100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Hospitalized and Recumbent Patient Care, General Nursing Care, Special Patient Care With Complete Solutions Latest Update $15.99   Add to cart

Exam (elaborations)

Hospitalized and Recumbent Patient Care, General Nursing Care, Special Patient Care With Complete Solutions Latest Update

 2 views  0 purchase
  • Course
  • Hospitalized and Recumbent Patient Care, General
  • Institution
  • Hospitalized And Recumbent Patient Care, General

Hospitalized and Recumbent Patient Care, General Nursing Care, Special Patient Care With Complete Solutions Latest Update...

Preview 3 out of 16  pages

  • November 10, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Hospitalized and Recumbent Patient Care, General
  • Hospitalized and Recumbent Patient Care, General
avatar-seller
Easton
Hospitalized and Recumbent Patient Care, General Nursing Care, Special
Patient Care With Complete Solutions Latest Update



Care for the hospitalised patients - ANSWER -Care for patient's Physical, Medical and
Mental needs

-Plan care w.r.t. patient's routine-type of food, time of feeding, bathroom habits

-Cats-Feeding with a bowl/plate from home, Bedding/litter preference, Kennel setup

-Always inform the patients, Approach the patients slowly, Kennel vs floor space



Patient's hygiene and exercise - ANSWER -Keep them clean, Avoid urine infection,
scalding, Groom/wash as needed

exercise May be contraindicated for respiratory, cardiovascular and musculoskeletal
conditions

Vet will decide the level of exercise that is required

Routine Inpatient Care - Nutrition - ANSWER -Obese patients: does not mean that we
should starve them

Thin patients: during hospitalization may not be a good thing

Concern with obese patients continue to show decreased weight during hospitalization.

Prolonged anorexia may result in compromised immune system→ infection, delayed
healing

Daily Resting Energy Requirement

Address why a patient would refuse to eat: Pain, Nauseous, Differences in diet

If they are not eating we can try: Warming and/or wetting of food, Hand feeding, Type of
food-dry vs wet



Daily Resting Energy Requirement - ANSWER Patients over 2Kg but less than 30kg

(30 x Body Weight in Kg) + 70

~ 670 Kilocalories per day for a 20Kg dog

,Patients over 2Kg and patients over 30 kg

70 x (Body Weight in Kg) 0.75

~ 117 Kilocalories per day for a 2 Kg cat



Appetite Stimulant - ANSWER -AFTER other things have been tried:

-Mirtazapine, Cyproheptadine, Clonazepam



Feeding tube - ANSWER -often last resort

-Clinicare - liquid diet

-2 Types - Stomach tubing (gastric gavage) and nasoesophageal tubes (via the nose)

-Gastric tube - surgically inserted. Animal is fed directly into the stomach



Nasoesophageal - ANSWER -Contraindicated in patients that are vomiting or that do not
have a gag reflex. We want them to be able to swallow and gag. Can end up with
aspiration pneumonia if fluid enters the lungs.

-Uses a 5 to 8 Fr pediatric feeding tube

-Nares and the distal esophagus (8-9th rib) is measured and marked on tube

-Patient is in sternal recumbancy

-Local anesthetic is given into the nose given (e.g. lidocaine for dogs)

-End of tube is lubed

-Tube is inserted and directed ventrally

-Animal swallows when tube enters pharynx

-X-rays used to test tube placement



Mirtazapine - ANSWER Appetite Stimulant

-has anti-emetic properties (acts on neurotransmitters in the intestine and stomach that
communicates with the vomit center in the brain).

-Is a potent appetite stimulant.

, -In humans is given as an anti-depressant



Cyproheptadine - ANSWER Appetite Stimulant

-is an antihistamine, used in cats (not as good in dogs)

-Inhibits serotonin receptor which controls satiety

-Side effects include excitement and aggression

-May take a few days to reach full effect.



Clonazepam-ANSWER Appetite Stimulant

-anticonvulsant

-similar class of drugs to diazepam, "valium munchies"

-treatment of seizures, quick response if given IV



non-ambulatory patients-ANSWER things that cause problems

-Orthopedic/spinal injuries

-Traumatic injuries - i.e., hit by car

Critically ill - e.g., severe heart disease, anemia Sedation - e.g., for procedures,
seizures, animals that are sedated on arrival for seizure control. Bedding - ANSWER
-Prevention of decubital ulcers: bed sore caused from lying down. -Found on skin of
bony prominence-Due to compromised circulation -Prevented by regular ROM
exercise/position change/dense bedding -Padding

Padded grates: above grate, Urine flows through padding and under grate. Animal will
be wet but not swimming in urine.

Clean and dry at all times



Positioning - ANSWER -Sternal recumbancy: as much as possible to allow lungs to
expand on either side

-Turn every 2-4 hours if they cannot be in sternal recombancy

-Decubital ulcers and Atelectasis: partial or complete lung collapse

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79373 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$15.99
  • (0)
  Add to cart