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Hospital Procedures TM1 Hospital Procedures. Hospital Procedures TM2 Spay/Neuter Neuter – Orchiectomy (castration) –Removal of the testes.

Dec 26, 2015

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Muriel Craig
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Page 1: Hospital Procedures TM1 Hospital Procedures. Hospital Procedures TM2 Spay/Neuter Neuter – Orchiectomy (castration) –Removal of the testes.

Hospital Procedures TM 1

Hospital Procedures

Page 2: Hospital Procedures TM1 Hospital Procedures. Hospital Procedures TM2 Spay/Neuter Neuter – Orchiectomy (castration) –Removal of the testes.

Hospital Procedures TM 2

Spay/Neuter

• Neuter – Orchiectomy (castration)– Removal of the testes

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Hospital Procedures TM 3

Spay/Neuter

• Spay – Ovariohysterectomy– Removal of the ovaries and the

entire uterus

– “spayed” not “spade” or “spaded”.

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Hospital Procedures TM 4

Spay/Neuter

• In the past, was done when the animal reached six months of age.

• Today the operation can be performed as early as six weeks.

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Spay/Neuter

The Excuses:

1. It’s cruel to spay or neuter.

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Hospital Procedures TM 6

Spay/Neuter

The Excuses:

2. My pet will become fat and lazy.

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Hospital Procedures TM 7

Spay/Neuter

The Excuses:

3. It costs too much money.

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Spay/Neuter

The Excuses:

4. I have a male.

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Spay/Neuter

The Excuses:

5. It’s better for her to have one litter.

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Spay/Neuter

The Excuses:

6. I have a purebred animal.

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Spay/Neuter

The Excuses:

7. I want my children to witness the miracle of birth.

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Hospital Procedures TM 12

Spay/Neuter

The Excuses:

8. I will sell the puppies/kittens and make money.

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Spay/Neuter

The Excuses:

9. My pet’s personality will change.

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Spay/Neuter

The Excuses:

10. I am concerned about my pet undergoing anesthesia.

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Spay/Neuter

The Truth:

1. Spaying and neutering contributes to a longer and healthier life.

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Spay/Neuter

The Truth:

2. Spaying and neutering prevents overpopulation.

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Spay/Neuter

The Truth:

3. An altered pet is better for your family.

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Spay/Neuter

The Truth:

4. An altered pet is cleaner – no spraying or bleeding.

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Spay/Neuter

The Truth:

5. Spaying and neutering may prevent pets from roaming and getting into fights.

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Bandaging

• Bandaging methods are designed for specific areas of the body or specific purposes.

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Bandaging

• The two areas most commonly bandaged are the abdomen and the legs.

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Abdominal Bandage

• commonly called the bellyband.

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Abdominal Bandage

• used after abdominal surgery to prevent the animal from licking the incision and to keep it clean.

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• also used if an injury has occurred in the abdominal area to:

1) control fluid leakage

Abdominal Bandage

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• also used if an injury has occurred in the abdominal area to:

2) keep medication on the wound

Abdominal Bandage

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Hospital Procedures TM 26

• also used if an injury has occurred in the abdominal area to:

3) keep the wound as sterile as possible

Abdominal Bandage

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• The bellyband consists of four layers:

1) a sterile non-stick pad2) a layer of absorbent cotton3) a layer of gauze4) a final layer of adhesive bandage

Abdominal Bandage

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• The main goal when applying a bellyband is to keep it snug and smooth so that it is comfortable and less likely to slip loose.

Abdominal Bandage

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• It is important not to apply it too tightly since this will cause patient discomfort.

Abdominal Bandage

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• To apply a bellyband:

1) Start at the front of the abdomen and wrap towards the back overlapping the edges of the bandage.

Abdominal Bandage

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• To apply a bellyband:

2) When you reach the back, wrap the bandage towards

the front, continuing to overlap the edges.

Abdominal Bandage

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• To apply a bellyband:

Each layer should be wrapped front and back at least one time.

Abdominal Bandage

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Leg Bandages

• generally applied for the purpose of:

1) covering an open wound

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Leg Bandages

• generally applied for the purpose of:

2) lending support to the leg

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Leg Bandages

• generally applied for the purpose of:

3) securing a catheter

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Leg Bandages

• usually have four layers for wounds or catheters :

1) a non-stick pad

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Hospital Procedures TM 37

Leg Bandages

• usually have four layers for wounds or catheters :

2) absorbent cotton

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Hospital Procedures TM 38

Leg Bandages

• usually have four layers for wounds or catheters :

3) gauze

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Hospital Procedures TM 39

Leg Bandages

• usually have four layers for wounds or catheters :

4) adhesive bandage

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Leg Bandages

• Support leg bandages are mostly used on horses.

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• consist of a cotton or quilt layer and an elastic bandage

Support Leg Bandages

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• Whenever a bandage is applied to a horse’s leg it should be started on the outside of the leg and wrapped towards to back of the leg.

Support Leg Bandages

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• will support the tendons and ligaments of the leg

Support Leg Bandages

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Vaccinations

• an important part of every animal’s health care program

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Vaccinations

• a large part of all veterinary practices

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Vaccinations

• lessen the chance that an animal will contract a disease

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Vaccinations

• When and how often an animal is vaccinated will vary from vet to vet and their location within the country.

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Causes of Disease

• Diseases are divided into two categories, infectious and non-infectious.

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Causes of Disease

• Infectious diseases can be passed from animal to animal or from animal to human.

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Causes of Disease

• Diseases that are passed from animal to human are called zoonotic.

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Causes of Disease

• Non-infectious diseases cannot be passed from one animal to another or to humans.

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Infectious Diseases

• caused by bacteria, viruses, fungi, rickettsiae, helminthes, protozoa, and arthropods

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Infectious Diseases

• disease-causing agents can enter an animal through the skin, mouth, mucous membranes, lungs, or reproductive tract.

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Infectious Diseases

• can also be spread by either direct or indirect means.

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Infectious Diseases

Direct transmission • occurs by skin contact,

ingestion of an infected animal, inhalation, and

sexual/reproductive contact

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Infectious Diseases

Indirect transmission • uses vectors, vehicles, and

fomites

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Infectious Diseases

Vectors

• mosquitoes, fleas, ticks, flies

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Infectious Diseases

Vehicles

• equipment (brushes, buckets)

• instruments (needles, scissors)

• utensils

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Infectious Diseases

Fomites

water, air, soil, food

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Non-infectious Diseases

caused by:

– dysfunctions of one or more body systems

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Non-infectious Diseases

caused by:

– nutritional deficiencies

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Non-infectious Diseases

caused by:

– poisoning

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Non-infectious Diseases

caused by:

– physical injuries

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Non-infectious Diseases

caused by:

– stress

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Non-infectious Diseases

caused by:

– stress

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Non-infectious Diseases

• Genetics and environment are also factors

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Immunity

• a function of the lymph system and protects the body from infection, disease and foreign bodies

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Immunity System

• produces antibodies

– specialized proteins designed to fight antigens

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Immunity System

• Antigens

– any foreign substances that induce an immune

response.

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Immunity

• can be established through passive or active means

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Passive Immunity

• when an animal is given antibodies that have already been produced by another individual

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Passive Immunity

• Antibodies passing from the mother through the placenta and in the colostrum.

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Passive Immunity

• provides only short-term immunity because the body breaks down the antibodies

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Active Immunity

• when an animal produces antibodies by natural or artificial means in response to an antigen

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Active Immunity

• produced naturally when an animal is exposed to a disease and builds antibodies in response

Artificial

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Active Immunity

• produced artificially when an animal is vaccinated and builds antibodies in response to the vaccine

Natural

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Vaccines

• substances that upon injection into an animal, stimulate an immune response

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Vaccines

Two main types:

1) modified-live

2) killed

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VaccinesModified-live Vaccines

• altered forms of specific antigens that are similar enough to the original disease-causing agent to cause a strong immune response without causing the disease

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Vaccines

Killed Vaccines

• disease-causing agents that are inactivated by heat, chemical or mechanical means

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Vaccines

Killed Vaccines

• Immunity developed with this vaccine is generally weaker than a modified-live vaccine.

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Vaccines

Killed Vaccines

• There is also a possibility that the animal is allergic to the compound used to destroy the disease-causing agent.

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Diseases to Vaccinate For

• Bordetella

(Kennel cough)

• Coronavirus

• Distemper

• Infectious hepatitis

• Leptospirosis

• Lyme disease

• Parainfluenza

• Parvovirus

• Rabies

Dogs

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Diseases to Vaccinate For

• Feline calicivirus

• Feline infectious peritonitis

• Feline leukemia virus

• Feline viral rhinotracheitits

• Panleukopenia

• Rabies

Cats

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Dental Care

• just as important for pets as it is for humans

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Dental Care

• both cats and dogs are susceptible to gingivitis and periodontal disease as well as other dental problems

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Gingivitis

• an inflammation and infection of the sensitive gums surrounding the teeth

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Periodontal Disease

• an advanced stage of gingivitis where the gingiva separates from the tooth and decay of the tooth sets in

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Signs of Poor Oral Health

• Persistent bad breath

• Difficulty eating

• Loss of appetite

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Signs of Poor Oral Health

• Inflamed or bleeding gums

• Tartar

• Excessive pawing at the mouth

• Loose or missing teeth

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Keeping Teeth Clean

• Dentistry is most often performed by the technician.

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Keeping Teeth Clean

• Dentistry is accomplished like human dentistry the teeth are:

1. cleaned,

2. polished, and

3. examined for abnormalities and disease

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Keeping Teeth Clean

• The main difference is that the patients are anesthetized for the procedure.

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Keeping Teeth Clean

• The technician is responsible for educating clients on the process of brushing their pet’s teeth.

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Home Dental Care

• Begin by handling your pet’s mouth.

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Home Dental Care

• Get them to accept a finger being rubbed along the teeth and gums.

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Home Dental Care

• Next, use a small toothbrush or a specially designed finger brush to scrub your pet’s teeth.

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Home Dental Care

• Only the outside of the tooth needs to be brushed.

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Home Dental Care

• There are several types of flavored pet toothpaste that your pet will enjoy.

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Home Dental Care

NEVER USE HUMAN TOOTHPASTE! NEVER USE HUMAN TOOTHPASTE!

(It may make your pet sick if swallowed.)

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Home Dental Care

• Brush your pet’s teeth at least twice a week.

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Home Dental Care

• Develop a routine and make it fun for your pet.

(They will think they are getting a treat!)

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Home Dental Care

• Feeding dry food and rawhide chews will cut down on the amount of tartar buildup.

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Anatomy of a Tooth

Gingiva

Crown Dentin

Enamel

Periodontal ligamentRootPulp canal

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Medication

Routes of AdministrationRoutes of Administration• Medication is administered in

different ways depending on the type of medication and how fast the animal needs to get it.

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Medication

Routes of AdministrationRoutes of Administration• Example:

–a pill for preventing heartworm can be given orally

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Medication

Routes of AdministrationRoutes of Administration• Example:

–a drug to prevent shock should be given IV (intravenously) since it is a life or death situation.

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Medication

Routes of AdministrationRoutes of Administration• Common Routes:

– Oral IM – intramuscular– Nasal IP – intraperitoneal – Subcutaneous IV – intravenous

(Sub-Q)

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Oral

Sub-Q

IM

Nasal

IP

IV

Routes of Administration

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Medication

Routes of AdministrationRoutes of Administration• Most vaccinations are given

SubQ or IM.

• Some are given nasally.

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Needles & Syringes

Come in many shapes and sizes.

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Needles & Syringes

• Should be familiar with them so that the appropriate type and size are used for every procedure.

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Needles & Syringes

• Needles come in several sizes that are referred to as gauges.

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Needles & Syringes

The smaller the gauge, the larger the needle.

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Needles & Syringes

• Common Gauges:

16, 18, 20, 21, 22, 23, 25, 27

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Needles & Syringes

• Large gauge needles (16,18,20) are used for horses, swine and cattle.

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Needles & Syringes

• Small gauge needles (21,22,23,25,27) are used for cats, dogs, and exotics.

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Needles & Syringes

• Syringes also come in various sizes.

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Needles & Syringes

• The most common sizes are:

insulin, 1, 3, 6, 12, 20, 35, and 60 ml

1 ml syringes are called tuberculin syringes

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Needles & Syringes

• Insulin syringes come with attached needles and are measured in increments called units.

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Needles & Syringes

• Syringes also come with different styles of tips.

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Needles & Syringes

• Luer-Lok tip

– has a threaded tip to hold needle securely

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Needles & Syringes

• Slip tip

– this is the standard syringe tip

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Needles & Syringes

• Eccentric tip

– used to get a straighter angle

for IV injections

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Needles & Syringes

• Catheter tip

– used to administer oral medications and liquefied food

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Needles & Syringes

Filling and Reading a Syringe

• It is important to know the proper way to fill and read a syringe.

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Needles & Syringes

Filling and Reading a Syringe

• Improper filling and reading could result in an over or under dose of medication.

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Needles & Syringes

Filling and Reading a Syringe

• A properly filled syringe should have no air bubbles and should be filled to the correct amount.

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Needles & SyringesFilling and Reading a Syringe

• Air bubbles injected into a vein could potentially cause disturbances in blood circulation and even death.

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Dispensing & Labeling Medication

• Dispensing medication requires knowledge of math and the laws that govern how a medication is packaged and labeled.

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Dispensing & Labeling Medication

• It is critical that medication is given in the right amount and that the directions for the client are clear and correct.

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Dispensing & Labeling Medication

• Every medication label is required by law to include:

1. Name of veterinarian, address, phone, clinic name

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Hospital Procedures TM 133

Dispensing & Labeling Medication

• Every medication label is required by law to include:

2. Patient’s name and species

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Dispensing & Labeling Medication

• Every medication label is required by law to include:

3. Name of medication, concentration, and number of units dispensed

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Dispensing & Labeling Medication

• Every medication label is required by law to include:

4. Directions for use, including route of administration, and dosing interval

ex. - 3x/day for 5 days

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Dispensing & Labeling Medication

• Every medication label is required by law to include:

5. Date

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Dispensing & Labeling Medication

• Every medication label is required by law to include:

6. Warning statement:

For Veterinary Use Only

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Medication Labels

Wild Wood Veterinary HospitalMelvin Turner, DVM128 Clearbrook Drive

Colorado Springs, CO 75074(719) 954-1169

Client/Patient Name:___________________________________________ Species:___________

Beth Lowery – Fido

Canine

Medication:__________________________________________________ Amount:__________________________

Clavamox

25mls

Directions for use: ________________________________________________________________________________________________________________________

Give 2 mls twice a day until gone

Date:_______________________11/28/02 For Veterinary Use Only.