9780323030632

Small Animal Surgical Nursing : Skills and Concepts

by
  • ISBN13:

    9780323030632

  • ISBN10:

    0323030637

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2005-09-13
  • Publisher: HARCOURT HEALTH SCIENCES-MOSBY
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Supplemental Materials

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Summary

This unique resource provides detailed coverage of the veterinary technician's role in small animal surgery. Topics include asepsis, operating room protocol, instrumentation, sterile technique, suture materials, suturing techniques, wound management, surgical assistance, and pre and postoperative care of animals. All information reflects the latest developments in drugs, instruments, equipment, and techniques. Provides complete coverage of small animal surgical nursing as it relates to the roles and responsibilities of the veterinary technician Focuses on key clinical skills, practice tips, patient care, and client education Written by veterinary technology educators and authorities on veterinary surgical nursing Lavishly illustrated with new color photographs of instruments, equipment, sterile technique, suturing techniques, and wound management Addresses the surgical and community service perspectives of feral cat spay/neuter clinics, including the challenges to veterinary technicians because of the high numbers of surgeries performed in a short time period, dealing with feral cats, and the absence of postoperative follow-up care Provides performance objectives at the beginning of each chapter, as well as key points and review questions at the end of each chapter to focus and reinforce learning Features practical appendices of dosage calculations, how to quickly set IV fluid drip rates, and how to make up various solutions of medications for constant rate infusions

Table of Contents

PART I PREOPERATIVE CONSIDERATIONS
The Preoperative Patient
3(46)
History Taking
4(1)
Physical Examination
4(5)
General Body Condition and Mentation
5(1)
Head and Neck
5(1)
Chest and Front Legs
6(2)
Abdomen and Haunches
8(1)
Integument
9(1)
Consent Form
9(1)
Preanesthetic Diagnostic Tests
10(4)
Minimum Database
10(3)
Additional Tests
13(1)
Preoperative Medications (Premedications)
14(6)
Principles of Pain Management
14(1)
Analgesics
14(5)
Sedation and Tranquilization
19(1)
Anticholinergics
19(1)
Intravenous Catheters
20(8)
Supplies
20(4)
Jugular Catheters
24(4)
Endotracheal Intubation
28(6)
Components of Tube
28(1)
Selection of Proper Tube Size
29(1)
Supplies
29(2)
Tube Placement
31(3)
Patient Preparation
34(5)
Hair Removal
35(3)
Urination
38(1)
Surgical Site Preparation
39(10)
Scrubbed Personnel
49(17)
Proper Attire in Surgical Area
49(2)
Scrub Suit
50(1)
Head Covers
50(1)
Masks
50(1)
Shoes and Shoe Covers
51(1)
Jewelry
51(1)
General Guidelines for Personal Hygiene
51(1)
Fingernails
51(1)
Surgical Hand Scrub and Hand Rub
52(3)
Prescrubbing Guidelines
52(1)
Surgical Hand Scrub Using Antimicrobial Scrub Agent
53(1)
Surgical Hand Rub Using Antimicrobial Rub Agent
54(1)
Types of Scrub Solutions
55(2)
Gowning and Gloving
57(9)
Drying the Hands
57(1)
Gowning
58(1)
Gloving
59(4)
Contaminated Gown
63(3)
The Operating Room and Asepsis
66(8)
Cleaning the Surgical Area
66(1)
Daily Terminal Cleaning
66(1)
Routine Cleaning after Each Surgical Case
67(1)
Cleaning Protocols
67(1)
Asepsis
67(3)
Surgical Conscience
67(1)
Maintaining Asepsis
67(3)
Opening Sterile Packs
70(4)
Opening Peel-Away Pouches
70(1)
Opening Wrapped Packs with One Hand
71(1)
Opening Large Packs
71(3)
Surgical Supplies and Equipment
74(51)
Surgical Instruments
74(13)
Manufacturing
74(1)
Components
75(1)
General Surgery Instruments
76(5)
Orthopedic Surgery Instruments
81(4)
Ophthalmic Surgery Instruments
85(2)
Anesthesia Machine
87(12)
Components
87(9)
Leak Testing
96(1)
Breathing Circuits
97(1)
Oxygen Flow Rates
98(1)
Surgical Needles
99(2)
Needle Point
99(1)
Needle Body
100(1)
Suture Attachment End
101(1)
Suture Material
101(3)
Characteristics
101(2)
Sizing
103(1)
Packaging
103(1)
Staples
104(1)
Perioperative Equipment
104(8)
Patient Warming Devices
106(1)
Surgical Lights
106(1)
Surgery Table
107(1)
Electrosurgery
108(1)
Suction
109(2)
Clippers
111(1)
Anesthesia Monitoring Devices
112(5)
Pulse Oximeter
112(2)
Capnometer or Capnograph
114(2)
Blood Pressure Monitor
116(1)
Electrocardiograph
117(1)
Surgical ``Power Tools''
117(8)
PART II INTRAOPERATIVE CONSIDERATIONS
The Intraoperative Patient
125(31)
Techniques for Maintaining Body Temperature
126(1)
Initial Preparations and Positioning
127(6)
Finishing Preparation of Surgical Site
127(1)
Securing Patient in Position on Surgery Table
127(1)
Positioning for Specific Procedures
128(3)
Preparation in the Operating Room
131(1)
Maintaining Sterile Field
132(1)
Patient Monitoring
133(15)
Role of Veterinary Technician Anesthetist
133(4)
Heart Rate and Rhythm
137(1)
Tissue Perfusion
138(1)
Respiratory Rate and Rhythm
139(2)
Neurologic Parameters
141(2)
Anesthesia Form
143(5)
Role of Scrubbed-in Surgical Assistant
148(1)
Intraoperative Analgesia
148(1)
Options for Delivery
148(1)
Specific Analgesics
148(1)
Surgical Wound Classification
149(2)
Clean Wound
150(1)
Clean Contaminated Wound
150(1)
Contaminated Wound
150(1)
Infected Wound
151(1)
Perioperative Antibiotics
151(5)
Surgical Assisting
156(8)
Nutrition, Hygiene, and Appearance
156(1)
Surgical Attire
157(1)
Responsibilities
157(7)
Instrument Count
157(1)
Sponge Count
157(1)
Instrument Handling and Passing
158(2)
Tissue Handling
160(1)
Maintaining Hemostasis
161(3)
Specific Procedures
164(123)
Responsibilities of Surgical Technician
164(1)
Abdominal Procedures
165(31)
Ovariohysterectomy
165(3)
Cesarean Section
168(6)
Abdominal Exploratory Surgery
174(2)
Gastric Foreign Bodies and Gastrotomy
176(3)
Intestinal Foreign Bodies and Enterotomy
179(4)
Intestinal Resection and Anastomosis
183(4)
Gastric Dilatation and Volvulus
187(5)
Cystotomy
192(4)
Orthopedics
196(19)
Technician's Responsibilities
196(3)
Orthopedic Terms and Abbreviations
199(1)
Preoperative Considerations for Fractures
199(1)
Fracture Assessment
200(2)
Surgical Options for Fracture Repair
202(7)
Amputation
209(2)
Cranial Cruciate Repair
211(4)
Biopsy and Mass Removal
215(4)
Fine-Needle Aspiration Biopsy
215(2)
Impression Smears
217(1)
Needle Punch Biopsy
217(1)
Punch Biopsy
217(1)
Bone Biopsy
217(2)
Incisional Biopsy
219(1)
Excisional Biopsy
219(1)
Biopsy Sample Handling and Fixation
219(1)
Ear Procedures
219(6)
Aural Hematoma Repair
219(4)
Lateral Ear Canal Resection
223(2)
Ophthalmic Procedures
225(11)
Entropion Repair
225(5)
Eyelid Mass (Neoplasm) Removal
230(2)
Protrusion (Prolapse) of Gland of Third Eyelid
232(4)
Minimally Invasive Surgery
236(35)
Laser Surgery
236(5)
Laparoscopy
241(6)
Endoscopy
247(24)
Canine and Feline Castration
271(16)
Routine Feline Castration
271(3)
Routine Canine Castration
274(13)
PART III POSTOPERATIVE CONSIDERATIONS
The Postoperative Patient
287(23)
Recovery from Anesthesia and Extubation
287(2)
Postoperative Monitoring
289(1)
Complications Related to Anesthesia
290(3)
Hypothermia
290(1)
Emergence Delirium
291(1)
Prolonged Recovery
292(1)
Complications Related to Surgery
293(4)
Hemorrhage
293(2)
Seroma
295(1)
Dehiscence
295(1)
Self-Trauma
295(2)
Infection
297(1)
Postoperative Nursing Care
297(7)
Wound Cleansing
297(2)
Bandages, Splints, Casts, and Slings
299(1)
Drains
299(2)
Intravenous Catheter Maintenance
301(1)
Urinary Catheter Maintenance
302(1)
Physical Therapy
302(1)
Nutritional Support
303(1)
Postoperative Analgesia
304(6)
Common Analgesic Classes
305(1)
``Wind-Up''
305(1)
``Take-Home'' Analgesia
305(5)
The Surgery Room
310(12)
Layout of the Surgery Suite
310(2)
Preparation Area
310(1)
Scrub Area
310(1)
Surgery Room
311(1)
Equipment Cleaning
312(2)
Nonmovable (Permanent) Equipment
312(1)
Movable Equipment
312(1)
General Cleaning Instructions
313(1)
Cleaning of Surgery Room
314(1)
Disinfectants
315(2)
Definitions
315(1)
Effectiveness
315(1)
Types of Disinfectants
316(1)
Rotating and Restocking Supplies
317(5)
Disposable Supplies
317(1)
Reusable Supplies
317(5)
Instrument Cleaning and Sterilization
322(15)
Basic Cleaning Procedures
322(3)
Presoaking of Instruments
322(1)
Decontamination of Instruments
322(1)
Ultrasonic Cleaning of Instruments
323(2)
Pack Wrapping
325(2)
Recipes
325(1)
Wrapping Material
325(1)
Sealing of Pack
325(1)
Expiration Dating
326(1)
Sterilization
327(5)
Gravity Air-Displacement Sterilizer
329(1)
High-Vacuum Sterilizer
330(1)
Preparation and Loading
331(1)
``Flash'' Sterilization
331(1)
Ethylene Oxide (Gas) Sterilization
331(1)
Plasma Sterilization
331(1)
Sterilization Indicators
332(1)
Specialty Instrument Cleaning
332(5)
High-Level Disinfection
332(1)
Drill Cleaning
333(1)
Endoscope Cleaning
334(3)
Client Education for Postoperative Care
337(14)
Discharge Instructions
337(1)
General Postanesthesia Instructions
338(1)
General Postsurgical Instructions
338(3)
Postoperative Care of Patients with Drains
340(1)
Postoperative Care of Patients with a Bandage, Splint, or Cast
340(1)
Postoperative Instructions for Common Procedures
341(10)
Dental Extraction
341(1)
Feeding Tube Placement
341(1)
Gastrointestinal Enterotomy or Anastomosis
342(1)
Perianal Surgery
342(1)
Cystotomy
343(1)
Feline Declaw (Onychectomy) Orthopedic Procedures
343(1)
Aural Hematoma
344(1)
Lateral Ear Canal Resection or Ablation
344(1)
Cesarean Section
345(6)
PART IV HIGH-VOLUME SPAY/NEUTER CLINICS
Spay/Neuter Clinics: The Patients, Facilities, Need, and Process
351(13)
Defining the Patient
351(2)
Feral Cats
351(1)
Shelter Animals
352(1)
Animals of Financially Fragile People
352(1)
Animals Belonging to Collectors and Hoarders
352(1)
Juvenile Patients
353(1)
Types of Facilities
353(2)
Stationary Facilities
353(1)
Mobile Surgical Vans
353(2)
Multi-Site ``Clinics''
355(1)
General Practice Versus High-Volume Sterilization Surgery
355(1)
Stationary High-Volume Facilities
355(1)
Mobile Sterilization Facilities
355(1)
Multi-Site ``Clinic'' Facilities
356(1)
The Need for High-Volume Spay/Neuter Facilities
356(1)
Anesthesia Concerns
356(1)
Disease Concerns
357(1)
Feline Diseases
357(1)
Canine Diseases
358(1)
Vaccinations
358(1)
Diagnostic Blood Tests
358(1)
Surgical Concerns
358(1)
Patient Selection
358(1)
Surgeon Prerogatives
359(1)
Juvenile Patients
359(1)
Postoperative Concerns
359(1)
Special Concerns
360(4)
Management and Planning
360(1)
Return or Release of Feral Cats
360(1)
Fees and Services Provided
360(1)
General Impact on the Involved Parties
361(1)
Volunteerism
361(3)
Appendix A Quick Reference for Common Perioperative Intravenous Infusions 364(15)
Appendix B Selected Product and Manufacturer Contact Information 379

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