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Andy Bell

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Viewing 11 posts - 16 through 26 (of 26 total)
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  • Andy Bell
    Keymaster
    12:57 08/06/21

    Hi everyone, That is lesson 6 uploaded. Apologies for the delay. Andy

    Andy Bell
    Keymaster
    12:22 08/06/21

    Hi everyone. Vimeo who we use for hosting these videos has been having some issues and the video has been delayed. I am working to get this uploaded. Thanks for your patience. Andy

    Andy Bell
    Keymaster
    15:19 08/08/20

    Hey Simon,

    Was the use of intralipid not a consideration with this case?

    Andy

    Andy Bell
    Keymaster
    16:05 04/08/20

    I have seen this done quite a few times now and it does seem to work very well and makes the patients more comfortable in the immediate post unblocking period. The process itself also doesn’t seem that complicated, although as the person not having to do it, I guess I can say that haha…

    The nursing of this patient following epidural is really important too!!

    Andy Bell
    Keymaster
    17:05 26/07/20

    Thanks Hayley, that’s a really useful tip about screenshotting the pain scoring sheets and using them that way and congratulations on the ‘adding’ lol xx

    Andy Bell
    Keymaster
    13:12 24/07/20

    This is something I was discussing with Hayley Walters recently and she had said that the number of times she has seen vets dispense a buster collar for an animal interfering with its wound post-op, rather than assessing them for analgesia is huge. It made me think that actually, if we assessed their pain, then we might opt for the metacam before reaching for the buster collars? The buster collar doesn’t stop the animal being in discomfort, it just puts owners minds at rest that the animal cannot interfere with the wound… Its an interesting thought…

    Andy Bell
    Keymaster
    12:52 24/07/20

    Great comments Sophie.. I think its a really important topic and we just need to keep hammering it home to all staff as anyone really should be able to carry out pain scoring.. It could also be a useful tool for some owners, but that might be a step too far!!

    I once remember taking over a case from a colleague who had been pain scoring overnight. When I asked where the patient was painful, they weren’t able to tell me, but had been carrying out pain scoring? I think there are multiple challenges to us getting this right. Hopefully, this is something that will continue to improve over time…

    Andy Bell
    Keymaster
    17:49 22/07/20

    Hey, that’s really interesting.. I made the same comments about taking over a patient’s care and interpreting their level of pain differently. When I was working in practice, I would ask the person to pain score at hand over so you have a benchmark of how they were approaching the patients pain levels. I guess this can take up more time, but is better for the patient.. One of my colleagues thinks that we should pain score patients as part of taking vital parameters when a patient is being examined.. What are your thoughts on that?

    Andy Bell
    Keymaster
    17:36 15/02/20

    Hi Gail,

    I used to use this calculation when I worked at Vetsnow in Glasgow. I think it is just a more accurate calculation if I remember correctly. I can check with a colleague.. I remember thinking the calculation was complicated, but there’s actually a really simple way of doing it like bodyweight x bodyweight x something else.

    I think as long as you continue to use the same method of calculation then either way is fine, but alternating between could result in over/underloading of fluids..

    Andy

    Andy Bell
    Keymaster
    22:14 05/02/20

    Hi Gail,

    From what I can remember (its been a little while). The lactate is significant because the lactate indicates a degree of anaerobic metabolism. It will contribute to the acidosis, but I would consider looking at more obvious issues like a hypovolaemic episode? and the correction of that…

    It is likely to be a metabolic acidosis with a compensatory respiratory alkalosis…

    I hope that helps…

    Andy

    Andy Bell
    Keymaster
    10:50 22/11/19

    I am not sure what is going on here as I am not familiar with looking at contrast urethrograms… if this is abnormal could you post a more normal study to help compare?

    Thanks

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Viewing 11 posts - 16 through 26 (of 26 total)
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