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Keep and Eppe Keep and Eppe

Triage is the art of assigning priority to emergency patients and their problems based on rapid assessment of historical and physical parameters see Table: Parameters to Evaluate During Triage.

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Several historical or observed problems warrant transfer of the animal to Kerp treatment area regardless of physical findings, and they are listed below ; all members of the veterinary Keep and Eppe staff should be able to recognize these common presenting complaints so that rapid STAT evaluation by a veterinarian can occur; these conditions may either require rapid intervention or can potentially lead to rapid decompensation:.

Pale or white. Cyanotic or muddy. Hyperdynamic states; could be associated with fever, heat stroke, distributive shock, or early compensatory stage of hypovolemic shock.

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Compromised diastolic filling; sinus tachycardia often results from hypovolemic shock, pain, or primary cardiac disease; tachycardia that is irregular or associated with pulse deficits usually indicates an arrhythmia, and an ECG is indicated. Hyperdynamic compensatory state of shock; indicates an increase in pulse pressure ie, an increase in systolic pressure, decrease in diastolic pressure, or both.

Keep and Eppe

Weak or absent. Decreased cardiac output including cardiopulmonary arrestperipheral vasoconstriction, decreased pulse pressure, or thrombosis. Depressed or obtunded less responsive to visual and tactile stimuli, sleepy appearance but still arousable. Stupor arousable only with painful stimuli.

Keep and Eppe

Comatose unarousable with any stimuli or seizures usually associated with whole body convulsions, salivation, facial tremors, possibly involuntary urination and defecation. Abnormal cerebral electrical activity from https://amazonia.fiocruz.br/scdp/blog/work-experience-programme/the-driving-force-in-entertainment-is-the.php neurologic disease or secondary to metabolic derangements seen in diseases such as diabetes, hepatic encephalopathy, hypoglycemia, or toxin exposure; accurate history or prior health problems, current medications, and possible toxin exposure important.

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Vocalization, changes in Keep and Eppe avoidance, aggressionor physical changes tachycardia, dilated pupils, etc. Clinical signs can be similar to those seen in compensatory stage of shock; pain delays healing and must be treated. Airway, breathing, and circulation are evaluated sequentially, followed by examination for sources of hemorrhage, and determination of the level of consciousness and level of pain. Breathing —cyanosis from tension pneumothorax, alveolar flooding edema, blood, or inflammatory fluidsevere bronchoconstriction with air trapping or brain-stem pathology affecting ventilation. Circulation — shock decreased perfusioncardiopulmonary arrest, extreme bradyarrhythmias or tachyarrhythmias, cardiac tamponade, and acute intravascular volume loss usually due to internal or external hemorrhage.

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Life-threatening airway pathology catastrophic or severe includes complete large airway here and Keep and Eppe obstruction of the large an small airways. Clinical evaluation and intervention for a patient with airway disease must occur rapidly.

Animals with complete large airway obstruction are unconscious and apneic. Partial large airway obstruction causes noisy breathing stridor or stertorheard without the aid of a stethoscope.]

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