Manual of Small Animal Emergency and Critical Care Medicine

by Macintire, Douglass K.; Drobatz, Kenneth J.; Haskins, Steven C.; Saxon, William D.

• ISBN13: 9780397584635
• ISBN10: 0397584636
• Edition: 1st
• Format: Paperback
• Copyright: 2004-08-31
• Publisher: LWW

Summary

This manual provides clear, concise management advice from a team of leaders in emergency veterinary medicine, making it a valuable text for the classroom and an indispensable resource for emergency situations in daily veterinary practice. Written in an easy-to-follow outline format, this book gives you rapid access to essential information needed to stabilize and treat the emergency and critical care patient. The first part of the book outlines initial care of the trauma or critical patient, followed by coverage that ranges from triage to basic fluid therapy, monitoring, and continuous care. The second part of the book features emergency care coverage organized by body system, beginning with the general approach to patients with emergent signs in each system and followed by protocols for specific conditions.

Author Biography

Douglass K. Macintire, DVM, MS, Diplomate, ACVIM and ACVECC, Kenneth J. Drobatz, DVM, MSCE, Diplomate, ACVIM and ACVECC, Steven C. Haskins, DVM, MS, Diplomate, ACVA and ACVECC and William D. Saxon DVM, Diplomate, ACVIM and ACVECC.

Table of Contents

PART I: LIFE SUPPORT INITIAL STABILIZATION, MONITORING AND INTENSIVE CARE OF THE CRITICALLY ILL PATIENT
1. APPROACH TO THE EMERGENCY PATIENT	3	(9)
I. Triage-Derived from French Word "To Sort"	3	(1)
II. Identification of Life-Threatening Problems: Initial Examination	3	(5)
III. Secondary Survey of the Patient	8	(4)
2. EMERGENCY ROOM READINESS	12	(4)
I. The Importance of Readiness	12	(1)
II. Equipment Recommendations	12	(1)
III. Recommended Supplies	13	(1)
IV. Recommended Drugs	14	(2)
3. CARDIOPULMONARY-CEREBRAL RESUSCITATION (CPCR)	16	(11)
I. Definition	16	(1)
II. Predisposing Factors	16	(1)
III. Clinical Signs	16	(1)
IV. Prognosis/General Recommendations	16	(1)
V. Treatment	16	(11)
4. SHOCK	27	(11)
I. Definition	27	(1)
II. Categories of Shock	27	(2)
III. Treatment of Shock	29	(9)
5. ANESTHETIC PROTOCOLS FOR SHORT PROCEDURES	38	(17)
I. Overview of Anesthetic Drugs Used in Critical Patients	38	(1)
II. Guidelines for Anesthesia in Critical Patients	38	(1)
III. Specific Drugs Used in Critical Patients	39	(4)
IV. Anesthesia Concerns and Protocols for Common Conditions	43	(1)
V. Anesthetic Dosages for Healthy Patients	44	(4)
VI. Injectable Drug Combinations for Short Procedures	48	(1)
VII. Pain Management in Critical Patients	48	(7)
6. FLUID THERAPY	55	(16)
I. Crystalloid Solutions	55	(3)
II. Colloid Solutions	58	(3)
III. Specific Conditions Requiring Fluid Therapy	61	(10)
7. MONITORING CRITICAL PATIENTS	71	(18)
I. Cardiovascular Monitoring	71	(8)
II. Respiratory Monitoring	79	(4)
III. Urologic Monitoring	83	(1)
IV. Metabolic Monitoring	84	(3)
V. Neurologic Monitoring	87	(2)
8. NUTRITIONAL SUPPORT OF CRITICAL PATIENTS	89	(26)
I. Acute Malnutrition	89	(1)
II. Methods and Procedures of Providing Enteral Nutrition	90	(15)
III. Parenteral Nutrition	105	(10)
PART II: SPECIFIC PROTOCOLS AND PROCEDURES FOR EMERGENCY CONDITIONS
9. RESPIRATORY EMERGENCIES	115	(45)
I. General Approach/Methods of Oxygen Delivery	115	(3)
II Upper Airway Obstruction (Pharynx, Larynx, Trachea)	118	(10)
III. Pleural Space Disease	128	(16)
IV. Lower Airway Disease	144	(6)
V. Parenchymal Disease	150	(5)
VI. Cyanosis	155	(1)
VII. Mechanical Ventilation	156	(4)
10. CARDIAC EMERGENCIES	160	(29)
I. Clinical Signs	160	(1)
II. Diagnosis	160	(1)
III. Diagnostic and Monitoring Procedures	161	(6)
IV. Management of Specific Conditions	167	(22)
11. GASTROINTESTINAL EMERGENCIES	189	(37)
I. Clinical Signs, Diagnosis	189	(1)
II. Diagnostic and Monitoring Procedures	189	(5)
III. Management of Specific Conditions	194	(32)
12. UROLOGIC EMERGENCIES	226	(25)
I. Clinical Signs, Diagnosis	226	(1)
II. Diagnostic and Monitoring Procedures	226	(9)
III. Management of Specific Conditions	235	(16)
13. NEUROLOGIC EMERGENCIES	251	(28)
I. Clinical Signs, Diagnosis	251	(1)
II. Diagnostic and Monitoring Procedures	251	(3)
III. Management of Specific Conditions	254	(25)
14. HEMATOLOGIC EMERGENCIES	279	(17)
I. Clinical Signs, Diagnosis	279	(2)
II. Diagnostic and Monitoring Procedures	281	(5)
III. Management of Specific Conditions	286	(10)
15. ENDOCRINE AND METABOLIC EMERGENCIES	296	(38)
I. Clinical Signs, Diagnosis	296	(1)
II. Diagnostic and Monitoring Procedures	296	(4)
III. Management of Specific Conditions	300	(34)
16. REPRODUCTIVE EMERGENCIES	334	(7)
I. Clinical Signs, Diagnosis	334	(1)
II. Diagnostic and Monitoring Procedures	335	(1)
III. Management of Specific Conditions	335	(6)
17. PEDIATRIC EMERGENCIES	341	(12)
I. Resuscitation of Neonates (Birth to 2 weeks)	341	(5)
II. Diseases of Infant Animals (2-6 weeks)	346	(3)
III. Diseases of Juvenile Animals (6-12 weeks)	349	(4)
18. OCULAR EMERGENCIES	353	(20)
I. Clinical Signs, Diagnosis	353	(1)
II. Diagnostic and Monitoring Procedures	353	(3)
III. Management of Specific Conditions	356	(17)
19. DERMATOLOGIC EMERGENCIES	373	(11)
I. Clinical Signs, Diagnosis	373	(1)
II. Diagnostic and Monitoring Procedures	374	(1)
III. Management of Specific Conditions	375	(9)
20. TOXICOLOGIC EMERGENCIES	384	(18)
I. Clinical Signs, Diagnosis	384	(1)
II. Diagnostic and Monitoring Procedures	384	(3)
III. Management of Specific Conditions	387	(15)
21. MISCELLANEOUS EMERGENCIES	402	(15)
I. Heat Illness	402	(2)
II. Hypothermia	404	(2)
III. Frostbite	406	(2)
IV. Near Drowning	408	(1)
V. Insect and Spider Bites	409	(3)
VI. Snakebites	412	(2)
VII. Electrocution	414	(3)
APPENDICES	417	(72)
Appendix A. Calibration Tables for the Schiötz Tonometer	417	(1)
Appendix B. Normal Values for the Canine and Feline Electrocardiogram	418	(1)
Appendix C. CPCR Guidelines	419	(2)
Appendix D. Common Equations	421	(1)
Appendix E. Constant Rate Infusions	422	(5)
Appendix F. Conversion Tables	427	(2)
Appendix G. Normal Values for Oxygen and Hemodynamic Parameters	429	(3)
Appendix H. Toxicology	432	(4)
Appendix I. Transfusion Guide	436	(2)
Appendix J. Drug Formulary	438	(47)
Appendix K. Guidelines for Anesthesia in Animals with Critical Problems	485	(4)
INDEX	489