Term
| What are some of the uses for horses? |
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Definition
-Performance: Racing, WEstern, English, Eventing, PUlling
-Breeding
-Pleasure
-Pets |
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Term
| What is the most important consideration during equine surgery? |
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Definition
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Term
| How can patient size and temperament be the largest obstacles to the equine surgeon? |
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Definition
-fight or flight response
-manipulation and positioning
-aneshtesia and recovery
-implants available |
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Term
| What are the parts of the history that are important with equine surgery? |
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Definition
-signalment
-presenting complaint
-duration of clinical signs
-previous diagnostics
-previous procedures
-current/recent meds
-vaccination status
-fitness level
-insurance status |
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Term
What are the ranges of normal for the following part of an equine physical exam:
a) temp
b) HR
c) RR
d) GI motility |
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Definition
a) temp = 99.5-101.5
b) HR: adult - 24-48 bpm & foal = 40-60 bpm
c) RR = 12-30 bpm
d) GI motilit: intestinal sounds should be present in all quadrants |
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Term
| During a pre-op physical exam, we examine the WHOLE horse and evaluate all systems. Which systems should we key in on? |
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Definition
| -CV, resp, system(s) involved in procedure |
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Term
| What tests are collectively known as our minimum databbase? |
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Definition
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Term
| What tests do we add to our pre-op lab diagnostrics with a compromised patient? |
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Definition
-inflammatory profile
-LA chem profile
-lactate analysis
-arterial blood gas
-UA |
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Term
| What do we administer for tetanus prophylaxis? |
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Definition
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Term
| Why are reginal pre-op antibiotics so common in equine medicine? |
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Definition
| -horse is so big that systemic antibiotics are too expensive |
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Term
| Why would we do a standing procedure on an equine patient? |
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Definition
-limited to those patients with suitable dispositions
-surgeon preference
-cost
-may be more appropriate than general anesthesia |
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Term
| When we use chemical restraint on a horse, do we give it bollus or CRI? |
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Definition
| -ALWAYS BOLUS IN THE HORSE |
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Term
| What can we use to mechanically restrain the horse for standing procedures? |
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Definition
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Term
| What are some examples of standing procedures?? |
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Definition
-endoscopic URT
-laparoscopy
-wound repair/revision
-flank laparotomy
-dental extraction
-castration
-perineal procedures |
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Term
| What are the characteristics of standing anethesia? |
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Definition
-no recovery
-patient can move
-possible dec cost
-uncomfortable for the vet
-personnel safety risk
-anatomic orientation |
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Term
| What are the characteristics of general anesthesia? |
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Definition
-recovery risk
-immobilized
-inc cost
-cofortable for vet
-immobilized
-altered oriantation |
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Term
| IN general, recovery from (inhalang/PIVA/TIVA) protocols is better but duration of procedure may preclude its exclusive use. |
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Definition
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Term
| How do we prepare a horse for general anesthesia? |
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Definition
-fasting
-IV catheter placement
-groom patient
-clean/trim feet
-wash out mouth
-clean shavings off |
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Term
| Describe a typical general anesthesia induction of a horse. |
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Definition
-Pre-meds: give sedatives IV or IM and WAIT to become unresponsive to environmental stimuli
-INduction meds: give Ketamine/Diazepam as IV bolus |
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Term
| What is the most commonly used form of tracheal intubation in the horse? |
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Definition
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Term
| When would we specifically use nasotracheal intubation in a horse? What about a tracheotomy? |
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Definition
-oral access
-compromised URT |
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Term
| Why is padding the horse during general anesthesia so important? |
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Definition
-support the horse
-prevent myositis
-prevent neuropathies |
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Term
| Why do we always remove a horses halter for general anesthesia? |
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Definition
| -to prevent facial nerve paralysis |
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Term
| What is the most common position in equine surgery? Second? |
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Definition
-dorsal recumbency
-lateral |
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Term
| Why do we pull the down legs forward for a horse in lateral recumbency/? |
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Definition
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Term
| What is the Trendelenburg position? What is it used for? Any concerns? |
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Definition
-head is lower than the pelvic limbs
-better access to caudal abdomen for laparoscopic urogenital surgeries
-anesthetic concerns |
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Term
| Why do we put Elastikon toape on the hoof walls of recovering horse? |
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Definition
-gives foot traction
-protects recovery stall floor from trauma by hoofs |
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Term
| What are some GA recovery complications? |
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Definition
-myositis
-minor soft tissue trauma
-catastrophic fracture
-airway obstruction: pulmonary edema |
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