Monitoring and Intervention for the Critically Ill Small Animal The Rule of 20

Monitoring and Intervention for the Critically Ill Small Animal: The Rule of 20 offers guidance for assessing the patient, interpreting diagnostic test results, and selecting appropriate monitoring procedures.

• Based on Rebecca Kirby’s time-tested Rule of 20, with a chapter devoted to each item on the checklist
• Provides comprehensive guidance for monitoring a critically ill small animal patient
• Emphasizes the interplay of each parameter with one another
• Designed for fast access on the clinic floor, with potentially life-saving ideas, tips, lists and procedures
• Presents tables, schematics, algorithms, and drawings for quick reference

Rebecca Kirby, DVM, DACVIM, DACVECC, was formerly an Associate Professor and Director of Emergency Services at the University of Pennsylvania, and served as owner of the Animal Emergency Center in Milwaukee, Wisconsin, USA for 21 years. 

Andrew Linklater, DVM, DACVECC, was trained at the Animal Emergency Center and is currently a Clinical Instructor at Lakeshore Veterinary Specialists in Milwaukee, Wisconsin, USA.

Contributors, ix

Preface, xi

Acknowledgments, xiii

1 An introduction to SIRS and the Rule of 20, 1
Rebecca Kirby

2 Fluid balance, 9
Rebecca Kirby and Elke Rudloff

3 Blood pressure, 29
Lauren Sullivan

4 Albumin and colloid osmotic pressure, 43
Adesola Odunayo

5 Glucose, 55
Natara Loose

6 Electrolytes, 73
Linda Barton and Rebecca Kirby

7 Acid–base status, 95
Ryan Wheeler and Jan Kovacic

8 Oxygenation and ventilation, 109
Christin Reminga and Lesley G. King

9 Coagulation, 137
Andrew Linklater

10 Red blood cells and hemoglobin, 157
Andrew Linklater and Veronica Higgs

11 Heart rate, rhythm, and contractility, 177
Dennis E. Burkett

12 Neurological status, 207
Christine Iacovetta

13 The renal system, 225
Lee Herold

14 White blood cells, immune status, and antimicrobial stewardship, 247
Carol E. Haak

15 Gastrointestinal system motility and integrity, 267
Jennifer Klaus

16 Nutritional status, 285
Caroline Tonozzi

17 Temperature, 303
Conni Wehausen

18 Drug selection and dosing regimens, 319
Dawn Merton Boothe

19 Pain management, 333
Armi Pigott

20 Veterinary nursing care, 349
Heather Darbo and Cheryl Page

21 Wounds and bandages, 373
Jennifer J. Devey, Andrew Linklater and Rebecca Kirby

22 Anesthesia of the critical patient, 389
Susan E. Leonard

Index, 401

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