*NURSING > EXAM > 2024 VTNE Small Animal Critical Care Exam New Full Exam Questions and Answers ( Included ) 100% Corr (All)
1. You are assisting the emergency veterinarian with a dog who has a GDV. The doctor is ready to place an orogastric tube and the patient is awake on the exam table.Which of the following is true r... egarding this procedure? The tube should be held lower than the patient to aid in removal of gastric contents The tube should be held above the patient to help prevent aspiration The tube should only be placed after the stomach is trocharized The tube should only be placed while the patient is anesthetized Answer: *The tube should be held lower than the patient to aid in removal of gastric contents* The patient does not always have to be anesthetized for placement of the tube, however, many patients require some sedation.The tube is measured prior to placement (to just the last rib) and when inserted into the esophagus and into the stomach, the other end is held downward (lower than the patient)so that gravity will help to allow removal ofstomach contents.If the tube cannot be placed, the stomach may be trocharized to relieve pressure. 2. You are working in the critical care unit and learning to perform central venous pressure readings.What is a normal CVP reading? Less than 0 cm H2O 0-10 cm H2O 90-120 cm H2O 10-15 cm H2O 15-20 cm H2O Answer: *0-10 cm H2O* The central venous pressure is the blood pressure of the thoracic vena cava. It is very helpful in monitoring the hydration status of a patient. A value less than zero would indicate dehydration and a value starting to trend upward around 5-8 indicates adequate fluids.Readings over 10 may indicate fluid overload or venous congestion. These valuesshould always be interpreted in light of the patient's clinicalstatus(i.e. body weight, skin turgor, heart rate, mucus membrane status, etc) [Show More]
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