WVC 92nd Annual Conference
A patient presents collapsed, it has poor pulses and a prolonged capillary refill time – it is in cardiovascular shock! (The internist runs away). Should an IV fluid bolus be given, and if so, how much and how will the patient likely respond to IV fluid therapy (The criticalist is super excited)? Ever struggle with deciding if the dyspneic cat or dog should receive furosemide for possible congestive heart failure or wonder if maybe steroid administration for feline asthma would be more appropriate? What about differentiating pericardial effusion from dilated cardiomyopathy on thoracic radiographs, or trying to decide if that fluid seen on ultrasound is pleural or pericardial? Ultrasound can help! This, the last co-lecture (if you make it this far with the contrasting approaches of a criticalist and an internist) will build on each prior lecture and continue the binary approach to answering clinically relevant and appropriate questions to ask. The best part of VPOCUS is that you do not have to be a cardiologist or radiologist to perform these techniques! The principles of cardiac anatomy with an emphasis on the key cardiac windows to assess (there are 3 that answer most clinically relevant questions), being able to confidently identify pericardial effusion, and assessing IV volume status will be presented. One last question: have you ever struggled to place an IV catheter in a patient that is dehydrated, has hematomas, thick skin or edema? You guessed it, ultrasound can help, and we will show you how! Part 4 of 4.