NON-TOXIC PEST CONTROL
NON-TOXIC PEST CONTROL
QUARTERLY BEAT / OCTOBER 2021 ///
WEBINAR HIGHLIGHTS
SAFE FOR USE AROUND PEOPLE, PETS, WILDLIFE & LIVESTOCK SAFE FOR USE AROUND PEOPLE, PETS, WILDLIFE & LIVESTOCK
SAFE FOR USE AROUND PEOPLE, PETS, WILDLIFE & LIVESTOCK
JANE QUANDT , DVM, MS, DACVA, DACVECC Professor, University of Georgia VETgirl, Forum Consultant/Contributor Monitoring the Anesthetized Patient - Part 1
Cont’d. from page 11
These patients may be extubated with the endotracheal cuff partially inflated to prevent any material from leaking past the cuff and entering the lungs. Regardless of the visible presence of regurgitation, patients can experience “silent” reflux into the esophagus. Monogastric patients (dogs, cats) may represent for esophageal irritation (esophagitis) or stricture weeks to months after being anesthetized. The cause of this problem is currently unknown but is thought to be related to prolonged fasting periods. Therefore, it might be suggested that dogs and cats should be fasted for NO LONGER than 6-12 hours prior to anesthesia (in contrast to the traditional >24 hour fasting recommended in the past). Metoclopramide may decrease the potential for regurgitation in dogs. The loading dose is 1 mg/kg IV followed by a CRI of 1 mg/kg/hr IV. This has been used prophylactically in brachycephalic dogs, dogs undergoing laryngeal paralysis surgery and HBC dogs that have may have full stomachs. Maropitant at 1mg/kg IV to prevent vomiting is also used in the premedication period for these dogs along with the metoclopramide. Make sue to tune in for Part 2 of Monitoring the Anesthetized Patient in our next issue! “You don’t have to provide monitoring for every patient…only those you can’t afford to lose” - Anonymous
some may not. A small mouth gag can be fashioned by cutting a tuberculin syringe barrel and placing it on opposing canine teeth and thus avoid overstretching the mouth. E. Reflexes and Muscle tone Ocular reflexes include eye position, pupillary, palpebral, corneal and nystagmus. Withdrawal or pedal reflexes (toe pinch) include patellar reflex, anal reflex, jaw tone and muscle relaxation or response to stimulation. F. Blood Loss The surgical site and the surgeon are a great wealth of information. • One blood saturated 4”x 4” gauze sponge holds about 10-15 mls of blood. • One 12”x12” lap sponge holds about 50-75 mls of blood. • Sponges can be weighed for a more accurate estimate (1 ml blood = 1 gm). • The suction containers are marked to estimate the amount of blood loss. G. Urine Output Urine output is a relatively noninvasive way of estimating cardiac output, (CO). If CO is sufficient to perfuse the kidneys and produce urine, then the CO is generally sufficient to perfuse other organs. Minimal acceptable urine output is 1-2 ml/kg/hr. Urine output is easily measured with a urinary catheter and a closed collection system. Alternatively, urine output can be measured in cats by weighing litter boxes before and after urination, and then calculating (subtracting) the difference (1 g = 1 ml urine). Lower output indicates inadequate cardiac output and subsequent poor renal perfusion. Higher output may occur with fluid diuresis, diabetes, or renal insufficiency. H. Postop emesis/regurgitation Patients may passively regurgitate stomach contents during anesthesia or recovery. This fluid and foreign material must be suctioned and the oropharyngeal area cleared before extubation.
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STOP PRIMARY & SECONDARY POISONING
NON-TOXIC PEST CONTROL
References upon request.
Part 2 Available in upcoming VETgirl Q4 Beat eMagazine, December 2021
SAFE FOR USE AROUND PEOPLE, PETS, WILDLIFE & LIVESTOCK
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