Emergency and Intensive Care Nursing

Base Knowledge

Students must have knowledge of anatomy, physiology, histology, biochemistry, clinical laboratory, semiology, companion animal nursing and English.

Teaching Methodologies

Theoretical content is taught through a lecture method, using slide presentations interspersed with questions, in an interactive teaching/learning dynamic.

Practical content is taught through the performance of procedures on cadavers, the manipulation of available diagnostic and monitoring devices, animal models, and the discussion of situations relevant to the course.

Learning Results

Assist the veterinarian in administering emergency treatments.
Triage patients in emergency situations and recognize life-threatening situations.
Implement basic life support protocols appropriate to various life-threatening emergency conditions.
Monitor and recognize the need for advanced care in intensive care patients.

Program

1. Patient triage and assessment:

  • Telephone and hospital triage – primary and secondary approach;
  • Initial assessment to identify life-threatening emergencies;
  • Implementation of immediate airway, respiratory, and circulatory support procedures. Cardiopulmonary resuscitation, invasive and non-invasive oxygenation, endotracheal intubation, ventilation, tracheostomy, bleeding control, catheterization, thoracentesis, and placement of drains and tubes.
  • Complete clinical assessment;
  • Shock: definition and signs.

2. Essential methods, equipment, materials, and medications in emergency situations for intensive care support and monitoring:

  • Assessment of vital signs;
  • Indications and methods for monitoring electrolytes, biochemistry, blood gas analysis, acid/base assessment, colloid osmotic pressure, and coagulation tests.
  • Monitoring devices – indications, use, and critical changes: pulse oximeter, blood pressure, ECG, central venous pressure (reference).
  • Multiparameter monitoring equipment;
  • Fluid therapy monitoring;
  • Blood transfusion in the ICU;
  • Nutritional support;
  • Oxygen therapy methods;
  • Pain assessment and analgesia;
  • Isolation and biosafety of critically ill patients.

3. Emergency and intensive care for:

  • Critically ill patients in cardiorespiratory emergencies, traumatic emergencies, hemorrhages, bites, burns, heat stroke, drowning, and poisoning;
  • Previous decompensated cardiovascular, respiratory, digestive, nervous, genitourinary, and endocrine pathologies.

4. Euthanasia

  • Ethical, clinical, and social considerations.

Curricular Unit Teachers

Ana Isabel Calado Lopes

Internship(s)

NAO

Bibliography

Battaglia AM, Steele AM. 2021. Small animal emergency and critical care for veterinary technicians. Elsevier.

Ackerman, N., Aspinall, V. 2016. Aspinall’s Complete Textbook of Veterinary Nursing. 3ª edição. Elsevier.

Cooper, B.,  Mullineaux, E., Turner, L.  2011. BSAVA Textbook of Veterinary Nursing. UK: British Small Animal Veterinary Association.

Hackett T, Mazzaferro E “Veterinary Emergency and Critical Care Procedures” Blackwell Publishing, 2006

Moore, A.H. 1999. BSAVA Manual of Advance Veterinary Nursing. UK: British Small Animal Veterinary Association.

Moore, A.H., Rudd S. 2008. BSAVA Manual of Canine and Feline Advanced Veterinary Nursing. UK: British Small Animal Veterinary Association.

Mullineaux, E., Jones, M. 2007.  BSAVA Manual of Practical Veterinary Nursing. UK: British Small Animal Veterinary Association.