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The publisher makes no representations or warranties of any kind, including but not limited to, the warranties of fi tness for particular purpose or merchantability, nor are any such representations implied with respect to the material set forth herein, and the publisher takes no responsibility with respect to such material. The publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or part, from the readers’ use of, or reliance upon, this material. Printed in China 1 2 3 4 5 6 7 13 12 11 10 09 ´ Dedication To my Gramma, with her wings forever around my heart. To my darling husband Steve, You fi ll my life with sweet sunshine that glows within me. You’ve instilled in me a sense of worth and love that bonds our family. Thank you for all of your love and support. To my beautiful little angel Alexis, Remember, no matter how old you are or where you may be. . . . My love will always be with you. iii This page intentionally left blank ´ Table of Contents ANATOMY. . . . . . . . . . . . . . . . . . . 1 Canine Anatomy . . . . . . . . . . . . . . . . . . . 2 Feline Anatomy . . . . . . . . . . . . . . . . . . . . 3 References . . . . . . . . . . . . . . . . . . . . . . . 5 ANESTHESIA . . . . . . . . . . . . . . . . . 7 Stages of Anesthesia . . . . . . . . . . . . . . . . . 8 Monitoring an Animal under Anesthesia. . . 10 General Considerations. . . . . . . . . . . 10 Vital Signs . . . . . . . . . . . . . . . . . . . 11 Refl exes to Check. . . . . . . . . . . . . . . 11 Normal Anesthetic Recovery Signs. . . . 12 Signs of Anesthetic Overdose . . . . . . . 12 Anesthetic Machine Quality Control. . . . . . 13 Set-up of the Anesthetic Machine . . . . 13 Pressure Testing the Anesthetic Machine. . . . . . . . . . . . . . . . . . . . . 13 Troubleshooting during an Anesthetic Emergency . . . . . . . . . . . . . . . . . . . 14 References . . . . . . . . . . . . . . . . . . . . . . 16 v vi table of contents CYTOLOGY AND ENDOCRINE FUNCTION TESTING . . . . . . . . . . . 17 Common Endocrine Function Testing . . . . 18 Serum Bile Acid Test. . . . . . . . . . . . . 18 ACTH Stimulation Testing . . . . . . . . . 19 High- and Low-Dose Dexamethasone Suppression Tests in Dogs . . . . . . . . . 20 Th yroid-Stimulating Hormone (TSH) Response Test . . . . . . . . . . . . . . . . . 21 Diabetic Testing/Glucose Curve (Insulin Tolerance) . . . . . . . . . . . . . . 22 Cytology Images . . . . . . . . . . . . . . . . . . 24 Ear Cytology . . . . . . . . . . . . . . . . . . 24 Vaginal Cytology . . . . . . . . . . . . . . . 24 Sperm . . . . . . . . . . . . . . . . . . . . . . 25 Fatty Aspirate . . . . . . . . . . . . . . . . . 25 References . . . . . . . . . . . . . . . . . . . . . . 26 DENTISTRY . . . . . . . . . . . . . . . . . 27 Dental Models (Canine and Feline). . . . . . . 28 Dental Disease . . . . . . . . . . . . . . . . . . . 29 Dental Charting. . . . . . . . . . . . . . . . . . . 31 Dental Prophylaxis Procedure . . . . . . . . . 32 Common Dental Tools . . . . . . . . . . . . . . 34 References . . . . . . . . . . . . . . . . . . . . . . 35 table of contents vii EMERGENCIES . . . . . . . . . . . . . . . 37 Emergency Drugs. . . . . . . . . . . . . . . . . . 40 ABCs. . . . . . . . . . . . . . . . . . . . . . . . . . 46 A = Arterial Bleeding/Airway Patency. . 46 B = Breathing . . . . . . . . . . . . . . . . . 46 C = Cardiac. . . . . . . . . . . . . . . . . . . 47 Cerebral Pulmonary Cardiac Resuscitation (CPCR) . . . . . . . . . . . . 48 CPCR Procedure . . . . . . . . . . . . . . . 48 Drug Th erapy . . . . . . . . . . . . . . . . . 49 Evaluation of Status Post Resuscitation. 49 Electrocardiogram (ECG). . . . . . . . . . . . . 50 Electrocardiogram (ECG) Waveforms. . 50 Possible ECG Arrhythmias . . . . . . . . . 53 Placing the Leads on the Patient . . . . . 60 Triage . . . . . . . . . . . . . . . . . . . . . . . . . 61 Triage Priority List . . . . . . . . . . . . . . 62 Immediate Assessment . . . . . . . . . . . 62 Patient History . . . . . . . . . . . . . . . . 62 Cardiac Arrest. . . . . . . . . . . . . . . . . . . . 63 Causes. . . . . . . . . . . . . . . . . . . . . . 63 Signs and Symptoms. . . . . . . . . . . . . 63 Treatment . . . . . . . . . . . . . . . . . . . 64 Airway Obstruction . . . . . . . . . . . . . . . . 64 Causes. . . . . . . . . . . . . . . . . . . . . . 64 Signs and Symptoms. . . . . . . . . . . . . 64 Treatment . . . . . . . . . . . . . . . . . . . 65 viii table of contents Acute Respiratory Distress. . . . . . . . . . . . 65 Causes. . . . . . . . . . . . . . . . . . . . . . 65 Signs and Symptoms. . . . . . . . . . . . . 66 Treatment . . . . . . . . . . . . . . . . . . . 66 Shock . . . . . . . . . . . . . . . . . . . . . . . . . 67 Causes. . . . . . . . . . . . . . . . . . . . . . 67 General Signs and Symptoms of Shock . . 67 Treatment . . . . . . . . . . . . . . . . . . . 67 Hypovolemic Shock . . . . . . . . . . . . . . . . 68 Causes. . . . . . . . . . . . . . . . . . . . . . 68 Signs and Symptoms. . . . . . . . . . . . . 68 Treatment . . . . . . . . . . . . . . . . . . . 68 Anaphylactic Shock . . . . . . . . . . . . . . . . 69 Causes. . . . . . . . . . . . . . . . . . . . . . 69 Signs and Symptoms. . . . . . . . . . . . . 69 Treatment . . . . . . . . . . . . . . . . . . . 69 Cardiogenic Shock . . . . . . . . . . . . . . . . . 70 Causes. . . . . . . . . . . . . . . . . . . . . . 70 Signs and Symptoms. . . . . . . . . . . . . 70 Treatment . . . . . . . . . . . . . . . . . . . 71 Septic Shock . . . . . . . . . . . . . . . . . . . . . 71 Causes. . . . . . . . . . . . . . . . . . . . . . 71 Signs and Symptoms. . . . . . . . . . . . . 71 Treatment . . . . . . . . . . . . . . . . . . . 72 Pneumothorax . . . . . . . . . . . . . . . . . . . 72 Causes. . . . . . . . . . . . . . . . . . . . . . 72 Signs and Symptoms. . . . . . . . . . . . . 72 Treatment . . . . . . . . . . . . . . . . . . . 73 table of contents ix Hemothorax . . . . . . . . . . . . . . . . . . . . . 73 Causes. . . . . . . . . . . . . . . . . . . . . . 73 Signs and Symptoms. . . . . . . . . . . . . 74 Treatment . . . . . . . . . . . . . . . . . . . 74 Diaphragmatic Hernia . . . . . . . . . . . . . . 74 Causes. . . . . . . . . . . . . . . . . . . . . . 74 Signs and Symptoms. . . . . . . . . . . . . 75 Treatment . . . . . . . . . . . . . . . . . . . 75 Seizures. . . . . . . . . . . . . . . . . . . . . . . . 75 Causes. . . . . . . . . . . . . . . . . . . . . . 75 Signs and Symptoms. . . . . . . . . . . . . 76 Treatment . . . . . . . . . . . . . . . . . . . 76 Ingestion of Poisons . . . . . . . . . . . . . . . . 76 Causes. . . . . . . . . . . . . . . . . . . . . . 77 Signs and Symptoms. . . . . . . . . . . . . 77 History. . . . . . . . . . . . . . . . . . . . . . 77 Treatment . . . . . . . . . . . . . . . . . . . 78 Fractures . . . . . . . . . . . . . . . . . . . . . . . 83 Causes. . . . . . . . . . . . . . . . . . . . . . 83 Signs and Symptoms. . . . . . . . . . . . . 83 Treatment . . . . . . . . . . . . . . . . . . . 83 Doppler Blood Pressure Reading . . . . . . . . . . . . . . . . . . . . . 84 Procedure. . . . . . . . . . . . . . . . . . . . 84 Crash Kit Supplies . . . . . . . . . . . . . . . . . 85 Important Points to Remember . . . . . . . . . . . . . . . . . . . 86 References . . . . . . . . . . . . . . . . . . . . . . 87
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