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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

Rebecca Kirby (Editor), Andrew Linklater (Editor)

ISBN: 978-1-118-92387-0

Oct 2016, Wiley-Blackwell

424 pages


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



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

"Although this is one of many books available for practitioners in emergency and critical care, it has a unique method of presenting essential concepts for the complete care of the critical care patient. It is not meant to be a reference to all the most recent journal literature, but it does include recent research which is helpful for clinicians who want to stay current. This will be helpful to clinicians who want a quick reference on the shelf, but don't necessarily want to invest a lot of time and effort to understand the pathophysiology of diseases." (Doody Enterprises 15/03/2017)

"Monitoring and Intervention for the Critically Ill Small Animal: The Rule of 20 is a book in which the rule of 20 for human patients has been adapted for monitoring dogs and cats receiving intensive care"....."Each chapter contains an excellent in-depth review of the physiology and pathophysiology of the topic being discussed. For this reason, it will be an especially useful reference for critical care residents, board-certified specialists, and emergency clinicians. The additional chapters on veterinary nursing care of critical patients, wound management, and bandaging make this book beneficial for veterinary technicians and nurses in intensive care units"......"This book is excellent, and I highly recommend it as required reading for all emergency and critical care residents. It will also be a useful reference for emergency clinicians and nurses and small animal general practitioners." (Reviewed by Laura Najman, DVM, DACVECC, Veterinary Medical and Surgical, Group, San Juan Capistrano AVMA 15th June 2017)