Emergency Surgeries Flashcards Preview

RUSVM Small Animal Surgery 2017 > Emergency Surgeries > Flashcards

Flashcards in Emergency Surgeries Deck (16)
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1
Q

When would you use a Temporary Tracheostomy?

A

For treatment of upper airway obstruction that is expected to resolve with appropriate treatment
For use with patients undergoing mechanical ventilation

2
Q

What diseases would you place a Temporary Tracheostomy?

A

Brachycephalic Airway Disease
Laryngeal Paralysis
Mass causing obstruction of the upper airway
Oropharyngeal or laryngeal foreign body

3
Q

What suture would you use for a stay suture in a temporary tracheostomy?

A

2-0 or 3-0 monofilament absorbable suture

4
Q

What is the nursing care involved with a Temporary Tracheostomy?

A
Nebulize 
Pre-oxygenate
Suction trachea with sterile suction tip to level of carina
Administer oxygen 
Replace cleaned inner canula
Replace tube every 24 hours
5
Q

Why should you not place a tracheostomy in a cat?

A

A lot of mucus production in cats and they never stop producing mucus

6
Q

What are the complications of a Temporary Tracheostomy?

A
Tube occlusion 
Pneumomediastinum 
Surgical site infection 
Coughing 
Gagging 
Vomiting 
Aspiration pneumonia 
Nosocomial infection 
Vagally mediated bradycardia and collapse
7
Q

What do you use Thoracotomy tubes to treat?

A

treatment of pleural space disease and for continued post-operative drainage

8
Q

What diseases would you place a Thoracostomy tube?

A

Pneumothorax
Pyothorax
Hemothorax
Pleural effusions

9
Q

Where do you measure the Thoracostomy tube?

A

Dorsal 1/3rd of thoracic wall at the 7-9 IC space and the point of the elbow

10
Q

How do you confirm the placement of the Thoracostomy tube?

A

Radiographs

11
Q

What are some common causes of Pericardial effusion?

A
Neoplasia 
Idiopathic 
Infectious pericarditis
Coagulation disorders
Trauma
Congestive Heart Failure
12
Q

When would you perform a Pericardiocentesis?

A

when volume of pericardial effusion is high enough to cause cardiac tamponade

13
Q

Cardiac Tamponade

A

Intrapericardial pressure is higher than end diastolic pressure

14
Q

Pulsus Paradoxus

A

Exaggerated fall in arterial pressure with inspiration due to decreased left sided heart filling

15
Q

When would you use an Enterostomy/Jejunostomy tube?

A

vomiting patient

16
Q

When would you use a Gastrostomy/Gastroenterostomy tube?

A

Patient with diaphragmatic hernia and prepubic hernia