Quiz 1 Flashcards
(11 cards)
Allowable tasks for LVTs in an emergency
Apply a tourniquet or pressure bandage
Give drugs to prevent or control shock, including parenteral fluids, after direct communication with the licensed veterinarian
placing
nasal cannulas
Intubation
CPCR
Apply temporary splints or bandages
wound
dressings
skills and characteristics of a competent ER LVT
Be a team leader and team player
•Be calm in a stressful situation
triage skills
•Be able to quickly perform a thorough physical exam
•Be competent at venipuncture at various veins and
placement of IV catheters
•Be competent at giving meds IV, SQ, IM
•Be able to perform endotracheal intubation
•Be able to quickly obtain a blood pressure via Doppler
•Be able to run stat bloodwork such as PCV, TP, blood
gasses, clotting times, electrolytes
•Be able to perform CPCR if needed
•Monitor vital signs and recognize worsening signs
•Maintain accurate patient records and controlled
substance logs (if applicable)
•Provide TLC for the seriously ill patient
•Be understanding & patient with a distressed owner
Oxygen cage
non invasive oxygen to the patient if they are stable enough
• Some cages are temperature & humidity controlled
•Small holes in the doors allow patient manipulation
•Also double as ICU cages
Capnograph
Measures end- tidal CO2
Used for intubated patients
sensitive indicator of hypoventilation than the pulse oximeter
•Available as large monitors or as hand-helds
Blood gas analyzer
Requires an arterial blood sample* (often found on the bottom of the foot)
•Provides rapid and accurate assessment of blood gases, which are important in respiratory or cardiac emergencies
Fluid and syringe pumps
Fluid pumps deliver a specified amount of fluids over a specified
time
•A syringe pump is used to give small amounts of drugs over an extended period of time
Defibrillator
Usually located on the top of the crash cart
•Provides electricity to “re-start” the heart
•Only 3-5% of CPR in animals is successful
• However, less than 10% of successful CPRs go home to be functional pets
Blood pressure
indirect BP monitoringthe cuff is placed around a leg, the cuff inflates, and the BP is measured by a sphygmomanometer or oscillometric machine
•Direct BP measurement requires an arterial catheter and provides a more accurate measurement which is continuous rather than periodic
Crash cart
what should they contain?
ET tubes
ER drugs, chart with doses, sheet to record drugs used in emergency
IVCs, syringes, needles
Ambu bags
Heating supplies
Hot water bottles
Bair huggers
Warming blankets (water blankets)
Telephone Triage
Keep calm
Client’s name, location & phone number
* Patient’s species, age, breed & gender
* Presenting complaint/reason for the call +/- pertinent medical history
* Patient’s current condition
* How is your pet breathing? MM /CRT
* What is the level of consciousness (LOC)?
* Is the patient recumbent
* Patient’s expected time of arrival
Record everything
NEVER diagnose over the phone, 99.9% of the time if the owner is concerned
they should bring the pet in to be seen by a DVM
Your advice over the phone should consist of stabilizing the patient during
transport
