Flashcards in Topic 12 - Intro to Nursing Animals Deck (12)
Describe the obligations of a VN required to meet patient needs
-ensure husbandry, health & wellbeing req. are met
-minimise stress, fear, pain & distress
-mental & physical stimulation (enrichment)
What are some daily needs of patients?
physical therapy & rehab
What are IV fluids used for?
correct fluid imbalances
maintain normal fluid levels
-dehydration, shock, blood loss, stress, facilitate meds
Describe procedure to apply IV fluids & their set up
-warm fluids to BT
-choose appropriate catheter & lines
-double check fluid is correctly prescribed, in date, undamaged, visually clear
-prepare fluid pump if appropriate
-connect bag aseptically, remove air
-insert IV catheter & attach line
-flush w/ heparin-saline
-turn on fluids & adjust flow rate
What is the fluid rate for...
maintenance - 60ml/kg/day or 25ml/kg/hr
shock - 1st hour 80-80ml/kg/hour
surgical - 10ml/kg/hr
Describe ways to monitor fluid therapy
How do patients appear if they have had too much fluid?
Patient will have > RR, > respiratory sounds (lung congestion), frothing of fluid from nose
-change every 3 days
-record fluid rates, inputs, outputs, when bags are changed & by whom, bag contents
-check for pain, swelling, discharge etc
-flush drug catheters after admin
Describe some complications that may occur with IV treatment
Phlebitis - inflamm of vessel wall due to endothelial damage
Thrombosis - formation on clot
catheter embolism - fragment of catheter dislodges, entering circulation & lodges in heart/lungs
Infiltration - diffusion of fluids into surrounding tissues
What is the ideal oxygen supplementation [ ] ?
should the oxygen be humidified?
Name 3 ways of providing O2 supplementation
-intubation/ventilation, nasal cannula, oxygen cage
Describe cardiac compressions and rescue breathing
rescue breathing - compression every 1-2 secs
cardiac compression - lay animal on right side, place hands in middle of rib cage. Compress 15 times followed by two rescue breaths
= 90 compressions/minute; 3 x every 2 secs
What is shock?
Describe the symptoms and treatment of shock
Shock is lack of circulation of oxygenated blood to body tissues
-weak, fast pulse, rapid HR,
What is haemorrhage?
Describe the symptoms and treatment of haemorrhage
arterial bleeding: bright red & spurting
venous bleeding: dark red, pooling
capillary bleeding: slow oozing