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Transfusion medicine (Proceedings)
August 1st 2010Common transfusion types include fresh whole blood, stored whole blood, packed red blood cells, fresh frozen plasma, and frozen plasma. Other, less common transfusion products include cryoprecipitate, cryo-poor plasma, platelet-rich plasma, platelet concentrate, lyophilized albumin, and lyophilized platelets.
Opioid and tramadol use in outpatients: What are reasonable choices? (Proceedings)
August 1st 2010Nonsteroidal antiinflamatory drugs (NSAIDs) are commonly used in veterinary medicine for a variety of reasons including the management of acute postoperative pain and chronic pain associated with degenerative joint disease among other conditions. However adverse effects preclude their use in many patients and severe adverse effects such as nephrotoxicity, hepatotoxicity, and gastrointestinal ulceration and perforation, and death occur infrequently.
Approach to the multi-trauma patient (Proceedings)
August 1st 2010The patient with multi-trauma can present a challenging case for a clinician.Damage to the respiratory system, cardiovascular system, or neurologic system can all be fatal by themselves, and a combination of these injuries can present as a resuscitation nightmare.
Disorders of coagulation (Proceedings)
August 1st 2010The primary hemostatic system alone is not sufficient to provide hemostasis if a large vessel is injured, or if there is significant vascular wall injury. Fibrin needs to be generated in order to form a stable clot, and this occurs through secondary hemostasis, or the coagulation cascade.
Can you use cytology to predict tumor behavior (Proceedings)
August 1st 2010Cytologically, neoplasia is characterized by the presence of a homogeneous population of cells that have come from the same tissue of origin. This is best appreciated by the presence of cells with the same cytoplasmic characteristics.
Cytology in evaluation of lymphoid tissue in the dog and cat (Proceedings)
August 1st 2010Lymph node sampling and cytology is quick, easy, and usually rewarding. Cytologic samples of peripheral and/or internal lymph nodes may be collected by fine-needle aspiration biopsy or nonaspiration fine-needle biopsy techniques.
Agents for HCM therapy in cats (Proceedings)
August 1st 2010Feline hypertrophic cardiomyopathy is a challenging disease for veterinarians given its heterogeneous nature and the large segment of HCM cats that are asymptomatic. A genetic basis has been suspected for a long time and recently disease-associated mutations in myosin-binding protein C have been documented in Maine coons and ragdolls.
Respiratory emergencies: respiratory support (Proceedings)
August 1st 2010Support of respiratory function in critically ill patients is extremely important because inappropriate oxygenation and/or ventilation can quickly lead to an animal's demise. Also, respiratory infections, especially nosocomial infections, can be quite serious.
NSAIDs, anesthesia, and the kidneys: What they are not telling you (Proceedings)
August 1st 2010Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most widely used analgesic drug class in human and veterinary medicine. NSAIDs are effective due to both peripheral and central mechanisms of analgesia.
Approach to the patient in respiratory distress (Proceedings)
August 1st 2010Patients presenting with severe respiratory distress have minimal respiratory reserves, so stress during physical evaluation and treatment must be minimized. Quick evaluation of the patient with minimal additional stress (i.e. radiographs, blood draws) is ideal so that accurate therapy can be instituted without delay.
Glucocorticoids and shock, what are we doing now? (Proceedings)
August 1st 2010Shock can be classified into general categories: hypovolemic, maldistribution, and cardiogenic. Hypovolemic shock is due to a diminished volume of fluids and can occur in severe dehydration (Parvoviral gastroenteritis, hemorrhagic gastroenteritis) or hemorrhage.
Cardiopulmonary-cerebral resuscitation (Proceedings)
August 1st 2010Cardiopulmonary arrest (CPA) is defined as the cessation of functional ventilation and effective circulation. Factors predisposing to CPA may include respiratory or cardiovascular abnormalities (hypoxia, hypercarbia, hypotension, cardiac arrhythmias, or severe anemia); acid-base, electrolyte, or metabolic abnormalities (acidosis, hyperkalemia, hypoglycemia); or hypothermia.
Update of therapies for feline asthma (Proceedings)
August 1st 2010Feline asthma consists of an inflammatory disorder of the lower respiratory system of cats that results in bronchoconstriction and limited airflow to the lungs. Successful therapy of this condition starts with appropriate management of the animal environment and the selection of therapeutic combinations that safely address the long-term and short term needs of the animal.
Antiemetic therapy (Proceedings)
August 1st 2010The vomiting reflex is a complex mechanism that can be initiated peripherally from the GI tract, pharynx, chemoreceptor trigger zone (CRTZ), and vestibular systems or centrally at the emetic center in the brain. Direct stimulation of the pharynx can result in vomiting, although this is a relatively infrequent cause in animals.
Respiratory emergencies: postoperative management of respiratory distress (Proceedings)
August 1st 2010Patients that have undergone emergency surgery to address respiratory distress are routinely supplemented with oxygen in the early recovery period and are monitored for oxygenation status using physical parameters (respiratory rate, respiratory character, and mucous membrane color), pulse oximetry (SpO2), and, when practical, arterial blood gases (PaO2).
Newer drugs for the treatment of epilepsy (Proceedings)
August 1st 2010For many years, short and long-term therapy of epileptic disorders in dogs and cats has been based on the use of benzodiazepines (e.g. diazepam), barbiturates (e.g. phenobarbital) and bromide, either individually or with different combinations. While phenobarbital and bromide are still widely used for the long-term therapy of epilepsy in dogs and cats, newer agents have become available that can be used as adjunctive or sole therapy.
The all-natural drugs you may already be using (Proceedings)
August 1st 2010Many clients are requesting all natural and alternative treatment options as they are under the impression that they produce less adverse effects than pharmaceutical compounds. This is a common misconception as some of the most toxic compounds known are natural products such as botulinum toxin, ricin, cobra venom, and uranium, among many others.
Managing the acute abdomen (Part 1): evaluation, diagnosis, and decision making (Proceedings)
August 1st 2010Acute abdomen is the acute onset of abdominal pain that requires prompt diagnosis and immediate intervention to prevent patient deterioration. The decision to operate depends on efficient diagnostic evaluation, and the timing of the surgery should be based on what will maximize survival and minimize morbidity.
Managing the acute abdomen (Part 3): postoperative management (Proceedings)
August 1st 2010Postoperative management of acute abdomen patients includes general supportive measures and monitoring commonly performed with critically ill patients, analgesic medication, nutritional support, and specific interventions based on the underlying cause of the acute abdomen and/or the surgical manipulations employed to treat the condition.
Intriguing data and comments about the state of the veterinary industry
August 1st 2010One in four respondents to the 2010 Veterinary Economics State of the Industry Study had something to tell us about the state of the veterinary industry. Here are some of your choicest comments as well as interesting data we've found that didn't fit in other stories.