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Small Animal Emergency and Critical Care Medicine: Self-Assessment Color Review, Second Edition, Q&A 15 (view source)
Revision as of 17:51, 6 November 2018
, 17:51, 6 November 2018Created page with "{{CRC Press}} {{Student tip |X = an overview of a common condition and the basic first line treatment. }} <br><br><br> File:Small Animal Emergency and Critical Care Medicine..."
{{CRC Press}}
{{Student tip
|X = an overview of a common condition and the basic first line treatment.
}}
<br><br><br>
[[File:Small Animal Emergency and Critical Care Medicine 2E Q15.png|centre]]
<br>
'''A 3-month-old female intact 123 Pitbull puppy presents for 2 days of anorexia, lethargy, vomiting clear fluid, and watery, fetid diarrhea. Radiographs were reported as normal. The puppy has received 3 of her puppy vaccination series. T = 39.6°C (103.3°F); HR = 165 bpm; RR = 25 bpm; CRT = 3 sec; MM pale and dry; femoral pulses bounding; perfusion hyperdynamic; 10% dehydration based on skin turgor and dry MM/corneas. Shortly after presentation the dog passed a large amount of liquid bloody stool (see image).'''
<br>
<FlashCard questions="3">
|q1= A parvovirus CITE (Snap) test is positive. What additional diagnostics are recommended for a patient with parvovirus?
|a1= Should include emergency data base (venous blood gas, electrolyte panel, PCV, TS, glucose, BUN), CBC and serum biochemistries, and a routine fecal examination. Abdominal radiographs and/or ultrasound are examined if there is suspicion for intussusception.
|l1= Replace text with name and subsection of relevant WikiVet page if in existence eg. Feather - Anatomy & Physiology#Structure & Function
|q2= PCV equals 0.6 l/l (60%); TS equals 21 g/l (2.1 g/dl); glucose equals 2.28 mmol/l (41 mg/dl). Interpret these results for this dog.
|a2= The dog is markedly dehydrated (elevated PCV) and likely has some significant protein losses (primarily GI loss). Albumin is likely low due to decreased production (an acute-phase protein), decreased intake, and loss due to capillary leakage (SIRS). Hypoglycemia is from decreased intake with poor glycogen reserves and increased metabolic rate, possibly due to SIRS and sepsis.
|l2= Replace text with name and subsection of relevant WikiVet page if in existence eg. Feather - Anatomy & Physiology#Structure & Function
|q3= Discuss the treatment recommendations for an in-hospital dog with parvovirus infection.
|a3= The dog is immediately placed in isolation and all exposed surfaces disinfected. Personnel must wear gowns, gloves, and shoe covers when handling this dog. An IVC is placed; emergency database collected and blood drawn for CBC, biochemistries; IV isotonic balanced buffered crystalloids and HES using large-volume technique to high end end-points; reassess perfusion and correct hydration over 4–6 hours with crystalloids, continuing to account for dehydration, maintenance, and ongoing losses; CRI of HES at 0.5–2 ml/kg/hr to supplement COP; IV antibiotics effective against gram-positive/gram-negative organisms as well as anaerobes are recommended; anti-emetics; motility modifier such as metoclopramide or cisapride; and gastroprotectants (H2-blockers or proton pump inhibitors, sucralfate); nasogastric tube gastric decompression and trickle enteral feeding. Many dogs require dextrose and potassium supplementation.
|l3= Replace text with name and subsection of relevant WikiVet page if in existence eg. Feather - Anatomy & Physiology#Structure & Function
</FlashCard>
[[Category:CRC Press flashcards]]
To purchase the full text with your 20% off discount code, go to the [https://www.crcpress.com/9781482225921 CRC Press] Veterinary website.
{{#tag:imagemap|Image:Next Question CRC Press.png{{!}}center{{!}}200px
rect 0 0 860 850 [[Small Animal Emergency and Critical Care Medicine: Self-Assessment Color Review, Second Edition, 2nd Edition Q&A 16|Next question]]
desc none}}
{{Student tip
|X = an overview of a common condition and the basic first line treatment.
}}
<br><br><br>
[[File:Small Animal Emergency and Critical Care Medicine 2E Q15.png|centre]]
<br>
'''A 3-month-old female intact 123 Pitbull puppy presents for 2 days of anorexia, lethargy, vomiting clear fluid, and watery, fetid diarrhea. Radiographs were reported as normal. The puppy has received 3 of her puppy vaccination series. T = 39.6°C (103.3°F); HR = 165 bpm; RR = 25 bpm; CRT = 3 sec; MM pale and dry; femoral pulses bounding; perfusion hyperdynamic; 10% dehydration based on skin turgor and dry MM/corneas. Shortly after presentation the dog passed a large amount of liquid bloody stool (see image).'''
<br>
<FlashCard questions="3">
|q1= A parvovirus CITE (Snap) test is positive. What additional diagnostics are recommended for a patient with parvovirus?
|a1= Should include emergency data base (venous blood gas, electrolyte panel, PCV, TS, glucose, BUN), CBC and serum biochemistries, and a routine fecal examination. Abdominal radiographs and/or ultrasound are examined if there is suspicion for intussusception.
|l1= Replace text with name and subsection of relevant WikiVet page if in existence eg. Feather - Anatomy & Physiology#Structure & Function
|q2= PCV equals 0.6 l/l (60%); TS equals 21 g/l (2.1 g/dl); glucose equals 2.28 mmol/l (41 mg/dl). Interpret these results for this dog.
|a2= The dog is markedly dehydrated (elevated PCV) and likely has some significant protein losses (primarily GI loss). Albumin is likely low due to decreased production (an acute-phase protein), decreased intake, and loss due to capillary leakage (SIRS). Hypoglycemia is from decreased intake with poor glycogen reserves and increased metabolic rate, possibly due to SIRS and sepsis.
|l2= Replace text with name and subsection of relevant WikiVet page if in existence eg. Feather - Anatomy & Physiology#Structure & Function
|q3= Discuss the treatment recommendations for an in-hospital dog with parvovirus infection.
|a3= The dog is immediately placed in isolation and all exposed surfaces disinfected. Personnel must wear gowns, gloves, and shoe covers when handling this dog. An IVC is placed; emergency database collected and blood drawn for CBC, biochemistries; IV isotonic balanced buffered crystalloids and HES using large-volume technique to high end end-points; reassess perfusion and correct hydration over 4–6 hours with crystalloids, continuing to account for dehydration, maintenance, and ongoing losses; CRI of HES at 0.5–2 ml/kg/hr to supplement COP; IV antibiotics effective against gram-positive/gram-negative organisms as well as anaerobes are recommended; anti-emetics; motility modifier such as metoclopramide or cisapride; and gastroprotectants (H2-blockers or proton pump inhibitors, sucralfate); nasogastric tube gastric decompression and trickle enteral feeding. Many dogs require dextrose and potassium supplementation.
|l3= Replace text with name and subsection of relevant WikiVet page if in existence eg. Feather - Anatomy & Physiology#Structure & Function
</FlashCard>
[[Category:CRC Press flashcards]]
To purchase the full text with your 20% off discount code, go to the [https://www.crcpress.com/9781482225921 CRC Press] Veterinary website.
{{#tag:imagemap|Image:Next Question CRC Press.png{{!}}center{{!}}200px
rect 0 0 860 850 [[Small Animal Emergency and Critical Care Medicine: Self-Assessment Color Review, Second Edition, 2nd Edition Q&A 16|Next question]]
desc none}}