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Journal December 2012 (Vol. 34, No. 12)

NOTE: You have already passed this course.
NOTE: This course is no longer valid for accreditation purposes.

Aspiration Pneumonia in Dogs: Treatment, Monitoring, and Prognosis by Heidi M. Schulze , DVM, DACVECC, Louisa J. Rahilly , DVM, DACVECC

1. A 4-year-old male, intact Labrador retriever presents with a 2-day history of vomiting. During the examination, the patient regurgitates, and aspiration is suspected. Other than a tense abdomen, the physical examination is within normal limits. The patient is not currently receiving any medications. When should antimicrobial therapy be initiated?
2. The patient in question #1 has been hospitalized for diagnostics and supportive care. Within the first 6 hours, he begins to cough and becomes febrile and tachypneic. Thoracic radiography shows pulmonary infiltrates in the right cranial lung lobe. If the patient has normal chemistry panel and urinalysis results, empiric broad-spectrum antibiotic coverage may be provided with which combination of antimicrobials?
3. Which property of HES may prove beneficial in the treatment of aspiration pneumonia?
4. Which of the following statements is true with regard to N-acetylcysteine?
5. Potential concerns with the use of bronchodilators in patients with aspiration pneumonia include
6. Pulse oximetry (Spo2) is often used as a surrogate for arterial blood gas analysis as a way to monitor a patient’s oxygenation status. However, this relationship is not linear. For example, an Spo2 of 95% correlates with a Pao2 of ________ mm Hg.
7. A benefit of oxygen delivery by nasal catheter is that
8. Which of the following medications cannot be recommended for treatment of aspiration pneumonia at this time?
9. Which of the following antibiotics can penetrate the blood-bronchial barrier in a patient with normal pulmonary vascular permeability?
10. To limit the potential for oxygen toxicosis, the duration of supplemental oxygen therapy at a concentration ≥60% should be limited to no more than _______ hours.
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