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Nursing Test

QuestionAnswer
Define: OD right eye
Define: OS left eye
Define: o owner
Define: Bx biopsy
Define: Dx diagnosis
Define: Hx history
Define: Rx prescription
Define: Sx surgery
Define: Tx treatment
Define: PE physical exam
Define: n normal
Define: NAF no abnormal findings
Define: NSF no significant findings
Define: NPL no palpable lesions
Define: as lib without restricting amount
Define: prn as required
how to book an appointment on the computer -reason for appointment -first initial of your name and full last name Eg. Check Over- Ears (J.Scott)
what does an accurate history include -signalment -chief complaint -history of present illness -past medical/surgical history -environment history -medication history -dietary history -systems review
what is the signalment age, breed, gender, reproductive status
what is the chief complaint the reason the owner brought the animal in for exaluation
what is environmental history indoor, outdoor, fenced yard, other animals, etc
what is a systems review ask one or two questions regarding each body system to determine if the owner has overlooked important informartion
in emergencies situations we use ________ and __________ and ___________ _________ instead of a full PE triage, primary, secondary status
why should medical records be kept? -legal requirements -consistency of patient care -good client communication -documentation for referrals -communication between staff
what does POMR stand for problem orientated medical record
what does the POMR help to prevent jumping to a diagnoses
what are the components of POMR Data, problems, plans and progress notes
what should the POMR data base include chief complaint, patient signalment, patient history, physical exam findings, diagnostic test results
what should the POMR problems list include clinical abnormalities, physical findings, lab abnormalities, disease states
what should the POMR plan include diagnostic plans, therapeutic plans , and client education
how are diagnostic plans made? form of hypotheses called rule out
what should the POMR progress notes include? written daily, SOAP, DAP
what does SOAP stand for and explain each letter S=subjective: patient appears like O=objective: numbers and hard data A=assessment: vet/tech interpretation of data P=plans: what should be done next
what is the master list and where should it be located -reflects the status of the animals problems -located at the front of the patients medical record
Define: disease abnormal condition of the body which impairs normal function
Define: pathology study of disease
Define: Etiology cause of disease
Define: Lesion abnormality of a tissue
Define: Zoonosis disease of animals that can be transmitted to humans
Define: peracute a disease with a very sudden onset and rapid course
Define: acute disease with a rapid onset and course is several days
Define: subacute disease that fits between acute and chronic
Define: chronic disease with a gradual onset, slow progression, and long duration
what is the acronym that is used to help determine the causes of disease DAMNIT
what does DAMNIT stand for D= development/degenerative A= autoimmune M= metabolic/multifactoral N= nutritional/neoplastic I= immunological/infectious/iartogenic T= toxicoses/traumatic
development of diseases are either _____________ when the animal is __________ or ____________ as an animal matures present, born, develop
diseases occur as a result of 4 things genetics, toxins, infections, unknown causes
what are degenerative diseases often known as wear and tear diseases and they are normally chronic
when does an autoimmune diesease occur when the body develops antibodies or lymphocytes against its own tissues
how to metabolic diseases happen either a little too much or too little hormone is produced leading to metabolic abnormalities
what does multi-factoral mean relating to diseases many diseases have greater than one cause
how are nutritional diseases acquired -obesity is most common -over feeding, under feeding or inappropriate feeding
what are neoplastic diseases diseases that produce tumours or cancer, found in all species
what cancer a budgies predisposed to? renal
what cancer are cats predisposed to? lymphoid
what cancer are dogs predisposed to? mammary
what cancer are rabbits predisposed to? uterine
_______% of mammary tumours in dogs are malignant and ___________% of mammary tumours in cats are malignant 50, 80
what does it mean when a tumour is malignant likely to metastasize to other sites, particularly the lung and liver
what does it mean a tumour is benign may grow but tend not to spred
why does a immunological disease develop immune system is too active (allergic) or not active enough (infectious)
What drug treats Immunological diseases described as "too active" prednisone
what drug treats immunological diseases described as "inactive" immunostimulants
4 types of infectious diseases viral, bacterial, fungal, parasitic
Iatrogenic diseases are caused by..... by the action of veterinarian, hospital employee, or treatment itself
how do you get toxicoses poisoning deliberate or accidental poisonings, most common in outdoor animals
what are the 6 ways that causes environmental diseases heat, cold, poor hygiene, stress, transport, and crowding
what are the 8 basic needs of animals 1. relief from pain 2. adequate respiration 3. appropriate, comfortable environment 4. adequate levels of rest and activity 5. adequate nutrition 6. proper excretion of waste 7. social interaction with caregivers and owners 8. fluids/electrolytes
what is pain? a perception which results when pain receptors called nociceptors in the nervous system are stimulated by a noxious event
pain perception varies according to these 3 things site, duration, intensity of the stimulus
what 2 things can modify pain perception previous experience, emotional states, and innate individual differences
one must suspect pain when..... (4 things) -condition or surgery is painful for humans -invasive procedures -internal diseases -trauma
3 things to monitor for pain -favourable response to analgesia -behavioural changes associates with pain -the presence of one or more clinical signs without other explanations
whenever possible, pain should be controlled by ______ __________ analgesia pre-emptive
why are analgesics given before a painful procedure to reduce sensation of nociceptors and decrease the severity and duration of post operative pain
failure to control pain may impair _________ and increase ____________ time healing, recovery
what are the 4 places pain can be controlled along the pain pathway 1. peripherally at the receptor site by removing cause (NSAIDS) 2. perpherially at the receptor site by preventing neural transmission from nerves to spine (analgesics) 3. centrally by blocking transmission 4. centrally by physiological level (care)
what can be used to alleviate mild or low grade pain? (6 things) Nutraceuticals NSAIDS Opioids Alpha-2-agonists Local analgesics Tender loving care
what is arthritis generally treated with long-term glucosamine
what do NSAIDS do interfere with bodies inflammatory responses which trigger pain and swelling
what species has a risk of developing gastrointestinal and blood clotting problems from NSAIDS Cats
the combinations of opioids and NSAIDS are excellent for? moderate to severe orthopedic procedures and soft tissue injury where inflammation is a factor
opioids are contradicted in patients with.... intracranial hypertension
"respiration" is equal to... ventilation plus gas diffusion
what does hydrothorax mean fluid arounds the lungs
what does pneumothorax mean air around the lungs
the causes of respiration problems (5 things) -airway obstruction -non functioning lungs -hydrothorax/pneumothorax -impaired circulatory system -shunts
6 symptoms of dyspnea -mouth breathing (not panting) -wheezing -coughing -tachypnea -will not lie down -muddy/bluish MM
what is paradoxical pattern the chest moves out on expiration and in on inspiration
if the lungs are filling with fluid they will fill on the _____ ______ if animal is in _________ recumbency down side, lateral
what does a anaerobic metabolism cause? rapid depletion of energy and accumulation of lactic acid within cells leading to cellular dysfunction and death
4 indications for oxygen therapy -hypoxemia -decreased oxygen delivery -increased oxygen demand -head trauma
treatment for respiratory problems GIVE OXYGEN
true or false: 100% oxygen can cause harm to the animal short term false
how to remove fluid or air from the lungs aspirated from around the lungs via a chest drain, or forgien body cleared from the airway
if an obstruction from the airway cannot be removed a emergency ___________ may be required tracheostomy
9 causes of discomfort -improper room temp -insufficient bedding -soiled cage -limited or no access to facilities for elimination -parasitic infection -unclean skin -inadequate size of cage -bandages slip -catheters/equipment
5 signs of discomfort -panting -lack of self-grooming -decreased appetite -restlessness -abnormal body posture
6 ways to treat discomfort of the animal -cleaning soiled cages immediately -visits from owners -quiet surroundings -keep skin clean and dry -make sure bandages are not rubbing/chafing -familiar food
under normal circumstances how many hours a day to adult dogs require 11 hours
cats should spend how long sleeping/resting about half of their day or more resting
5 things that interfere with rest -too noisy -anxiety/fear -pain -discomfort -disruptions from caregivers
5 things you can do/monitoring rest and activity -if an animal is upset at the presence of other animals, move them -visitors from owners encourage activity -group treatments to reduce the disturbance times -physical therapy -sedate certain animals is they cannot rest adequately
loss of appetite may be an early indicator of what? animal is unwell and should be immediately noted
when not eating _______ processes can start within a number of hours not days catabolic
6 causes of inappetence -anorexia from systemic disease -weakness -oral/esophageal disease -pain -stress -fever
treatment of inappetence (example for each) -stimulating appetite (wipe food on mouth) -force feeding (bolus) -tube feeding (tube in esophagus) -parenteral feeding (IV)
what is a TPN diet? -total parenteral nutrition, all. nutrition is provided through a large vein (check or neck)
what is a PPN diet? -peripheral parenteral nutrition, only a portion of the patients nutrition is provided from an IV diet (small vein)
causes of waste excretion abnormalities -obstructed urinary tract -ruptured bladder -inadequate nervous control -inadequate facilities - pain
5 reasons why an animal may be constipated or diarrheic -diet, disease, blockage, confinement, medications
unexplained changes in feces may indicate what gastrointestinal dysfunction
what is the normal urine output 1-2 ml/kg body weight/hour
urine assessment should include colour, smell, clarity
feces assessment should include colour, frequency, mucus, blood, parasites, foreign bodies
treatment for urination and deification abnormalities depend on what the cause
causes for lack of socialization -necessity for isolation -fear -boredom -busy staff -confinement
what to monitor for when watching socialization in animals -stereotypical behaviours that indicate boredom -depression/dullness -cowering/aggression -tense/restless
7 treatments for lack of socialization -grooming, petting, owner visits, toys, exercise, contact with staff other than treatment time, contact with others of same species
dogs and cats require how much fluid a day 50 ml/kg body weight/day
what does obtunded mean? to dull or lessen the. main of something
Created by: jscott41
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