QUARTERLY BEAT / JULY 2023 ///
/// QUARTERLY BEAT / JULY 2023 PAWS AND LOOK AROUND. On the Hunt for Great
CE?
WATCH the Webinar • Dyspnea • Tachypnea • Exercise intolerance • Hind limb paresis • Syncope • Sudden death
giant breed dogs. Doberman Pinschers, Irish Wolfhounds, and Great Danes are the more commonly affected breeds.
VETGIRLONTHERUN.COM
HYPERTROPHIC CARDIOMYOPATHY (HCM) One of the most common cardiac diseases in the feline patient which is characterized by left ventricular thickening. This results in decreased ventricular diastolic filling which, subsequently, negatively affects cardiac output.
VETgirl delivers cutting-edge, clinically relevant, on-demand veterinary training for veterinary professionals who are constantly on the run. For only $269/year, you’ll have access to 150 hours of NEW, RACE- approved CE training via webinars, videos, rounds, and blogs - all from board-certified specialists in the areas of
150 hours of NEW RACE approved
CO = SV X HR
CE annually 24 / 7 / 365 massive on-demand content library $269 annual membership
It is important to define Cardiac Output (CO) which is the volume of blood pumped by the heart per minute. As compared to Stroke Volume (SV) which is the volume of blood ejected by each ventricular beat. The feline patient with HCM is often tachycardic due to a reflex mechanism to maintain cardiac output and blood pressure as well as increased catecholamine release associated with hypoxia. Progression of disease almost always leads to congestive heart failure. A sequela known as arterial thromboembolism (ATE) is often catastrophic. Less time for ventricular filling will lead to stasis of blood and increased turbulence in the left atrium resulting, in clot formation. The clot or emboli is ejected into systemic circulation and often seats itself in the distal aorta, often referred to as a saddle thrombus. Although this is a common location, the emboli can affect any limb or organ. This complication often carries a poor prognosis.
SMALL ANIMAL / LEADERSHIP / TECHNICIAN / LARGE ANIMAL
A critical aspect of good nursing care is understanding the disease process and the physiological response to that disease. This improves the veterinary technician’s ability to recognize disease, provide treatment, development an appropriate plan to monitor response to therapy, and monitor for complications. CHRONIC VALVULAR HEART DISEASE (CVD) Refers to a degenerative disease that most commonly affects the mitral valve (MV) and tricuspid valve (TV) or both. This often occurs in middle age to older dogs. The disease is approximately 1.5 times more common in males than in females. (1) The valves get “leakier” as patient ages this can be due in part to changes in the valve not allowing for proper valvular closure resulting in backward flow of blood called regurgitation. Over time the regurgitation will increase the cardiac workload leading to ventricular remodeling. The remodeling and regurgitation results in decreased forward flow (decreased cardiac output) leading to volume overload and left atrial enlargement (LAE). Breeds that are commonly afflicted with this disease include Poodle, Cavalier King Charles Spaniel, Maltese, Cocker Spaniel, and Dachshund. DILATED CARDIOMYOPATHY (DCM) Is a disease characterized by myocardial failure. Patients that suffer from DCM have dilation of the ventricles due to volume overload which leads to decreased contractility. The disease has a long subclinical phase during which myocardial function, along with cardiac compensatory mechanisms are adequate to maintain normal hemodynamics. (2) Over time the wall thickness of the atria and ventricles will decrease. It is a combination of thin walls and poor contractility that predispose these patients to the development of Congestive Heart Failure (CHF) and arrhythmias. Dilated Cardiomyopathy tends to affect large and
You will also have complete access to the massive, growing on-demand library content so you can learn on YOUR time!
Start Your FREE 14-day trial today at vetgirlontherun.com
Resources
• Guidelines for the Diagnosis and treatment of Canine Chronic Valvular Heart Disease C. Atkins, J. Bonagura, S. Ettinger, P. Fox, S. Gordon, J. Haggstrom, R. Hamlin, B. Keene, V. Luis-Fuentes, R. Stepien • Kittleson M, Kienle R, Small Animal Cardiovascular Medicine. St. Louis: Mosby 1998 p. 319-320, 195-197, 347-352-355. • Battaglia, A., Steele A. Small Animal Critical Care for the Veterinary Technician. 3rd Ed. St. Louis: Elsevier, 2016, Chapter 2: p.32-35. • Creedon J., Davis H. Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care. West Sussex: Wiley-Blackwell, 2012, Chapter 2: p. 5-7.
Exotic and Small Mammal Certificate: OK, so you admit, you hide when you see a small exotics mammal, reptile, or bird on the appointment schedule. No need to run from fur, scales, and feathers! With this VETgirl exotics certificate, you’ll be able to handle all things exotics like a pro! From basic techniques to restraint to anesthesia and CPR in the exotic animal, learn it in this 32.5-hour course carefully curated and designed by VETgirl to focus on the key areas of exotic animal care. FREE TO ELITE MEMBERS VETGIRLONTHERUN.COM
NEW CERTIFICATE Exotic and Small Mammal Certificate Released June 2023
Tiffany Gendron, CVT, VTS (ECC) Veterinary CE Coordinator, VETgirl
22
23
VETGIRL BEAT EMAGAZINE | VETGIRLONTHERUN.COM
VETGIRL BEAT EMAGAZINE | VETGIRLONTHERUN.COM
Made with FlippingBook - Online Brochure Maker