Hospital Procedures TM1 Hospital Procedures. Hospital Procedures TM2 Spay/Neuter Neuter –...

138
Hospital Procedures TM 1 Hospital Procedures

Transcript of Hospital Procedures TM1 Hospital Procedures. Hospital Procedures TM2 Spay/Neuter Neuter –...

Hospital Procedures TM 1

Hospital Procedures

Hospital Procedures TM 2

Spay/Neuter

• Neuter – Orchiectomy (castration)– Removal of the testes

Hospital Procedures TM 3

Spay/Neuter

• Spay – Ovariohysterectomy– Removal of the ovaries and the

entire uterus

– “spayed” not “spade” or “spaded”.

Hospital Procedures TM 4

Spay/Neuter

• In the past, was done when the animal reached six months of age.

• Today the operation can be performed as early as six weeks.

Hospital Procedures TM 5

Spay/Neuter

The Excuses:

1. It’s cruel to spay or neuter.

Hospital Procedures TM 6

Spay/Neuter

The Excuses:

2. My pet will become fat and lazy.

Hospital Procedures TM 7

Spay/Neuter

The Excuses:

3. It costs too much money.

Hospital Procedures TM 8

Spay/Neuter

The Excuses:

4. I have a male.

Hospital Procedures TM 9

Spay/Neuter

The Excuses:

5. It’s better for her to have one litter.

Hospital Procedures TM 10

Spay/Neuter

The Excuses:

6. I have a purebred animal.

Hospital Procedures TM 11

Spay/Neuter

The Excuses:

7. I want my children to witness the miracle of birth.

Hospital Procedures TM 12

Spay/Neuter

The Excuses:

8. I will sell the puppies/kittens and make money.

Hospital Procedures TM 13

Spay/Neuter

The Excuses:

9. My pet’s personality will change.

Hospital Procedures TM 14

Spay/Neuter

The Excuses:

10. I am concerned about my pet undergoing anesthesia.

Hospital Procedures TM 15

Spay/Neuter

The Truth:

1. Spaying and neutering contributes to a longer and healthier life.

Hospital Procedures TM 16

Spay/Neuter

The Truth:

2. Spaying and neutering prevents overpopulation.

Hospital Procedures TM 17

Spay/Neuter

The Truth:

3. An altered pet is better for your family.

Hospital Procedures TM 18

Spay/Neuter

The Truth:

4. An altered pet is cleaner – no spraying or bleeding.

Hospital Procedures TM 19

Spay/Neuter

The Truth:

5. Spaying and neutering may prevent pets from roaming and getting into fights.

Hospital Procedures TM 20

Bandaging

• Bandaging methods are designed for specific areas of the body or specific purposes.

Hospital Procedures TM 21

Bandaging

• The two areas most commonly bandaged are the abdomen and the legs.

Hospital Procedures TM 22

Abdominal Bandage

• commonly called the bellyband.

Hospital Procedures TM 23

Abdominal Bandage

• used after abdominal surgery to prevent the animal from licking the incision and to keep it clean.

Hospital Procedures TM 24

• also used if an injury has occurred in the abdominal area to:

1) control fluid leakage

Abdominal Bandage

Hospital Procedures TM 25

• also used if an injury has occurred in the abdominal area to:

2) keep medication on the wound

Abdominal Bandage

Hospital Procedures TM 26

• also used if an injury has occurred in the abdominal area to:

3) keep the wound as sterile as possible

Abdominal Bandage

Hospital Procedures TM 27

• The bellyband consists of four layers:

1) a sterile non-stick pad2) a layer of absorbent cotton3) a layer of gauze4) a final layer of adhesive bandage

Abdominal Bandage

Hospital Procedures TM 28

• The main goal when applying a bellyband is to keep it snug and smooth so that it is comfortable and less likely to slip loose.

Abdominal Bandage

Hospital Procedures TM 29

• It is important not to apply it too tightly since this will cause patient discomfort.

Abdominal Bandage

Hospital Procedures TM 30

• To apply a bellyband:

1) Start at the front of the abdomen and wrap towards the back overlapping the edges of the bandage.

Abdominal Bandage

Hospital Procedures TM 31

• To apply a bellyband:

2) When you reach the back, wrap the bandage towards

the front, continuing to overlap the edges.

Abdominal Bandage

Hospital Procedures TM 32

• To apply a bellyband:

Each layer should be wrapped front and back at least one time.

Abdominal Bandage

Hospital Procedures TM 33

Leg Bandages

• generally applied for the purpose of:

1) covering an open wound

Hospital Procedures TM 34

Leg Bandages

• generally applied for the purpose of:

2) lending support to the leg

Hospital Procedures TM 35

Leg Bandages

• generally applied for the purpose of:

3) securing a catheter

Hospital Procedures TM 36

Leg Bandages

• usually have four layers for wounds or catheters :

1) a non-stick pad

Hospital Procedures TM 37

Leg Bandages

• usually have four layers for wounds or catheters :

2) absorbent cotton

Hospital Procedures TM 38

Leg Bandages

• usually have four layers for wounds or catheters :

3) gauze

Hospital Procedures TM 39

Leg Bandages

• usually have four layers for wounds or catheters :

4) adhesive bandage

Hospital Procedures TM 40

Leg Bandages

• Support leg bandages are mostly used on horses.

Hospital Procedures TM 41

• consist of a cotton or quilt layer and an elastic bandage

Support Leg Bandages

Hospital Procedures TM 42

• Whenever a bandage is applied to a horse’s leg it should be started on the outside of the leg and wrapped towards to back of the leg.

Support Leg Bandages

Hospital Procedures TM 43

• will support the tendons and ligaments of the leg

Support Leg Bandages

Hospital Procedures TM 44

Vaccinations

• an important part of every animal’s health care program

Hospital Procedures TM 45

Vaccinations

• a large part of all veterinary practices

Hospital Procedures TM 46

Vaccinations

• lessen the chance that an animal will contract a disease

Hospital Procedures TM 47

Vaccinations

• When and how often an animal is vaccinated will vary from vet to vet and their location within the country.

Hospital Procedures TM 48

Causes of Disease

• Diseases are divided into two categories, infectious and non-infectious.

Hospital Procedures TM 49

Causes of Disease

• Infectious diseases can be passed from animal to animal or from animal to human.

Hospital Procedures TM 50

Causes of Disease

• Diseases that are passed from animal to human are called zoonotic.

Hospital Procedures TM 51

Causes of Disease

• Non-infectious diseases cannot be passed from one animal to another or to humans.

Hospital Procedures TM 52

Infectious Diseases

• caused by bacteria, viruses, fungi, rickettsiae, helminthes, protozoa, and arthropods

Hospital Procedures TM 53

Infectious Diseases

• disease-causing agents can enter an animal through the skin, mouth, mucous membranes, lungs, or reproductive tract.

Hospital Procedures TM 54

Infectious Diseases

• can also be spread by either direct or indirect means.

Hospital Procedures TM 55

Infectious Diseases

Direct transmission • occurs by skin contact,

ingestion of an infected animal, inhalation, and

sexual/reproductive contact

Hospital Procedures TM 56

Infectious Diseases

Indirect transmission • uses vectors, vehicles, and

fomites

Hospital Procedures TM 57

Infectious Diseases

Vectors

• mosquitoes, fleas, ticks, flies

Hospital Procedures TM 58

Infectious Diseases

Vehicles

• equipment (brushes, buckets)

• instruments (needles, scissors)

• utensils

Hospital Procedures TM 59

Infectious Diseases

Fomites

water, air, soil, food

Hospital Procedures TM 60

Non-infectious Diseases

caused by:

– dysfunctions of one or more body systems

Hospital Procedures TM 61

Non-infectious Diseases

caused by:

– nutritional deficiencies

Hospital Procedures TM 62

Non-infectious Diseases

caused by:

– poisoning

Hospital Procedures TM 63

Non-infectious Diseases

caused by:

– physical injuries

Hospital Procedures TM 64

Non-infectious Diseases

caused by:

– stress

Hospital Procedures TM 65

Non-infectious Diseases

caused by:

– stress

Hospital Procedures TM 66

Non-infectious Diseases

• Genetics and environment are also factors

Hospital Procedures TM 67

Immunity

• a function of the lymph system and protects the body from infection, disease and foreign bodies

Hospital Procedures TM 68

Immunity System

• produces antibodies

– specialized proteins designed to fight antigens

Hospital Procedures TM 69

Immunity System

• Antigens

– any foreign substances that induce an immune

response.

Hospital Procedures TM 70

Immunity

• can be established through passive or active means

Hospital Procedures TM 71

Passive Immunity

• when an animal is given antibodies that have already been produced by another individual

Hospital Procedures TM 72

Passive Immunity

• Antibodies passing from the mother through the placenta and in the colostrum.

Hospital Procedures TM 73

Passive Immunity

• provides only short-term immunity because the body breaks down the antibodies

Hospital Procedures TM 74

Active Immunity

• when an animal produces antibodies by natural or artificial means in response to an antigen

Hospital Procedures TM 75

Active Immunity

• produced naturally when an animal is exposed to a disease and builds antibodies in response

Artificial

Hospital Procedures TM 76

Active Immunity

• produced artificially when an animal is vaccinated and builds antibodies in response to the vaccine

Natural

Hospital Procedures TM 77

Vaccines

• substances that upon injection into an animal, stimulate an immune response

Hospital Procedures TM 78

Vaccines

Two main types:

1) modified-live

2) killed

Hospital Procedures TM 79

VaccinesModified-live Vaccines

• altered forms of specific antigens that are similar enough to the original disease-causing agent to cause a strong immune response without causing the disease

Hospital Procedures TM 80

Vaccines

Killed Vaccines

• disease-causing agents that are inactivated by heat, chemical or mechanical means

Hospital Procedures TM 81

Vaccines

Killed Vaccines

• Immunity developed with this vaccine is generally weaker than a modified-live vaccine.

Hospital Procedures TM 82

Vaccines

Killed Vaccines

• There is also a possibility that the animal is allergic to the compound used to destroy the disease-causing agent.

Hospital Procedures TM 83

Diseases to Vaccinate For

• Bordetella

(Kennel cough)

• Coronavirus

• Distemper

• Infectious hepatitis

• Leptospirosis

• Lyme disease

• Parainfluenza

• Parvovirus

• Rabies

Dogs

Hospital Procedures TM 84

Diseases to Vaccinate For

• Feline calicivirus

• Feline infectious peritonitis

• Feline leukemia virus

• Feline viral rhinotracheitits

• Panleukopenia

• Rabies

Cats

Hospital Procedures TM 85

Dental Care

• just as important for pets as it is for humans

Hospital Procedures TM 86

Dental Care

• both cats and dogs are susceptible to gingivitis and periodontal disease as well as other dental problems

Hospital Procedures TM 87

Gingivitis

• an inflammation and infection of the sensitive gums surrounding the teeth

Hospital Procedures TM 88

Periodontal Disease

• an advanced stage of gingivitis where the gingiva separates from the tooth and decay of the tooth sets in

Hospital Procedures TM 89

Signs of Poor Oral Health

• Persistent bad breath

• Difficulty eating

• Loss of appetite

Hospital Procedures TM 90

Signs of Poor Oral Health

• Inflamed or bleeding gums

• Tartar

• Excessive pawing at the mouth

• Loose or missing teeth

Hospital Procedures TM 91

Keeping Teeth Clean

• Dentistry is most often performed by the technician.

Hospital Procedures TM 92

Keeping Teeth Clean

• Dentistry is accomplished like human dentistry the teeth are:

1. cleaned,

2. polished, and

3. examined for abnormalities and disease

Hospital Procedures TM 93

Keeping Teeth Clean

• The main difference is that the patients are anesthetized for the procedure.

Hospital Procedures TM 94

Keeping Teeth Clean

• The technician is responsible for educating clients on the process of brushing their pet’s teeth.

Hospital Procedures TM 95

Home Dental Care

• Begin by handling your pet’s mouth.

Hospital Procedures TM 96

Home Dental Care

• Get them to accept a finger being rubbed along the teeth and gums.

Hospital Procedures TM 97

Home Dental Care

• Next, use a small toothbrush or a specially designed finger brush to scrub your pet’s teeth.

Hospital Procedures TM 98

Home Dental Care

• Only the outside of the tooth needs to be brushed.

Hospital Procedures TM 99

Home Dental Care

• There are several types of flavored pet toothpaste that your pet will enjoy.

Hospital Procedures TM 100

Home Dental Care

NEVER USE HUMAN TOOTHPASTE! NEVER USE HUMAN TOOTHPASTE!

(It may make your pet sick if swallowed.)

Hospital Procedures TM 101

Home Dental Care

• Brush your pet’s teeth at least twice a week.

Hospital Procedures TM 102

Home Dental Care

• Develop a routine and make it fun for your pet.

(They will think they are getting a treat!)

Hospital Procedures TM 103

Home Dental Care

• Feeding dry food and rawhide chews will cut down on the amount of tartar buildup.

Hospital Procedures TM 104

Anatomy of a Tooth

Gingiva

Crown Dentin

Enamel

Periodontal ligamentRootPulp canal

Hospital Procedures TM 105

Medication

Routes of AdministrationRoutes of Administration• Medication is administered in

different ways depending on the type of medication and how fast the animal needs to get it.

Hospital Procedures TM 106

Medication

Routes of AdministrationRoutes of Administration• Example:

–a pill for preventing heartworm can be given orally

Hospital Procedures TM 107

Medication

Routes of AdministrationRoutes of Administration• Example:

–a drug to prevent shock should be given IV (intravenously) since it is a life or death situation.

Hospital Procedures TM 108

Medication

Routes of AdministrationRoutes of Administration• Common Routes:

– Oral IM – intramuscular– Nasal IP – intraperitoneal – Subcutaneous IV – intravenous

(Sub-Q)

Hospital Procedures TM 109

Oral

Sub-Q

IM

Nasal

IP

IV

Routes of Administration

Hospital Procedures TM 110

Medication

Routes of AdministrationRoutes of Administration• Most vaccinations are given

SubQ or IM.

• Some are given nasally.

Hospital Procedures TM 111

Needles & Syringes

Come in many shapes and sizes.

Hospital Procedures TM 112

Needles & Syringes

• Should be familiar with them so that the appropriate type and size are used for every procedure.

Hospital Procedures TM 113

Needles & Syringes

• Needles come in several sizes that are referred to as gauges.

Hospital Procedures TM 114

Needles & Syringes

The smaller the gauge, the larger the needle.

Hospital Procedures TM 115

Needles & Syringes

• Common Gauges:

16, 18, 20, 21, 22, 23, 25, 27

Hospital Procedures TM 116

Needles & Syringes

• Large gauge needles (16,18,20) are used for horses, swine and cattle.

Hospital Procedures TM 117

Needles & Syringes

• Small gauge needles (21,22,23,25,27) are used for cats, dogs, and exotics.

Hospital Procedures TM 118

Needles & Syringes

• Syringes also come in various sizes.

Hospital Procedures TM 119

Needles & Syringes

• The most common sizes are:

insulin, 1, 3, 6, 12, 20, 35, and 60 ml

1 ml syringes are called tuberculin syringes

Hospital Procedures TM 120

Needles & Syringes

• Insulin syringes come with attached needles and are measured in increments called units.

Hospital Procedures TM 121

Needles & Syringes

• Syringes also come with different styles of tips.

Hospital Procedures TM 122

Needles & Syringes

• Luer-Lok tip

– has a threaded tip to hold needle securely

Hospital Procedures TM 123

Needles & Syringes

• Slip tip

– this is the standard syringe tip

Hospital Procedures TM 124

Needles & Syringes

• Eccentric tip

– used to get a straighter angle

for IV injections

Hospital Procedures TM 125

Needles & Syringes

• Catheter tip

– used to administer oral medications and liquefied food

Hospital Procedures TM 126

Needles & Syringes

Filling and Reading a Syringe

• It is important to know the proper way to fill and read a syringe.

Hospital Procedures TM 127

Needles & Syringes

Filling and Reading a Syringe

• Improper filling and reading could result in an over or under dose of medication.

Hospital Procedures TM 128

Needles & Syringes

Filling and Reading a Syringe

• A properly filled syringe should have no air bubbles and should be filled to the correct amount.

Hospital Procedures TM 129

Needles & SyringesFilling and Reading a Syringe

• Air bubbles injected into a vein could potentially cause disturbances in blood circulation and even death.

Hospital Procedures TM 130

Dispensing & Labeling Medication

• Dispensing medication requires knowledge of math and the laws that govern how a medication is packaged and labeled.

Hospital Procedures TM 131

Dispensing & Labeling Medication

• It is critical that medication is given in the right amount and that the directions for the client are clear and correct.

Hospital Procedures TM 132

Dispensing & Labeling Medication

• Every medication label is required by law to include:

1. Name of veterinarian, address, phone, clinic name

Hospital Procedures TM 133

Dispensing & Labeling Medication

• Every medication label is required by law to include:

2. Patient’s name and species

Hospital Procedures TM 134

Dispensing & Labeling Medication

• Every medication label is required by law to include:

3. Name of medication, concentration, and number of units dispensed

Hospital Procedures TM 135

Dispensing & Labeling Medication

• Every medication label is required by law to include:

4. Directions for use, including route of administration, and dosing interval

ex. - 3x/day for 5 days

Hospital Procedures TM 136

Dispensing & Labeling Medication

• Every medication label is required by law to include:

5. Date

Hospital Procedures TM 137

Dispensing & Labeling Medication

• Every medication label is required by law to include:

6. Warning statement:

For Veterinary Use Only

Hospital Procedures TM 138

Medication Labels

Wild Wood Veterinary HospitalMelvin Turner, DVM128 Clearbrook Drive

Colorado Springs, CO 75074(719) 954-1169

Client/Patient Name:___________________________________________ Species:___________

Beth Lowery – Fido

Canine

Medication:__________________________________________________ Amount:__________________________

Clavamox

25mls

Directions for use: ________________________________________________________________________________________________________________________

Give 2 mls twice a day until gone

Date:_______________________11/28/02 For Veterinary Use Only.