Nursing Skills

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Nursing Skills

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Nursing Skills

  1. 1. EQUINE MEDICINE Nursing Skills
  2. 2. ADMINISTRATION OF MEDICATIONS • Intramuscular • Common sites • Neck • Pectorals • Semimembranosus/tendinosus • Common needle • Adult-18/20g 1 ½” • Foal-20/25g 1” • Technique • Common reactions • At injection site: • Heat • Pain • Swelling
  3. 3. ADMINISTRATION OF MEDICATIONS • Subcutaneous • Not commonly used • Allergy shot • Common needle • 20/25g ½-1” • Technique • Needle at base of tent of skin • Common reactions • Injection site • Heat • Pain • Swelling
  4. 4. ADMINISTRATION OF MEDICATIONS • Intravenous-Jugular • Common needle • Any size • Technique • Common reactions • Heat • Pain • Swelling • Thrombosis of vein
  5. 5. ADMINISTRATION OF MEDICATIONS • Oral Medications • Common • Paste in tube or syringe • Technique
  6. 6. ADMINISTRATION OF MEDICATIONS • Ophthalmic Medications • Common form: • Ointment, drops • Technique • Subpalpebral Lavage • Frequent meds • Difficult horses
  7. 7. BLOOD COLLECTION • Most often from jugular • Other sites • Cephalic • Medial Saphenous • Lateral Thoracic • Transverse Facial Venous Sinus • Method • Vacutainer • Needle & syringe • Common needle • 20 g 1-1 ½” needle • Technique • Common complications • Heat • Pain • Swelling • Vein thrombosis
  8. 8. INTRAVENOUS CATHETERS • Determination of type: • Location • Jugular most common • Length needed • Silicone/Polyurethane-long term • Volume of administration • Adult-14 gauge • Foal-14-16 gauge • Catheter length • Short-less reactive • Adult-5” most common • Foal-2 ½-3” • Types • Over the needle • Over the wire
  9. 9. INTRAVENOUS CATHETERS • Placement-Jugular • Aseptic technique • Lidocaine local block • Catheter insertion • Similar to IV injections, bevel towards the heart • Securing the catheter • Sutured to skin at hub • Monitoring & Maintenance • Flush every 6 hr
  10. 10. FLUID ADMINISTRATION • Fluid Therapy Plan • Maintenance Requirements • Adult-50 ml/kg/day • Foal-75-100 ml/kg/day • Calculation of Deficit • BW (kg) x % dehydration=TFD • Ongoing Losses Estimate
  11. 11. FLUID ADMINISTRATION • Method of Administration • Oral • Cost effective • Limited volume for treatment • Intravenous • Rapid • 30-50L bolus in first 24 hr • ½ in first 1-2 hr
  12. 12. RECUMBENT HORSE CARE • Requires intense nursing care • Turn every 6-8 hr • Must be sternal to eat & drink • Urinary catheter • Manual evacuation • May use sling • Weak but able to stand • Compatible horse
  13. 13. TRANSPORTATION • Considerations: • Long distance • Stress • Fatigue • Respiratory tract problems • Dehydration • Sick/Injured • Don’t tie colics • Separate foal from mare • Neurologic horses need support • Fractures travel better confined
  14. 14. TRANSPORTATION • Loading/Unloading • Area-dirt if possible • Equipment: • Loading ramp • Halter/Lead • Butt rope • Stud chain • Whip/broom/rake • Food • Sedation You are there to assist/not train the horse!!

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