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ACCST potential scenarios - Coggle Diagram
ACCST potential scenarios
cruciate disease - pain mx
pre-op
what is it?
intra-op
toxin ingestion
remove residual toxins
prevention methods
IVDD assessment
pre-op
full clinical & neuro assessment
pre-op bloods
kidney disease
fasting
prevent regurg
pre-emptive analgesia
safer anaesthetic
handling considerations
prevent further damage
bladder management
prevent contamination/ accidents mid surgery
intra-op
use of monitoring aids
ECG
heart rhythm & rate
Pulse ox
oxygen saturation
capno
inhalation & exhalation - end tidal CO2
ventilation & equipment issues
blood pressure
temperature
hypo/hyperthermic
referral hosp
invasive blood pressure
blood gas analysis
what is it?
diabetic ketoacidosis
GDV dog
triage & assessment
airway
usually patent, assess for aspiration risk
breathing
tachypnoea, + effort, poss. cyanosis = enlarged stomach compresses diaphragm
circulation
tachycardic, weak pulses, pale MM + prolonged CRT, hypotension = reduced venous return could may indicate shock
disability
collapse, weakness, altered mentation
external
non-productive retching, severe abdominal distension
diagnostics
abdo radiographs to confirm
lactate = increased levels may indicate poor tissue perfusion (associated with poorer prognosis)
blood pressure = hypotensive? *shock
ECG = cardiac wave, arrhythmias?
electrolytes = ?
PCV/TP = ?
emergency management
stabilisation
O2 therapy, IVC placement, shock IVFT, opioid analgesia i.e. methadone
gastric decompression
orogastric tube, trocarisation if unstable
arrhythmias
ECG monitoring, lidocaine if ventricular arrhythmias develop
surgery
exploratory laparotomy or gastropexy
nursing care considerations
continuous ECG monitoring = arrhythmia development
urine output =
pain scoring = adequate analgesia
temperature regulation = hypo-/hyperthermia
hydration status + IVFT rate + catheter care
recumbency care
pyometra & septic shock
respiratory distress cat
main concern: hypoxia
ABCDE triage
airway/ breathing
1) open mouth breathing 2) cyanosis 3) increased effort
circulation
1) tachycardia 2) poor pulses
diagnostics
*only when stable
1) TFAST u/s 2) pulse ox 3) chest rads 4) blood gas
evaluation
excessive handling prior to stabilisation may cause cardiopulmonary arrest
treatment
O2 therapy +/- O2 tent
butorphanol sedation
thoracocentesis if pleural effusion
nursing care
dark area
reduce stress
monitor RR & effort
temp monitoring
oxygen toxicity awareness
CPCR essay
cruciate surgery compare and contrast
blocked cat
heatstroke
brachycephalic airway syndrome
septic peritonitis
polytrauma/ RTA
pyothorax
blood transfusion reaction