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VTI: Anesthesia 2 Final Review
Don't Forget to Review Your Math
248
Veterinary Medicine
Undergraduate 3
04/07/2011

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
What percent of H2O makes up basic body fluid?
Definition
60%
Term
Fluids are distributed between 3 type of compartments what are they?
Definition
  • Cells
  • Blood vessels
  • Tissue space between blood vessels and cells
Term
Intracellular fluid makes up 2/3 of the bodys H2O which is 40% where can this be found?
Definition
  • Skeletal muscle
  • Blood cells
  • Bone cells
  • Adipose tissue
Term
Intravascular fluid makes up what percent of body fluid?
Definition
15%
Term
Interstitial fluid makes up how much of the bodys H2O?
Definition
1/3 (15%)
Term

True or False

 

In healthy animals the amount of H2O taken in is equivalent to the amount lost with normal body function

Definition
True
Term
Substances that dissolve in a solvent(ex: water)
Definition

Solutes

 

 

Term
Movement of H2O thru a selective permeable membrane, always from an area of lesser solute concentration to an area of higher solute concentration
Definition
Osmosis
Term
What are the primary electrolytes in body water and what are they primarily extra or intra cellular?
Definition
  • Sodium-extracellular (Cation+)
  • Potassium-Intracellular (Cation+)
  • Chloride- Extracellular (Anion-)
  • Phosphate-Intracelluar (Anion-)
  • Bicarbonate- Extracellular (Anion-)

Note: Fluid balance depends on electrolyte balance

Term
Movement of solutes from an area of high concentration to an area of low concentration is:
Definition
Diffusion
Term
What are the two categories of imbalance?
Definition
Metabolic and Respiratory
Term

True or False

 

Primarily metabolic imbalances are generally caused by organ disease

Definition
True
Term
Metabolic imbalance is based on bicarb levels what are they mainted through?
Definition
Renal function
Term
Respiratory imbalance is based on carbonic acid levels what are they mainted through?
Definition
Respiratory function
Term
There are two categories of imbalance but what four types of imbalance are there?
Definition
  • Metabolic acidosis- bicarb deficit
  • Metabolic Alkalosis- bicarb excess
  • Respiratory acidosis- carbonic acid excess
  • Respiratory alkalosis- carbonic acid deficit
Term
93% of all clinical cases of imbalance are:
Definition
Metabolic acidosis
Term
What are some clinical signs of metabolic acidosis?
Definition
  • CNS Depression
    • Confusion
    • Ataxia
    • Coma
  • Hyperventilation:Low Total CO2 (confirmed by blood gases)
Term
What lab findings are there when referring to metabolic acidosis?
Definition
  • Acid Urine
  • Acidic blood pH
  • Increased BUN/Creatinine
Term
Body defense mechanisms when referring to metabolic acidosis include increases in respriatory rate and the kidneys trying to reabsorb Bicarb but what treatment is there for metabolic acidosis?
Definition
  • IV Sodium Bicarb
  • IV fluids- LRs
  • Treatment of underlying cause
Term
Metabolic Alkalosis can cause severe vomiting due to imbalance from chloride loss which leads to bicarbonate retention... what cause metabolic acidosis?
Definition
  • Severe diarrhea results in excessive amounts of bicarb lost in feces
  • Renal disease
  • Diabetes
  • Overuse of acidic drugs Ex: Asprin
  • Severe burns/ Open wounds
Term
What are some signs of metabolic alkalosis?
Definition
  • Over excited CNS
  • Tetany
  • Twitching
  • Convulsions
Term
Some lab findings on a patient with metabolic alkalosis would be alkaline urine(>7.8) and alkaline blood. How is metabolic alkalosis treated?
Definition
  • IV FLuids with Chloride
  • Treat causes of vomiting
Term
If both Vomiting and Diarrhea are present does the acid/base balance usually remain?
Definition
Yes it does
Term
What are some lab findings on patients with respiratory acidosis?
Definition
  • Acidic urine ph <5.0
  • Acidic Blood pH
    • Build up of carbonic acid
Term
What treatment can be provided to a patient with respiratory acidosis?
Definition
  • IV Sodium Bicarb
  • IV FLuids-LRs
  • PPV during surgery
  • O2 Therapy
  • Treatment of underlying cause
Term
Respiratory alkalosis can be caused by hyperventilation, excitement, heatstroke, fever, and drug induced respiratory stimulation(Doxapram overdose). What are some clinical signs?
Definition
  • Deep raid respirations
  • CNS excitement
  • Tetany
  • Convulsions
Term
The only treatment for this imbalance is to treat the underlying cause, what imbalance am i?
Definition
Respiratory Alkalosis
Term
To maintain proper pH all of these systems must work together. Name the systems and their functions.
Definition
  • Blood buffers work together to maintain ratio of carbinc acid and bicarbonate
  • Renal system maintains balance by elimination and reabsorption
  • Respiratory and circulatory (blood) systems make sure exchange is mainted through normal levels
Term
What route is known as the "pool route" because when injected this way it may take several hours to be absorbed(slowest uptake)?
Definition

SQ

 

Note: used with midl cases of dehydration and must use isotonic fluids

Term
How do you assess the condition of the patient?
Definition
  • Determing the severity by % of dehydration
  • Determine GI status
  • Disease status
  • Conciousness
Term
Route of administration is determined by:
Definition
  • How quickly does the patient need fluids?
  • What is the age or size of the patient?
  • Vein status
Term
Fluid type given is chosen by:
Definition
  • Disease or condition of the patient
  • Hypovolemia, shock
  • Edema
  • Dehydration
Term
How long can a through the needle catheter stay in place?
Definition

10 days

 

Remember: This needle is commonly used for the jugular vein

Term
A butterfly catheter is good for how long?
Definition
2 hours
Term
What are the steps for aseptic technique when preparing to give fluids?
Definition
  1. Assemble equipment
  2. Clip hair
  3. Apply sterile gloves
  4. Apply at least a 3 minute scrub with disinfectant solution/scrub
  5. Starting in middle working to outer edges
Term
Where do you want to start when placing a catheter?
Definition
Above the bifurcation
Term
When do you know to insert the catheter up to the hub?
Definition
When a flash is seen
Term
If the catheter is taped to tight what can occur?
Definition
Swelling
Term
Venoset packages are measured in?
Definition
drops/ml
Term
Pediatric's use__ gtt/ml.
Definition

60

 

Remember: Patient under 22 lbs gets a pediatric

Term
What is the machine called that gives the desired amount at a desired rate and can be adjusted when needed:
Definition
Infusion Pump
Term
What routes of administration are there?
Definition
  • PO
  • SQ
  • IP
  • IV
  • IO
Term
Route of administration indicated only when minimal fluid is lost and patient is able to swallow:
Definition

Orally

 

Remember: Contraindicated in patients with vomiting, diarrhea, dysphagia, GI obstruction and shock

Term

Route of administration used in neonates small animal and exotics:

 

Hint: Care must be used to avoid visceral organs

Definition
IP
Term
Route of administration indicated with moderate to severe dehydration and any type of fluid can be given without concern of tissue damage:
Definition
IV
Term
Route of administration with second fastest method for rehydration and is used if vein is not attainable :
Definition

IO

 

Remember: More chance of infection so sterile procedure is a must!

 

Note: 5 minute scrub down not 3

Term
Contains crystals or salts diffusable substance that dissolves in solution:
Definition
Crystalloids
Term
How are crystalloids further categorized?
Definition
  • Isotonic-used to replace body fluids
  • Hypertonic-used to draw water from tissue
  • Hypotonic-used to rehydrate tissue
Term
What is the most common crystalloid category used and WHY?
Definition
Isotonic because cells are not affected by this type of solution
Term
This example of isotonic's is contrainicated with blood transfusions and is the most common and versatile:
Definition
Lactated Ringer Solution (LRS)
Term
Contraindicated with cardiac disease this isotonic solution increases plasma volume and sodium concentration:
Definition
Physiologic Saline (0.9% NaCl) AKa: Normal saline, isotonic saline
Term
This crystalloid category is used to remove tissue fluids from the body via the blood stream and is excreted by the kidneys and can not be given SQ:
Definition

Hypertonic Solution

 

  • NaCl%s-3,4,5,7,23.4
    • Uses: Trauma,endotemia, burns etc...
    • Complications: phlebitis, hemorrhaging, hypotension

 

 

Term
Not to be used in conditions of pulmonary/cerebral edema/shock and fluids are drawn into tissue with concentration being greater outside the vascular system:
Definition

Hypotonic Soultion

 

  • 5% Dextrose in Water (D5W)
    • Diabetics
    • Contraindicated SQ
  • 2.5% Dextrose/0.45% Saline
Term
These are non diffusable substances that contain larger particles which allows them to stay within the vascular system longer working much quicker and are typically used in extreme situations/emergency:
Definition

Colloids

 

Term
An example of a colloid that is most commonly used:
Definition
Dextrans (dextran 70)
Term
What are two subcategories of colloids?
Definition
Synthetic and Natural
Term
What are some natural colloids?
Definition
  • Plasma (aid in tx of liver dz)
  • Albumin( maintains osmotic pressure)
  • Whole blood( tx severe anemia or blood loss)
Term
This fluid additive is used in patients that are prone to hypoglycemia or patients with increased metabolic needs. Typically added to fluids to make a 2.5%-5% solution:
Definition
50% Dextrose
Term
This additive is measured in mEq and is used as a supplement and is given IV via a slow drip at a constant rate of infusion
Definition
Potassium
Term
This additive helps in correcting acidosis and replacement should be given over several hours to avoid side effects like alkalosis and other electrolyte abnormalities:
Definition
Sodium Bicarbonate
Term
This fluid additive corrects hypocalcemia and should used only to effect:
Definition
Calcium
Term
This fluid additive is lost rapidly and is water soluble by anorexic and debilitated animals
Definition
Vitamins
Term
What fluid is ideal for routine surgery? It decreases the possibility of respiratory acidosis and maintains tissue perfusion.
Definition
LRS, 0.9% NaCl
Term
This fluid is ideal for patients in shock, it is given when adequate tissue perfussion is seen and hypovalemia is present.
Definition
LRS or Multisol-R/ Normosol R
Term
LRS is commonly used in patients with acidosis but what should be done if acidosis is critical?
Definition
Medicate with Sodium Bicarb IV slowly
Term
Chronic Renal patients are given Normosol®-R, LRS and 0.9% NaCl, but what do acute renal patients get?
Definition
0.9% Saline (normal saline)
Term
What does the amount of fluid given depend on?
Definition
The situation
Term
Rehydration is based on the estimated & of dehydration and is determined by:
Definition
  • Degree of skin turgor
  • CRT
  • Pulse rate and quality

Note: For the Math Review your own notes

Term

What is the most common percentage of dehydration?

 

Hint: Symptoms: Dry mucous membranes, slight tacycardia, decreased urine ouput and mild to moderate disease in skin turgor

Definition
6%-8%
Term
Amount of fluid needed on a daily basis to maintain body function:
Definition

Maintenance

 

Note: Review math portion in your notes

Term
Body water lost in urine and feces that can be measured is an example of:
Definition
Sensible losses
Term
Body water lost through sweating, ventilation, mucous membrane evaportaion are examples of:
Definition

Insensible losses

 

Remember: These are not easily meausred

Term
Loss of additional fluid amounts can be from:
Definition
  • Vomiting
  • Diarrhea
  • Polyuria

Note: Review MATH!!!

Term
What is the standard surgical fluid infusion rate?
Definition

5 to 10 ml/kg/hour

 

Remember: Always use the lowest rate unless told otherwise

Term
What are signs of over hydration?
Definition
  • Hypothermia (Shivering)
  • Increased Heart rate
  • Anxiety/ restlessness
  • Serous nasal discharge
  • Chemosis (conjuctiva edema)
  • Ascites/ pitting edema
  • Hyperpnea
  • Moist rale/increased lung sounds
  • Blood pressure increase
  • Weight increase
Term
How often should you monitor a patient that is recieving fluids for maintenance, shock and wide open rates?
Definition
  • 5 to 15 minutes (wide open rates)
  • 15 to 30 minutes (shock)
  • 30 to 60 minutes (maintenance)
Term
What are some ways you can monitor your patient?
Definition
  • Skin turgor (should disappear as therapy continues)
  • MM/CRT (Should improve)
  • Auscultation (listen for abnormal lung sounds)
  • Appearance (overall general appearance should improve)
  • Urine output
  • Weight
  • Lab work (values should return to normal)
Term
[image]
Definition
Remember to be optimistic all your hard studying will pay off in the end!
Term
Graphic recording of electrical potentials produced by heart and muscle during different ohases of the cardiac cycle
Definition

ECG/EKG

(Electrocardiogram/Electrocardiograph)

Term
Sequence of events that occur during one complete heartbeat
Definition

Cardiac Cycle

 

Note: P,Q,R,S,T

Term
Relaxation of the heart, just prior to and during the filling of the chamber
Definition
Diastole
Term
Contraction of the heart, process of partially emptying chambers
Definition
Systole
Term
Abnormal Heart Beat
Definition
Arrhythmia
Term
Length of a wave or length of a wave within a segment,beginning of one wave to beginning of anohter
Definition
Interval
Term
Portion of the ECG between two waves
Definition
Segment
Term
Wave above the baseline
Definition
Positive Deflection
Term
Wave below the baseline
Definition
Negative Deflection
Term
Stage when heart is at rest
Definition

Polarization

 

 

Term
Heart muscle contraction in reponse to electrical stimulus and occurs when electrolyte move across the cell membrane
Definition
Depolarization
Term
Heart muscle relaxation occurs when electrolytes move back across the cell membrane making the cell ready for the next electrical impulse
Definition
Repolarization
Term
What part of the heart is the natural pace maker of the
Definition

Sinoatrial Node

(SA Node

Term
Why are ECg's important?
Definition
  • Basis for records and consultation
  • Serial ECG's can act as an aid in prognosis and diagnosis of cardiac disease
Term
Electrical impulses that are transmitted through the heart by specialized cells this is called the:
Definition
Conduction System
Term
What are five physiologic properties of the cardiac muscle?
Definition
  • Automaticity
  • Excitability
  • Refractoriness
  • Conductivity
  • Contractility
Term
Property that allows a cell to reach its threshold potential spontaneously
Definition

Automaticity

 

Remember: The further down the conduction system the slower the rate of automaticity

Term
Property that describes the ease with which a cell can become depolarized
Definition
Excitability
Term
The heart muscle will not respond to external stimuli during its period of contraction(depolarization)
Definition
Refractoriness
Term
Property that allows electrical current to trael from one part of the heat to another
Definition

Conductivity

 

Remember: This is best measured with a echocardiograph

Term

True or False

 

The ECG measures the contraction itself

Definition

False

 

The ECG machine only measures the stimulus for contraction

Term
Corresponds to atrial depolarization or contraction and can be positive, negative or biphasic
Definition
P wave
Term
This is a flat baseline beginning at the end of the P wave
Definition
PR Segment
Term
This represents ventricular depolarization or contraction
Definition

QRS Waves

 

Remember: Q (-), R(+), S(-)

Term
Represents ventricular repolarization or relaxation and can be positive negative or biphasic
Definition

T Wave

 

Remember: Every QRS complex has a T wave following it

Term
What can the electrode clips be moistened with to assure good contact?
Definition
  • 70% alcohol
  • Acoustic Gel
Term
Where do red,black,green,white and brown electrode clips get placed?
Definition
  • Red- Left Rear Leg
  • Black- Left Front Leg
  • Green- Right Rear Leg
  • White- Right Front Leg
  • Brown- Chest (Tip of Sternum)
Term
What lead is the most common used?
Definition
Lead 2
Term
If an upward deflection is produced when electrical impulses travel towards a positive electrode respectively a downward deflection would do what?
Definition
Produce electrical impulses traveling toward a negative electrode
Term
What do you always want your sensitivity and speed at?
Definition

Speed: 50 mm/sec

Sensitivity: 1 cm

Term
What are the normal heart rates for dogs and cats?
Definition
  • Dogs: 70-220 beats/min
  • Cats: 120-240 beats/min
Term
Appears on the ECG as even peaked, regular voltages superimposed throughout the tracing
Definition
AC Interference
Term
Appears on the ECG as random, irregular voltages superimposed on the tracing
Definition
Muscle Tremor Interference
Term
Appears on the ECG as fluctuation of the tracing up and downward on the grid
Definition
Wandering Baseline
Term
What are the three most preferred orders of administration?
Definition
  • Intravenous (IV)
  • Intratracheal (IT)
  • Intracardiac (IC)
Term
Drug most commonly used for initial treatment of cardiac arrest because it stimulates heart contractions and blood flow to vital organs and is great for treatment of anaphylactic shock, epistaxis, vasoconstriction and increasing glycogenolysis
Definition
Epinephrine
Term
This drugs stimulates the myocardium which is why it is used for CPR, shock therapy and acute renal failure but should be monitored closely at a constant rate infusion
Definition
Dopamine
Term
Corrects metabolic acidosis and is useful if cardiac arrest has been present for 10 minutes but should not be used in patients that are hypokalemic or vomiting
Definition
Sodium Bicarbonate 8.4%
Term
Increases heart rate lasting 60-90 minutes, helps prevent bradycardia, and ca be used as an antidote for some posioning like organo phoshate posioning
Definition

Atropine

 

Remember: It's an anticholinergic

Term
This lasts 120-180 mins but does not cross the blood brain barrier and is better used in sight hounds, lean animals and sick animals, not to mention its good for use in c-sections.
Definition

Glycoyrroate

Aka: Robinol

 

Remember: It's an anticholinergic

Term
Injected slowly to avoid any extravascular injection and is used for hypokalemia  and increased toxicity can occur if used with digitalis
Definition
Calcium Chloride 10%
Term
Strengthens the heart after standstill and can help start contractions if given in the left ventricle of the heart. This is used for treatment of hypocalcemia, hypokalemia and ventricular asystole.
Definition
Calcium Gluconate 10%
Term
Used in emergencies to treat ventricular arrhytmias and can be toxic at high doses. Another use is to control laryngeal spasms.
Definition
Lidocaine 2%
Term
Counteracts affecta of Xylazine and is used as a respiratory stimulant which is why it is commonly used sublingual in neonates for resuscitation
Definition

Doxapram

Aka: Dopram

Term
Long acting steroidal drug that inhibits phospholipase and is an anti inflammatory.
Definition

Dexmethasone

Ex: Azium, Betamethasone

Term
Intermediate acting steroidal drug that inhibits phospholipase and is an anti inflammatory.
Definition

Prednisolone sodium succinate

Ex: Solu-Delta Cortef

 

Note: First choice for HBC

Term
What are some of the most common potential side effects with steroid use?
Definition
  • Polyphagia
  • PU/PD
  • Panting
  • Weakness
  • Bilateral alopecia
Term
A patient is using steroids and when you run your blood work you are not suprised when you see this blood value very high:
Definition
Glucose
Term
An anticonvulsant and possible induction drug that can be used for appetite stimulant, behavior modification, urethral obstructions and posionings.
Definition

Diazepam

Aka: Valium

 

Remember: When used as an iduction agent with Ketamine, Valium is drawn up first.

Term
A long acting barbiturate that last 6-8 hours and can be used as a psychotherapeutic and to control seizures once they have been stopped.
Definition
Phenobarbitol Injectable
Term
Short acting barbiturate that lasts for 30 minutes to 2 hours that is the second most commonly used anticonvulsant if the first fails and can also be used as an anesthetic but should be done so with caution because of its narrow margin of safety
Definition
Pentobarbital
Term
 A narcotic antidote that is useful in shock therpay and decreases hemo concentation and metabolic acidosis, useful in shock therpay and OCD disorders.
Definition

Naloxone

Aka: Narcan

 

Note: Also helps prevent hypoglycemia

Term
Alpha 2 blocking agent use din if there is a xylazine r romifidine overdose
Definition

Yohimbine

aka: Yobine

Term
Useful as an analgesic for mild to moderate pain lasting 1-2 hours this can also be used as an antitussive or antiemetic.
Definition

Butorphanol

Aka: Torbugesic, Torbutrol

Term
Has anti-coagulating properties and is used for arterial thromboembolism, dic and burn victims and should not be used in patients with a history of coagulation disorders
Definition

Heparin

 

Remember: Monitor patients closely for bleeding thrombocytopenia

Term
Used for pulmonary edema, epistaxsis, oliguria, ascites, diuresis, hypercalcemia and cerebral edem this should not be used in anuric or progressive kidney disease patients.
Definition

Furosemide

Aka: Lasix, Salix, Disal

Term
Helps draw water into renal tubules acting as a diuretic and can be used for acute glaucoma or acute cerebral edem due to trauma. Should not be used in dehydrated patients.
Definition

Mannitol

 

Remember: In acut cerebral edema cases you can repeat every 4 to 6 hours x 3 if needed

Term
In humna medicine it imporves shor term memory but in veterinary medicine increases blood pressure due to vasoconstriction and helps to increase water reabsorption in the kidney.
Definition
Vasopressin
Term
A human medicine used in veterinary medicine for irregular heart rhythms like atrial/ ventricular fibrillation and ventricular tachycardia
Definition
Amiodarone VF
Term
How often should and emergency box be checked for outdated drugs, depleted supplies, and clogged needles?
Definition
Once a month
Term
Period from the end fo the anesthetic procedure and until normal mentation returns (standing/walking).
Definition
Recovery Period
Term
Major concerns with respiration:
Definition
  • Hypoventilation
  • Airway obstruction
Term
Major concerns involving the cardiovascular status:
Definition
  • Hypotension
  • Hypovalemia
  • Arrhythmias
Term
Major concerns referring to temperature:
Definition
  • Hypothermia(usually)
  • Hyperthermia(espically sight hounds)
Term
What are other major concerns besides respiratory, cardiovascular and temperature?
Definition
  • Bleeding
  • Pain
  • Excitement
Term

True or False

The patient will gradually progress back through the same stages that were experienced during induction.

Definition
True
Term
You never want to leave the animal unattended especially while the patient is:
Definition
Intubated or on a table
Term
When a patient is placed in the recovery cage these should not be present:
Definition
  • Bowls
  • Foreign objects
  • Water
  • Food
Term
If a patient is shivering you want to increase the
Definition

O2 intake

 

Term
How often should the patient be checked on:
Definition
Every 5 minutes
Term
When should sutures be removed:
Definition
7-14 days
Term
The technicians duty is not done until this is done:
Definition
  • Patient is fully recovered
  • Sutures have been removed
Term
Pain is scored on a scale of:
Definition
0-4
Term
Position of the teeth in mouth in relationship to each other
Definition
Alignment
Term
Bony socket of the tooth
Definition
Alveolus
Term
Arrangement of the teeth in the mouth
Definition
Arch
Term
Pertaining to the cheek
Definition
Buccal
Term
Hard mineralized, brownish- yellow form of plague on the surface of the tooth
Definition

Calculus

Aka: Tartar

Term
Eye tooth or "fang"
Definition
Canine tooth
Term
Abscesses usually develop in these teeth (P4/M1 in dogs; P3/P4 in cat) because they are grinders
Definition
Carnassial tooth
Term
Bony substance into which periodontal ligaments attach
Definition
Cementum
Term
Visible part of the tooth covered by enamel
Definition
Crown
Term
Refers to swallowing
Definition
Deglutition
Term
Main portion of the tooth harder than bone but softer than enamel, which is porus.
Definition
Dentin
Term
Refers to the dental formula
Definition
Dentition
Term
The hardest substance of the body that covers the crown of the tooth and extends to the floor of the gingival sulcus
Definition
Enamel
Term
Dental specialty of diagnosis and treatment of disease of the dental pulp
Definition
Endodontics
Term
Part of the mucous membrane of the mouth immediately surrounding the tooth.
Definition

Gingiva

Aka: Gums

Term
Small moat surrounding each tooth formed by the gum. This is the seat of active disease.
Definition
Gingival Sulcus
Term
Inflammation of the gums
Definition
Gingivitis
Term
Bad breath
Definition
Halitosis
Term
Abnormal position of the teeth
Definition
Malocclusion
Term
Lower jaw
Definition
Mandible
Term
Main portion of the upper jaw
Definition
Maxilla
Term
Corrective tooth movement
Definition
Orthodontics
Term
Anything situated or occurring around a tooth
Definition
Periodontal
Term
Holds tooth in place in the alveolus
Definition
Periodontal Ligament
Term
This gummy mass of micro- organisms grows on the crown and spreads to the root. It is the forerunner of cavities and periodontal disease.
Definition
Plaque
Term
Center of tooth filled with nerves, blood vessels, and connective tissue
Definition
Pulp
Term
Covered by cementum, this suspends teeth in sockets.
Definition
Roots
Term
What is the normal occlusion of dogs and cats known as?
Definition

Scissor bite

 

(Lower incisors just behind the upper)

Term
This occurs more frequently in the mouth of cats and can develop into LPS which is diffucult to treat, but usually responds to steroids and if not extraction is a possibilty.
Definition
Stomatitis
Term
Tooth appears darker in color than normal tooth due to gradual wearing of the tooth, this forms in areas exposed to injury and the pulp retreats never being exposed.
Definition

Tertiary Dentin

Aka: Irregular Secondary Dentin

Term
Situated in front of
Definition
Anterior
Term
Toward the tip (apex) of the tooth, referring towards the root
Definition
Apical
Term
Towards the tooth's crown
Definition
Coronal
Term
Portion near junction of the crown and root
Definition
Cervical
Term
Outer surface of the tooth near the lip
Definition
Labial Surface
Term
Outer surface of the tooth near the cheek
Definition
Buccal
Term
Situated behind
Definition
Posterior
Term
The ridge at the base of the crown that is found on some teeth
Definition
Cingulum
Term
Surface between the teeth
Definition
Proximal Surface
Term
These type of teeth are used for cutting, shearing and grooming.
Definition

Incisors

(I)

Term
These type of teeth are used for grasping and tearing. These are the tusks on elephants and boars and are missing in mares and ruminants.
Definition

Canines

(C)

Term
These teeth are used for cutting and shearing.
Definition
Premolars (P)
Term
These teeth are used for grinding. In equines the filling down of these teeth is called floating.
Definition

Molars

(M)

Term
Cats have 26 deciduous teeth while dogs have this many deciduous teeth:
Definition
28
Term
Dogs have 42 adult teeth while cats have only this many adult teeth:
Definition
30
Term
Deciduous teeth are all present by 7 weeks of age when do they initially erupt?
Definition
2-4 weeks of age
Term
Permanent teeth erupt at 3-4 months of age, when should all of these teeth be present?
Definition
6-7 months of age
Term
These permanent teeth are usually the last to fully erupt.
Definition
Canines
Term
The mental foramen and infraorbital forman are common sites where these two drugs can be administered to block nerves. What two drugs can they be?
Definition
Bupivacaine and Lidocaine
Term
When the lower jaw is significantly shorter than the upper jaw giving the animal an overbite this is known as:
Definition

"Over-shot" jaw or "Parrot mouth"

Aka: Class II or Distoclusion

Aka: Brachygnathic

Term
When the lower jaw is longer than the upper jaw giving the animal an underbite this is called:
Definition

"Under-shot" Jaw

Aka: Prognathism

Aka: Class III or Mesioclusion

 

Note: This can be normal anatomy in some breeds

Term
When the incisors meet flatly making it difficult for the animal to chew this is called:
Definition
Level Bite
Term
When the maxillary/ mandible are correctly proportioned but one or more teeth are misaligned this can cause palatal tissue damage ( oral-nasal fistulas). What is this called?
Definition

Neutroclusiom

Aka: Class I Malocclusion

Term
When genetically one side/ portion of the skull is longer than the other, dispoportionately sized relative to the other half.
Definition
Wry mouth
Term
9% of dogs are presented with this condition of having extra teeth. The most common being the incisors and molars, which can lead to pain while chewing.
Definition
Polydontia
Term
Common in smaller breeds this predisposes an animal to periodontal disease which can cause abnormal positioning of permanent teeth.
Definition
Retained Deciduous Teeth
Term
The abscence of some/all teeth from the dental arch. Many disqualify certain breeds from showing for this.
Definition
Anadontia or Oligdontia
Term
When referencing teeth using the triadan system, the right maxillary teeth are always in the:
Definition
100s
Term
When referencing teeth using the triadan system, the left mandibular teeth are always in the:
Definition
300s
Term
The last premolar always ends in:
Definition
08
Term
When referencing teeth using the triadan system, the left maxillary teeth are always numbered in:
Definition
200s
Term
Cavities in dogs are rare but are occasionally seen in cats usually occuring right at the gingiva or below. In cats what are cavities called?
Definition

Feline Odontoclasty Resorptive Lesion

(FORL)

Term
Common to see in cats this can be a clinical sign of FeLV &/or FIV
Definition
Gingivitis
Term
Condition often associated with severe dental disease due to inflammation and exudative prescence. This most commonly involves the heart valves and inner lining of the cardiac chambers.
Definition
Vegetative Endocarditis
Term
A benign tumor that is pink, smooth, tough and may displace teeth. This is commonly seen in boxers.
Definition
Fibromatous Epulis
Term
This benign tumor is hard, rough, appears whitish in color and deposits calcium on the gum.
Definition
Ossifying Epulis
Term
This benign tumor resembles a wart and may or may not spread.
Definition
Acanthomatous Epulis
Term
Common neoplasia in dogs and is commonly seen in breeds with heavily pigmented gums.
Definition
Malignant Melanoma
Term
This the most common malignant tumor and can occur in various areas.
Definition
Squamous Cell Carcinoma
Term
Usually orginates from tooth or tooth germ these can occur in various areas.
Definition
Fibrosarcoma
Term
Administration of this drug to pregnant or young animals binds to calcium depositing in devloping teeth causing teeth to stain yellow tending to darken with age.
Definition
Tetracycline
Term
Irregular, thin pitted enamel usually a result of nutritional deficiency, high fever, heavy parasitism during development  or often seen in dogs recovered from distemper.
Definition

Enamel Hypoplasia

Aka: Distemper teeth

Term
This often goes undetected unless animal shows signs of pain (most often when chewing) this occurs when the inability to complete eruption process occurs.
Definition

Impaction

 

Note: Must be extracted

Term
Foreign body objects like bones, pieces of toys, food, needles, etc... can be recognized by:
Definition
Rapid tongue movements and dysphagia
Term
This occurs when a slab fracture of a tooth becomes infected and erupts just under the eye socket. Treatment requires extraction of the tooth and the tooth nearby may or may not need extraction also.
Definition
Carnassial Abscesses
Term
These allergy related lesions commonly seen on the lips of felines respond well with treatment of corticosteroids.
Definition

Eosiniophilic Ulcer

Aka: Rodent Ulcer

Aka: Eosinophilic Granuloma Complex

Term
Plaque is composed of:
Definition
  • Food Debree
  • Sloughed cells
  • Specific forms of bacteria that live off debris
Term
What are some factors that affect periodontal disease?
Definition
  • Breed
  • Diet
  • Age
  • Lack of oral hygiene
Term
What are some clinical signs caused by tartar?
Definition
  • Halitosis
  • Appetite Loss
  • Hard yellow/brown deposits on teeth
  • Ulcers on lips and cheeks
  • Lethargy
  • Root exposure
  • Severe gingivitis
  • Hemorrhage
Term
Periodontal disease is diagnosed by:
Definition
  • Oral Examination
  • Clinical Signs
  • Periodontal Probing-to determine extent of damage
Term
A probe has a measurement in increments in:
Definition

mm

 

Note: Anything over 1 mm in cats and 3mm in dogs is a pocket.

Term
What are some of the most common solutions used for mouth rinse?
Definition
  • Steile Saline
  • Chlorhexidine
    •  Used in a 0.1-0.2 % (0.12% average)
    • Two forms: Diacetate or Gluconate (preferred) 

 

Term
What happen if polishing does not take place after scaling tartar?
Definition
Scaling leaves grooves creating increased surface area giving plaque more holding surface which can cause tartar to build up sooner.
Term
Which direction to use always want to scrap when hand scaling?
Definition
Always stroke away from gums (Coronally)
Term
Which form of scaling is easier and faster and may cause damage if left on the tooth for longer than 5 seconds?
Definition
Ultrasonic Scaling
Term
These can all be used as preventative hygiene:
Definition
  • Some type of brushing
  • Dry Food
  • Hard chew toys, hard treats. flossing type toys
  • Antibacterial gels, sprays or liquids

 

Term
This helps to desensitize sensitive teeth and strengthen enamel, providing antibacterial activity in the mouth. If used with chlorhexidine it will cancel any effect they have for preventative care.
Definition
Fluoride
Term
A wide type insert for a hand piece is used for:
Definition

Flatter surfaces

Note: Narrow or ponted tip is used for between teeth and tight grooves

Term
All personnel within how many feet should wear proper protective equipment?
Definition
4 Feet
Term
The tuner control dial on an ultrasonic dental scaler has a range of least to greatest numerically it is:
Definition

0-10

Remember: This tunes the hand piece to optimum operating efficiency

Term
The hand piece should be held:
Definition
At a 15° angle to the tooth surface like a pencil
Term
This insert removes tartar and stain from the anterior tooth.
Definition
P1
Term
This insert used for gross removal of tartar and stains.
Definition
P3
Term
Insert that removes tartar and stains on molars.
Definition
P2
Term
Periodontal probing allows detection of pockets. Pockets are then treated based on:
Definition
Depth and radiographic changes to the gums and teeth.
Term
This instrument is used to dig into the gingival sulcus down to the root to loosen tooth and ligaments.
Definition
Root Elevators
Term
Very similar to tartar scalers but can be used in the gingival sulcus.
Definition
Curette
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