temperature is a dog/cat considered to be hypothermia

A

Less then 99

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22
Q

What temperature is considered febrile

A

103.5

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23
Q

The skin turgor test is used to show signs of this

A

Dehydration

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24
Normal RR for dog
16-24
25
Normal RR for cat
16-30
26
Normal heart rate for dog
70-180
27
Normal heart rate for cat
160-240
28
Mucosa Membrane (MM) is pink means
Normal
29
Mucosa Membrane (MM) is pale to white means
Anemia or poor perfusion
30
Mucosa Membrane (MM) is blue means
Cyanotic
31
Mucosa Membrane (MM) is icteric means
Liver disorder (jaundice)
32
Mucosa Membrane (MM) is brick red means
Sepsis or warm shock
33
Mucosa Membrane (MM) is brown means
Methemoglobinemia (acetomenphin toxicity)
34
Mucosa Membrane (MM) is petechia means
Bleeding disorder or coagulopathy
35
Diabetes diet consists of
No sugar
36
Suture infection can be seen with in how many days post surgery
3-4 days
37
What problems would a recumbent PT face
Decubital ulcers and urine/feces rash
38
Kidney or liver diet should consist of
Low protein
39
During a physical exam of the respiratory what should be noted
Sneezing, coughing, larynex, listen to the lungs
40
Ascultate the lungs: crackles means
Fluid in lungs
41
Ascultate lungs: wheezes means
Constricted bronchi
42
Ascultate the lungs: muffled means
Pleural effusion
43
Physica Exam of: Ears
Odor check Clean/dirty (black, ear mites blood or wax) Painful
44
Physical Exam: eyes
``` Eye discharge Epiphora (tearing) Pupils (equal/reflect light)-PLR Conjunctiva (redness) Cataracts (white, nuclear, aging-sclerosis) Cornea (clear) ```
45
Erythema means
Red or inflammation
46
Tracheostomy tube should be clean and suction how often
q 4-6hrs
47
Urinary catheter should be flushed with what type of saline
Normal
48
Turning a recumbent PT can prevent what (3)
Pneumonia Pressure sore Edema
49
If a PT is in an oxygen cage make sure to monitor for (2)
Over heating | Humidity
50
Recording urinary output what should be noted
Volume and color
51
If feces is black tarey melen, that can be a sign of
Upper GI bleed
52
An IV catheter should be flushed with what type of saline and how often
Heparnized q 4-6hrs
53
How often should a recumbent PT be turned
q 2hrs
54
Drains should be removed after how long
2-3 days
55
Infection in the chest is known as
Pyothorax
56
Decubital ulcers are due to
Pressure points
57
If feces are bloody with mucous this can be a sign of
Colitis
58
GI diet consist of
Bland
59
Puppies kittens and pregnant diet consist of
High protein
60
Bloody vomit could mean
GI ulcer
61
IV catheters should only be left in for how long
3-5 days
62
Heart disease diet consist of
Low sodium
63
A chest tube is at rick for (2)
Pneumothorax and infection
64
Daily observation of a PT consist of
``` Eating Drinking Vomit Diarrhea Behavior changes ```
65
Name of the most common cathete used
Peripheral
66
IV fluids should not exceed
90ml/kg/hr can cause pulmonary edema
67
Vomit is yellow this could mean
Bile (acid)
68
Why should a 3way stop clock be closed
Prevent air from entering chest cavity
69
Penrose drains, drain how
Around the tube not through
70
Jugular catheter should be left in for how long
5-7 days
71
Blood in urine could be a sign of
Cystitis
72
Which can stay in longer a: jugular or IV catheter
Jug
73
Physical Exam: reproductive
Male (testicles cryptorchid) | Female (vulva discharge, Pyometra, mammory glands)
74
Physical Exam: lymph nodes
Mandinular Presacpular Axillary Inguinal popiteal
75
Nasal oxygen should have a flow rate between
1-3 liters
76
Lack of O2 after 4min can cause
Brain damage
77
Check suture sites daily for (2)
Discharge & inflammation
78
Physical Exam: musculoskeletal
Limping Atrophy Flex/extension (arthritis or dysplasia)
79
Physical Exam: GI
Teeth (calculus, loose teeth, gingivitis) Tongue (symmetrical,swallow reflex,salivation) Abd (distended, liver/spleen,pendulous-fluid)
80
A heimlich chest valve is
Lets air out but not in
81
Physical Exam: nervous system
Ataxia | Mentation

Medical Nursing Midterm 1 (5 decks)

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