{"id":1230,"date":"2018-12-11T11:55:35","date_gmt":"2018-12-11T15:55:35","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=1230"},"modified":"2022-07-11T09:27:27","modified_gmt":"2022-07-11T13:27:27","slug":"why-do-we-do-what-we-do","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/why-do-we-do-what-we-do\/","title":{"rendered":"Why do we do what we do?"},"content":{"rendered":"<p><span style=\"color: #000000;\">Have you ever wondered why vets and their nurses do what they do?<\/span><\/p>\n<div id=\"attachment_1231\" style=\"width: 2010px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1231\" class=\"wp-image-1231 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/12\/Bulldog-2000x1500.jpg\" alt=\"A Bulldog under anesthesia\" width=\"2000\" height=\"1500\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/12\/Bulldog-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/12\/Bulldog-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/12\/Bulldog-768x576.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><p id=\"caption-attachment-1231\" class=\"wp-caption-text\">A Bulldog under anesthesia<\/p><\/div>\n<p><span style=\"color: #000000;\">Here are 5 common things we do around surgery time, and why we do them.<\/span><\/p>\n<p><span style=\"color: #000000;\"><u><b>1. Why do we do blood work?<\/b><\/u><\/span><\/p>\n<p><span style=\"color: #000000;\">We perform preop blood work to make sure that the patient\u2019s organs are healthy and functioning properly. We mostly look at the immune system, the red blood cells, the clotting system, the liver and the kidneys.<\/span><\/p>\n<p><span style=\"color: #000000;\">If one of these organs doesn\u2019t work properly, it can dramatically affect the safety of anesthesia or surgery. In some cases, we may need to treat or \u201cstabilize\u201d the patient before we even consider surgery.<\/span><\/p>\n<p><span style=\"color: #000000;\">Many drugs are processed by the liver and the kidneys, so if they are not working well, the drugs will stay in the patient\u2019s system for much longer than normal and could lead to complications such as a delayed recovery.<\/span><\/p>\n<p><span style=\"color: #000000;\"><u><b>2. Why do we place an IV catheter?<\/b><\/u><\/span><\/p>\n<p><span style=\"color: #000000;\">We place an IV catheter for several reasons:<\/span><\/p>\n<p><span style=\"color: #000000;\">* To \u201cstabilize\u201d a patient before surgery, for example to correct abnormal electrolytes.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To give a tranquilizer, before or after surgery.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To give IV pain medications.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To give IV antibiotics.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To give IV fluids.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To give IV emergency drugs if needed.<\/span><\/p>\n<p><span style=\"color: #000000;\"><u><b>3. Why do we give IV fluids?<\/b><\/u><\/span><\/p>\n<p><span style=\"color: #000000;\">We give IV fluids for several reasons:<\/span><\/p>\n<p><span style=\"color: #000000;\">* To correct abnormal electrolytes (to increase or decrease them).<\/span><\/p>\n<p><span style=\"color: #000000;\">* To dilute some IV drugs.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To make sure the patient is well hydrated.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To make sure the blood pressure is high enough.<\/span><\/p>\n<p><span style=\"color: #000000;\">* To make sure we have easy access to a vein in case we need to give emergency drugs.<\/span><\/p>\n<p><span style=\"color: #000000;\"><u><b>4. Why do we give IV antibiotics?<\/b><\/u><\/span><\/p>\n<p><span style=\"color: #000000;\">Under anesthesia, the patient\u2019s immune system is weakened. Since neither the skin nor the air nor the environment is completely sterile, bacteria always end up in the surgical site. To prevent an infection, we give antibiotics before, during and after surgery.<\/span><\/p>\n<p><span style=\"color: #000000;\">Some organs are riskier than others: there are more, and more dangerous, bacteria in the intestine (think about removing a rock or a tennis ball from the intestine), than on the skin (think about removing a skin tumor).<\/span><\/p>\n<p><span style=\"color: #000000;\"><u><b>5. Why do we give IV pain medications?<\/b><\/u><\/span><\/p>\n<p><span style=\"color: #000000;\">We give pain meds before anesthesia because it sedates or relaxes the patient. Interactions and minor procedures (e.g. placing an IV catheter or taking X-rays) are therefore less stressful.<\/span><\/p>\n<p><span style=\"color: #000000;\">In addition, it is better to give pain meds before the surgery starts because a smaller amount is needed. If we waited until the patient has been \u201cstimulated\u201d during surgery, we would need a bigger dose.<\/span><\/p>\n<p><span style=\"color: #000000;\">Ultimately, these 5 steps are designed to make anesthesia and surgery safer for your pet. This is our primary goal.<\/span><\/p>\n<p><em>Phil Zeltzman, DVM, DACVS, CVJ, Fear Free <\/em>Certified<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Have you ever wondered why vets and their nurses do what they do? Here are 5 common things we do around surgery time, and why we do them. 1. Why do we do blood work? We perform preop blood work to make sure that the patient\u2019s organs are healthy and functioning properly. We mostly look [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[157,9,10],"class_list":["post-1230","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-phil-zeltzman","tag-veterinary-medicine","tag-veterinary-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Why do we do what we do? | Dr Phil Zeltzman\u2019s Blog<\/title>\n<meta name=\"description\" content=\"Have you ever wondered why vets and their nurses do what they do?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drphilzeltzman.com\/blog\/why-do-we-do-what-we-do\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why do we do what we do? 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