Page 31 - Basic Monitoring in Canine and Feline Emergency Patients

Table 1.11. Trends in Duke’s response to therapy.

VetBooks.ir Time (bpm) (% / g/dL) (mmol/L) Assessment Therapy
Heart
rate
Lactate
PCV/TP
(minutes)
0 190–200 45/6.0 5.4 Lateral recumbency, dull Isotonic crystalloid bolus 22 mL/kg
mentation
20 180 – – Lateral recumbency, dull Isotonic crystalloid bolus 22 mL/kg
mentation
35 168 – – Sternal recumbency, quiet Colloid bolus 5 mL/kg
but responsive Fentanyl bolus 3 μg/kg
55 150 38/4.5 2.7 Sternal recumbency, alert Continue isotonic crystalloid
and responsive 120 mL/kg/day
Fentanyl CRI for pain
(3 μg/kg/h)
70 140 – – Sternal recumbency, alert Continue isotonic crystalloid
and responsive, 120 mL/kg/day
Exhibiting pain Fentanyl CRI for pain
95 165 34/3.0 3.5 Sternal recumbency, but Repeat abdominal fast scan
quieter than previous, confirmed hemoabdomen, apply
abdomen noted to be abdominal compression wrap,
distended continue isotonic crystalloid
120 mL/kg/day, fentanyl CRI,
colloid bolus 2.5μmL/kg
120 155 – – Sternal recumbency, Isotonic crystalloid 120 mL/kg/
continues to be quiet but day, maintain abdominal wrap,
responsive, abdomen no fentanyl CRI
change Antibiotics started (open fracture)
140 146 34/3.0 3.0 Sternal recumbency, quiet Isotonic crystalloid 120 mL/kg/
but responsive, abdomen day, maintain abdominal wrap,
no change fentanyl CRI
160 138 30/3.0 2.5 Sternal recumbency, quiet Isotonic crystalloid rate decreased
but responsive, abdomen no to 90 mL/kg/day, maintain
change abdominal wrap, fentanyl CRI
215 135 – – Sternal recumbency, but will Isotonic crystalloid rate decreased to
change positions, more 90 mL/kg/day, loosen abdominal
alert responsive, engaged, wrap, fentanyl CRI
abdomen no change
270 130 32/2.8 2.2 Sternal recumbency, but will Fluid rate decreased to 90 mL/
change positions, more kg/day, fentanyl CRI, maintain
alert responsive, engaged, loosened abdominal wrap
abdomen no change
CRI, constant-rate infusion.

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Physical Examination and Point-of-care Testing 23