In order, what in an animals mentation based off the most awake to most severe.

Alert, depressed, obtunded, stuporous, comatose

Cyanotic membranes w/no detectable CRT,severe hypotension,hyperthermia, weak/no pulse,stuporous

Late decompensatory stage of shock

A clinical indicator of dehydration may be:

Both PCV and Urine specific gravity

The following is considered an anesthetic emergency:

a dog that won't stay anesthetized

assessing a cat w/ spinal injury, w/ toe pinch a positive response to deep pain is indicated by

withdrawal of the foot and vocalizing

Toxicity: Acetaminophen ingestion in cats --> Main Symptoms:

Methemoglobinemia (muddy brown MM)

What does SLUD stand for

Lacrimation, Defication, Salivation, Urination

The following are signs of cardiac arrest:

Absent/agonal breathing and decreased BP

Extremely cold patients should be given pain medications upon re-warming:

once their core temp reaches 98.0°F

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Emergency

174 termsStudBud Administration36 plays

Review for Emergency Procedure Final #EmergencyFinal

Flashcards174 cardsFPractice quizPHost liveL

Questions 174

Answers

1
DKA will change the pH of the blood stream.
True
False
2
patient presents w/ bleach ingestion u should induce emesis & then follow w/ activated charcoal
True
Fasle
3
Which of the following is NOT used to treat seizing patients?
Ketamine
Diazepam
Propofol
Phenobarbital
4
You always cool a hyperthermic patient.
True
False
5
When rewarming a hypothermic patient, it is important to:
all of the above
Warm slowly
offer pain medicine
monitor the patient
6
The end of shock is cellular damage and death of cells.
True
False
7
Technician can perform a tracheostomy.
True
False
8
What CPCR drug promotes forward blood flow in cardiogenic shock.
Atropine
Dopamine
Doxapram
Dobutamine
9
Patients may go into shock during anesthesia but not exhibit all the usual symptoms.
False
True
10
UA is NOT helpful when diagnosing a DKA patient as it doesn't give us a blood glucose level.
True
False
11
A hemoabdomen is an immediate emergency that should be seen ASAP
True
False
12
PLR stands for papillary light reflex
True
False
13
DKA is a life threatening emergency
False
True
14
All of the following are parts of the "minimum database" lab tests except
TP
Blood gas
Serum color
HCT
15
In order, what in an animals mentation based off the most awake to most severe.
Alert, depressed, stuporous, obtunded, comatose
Depressed, alert, stuporous, comatose, obtunded
Alert, depressed, obtunded, stuporous, comatose
depressed, alert, comatose, obtunded
16
Cyanotic membranes w/no detectable CRT,severe hypotension,hyperthermia, weak/no pulse,stuporous
none of the above
Late decompensatory stage of shock
Compensatory stage of shock
Early decompensatory stage of shock
17
It's ok to leave a cat who is open mouth breathing & in R. destress, unsupervised in an O. cage
Flase
True
18
This is the probably most common type of shock we see:
Hypovolemic
Distributive
Cardiogenic
Obstructive
19
This test can be used to determine if a patient has Addison's Disease.
Cobalamine Folate
Blood Glucose
Low Dose Dex Suppression
ACTH Stim
20
Hetastarch is an example of a crystalloid fluid.
True
False
21
An animals perfusion status can be measured using all of the following except:
Reperiatory Rate
Heart Rate
CRT
Pulse quality
22
Compressions in CPR should be given at a rate of 100-120 per minute.
True
False
23
Insulin allows glucose to enter the cell.
True
False
24
What is the drug we give to patients w/ congestive heart failure to help reduce fluid overload
nalaxone
furosemide
famotidine
epinephrine
25
Concerning Fentanyl:
it can be adjusted during anesthesia to meet patient needs
it can be used with gas anesthesia
all of the above
its effects can clear the body in about 15 minutes
26
Knuckling is:
a swelling usually observed on the carpus or tarpus
a neurologic abnormality
an abnormality of the respiratory system
a normal posture in some breeds of cats and dogs
27
A clinical indicator of dehydration may be:
Both PCV and Urine specific gravity
Low TP
High Urine Specific Gravity
Increased PCV
28
In an emergency, a LVT can apply a tourniquet or pressure bandage to control hemorrhaging.
True
False
29
Ethylene Glycol Toxicity is serious and can cause acute renal failure. we treat with
Antizol-Vet
ethanol solution
all of the above
80 proof Vodka
30
Asthma is often the cause of feline lower airway disease.
True
False
31
The goal of a phone triage in an emergency is to:
All of the above
Get info to help prep for the patients arrival
Provide info to the O to keep the P stable during transport
Keep the owner calm
32
Toxicity: Xylitol ingestion --> Main Symptoms:
Hypoglycemia
uncontrolled bleeding
renal failure
Ataxia/tremors
33
The following is considered an anesthetic emergency:
A cat is slightly dyspneic after propofol induction
a dog that won't stay anesthetized
a systolic BP of 80 mm/hg in a dog
a cat that is 99.0 F
34
Gastric torsion and heartworm can result in this type of shock:
cardiogenic
distributive
obstructive
hypovolemic
35
This test is used to determine if a patient has Addison's Disease.
ACTH Stim
Blood Glucose
Low Dose Dex Suppression
Cobalamine Folate
36
Early stage of shock, vasoconstriction and increased HR, try to maintain BP.
False
True
37
Patients with pancreatitis will never require pain medications.
true
False
38
assessing a cat w/ spinal injury, w/ toe pinch a positive response to deep pain is indicated by
withdrawal of the foot and vocalizing
no reponse
vomiting
withdrawal of the foot without vocalizing
39
Toxicity: Acetaminophen ingestion in cats --> Main Symptoms:
Ataxia/tremors
Renal failure
Methemoglobinemia (muddy brown MM)
Hypoglycemia
40
C. require daily care and maintenance including checking the IVC site & flushing q4h w/ saline
False
True
41
What does SLUD stand for
Lacrimation
Defication
Salivation
Urination
42
Red/pale MM, bounding/normal pulses, normothermic, rapid CRT,normal urinary output, increase RR
Late decompensatory phase of shock
Early decompensatory phase of shock
None of the above
Compensatory phase of shock
43
Which of the following is TRUE regarding seizure patients?
they should wear jingle bell collars
they should be in padded cages
all of the above
They should be housed near staffed areas
44
The following are signs of cardiac arrest:
Palpable pulse with irregular ECG
Ventral positioned eyes with some PLR
Absent/agonal breathing and decreased BP
Red MM and High blood pressure
45
Checking your drug dose once is adequate when drawing up medications for anesthesia.
True
False
46
What is the correct term used when two eyes have non-matching pupil sizes.
bicoria
polycytosis
anisocytosis
anisocoria
47
If a DVM is using a thoracocentesis to treat a patient, they are most likely treating a:
Pleural effusion
pulmonary edema
none of the above
pneumothorax
48
Patients in Addisonian Crisis often have this type if shock:
Hypovolemic
they are not usually in shock
cardiogenic
Obstructive
49
What CPCR drug stimulates respirations
Doxapram
Atropine
Glucocorticoids
Dobutamine
50
Extremely cold patients should be given pain medications upon re-warming:
immediatley
once their core temp reaches 98.0°F
none of the above
hypothermic patients do not need pain medications
51
It is rare that a human/tech is responsible for an anesthetic emergency.
False
True
52
Macadamia nut toxicity usually presents with hind end weakness & is safe to monitor at home
False
True
53
Insulin allows glucose to enter the cell
True
Fasle
54
What drug can be used to help decrease fluid build up in the brain after head trauma?
dobutamine
dopamine
furosemide
hetastarch
55
Canine seizures are always caused by an outside factor.
False
True
56
You should be concerned if a cat's HR is greater than ___ when in the hospital.
180
250
280
220
57
What is a method for giving diazepam to an actively seizing patient other than IV?
Rectal
IM
SQ
Ocular
58
Cats with a history of cardiac disease often present with a cough.
True
False
59
One of the most important factors in a successful recovery of a DKA patient at home is:
fluids at home
weaning off insulin
Client education and understanding
frequent trips to the DVM
60
DKA is a life threatening emergency
Ture
False
61
Using anesthetic gas alone is the best way to control anesthetic depth.
True
False
62
What CPCR drug enhances blood flow to the kidneys in dogs.
Epinephrine
Glucocorticoids
Dopamine
Atropine
63
Toxicity: lily ingestion in cats --> Main Symptoms:
Uncontrolled bleeding
Ataxia/tremors
Methemoglobinemia
Renal failure
64
What are the symptoms for <5% dehydration?
slight increase in skin turgor; MM tacky
Clinical signs not detected
slow return of skin back to normal, MM dry, CRT increased
Prominent signs of shock/death
65
A bleeds often spout/shoot out blood & is an ER, vs V bleed is slow steady bleed not as serious
False
True
66
Which of the following is the MOST emergent problem that needs to be dealt with first?
respiratory arrest
bloody stool
Inability to urinate
non weight bearing limb
67
Blood work is typically a valuable indicator of a patient with Addison's Disease.
True
False
68
Shock is:
cell energy production has fallen so low organ is compromise
not dangerous usually passes after initial injury occurred
the ability to meet tissue oxygen consumption demands
only caused by physical trauma
69
There are four major function tests when dealing with spinal cord injuries.
True
False
70
What type of patient would you give fluids IO(intraosseous)
slightly dehydrated patients
neonates (puppies and kittens)
severely dehydrated patients
Older patients
71
Weak pulses are often an indicator that there is an underlying heart issue going on w/ the P.
False
True
72
SQ fluids are ok for patients that are severely dehydrated.
False
True
73
Using a doppler blood pressure monitor is an example of:
oscillometric blood pressure monitoring
central venous pressure monitoring (CVP)
Indirect blood pressure monitoring
direct blood pressure monitoring
74
The maximum amount of time one person should perform cardiac compressions during CPR is 2 min.
False
True
75
Sepsis is defined as:
Circulatory collapse, occurs 2ndary to inflammatory disease
A cause distributive shock
A result from trauma and anaohylaxis
All of the above
76
A cat comes in w/ poss topical toxicity. its cold & shocky. 1st this to do is bath in dawn soap
False
True
77
The capnography measures which vital parameter?
SPO2
End Tidal CO2
Blood Pressure
Heart Rate
78
The Schiff-Sherrington motor posture is characterized by:
bilateral rigidity of forelimbs & bilaterally flexed hind
bilateral flexing of fore and hind limbs
bilateral extensor rigidity of fore and hind limbs
bilateral rigidity of forelimbs & bilaterally paralyzed hind
79
Concerning chocolate, typically the darker the chocolate the more toxic it may B to the patient
Fasle
True
80
Most clinics have the ability to at least store frozen blood or plasma ordered from blood banks
False
True
81
Lar Par is a state of complete/partial failure of arytenoid cartilage vocal fold,during In & Ex
False
True
82
A cPL test can test for canine parvovirus
True
False
83
if the patient is unable to walk/move in its cage, what should you add to the treatment.
bedding checks or urinary catheter palcment
flipping sides every 4-6 hours
all of the above
Physical therapy/range of motion
84
Depth and rate of breath should not effect a patient's anesthetic depth.
False
Ture
85
Crystalloids are the most commonly used fluids.
True
False
86
What CPCR drug inhibits vagus nerve to prevent bradycardia?
Atropine
Dobutamine
Dopamine
Doxapram
87
Triaging should be done quickly and completed within:
2 minutes
10 minutes
15 minutes
20 minutes
88
"over the needle" C. may be left in for 14 days while "thru the needle" C only 3-7 days
True
False
89
Toxicity: Metaldehyde(slug snail bait) ingestion --> Main Symptoms:
Uncontrolled bleeding
Ataxia/Tremors
renal failure
hypoglycemia
90
Patients with suspected canine parvovirus need to isolated from other patients in the hospital
True
False
91
An echocardiogram measures electrical activity of the heart.
False
True
92
Fluidpumps give SM amt of drug over Lng P. of time, Syringepump gives L amt fluid over X ml/hr
True
False
93
GDV can be managed with fluids if caught early.
True
Fasle
94
Blood Gas Analyzers often require arterial blood sample.
False
True
95
Dehydration is usually only one symptom of an underlying disease state.
True
False
96
Stress can bring on an Addison's Crisis
True
False
97
What does ABCD stand for
Airway
Circulation
Drugs
Breathing
98
An irregular heartbeat can be a sign of both hyperthermia and hypothermia
False
True
99
It is uncommon for equipment to play a role in anesthesia emergencies.
False
True
100
Which of the following clinical sign suggest a pet should be seen immediatley
Acting clingy
Rapid breathing
Itchy ears
skipped breakfast
101
What are the symptoms for 10-12% dehydration?
skin remains tented; ↑ CRT; sunken eyes; tachycardia; weakBP
slight increase in skin turgor; MM tacky
Slow return of skin back to normal; MM dry; CRT increased
prominent signs of shock/death
102
Carbon dioxide absorbent only needs to be changed once every 1-2 weeks
True
False
103
Stress can bring on an Addison's Crisis
True
Fasle
104
when dealing with a fracture situation over the phone:
a muzzle is usually not necessary
owner can give OTC pain meds before transport
Advise the owner NOT to push the bone back into the skin
all fractures should be splinted before transport
105
What are the symptoms for 6-8% dehydration?
Slow return of skin back to normal; MM dry; CRT increased
slight increase in skin turgor; MM tacky
skin remains tented; ↑ CRT; sunken eyes; tachycardia; weakBP
prominent signs of shock/death
106
Head trauma patients should not be given ketamine as in can increase ICP and cause seizures
False
True
107
When triaging over the phone, the tech should sound panicked in order to indicate urgency.
False
True
108
White marks on the mucosa is known as petechiae
False
True
109
When auscultating the heart you should listen for:
gallops
murmurs
all of the above
Arrythmias
110
Paradoxical respiration is considered a normal breathing pattern.
False
True
111
Hyperthermic patients may present with:
organ failure
vomiting
all of the above
seizures
112
Pleural effusion is fluid that has accumulated within the lungs.
False
True
113
Patients presenting with heart disease may present with injected, pale or cyanotic MM color.
False
True
114
When measuring a BP of an animal,what other vital sign should be taken into consideration
Body temp
MM color
Respiratory rate
Hear rate
115
When breathing for a patient during CPR, you should give a breath every 8-10 seconds.
True
False
116
Patients with head trauma should have their head elevated at an angle of at least 45+ degrees
False
True
117
Ketonic breath is often described as smelling like:
nothing in particular
rancid
sweet or like nail polish remover
alcohol
118
Acetaminophen T can result in _ gums w/ is an indicator of methemoglobinemia. _ helps stop this
brick red/N-acetylcholine
muddy/N-acetylcholine
brick red/N-acetylcysteine
muddy/N-acetylcysteine
119
Apomorphine is used to induce vomiting in dogs and Xylazine to induce vomiting in cats
Fasle
True
120
Serial blood glucose tests are required of hospitalized DKA patients.
True
False
121
Which statement concerning first aid for a seizure is most accurate?
grab the tongue, pull it rostral to prevent swallowing.
keep the animal quiet, in a low lit room to prevent injury
immediately start to administer IV fluids
administer the oral anticonvulsent
122
Toxicity: Anticoagulant rodenticide ingestion --> Main Symptoms:
Renal failure
Hypoglycemia
Uncontrolled bleeding
Ataxia/tremors
123
Restlessness and anxiety are often symptoms of respiratory distress.
True
False
124
Patients in Addison's Crisis often have this type of shock:
cardiogenic
obstructive
hypovolemic
they are not usually in shock
125
A DKA patient may present with:
icteric MM
weight gain
neurologic symptoms
incressed appetite
126
Head trauma that leads to bleeding in the brain may lead to which of the following?
cerebral dehydration
pericardial effusion
cerebral edema
pulmonary edema
127
Concerning the DKA patient:
They should always have water available
They will need aggressive fluid therapy
All of the above
They should have insulin CRIs
128
A DKA patient may present with:
increased appetite
icteric MM
neuroligic symptoms
Weight gain
129
Beans presents w/ tachycardia, vomiting, diarrhea. ECG shows arrhythmias, has tremors.Toxicity?
chocolate
easter lily
acetaminophen
permethrin
130
Colloids have a high molecular weight and do not easily cross capillary membranes.
False
True
131
Obtaining a blood pressure using a Doppler is an example of ____.
Oscillometric blood pressure monitoring
central venous pressure
Direct blood pressure monitoring
Indirect blood pressure monitoring
132
It is ok to provide owners with a diagnosis over the phone.
False
True
133
what statement concerning status epilepticus is most accurate?
it is treated by administering acepromazine
It occurs in geriatric animals only
it is a life threatening medial emergency
immediately administer IV fluids
134
We always respond with CPCR when the patient is not breathing.
False
True
135
Pneumonia, an inflammation of the lungs, can cause the inability to oxygenate blood.
False
True
136
Early signs of vestibular disease may include ataxia and nystagmus.
false
True
137
Please define SIRS:
Systemic inflammatory response syndrome
Systemic infection respiratory system
Septic inflammatory response system
Septic infection response syndrome
138
Serial blood glucose test are required of hospitalized DKA patients
True
Fasle
139
Most patients presenting with megaesophagus have little to no appitite
True
False
140
a saddle thrombus is a feline thromboembolism.
True
False
141
The term for additional seizures in rapid succession after 1st seizure is called "clustering".
False
True
142
DKA will change the pH of the blood stream.
True
False
143
MODS stands for:
Major organ degeneration system
Metabolic organ dysfunction
Metabolic organ degeneration syndrome
Multiple organ dysfunction syndrome
144
What CPCR drug creates atrial constriction?
Dobutamine
Epinephrine
Atropine
Doxapram
145
What should be performed last on a critical patient?
PCV/TP
pain medications
blood pressure
Radiographs
146
Concerning the DKA patient:
they should have insulin CRIs
all of the above
They will need aggressive fluid therapy
They should always have water available
147
The following is true of cyanosis:
sometimes not detected until O2 levels become danger low
all of the above
can be caused by hypoxemia
can cause blue/gray tinted MM or skin color
148
What should you access 1st(sometimes bf interacting with patients) when performing an ER triage
Check pulse quality
Access the MM color
Check body temp
Observation of RR and effort
149
Blood Work is typically a valuable indicator of a patient with Addison's Disease
True
False
150
Concerning insect bites, facial swelling is not a concern in brachycephalic breeds.
False
True
151
Tracheal collapse is only a concern in brachycephalic dog.
False
True
152
When assessing respiration on an animal you want to look at both of these together
Rate and patient size
Effort and body temp
Attitude and rate
Rate and Effort
153
Ketonic breath is often described as smelling like:
nothing particular
rancid
Alcohol
Sweet or like nail polish remover
154
An animal with a possible herniated disc should be
allow to move freely, if no improvement in 24hr, take to dvm
keeped strictly quiet, if no improvement in 24hr see dvm
allowed to move freely and take immediately to dvm
keep strictly quiet and confined, immediately see a DVM
155
Syncope is defined as
a heart rate and pulse rate that match
difficult breathing
a seizure
collapse/fainting
156
What are the symptoms for 12-15% dehydration?
skin remains tented; ↑ CRT; sunken eyes; tachycardia; weakBP
prominent signs of shock/death
Clinical signs not detectable
slight increase in skin turgor; MM tacky
157
What CPCR drug improves metabolism by increasing oxygen uptake so lactic acid levels fall
Atropine
Dopamine
Dobutamine
Glucocorticoids
158
An animal with head or neck trauma should be transported to the hospital in what position
head lowered, neck flexed
head elevated, neck flexed
head lowered, neck neutral
Head elevated, neck neutral
159
Stridor is often an indicator of an obstruction in the respiratory system.
True
False
160
Vomiting the the __ expulsion of stomach contents, regurgitation is __ expulsion of contents
active, passive
quiet, violent
fluid, material
passive/active
161
When an anesthetic emergency is happening U always check your patient 1st before anything else.
False
True
162
A dog, seemingly painful, non-productive retching, distended abdomen, This is a possible
Dystocia
Seizure
Chocolate Toxicity
Gastric Dilatation Volvulus (GDV)
163
Crystalloid fluid can be isotonic, hypotonic and hypertonic.
True
False
164
UA is NOT helpful when diagnosing a DKA patient as it does NOT give us a blood glucose level
True
False
165
When considering a canine with a fever of 103.8°F
be concerned organ failure may ensure shortly
this is a normal temperature for most animals
begin actively cooling
do not cool, may be a normal response to fight an infection
166
O calls for her 3yr/O N. cat yowling and making frequent trips to the box, you should advise
monitor the cat overnight and call back in the morning
bring a sample of urine in the box to clinic for urinalysis
bring in male for examination and bladder palpation
have her express the bladder of her male cat
167
What is CPCR
Crack Pop Crack Resucitation
Cerebral pulmonary cardiac resucitation
Cardiopulmonary Cerebral resucitation
I have no idea
168
what are the four routes poisons and toxins can enter the body
inhillation
ingestion
injection
topical
169
One of the most important factors in a successful recovery of a DKA patient at home is:
frequent trips to the DVM
weaning off insulin
Fluids at home
client education and understanding
170
What are the symptoms for 5-6% dehydration?
skin remains tented; ↑ CRT; sunken eyes; tachycardia; weakBP
slight increase in skin turgor; MM tacky
no clinical signs detectable
prominent signs of shock/death
171
pale MM & prolonged CRT, Cool skin, weak pulse, tachycardia, decreased urine output
Early decompensatory stage of shock
none of the above
Late decompensatory stage of shock
Compensatory stage of shock
172
If you shine a light in the left eye you should see what response in the left eye?
none of the above
Miosis
mydriasis
proptosis
173
12 wk, unvaccinated D w/ anorexia,vomiting,diarrhea, painful abdomen, dehydration and lethargy.
FIV
bordetella/kennel cough
Rabies
Canine Parvovirus
174
What is a treatment for rodenticide toxicity?
Calcium
Vitamin K
Warafin
Vitamin D

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