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GDV Surgery review updates new solution, Exams of Nursing

Liberty University (LU)Nursing

GDV Surgery review updates new solution

Typology: Exams

2024/2025

Available from 09/04/2024

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GDV Surgery review updates new solution
True or false: before you attempt to treat a GDV, you must first determine whether the stomach is
actually rotated. - False. Decompressing the stomach is an emergency, regardless of whether it is
rotated.
Omental attachments to the stomach are only fixed at the _______. - Cardia
Medium breed dog that are overrepresented in GDV cases include (3)? - - Basset Hounds
- Springer Spaniels
- Shar Peis
At what age are dogs at increased risk of developing GDV? - ≥ 7 yrs
Name 3 reasons that deep-chested dogs are at increased risk for GDVs. - - Increased space in cranial
abdomen
- Altered gastro-esophageal angle
- Lax gastric ligaments
True or false: the heavier the ideal weight of a dog, the more likely they are to develop GDV. - True
What dietary and feeding factors are associated with GDV? - - SID feeding
- Diets w/ fat or oil in 1st 4 ingredients
In epidemiological studies, what 2 factors were found to positively correlate with predisposition to GDV?
- - Having a 1st degree relative that had GDV
- Having a stressed or anxious temperament
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GDV Surgery review updates new solution True or false: before you attempt to treat a GDV, you must first determine whether the stomach is actually rotated. - False. Decompressing the stomach is an emergency, regardless of whether it is rotated. Omental attachments to the stomach are only fixed at the _______. - Cardia Medium breed dog that are overrepresented in GDV cases include (3)? - - Basset Hounds

  • Springer Spaniels
  • Shar Peis At what age are dogs at increased risk of developing GDV? - ≥ 7 yrs Name 3 reasons that deep-chested dogs are at increased risk for GDVs. - - Increased space in cranial abdomen
  • Altered gastro-esophageal angle
  • Lax gastric ligaments True or false: the heavier the ideal weight of a dog, the more likely they are to develop GDV. - True What dietary and feeding factors are associated with GDV? - - SID feeding
  • Diets w/ fat or oil in 1st 4 ingredients In epidemiological studies, what 2 factors were found to positively correlate with predisposition to GDV?
    • Having a 1st degree relative that had GDV
  • Having a stressed or anxious temperament

What are 3 differentials for GDV? - - mesenteric volvulus

  • splenic torsion
  • spontaneous pneumoperitoneum True or false: rads on a suspected GDV should be postponed until patient is hemodynamically stable. - True Name the 3 diagnostic features of a GDV on a radiograph. - - Displacement of pylorus to the left
  • Partitioning of pylorus from fundus by a soft tissue density ("Popeye arm")
  • Displacement of small intestine in cranial abdomen In what direction is volvulus most common in GDV? - Clockwise What vessels are the first to be occluded when the stomach rotates? - - Cranial vena cava
  • Portal vein Where on the rotated stomach is the vascular compromise the greatest? - Greater curvature of fundus What common sequella to GDV is positively associated with the development of gastric necrosis? - Coagulation abnormalities/DIC Name 5 factors associated with increased mortality due to GDV. - - Gastric necrosis/need for gastric resection
  • Need for splenectomy 2° to splenic necrosis
  • Preoperative cardiac arrhythmias or DIC
  • Gastric rupture

True or false: in surgical treatment of GDV, the stomach should be immediately repositioned. - False! The spleen should be repositioned first. What is a belt-loop gastropexy? - A flap of gastric serosa and muscularis is passed through a tunnel in the abdominal wall and sutured back onto itself to create a permanent adhesion. How long after surgical correction of a GDV should an animal be monitored for arrhythmias? - 72 hrs. How long after surgical correction of a GDV should enteral nutrition be reinstituted? - 12 hrs Name 3 recommendations you would make to the client post-operatively following correction of a GDV.

    • Feed small meals multiple times per day
  • Restrict exercise around time of feeding
  • Prevent drinking excessive amounts of water at once.