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Practical Emergency and Critical Care Veterinary Nursing


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Table of Contents

Preface vi

1 Triage and Assessment of the Emergency Patient 1

2 Monitoring the Critical Patient 9

3 Vascular Access 17

4 ‘Shock’ and Intravenous Fluid Therapy 29

5 Blood Gas, Acid–Base Analysis and Electrolyte Abnormalities 41

6 Analgesia and Anaesthesia of the Emergency and Critical Patient 52

7 Practical Laboratory Techniques 63

8 Techniques for Oxygen Supplementation 76

9 Nursing the Dyspnoeic Patient 86

10 Nursing the Cardiac Patient 97

11 Nursing the Acute Abdomen Patient 109

12 Nursing Urinary Tract Emergencies 123

13 Nursing the Poisoned Patient 133

14 Nursing the Trauma Patient 144

15 Nursing the Reproductive Patient 155

16 Small Animal Critical Care and Hospitalised Patient Nutrition 163

17 Nursing the Emergency Ophthalmology Patient 181

18 Cardiopulmonary Arrest and Resuscitation 189

19 Nursing Considerations in the Critical Patient 198

Index 209

About the Author

Paul Aldridge BVSc Cert SAS MRCVS Paul is senior surgeon at Petmedics in Manchester; a hospitalbased practice that hosts the largest out of hours emergencyservice in the UK, dividing his time between emergency cases andsurgical referrals. He is keenly involved in the provision ofCPD on emergency medicine and surgery to both veterinary surgeonsand nurses. His clinical interests include all aspect of emergencysurgery, but particularly the management of multiple traumapatients. Louise O Dwyer MBA BSc (Hons) VTS (ECC) Dip AVN(Medical) Dip AVN (Surgical) RVN Louise gained her Diploma in Advanced Veterinary Nursing(Surgical) in 2004 followed by her Diploma in Advanced VeterinaryNursing (Medical) in 2007 and Veterinary Technician Specialist(Emergency and Critical Care) in 2011. She has contributed to over20 journal articles and books and lectures regularly on all aspectsof emergency and critical care. She worked as Head Nurse forPetMedics in Manchester the largest emergency clinic in the UK forthe past 10 years, and is now Clinical Director. Louise sinterests include all aspects of emergency care but particularlytrauma and respiratory patients, as well as infection control andwound management.


Whether working in a traditional clinic orin a specialised ICU, the contribution of nurses to the managementof emergencies is invaluable. (Vet NursesToday, 1 July 2013) Practical Emergency and Critical Care Veterinary Nursingprovides a fine, step-by-step guide to key emergency procedures andnursing care and teaches how to handle injuries and therapiesassociated with critical care. Color photos of real life casesaccompany step-by-step discussions of procedures and skills needed,offering a valuable reference written by a veterinary nurse and aveterinary surgeon who here work together to explore the mostcommon care scenarios and special needs. This is a solid,real-world reference any veterinary collection musthave. (Midwest Book Review, 1 June 2013) Practical Emergency and Critical Care Veterinary Nursing"is a scholarly and core addition to any college collection focusingon high level veterinary care. (Bookwatch, 1April 2013)

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