View Full Document

10 views

Unformatted text preview:

Emergency Board Review Triage A airway patent adequate FiO2 arterial bleeding pressure B Breathing characterize pattern inspiratory expiratory paradoxical C Circulation D Disability neurologic musculoskeletal E Evaluate abdominal urinary general Triage Secondary Survey A airway C Cardiovascular circulatory R Respiratory A Abdomen S Spine H Head eyes ears and neck too Triage Secondary Survey P Pelvis rectal L Limbs including tail A Arteries N Nerves including cranial nerves reflexes pain sensation Quick Blood Gas 6 Questions 1 Is the patient hypoxemic PaO2 2 Is the patient hypo or hyperventilating PaCO2 3 Is there an acid base abnormality 4 What it is the primary abnormality Metabolic or respiratory 5 Is it simple simple with compensation or mixed 6 Why does it exist how do you fix it Quick facts for acid base Rules of 4 pH 7 4 o4 PaCO2 40 4 HCO3 24 2 PaO2 4 5 x FiO2 You can not compensate to normal pH Quick facts for acid base Most common cause of respiratory alkalosis in emergency is pain or fever induced hyperventilation Most common cause of respiratory acidosis is hypoventilation from anesthetics upper airway obstruction severe parenchymal disease or neurologic disease Quick facts for acid base Most common cause of metabolic acidosis in emergency is lactic acidosis shock ketosis other unmeasured anions ethylene glycol or hypochloridemia differentiate with anion gap Most common cause of metabolic alkalosis is vomiting Small Animal Toxicology Basic steps Eliminate further absorbtion Bathe or vacuum Emesis Hydrogen peroxide 3 1 2 ml kg can repeat once in 10 min Dishwashing liquid 1 8 with water and give 10 ml kg once Small Animal Toxicology Eliminate absorbtion emesis Apomorphine dogs 03mg kg IV 04 mg kg IM 08 mg kg SC or 3 mg kg conjunctival Xylazine cats 44mg kg IM Syrup of Ipecac potential cardiotoxicity muscle weakness hemorrhagic diarrhea Small Animal Toxicology Eliminate absorbtion Gastric lavage light sedation maybe 20 ml kg of tepid water repeated until



Access the best Study Guides, Lecture Notes and Practice Exams

Loading Unlocking...
Login

Join to view Emergency Board Review and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view Emergency Board Review and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?