Patient Nursing Care

1. Equine Medicine
Patient Nursing Care

2. Points to Consider:
• Social Animals
• Groom daily
• Clean stall daily
• Check water daily
• Hand walk/graze
daily if horse able

3. Types of Exams
• Physical Exam
• Observe from a distance
• TPR
• Mucus Membrane color
• GI Motility
• Urine Output
• Limbs

4. Types of Exams
• Lameness Examination
• Passive Exam
• Observation in stall
• Palpation of limbs
• Hoof tester exam
• Active Exam
• Observation at working gaits
• Observation under saddle
• Flexion of joints

5. Types of Exams
• Ophthalmic Examination
• Clinical Exam
• Symmetry, size, appearance
• Reflex Exam
• Menace
• Palpebral
• PLR

6. Types of Exams
• Ophthalmic Examination
• Diagnostic Testing
• Nerve Blocks
• Auriculopalpebral
• Frontal (Supraorbital)
• Schirmer Test
• Reflex tearing
• Corneal Staining
• Fluorescein
• Stain defects green
• Rose Bengal Dye
• Tear film integrity

7. Types of Exams
• Ophthalmic Exam
• Nasolacrimal Patency
• Anterior Chamber
• Uveitis
• Intraocular Pressure
• normal=16-30 mm Hg
• Lens
• Position & opacities
• Retina/Optic Nerve
• Color, scars, detachment

8. Types of Exams
• Ophthalmic Exam
• Other tests
• Ultrasound
• CT
• MRI

9. Types of Exams
• Neurological Exam
• Head
• Mental status
• Cranial nerves
• Gait & Posture
• Straight line
• Flat & hills
• Over obstacles
• Tail pull
• Head elevated
• Blindfold