Practical

Diagnosis of haemophilia A in a Miniature Longhaired Dachshund

  • October 2017

This case report presents a 6-month-old, male, Miniature Longhaired Dachshund diagnosed with haemophilia A. The clinical procedures, as well as nursing interventions, leading to the diagnosis are presented. Treatment and management of haemophilia A is also described.

Acute Hepatopathy and Coagulopathy in the Canine: A Nursing Care Report

Acute Hepatopathy and Coagulopathy in the Canine: A Nursing Care Report

  • July 2017

This nursing care report discusses the treatment and management of acute hepatopathy and secondary coagulopathy in the canine as well as the impact this case had on the development of the author's nursing ability. The patient, a nine-year-old Labrador Retriever, was referred for treatment after an episode of vomiting followed by collapse during a walk with their owner. On presentation the patient was tachycardic, tachypnoeic with absent peripheral pulses. After haematological and biochemical analysis of the patient's blood, the clinical team implemented a medical care plan based on two differential diagnoses; xylitol poisoning or leptospirosis. The nursing team delivered an intensive care regimen including extensive patient monitoring, environmental modification, assisted feeding and blood transfusion with strict adherence to barrier nursing protocols. Fortunately, due to the dedicated efforts of the clinical team, the patient successfully recovered and was returned to their family in good health.

A patient care report of a feline with newly diagnosed diabetes mellitus hospitalised for a blood glucose curve

A patient care report of a feline with newly diagnosed diabetes mellitus hospitalised for a blood glucose curve

  • June 2017

Feline diabetes mellitus is one of the most common endocrine disorders in cats. Veterinary nurses play a huge role in management of these feline patients by helping with diagnostics, monitoring blood glucose levels, administering medication, providing skilled nursing care during the time of hospitalisation as well as educating and advising the clients. This patient care report discusses the care provided to a diabetic feline patient that was hospitalised for a blood glucose curve.

A feline patient undergoing tail amputation and excisional arthroplasty of the left hip joint

A feline patient undergoing tail amputation and excisional arthroplasty of the left hip joint

  • April 2017

The patient was an entire male domestic shorthair, estimated at 10 years old, and admitted out of hours after being involved in a road traffic accident (RTA). After initial assessment and treatment, it was decided to further stabilise the patient while hospitalised then at home before undergoing surgical treatment 8 days later of the hip dysplasia and tail fracture caused by the RTA.

Case report on surgical management of a pericardial effusion and subsequent pericardectomy

Case report on surgical management of a pericardial effusion and subsequent pericardectomy

  • February 2017

A 7-year-old, neutered, female Labrador Retriever was admitted as an emergency referral on the diagnosis of a recurrent pericardial effusion. Following a pericardiocentesis, a subtotal pericardectomy was consequently performed. Nursing care for this patient was focused on the post-operative monitoring including the maintenance of the thoracostomy tube, indwelling urinary catheter, arterial catheter and continual assessment of the analgesia protocol. The patient subsequently recovered well and was discharged 4 days post operation.

The medical management of a 2-year-old, neutered male cat presenting with haemorrhagic diarrhoea, anorexia and pyrexia

The medical management of a 2-year-old, neutered male cat presenting with haemorrhagic diarrhoea, anorexia and pyrexia

  • December 2016

In early 2016, a 2-year-old, neutered male, domestic shorthaired cat was admitted to a first opinion veterinary surgery; presenting with haemorrhagic diarrhoea, anorexia and pyrexia. The patient was hospitalised for 4 days during which time an oesophageal feeding tube was placed. The nursing care focused on maintaining patient hygiene, monitoring key parameters, administering medication and supporting hydration and nutrition. The author's involvement included such care, assisting in the discharge appointment, and planning the home care for the patient. The concluding diagnosis by the presiding veterinary surgeon was thought to be viral enteritis, the symptoms of which took 3 to 4 weeks to resolve completely.

Nursing a canine in septic shock: a patient care report

Nursing a canine in septic shock: a patient care report

  • November 2016

Patients in septic shock require immediate attention. Veterinary nurses play a vital role in their care and recovery. Involvement in patient care includes the monitoring and recording of vital signs, fluid therapy and pain assessments. Identifying improvements or deteriorations in a patient's progress helps veterinary surgeons to make more informed decisions about its long-term care. This report aims to discuss the importance of these aspects and identify areas for development.

Care report for a Dogue De Bordeaux with congestive heart failure due to dilated cardiomyopathy

Care report for a Dogue De Bordeaux with congestive heart failure due to dilated cardiomyopathy

  • July 2016

Dilated cardiomyopathy (DCM) is the most common form of acquired myocardial disease in dogs. Congestive heart failure (CHF) is characterised by clinical signs of increased tissue water retention and/or decreased tissue perfusion caused by heart disease such as DCM. When clinical findings are severe sudden death is common. This patient presented in the overt clinical phase of DCM and displayed signs of CHF. The nursing care involves understanding the action of drug therapy and the pathophysiology of heart disease/failure. In conjunction with this, it is important for veterinary nurses (VNs) to consider the nutritional needs of a patient with CHF. Poor body condition score and distinct loss of fat and overall muscle mass are characteristics of cachexia, which is related to the poor prognosis in CHF patients. Good communication with the owner regarding the patient's normal eating habits, could allow the VN to re-create normal routines thus improving the response to food. The ability of the VN to communicate effectively with the owners can optimise patient care and enhance quality of life for the patient.

Nursing a canine patient with a pneumothorax — a patient care report

Nursing a canine patient with a pneumothorax — a patient care report

  • May 2016

This article will describe and evaluate the nursing care provided for a canine patient that had a chest drain in place due to a tension pneumothorax. It is evident that nursing a patient with a chest drain involves implementing and carrying out a number of nursing interventions to ensure a high standard of nursing care is maintained and to reduce the risk of any complications. The relevant nursing interventions included: pain management, management of the chest drain, preventing patient interference and observation of the patient for potential complications associated with the chest drain. Recommendations for future practice have been suggested and based on available literature, these include: implementation of a pain scoring assessment and changing the patient's thoracic bandage twice daily to allow earlier recognition of any signs of infection.

Moxidectin intoxication in a dog — a patient care report

  • April 2016

This article discusses a patient who suffered a moxidectin intoxication from the oral administration of Advocate. Presenting clinical signs, treatment and recovery of the patient will be discussed in reference to the role of the veterinary nurse. This report also highlights the importance of owner education for administering parasitic preventative treatment.

A patient care report of a dog that had hemilaminectomy surgery to decompress the spinal cord

A patient care report of a dog that had hemilaminectomy surgery to decompress the spinal cord

  • March 2016

This article describes the nursing care involved in caring for a spinal patient from the time of admission, pre, peri and post operatively. It highlights the importance of nursing care and treating each patient as an individual. Nursing interventions discussed include monitoring under anaesthesia, post-operative monitoring, bladder management and rehabilitation. An understanding of the importance of postoperative monitoring and rehabilitation is required to promote the patient's recovery in addition to being confident in different bladder management techniques.

Extended patient care report for anaesthetic management of a patient undergoing ovariohysterectomy for pyometra

Extended patient care report for anaesthetic management of a patient undergoing ovariohysterectomy for pyometra

  • February 2016

Pyometra in the bitch may still be a relatively common pathological condition seen within general practice and many veterinary nurses will be familiar with the general nursing requirements for such cases. This article highlights the need for veterinary nurses to consider the various body systems affected by not only the condition itself but also potential pre-existing anatomical conformations relating to breed or body score. This article details the nursing care provided to an obese, bracycephalic bitch during the pre, peri and post-anaesthestic period of ovariohysterectomy to correct a pyometra.

Nursing a patient with feline urethral obstruction — a patient care report

Nursing a patient with feline urethral obstruction — a patient care report

  • December 2015

Feline urethral obstruction is a potentially life threatening emergency which requires immediate attention. A nursing care plan ensures that veterinary nurses are able to tailor care based on the patient's individual needs. Fluid therapy, pain assessments and catheter care are just three of the areas that require particular attention. This report aims to discuss the importance of these nursing interventions in an emergency situation.

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