Dr Gerardo poli

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Dr Gerardo poli 84k followers . 5 following
Dr Poli is a Venterinary Surgeon at Animal Emergency Service in Brisbane

Got Polytrauma? Take a breath... MiniVetGuide Calculator has got you covered!!This poor puppy sustained severe wounds af...
09/06/2024

Got Polytrauma? Take a breath... MiniVetGuide Calculator has got you covered!!

This poor puppy sustained severe wounds after being attacked by a big dog and presented collapsed and in severe hypovolemic shock and with wounds penetrating into the abdomen...

Don't panic... Polytrauma is as easy as ABC!

And it all comes down to oxygen delivery: DO2 = (Hb x SaO2 x 1.34)

A = make sure that you have a patent airway + provide supplemental oxygen
B = breathing
C = circulation! Treat shock to improve the oxygen carrying capacity of Hb!

MiniVetGuide Calculator not only quantitates the patient's shock but it then tells you how much fluid to give to correct this as well as guiding you through end-point resuscitation.

MiniVetGuide Calculator: More than just a calculator – your clinical companion saving time and improving patient outcomes.

Find it in the App Store or Google Play.

As a new graduate, you’re about to embark on an exciting journey filled with opportunities to make a real difference in ...
29/05/2024

As a new graduate, you’re about to embark on an exciting journey filled with opportunities to make a real difference in the lives of animals and their owners. However, the transition from student to professional can also be daunting, with a range of challenges and uncertainties to navigate. One of the most important steps you can take is to cultivate a positive and empowered mindset that will serve as the foundation for your success.

Growth Mindset: It’s natural to feel a sense of imposter syndrome as a new vet, but it’s important to reframe this experience. Instead of seeing your lack of experience as a weakness, adopt a growth mindset that views challenges as opportunities for learning and improvement. Approach each new situation with a curious and open attitude, and be willing to ask questions, seek feedback, and continuously expand your knowledge and skills.

Celebrate Small Wins: It’s easy to get caught up in the pursuit of perfection. However, it’s crucial to take the time to recognise and celebrate your achievements, no matter how small they may seem. Whether it’s successfully placing an IV catheter or having a productive conversation with a client, acknowledge your progress and use these small wins as fuel to keep pushing forward.

Develop Resilience: Our work can be emotionally and mentally demanding, and it’s essential to cultivate resilience to weather the inevitable ups and downs. Practice self-care strategies like exercise, mindfulness, and social connection to maintain your well-being. When faced with setbacks or difficult situations, resist the urge to be self-critical and instead, focus on what you can learn and how you can apply those lessons going forward.

Surround Yourself with Supportive Mentors: One of the most valuable resources you have as a new vet is the wealth of knowledge and experience within your profession. Seek out mentors, whether they’re seasoned veterinarians in your practice or colleagues in your professional network, who can pro

Goodness where did my baby go? 😍
15/05/2024

Goodness where did my baby go? 😍

𝗔𝗡𝗬𝗢𝗡𝗘 𝗡𝗘𝗘𝗗 𝗧𝗛𝗜𝗦 Rottweiler Harness  "𝗝𝗨𝗦𝗧 massage me
01/05/2024

𝗔𝗡𝗬𝗢𝗡𝗘 𝗡𝗘𝗘𝗗 𝗧𝗛𝗜𝗦 Rottweiler Harness "𝗝𝗨𝗦𝗧 massage me

29/04/2024

Good news team!! The Emergency Guide pre-orders began shipping last week, so you should get yours soon. Once we have cleared all the pre orders, we will then add to the store on general sale at the end of May.

Send a message to learn more

29/04/2024
A heart ❤️ for my Hero
22/04/2024

A heart ❤️ for my Hero

Available
22/04/2024

Available

I have treated several dogs with acute neurological signs, with a history of playing in the backyard on a hot day and ch...
21/04/2024

I have treated several dogs with acute neurological signs, with a history of playing in the backyard on a hot day and chomping at the hose. Resulting in an unintentional consumption of too much water.

Hyponatremia due to rapid dilution causes cells to swell, which can be dangerous, especially for the brain, leading to symptoms like ataxia, dull mentation and is severe enough to cause seizures.

The key is to carefully increase the dog's sodium levels. Despite the history I will perform a full blood panel, to rule out other possible causes and a urinalysis. The abnormalities are often moderate to severe hyponatemia and hypochloridaemia, mild hypokalaemia and dilute urine

Treatment:
If seizing:
1. Hypertonic saline eg. 3% NaCl can be given if the neurological signs like seizures occurs. The aim is to increaes the sodium concentration which will reduce cell swelling.
2. +/- Frusemide - this results in a diuresis of free water and as a result an increase of sodium levels
3. They might need extra treatments like medicine for nausea or seizures.also:
- Mannitol can help reduce swelling in the brain.
- Seizure medicine should be used based on the vet's advice.

Hospitalisation:
I always admit them and monitor them closely - making sure no furhter deterioration, I also,
3. Prevent access to more water, to stop further dilution.
4. For mild cases > 130mmol/L, 0.9% solution can help increase the sodium..

Monitoring:
5. Repeated blood gas and electrolytes should be performed every 2 to 3 hours to track the changes in sodium concentrations.
6. The impact of 0.9% Saline or 3% Saline - generally should increase the sodium by 0.5-1 mmol/L per hour, not to exceed a total correction of 10-12 mmol/L over the first 24 hours.

I have always found that an acute drop in sodium, to 120, combined with the history, large urinations and mild neurlogical signs is the combo that makes me feel confident of what is happening and allows me if needed to increase Sodium concentratio

Amazing 😍❤️Do you need some ?
03/02/2024

Amazing 😍❤️
Do you need some ?

If interested massage me
02/02/2024

If interested massage me

Massage me if you need any
31/01/2024

Massage me if you need any

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