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Hospital Procedures Hospital Procedures TM 1 Agriculture, Food, and Natural Resource Standards Addressed • AS.04.01. Evaluate animals for breeding readiness and soundness. • AS.04.02.03.a. Summarize the importance of efficient and economic reproduction in animals. • AS.07.01. Design programs to prevent animal diseases, parasites and other disorders and ensure animal welfare. – AS.07.01.01.a. Identify and summarize specific tools and technology used in animal health management. 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 Abdominal Bandage • also used if an injury has occurred in the abdominal area to: 1) control fluid leakage Hospital Procedures TM 25 Abdominal Bandage • also used if an injury has occurred in the abdominal area to: 2) keep medication on the wound Hospital Procedures TM 26 Abdominal Bandage • also used if an injury has occurred in the abdominal area to: 3) keep the wound as sterile as possible Hospital Procedures TM 27 Abdominal Bandage • The bellyband consists of four layers: 1) a sterile non-stick pad 2) a layer of absorbent cotton 3) a layer of gauze 4) a final layer of adhesive bandage Hospital Procedures TM 28 Abdominal Bandage • 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. Hospital Procedures TM 29 Abdominal Bandage • It is important not to apply it too tightly since this will cause patient discomfort. Hospital Procedures TM 30 Abdominal Bandage • To apply a bellyband: 1) Start at the front of the abdomen and wrap towards the back overlapping the edges of the bandage. Hospital Procedures TM 31 Abdominal Bandage • To apply a bellyband: 2) When you reach the back, wrap the bandage towards the front, continuing to overlap the edges. Hospital Procedures TM 32 Abdominal Bandage • To apply a bellyband: Each layer should be wrapped front and back at least one time. 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 Support Leg Bandages • consist of a cotton or quilt layer and an elastic bandage Hospital Procedures TM 42 Support Leg Bandages • 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. Hospital Procedures TM 43 Support Leg Bandages • will support the tendons and ligaments of the leg 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) 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 Vaccines Modified-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 Dogs • Bordetella (Kennel cough) • Coronavirus • Distemper • Infectious hepatitis • • • • • Leptospirosis Lyme disease Parainfluenza Parvovirus Rabies Hospital Procedures TM 84 Diseases to Vaccinate For Cats • Feline calicivirus • Feline infectious peritonitis • Feline leukemia virus • Feline viral rhinotracheitits • Panleukopenia • Rabies 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! (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 Crown Root Enamel Dentin Gingiva Periodontal ligament Pulp canal Hospital Procedures TM 105 Medication Routes 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 Administration • Example: –a pill for preventing heartworm can be given orally Hospital Procedures TM 107 Medication Routes 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 Administration • Common Routes: –Oral IM – intramuscular –Nasal IP – intraperitoneal –Subcutaneous IV – intravenous (Sub-Q) Hospital Procedures TM 109 Routes of Administration Nasal Sub-Q Oral IP IM IV Hospital Procedures TM 110 Medication Routes 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 & Syringes Filling 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 Hospital Melvin Turner, DVM 128 Clearbrook Drive Colorado Springs, CO 75074 (719) 954-1169 Client/Patient Name:___________________________________________ Beth Lowery – Fido Species:___________ Canine Medication:__________________________________________________ Clavamox Amount:__________________________ 25mls Directions for use: ____________________________________________________________ Give 2 mls twice a day until gone ____________________________________________________________ Date:_______________________ 11/28/02 For Veterinary Use Only. Hospital Procedures TM 139