SPRING 2019 Volume 2, Number 2 todaysveterinarynurse.com 22 PRACTICE SKILLS WITH SIMULATED TRAINING 26 WHAT NURSES NEED TO KNOW ABOUT ILLICIT DRUGS 78 MAKING A DIFFERENCE: VOLUNTEERING ON RESERVATIONS An Official Journal of the NAVC Leading Change, Advancing Health Redefine and Promote the Profession P 8 Anesthesia for Geriatric Patients P 38 Guide to Managing Toxin Ingestion P 58 SPRING 2019 VOLUME 2, NUMBER 2 An Official Journal of the NAVC O todaysveterinarynurse.com An official journal of the Laura C.S. Walker Editor in Chief Chief Media & Sales Officer Kara M. Burns Chris Kelly Group Publisher MS, MEd, LVT, VTS (Nutrition), Jackie D’Antonio Vice President, Media VTS-H (Internal Medicine, Strategy & Operations An official journal of the North Dentistry) Meghan R. Golden Vice President, American Veterinary Community, [email protected] Today’s Veterinary Nurse is the Partnerships & International Relations trusted source for peer-reviewed clinical information in small animal EDITORIAL veterinary medicine. Our goal is to Editorial Advisory Board enhance knowledge and encourage Patricia Wuest Editorial Director confidence, inspiring the highest Brenda K. Feller, Elizabeth Fleener Art Director quality of veterinary care. As an NAVC LVT, CVT, VTS (Anesthesia) Michelle Doster Production Editor publication, our audience has access Animal Specialty Hospital of to world-class continuing professional Florida, Naples, Florida development developed for the global SALES veterinary health care community. Doreen Carpenter Associate Publisher Subscriptions (only): 630.739.0900, Jeanne R. Perrone, Allyson Archambault CDS/Today’s Veterinary Nurse Senior Account Executive 440 Quadrangle Drive, Suite E, Bolingbrook, CVT, VTS (Dentistry) IL 60440. 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No part of this publication may be reproduced in any form without written permission from the publisher. Entire contents ©2018 Eastern States Veterinary Association, Inc (NAVC). SPRING 2019 EDITOR’S LETTER 5 Honoring the Best Kara M. Burns, MS, MEd, LVT, VTS (Nutrition), VTS-H (Internal Medicine, 8 NAVTA CORNER Dentistry), Editor in Chief, 56 ADVERTISER INDEX Director of Veterinary Nursing 26 VITAL SIGNS TRENDS IN VETERINARY NURSING Illicit Drugs: What Veterinary Nurses Need to Know Erin Freed, CVT, BAS, ASPCA Animal Poison Control Center, Urbana, IL The exposure of animals to marijuana, amphetamines, cocaine, heroin, and hallucinogenic mushrooms as the result of inadvertent or intentional action can result in serious consequences. Veterinary nurses play a critical role in educating clients about the dangers. NUTRITION NOTES 14 Behind the Hype: Prebiotics and Probiotics for Dogs and Cats Ann Wortinger, BIS, LVT, VTS (ECC, SAIM, Nutrition), FFCP, 4 Cats Consulting, Belleville, MI EXAM ROOM FROM THE FIELD 22 Simulation Training: 34 The Importance Just Like the Real Thing of Veterinary Maggie Monza, LVT, Oradell Technicians Animal Hospital, Paramus, NJ Abbie Hathaway, CVT, Program Harriet Terodemos, MS, CVT, Bergen Manager, Veterinary Technician Community College, Paramus, NJ Training, Banfield Pet Hospital Today’s Veterinary Nurse (ISSN 2575-8365 print and ISSN 2575-8373 online) does not, by publication of ads, express endorsement or verify the accuracy and effectiveness of the products and claims contained therein. The publisher, Eastern States Veterinary Association, Inc (NAVC), disclaims any liability for any damages resulting from the use of any product advertised herein and suggests that readers fully investigate the products and claims prior to purchasing. The opinions stated in this publication are those of the respective authors and do not necessarily represent the opinions of the NAVC nor its Editorial Advisory Board. NAVC does not guarantee nor make any other representation that the material contained in articles herein is valid, reliable, or accurate; nor does the NAVC assume any responsibility for injury or death arising from any use, or misuse, of same. There is no implication that the material published herein represents the best or only procedure for a particular condition. It is the responsibility of the reader to verify the accuracy and applicability of any information presented and to adapt as new data becomes publicly available. Today’s Veterinary Nurse (ISSN 2575-8365; print version) is published quarterly (Spring, Summer, Fall, Winter; 4x per year) by NAVC, 622 E Washington St, Suite 300, Orlando, FL 32801. Periodicals postage paid at Orlando, FL 32801 and additional mailing offices. POSTMASTER: Send address corrections to CDS/Today’s Veterinary Nurse, 440 Quadrangle Drive, Ste E, Bolingbrook, IL 60440. To read this issue online, visit 2 • SPRING 2019 • todaysveterinarynurse.com todaysveterinarynurse.com Reliable Solutions for Veterinarians » Explore Dechra’s NEW IV Fluids Calculator App Scan for FREE Download » Contact your Dechra Rep to learn more about Vetivex or to set up a Perfusion Lunch & Learn! » To order Vetivex IV Fluids, or hear about current fl uids promotions, please contact your Dechra or distributor rep or call (866) 683-0660. 24 Hour Technical Support: (866) 933-2472 | www.dechra.com | [email protected] CAUTION: Federal law restricts these drugs to use by or on the order of a licensed veterinarian. Dechra is a registered trademark of Dechra Pharmaceuticals PLC. Vetivex is a registered trademark of Dechra Limited. Copyright Dechra Veterinary Products 2018 08AD-VET50148-0219 38 FEATURES CONTINUING EDUCATION Anesthesia for Geriatric Patients Trish Farry, CVN, AVN, VTS (ECC, Anesthesia and Analgesia), TAA GCHEd, School of Veterinary Science at The University of Queensland, Australia Wendy Goodwin, BVSc, PhD, FANZCVS (Veterinary Anesthesia, Critical Care), School of Veterinary Science at The University of Queensland, Australia The anesthetic plan for a geriatric dog or cat should be tailored to the individual patient. It should take into account the results of a thorough physical examination and medical history, as well as incorporate surgical or procedural planning; anesthesia technique, including support and emergency drugs; physiologic monitoring; and anesthesia recovery. CASE REPORT: CANINE TOXICOLOGY PRACTICE 52 DIGIT OSTEOSARCOMA 58 Guide to 66 MANAGEMENT An Uncommon Managing Toxin Happy Visits and Malignancy Results Ingestion Victory Visits: Helping in a Dog’s Toe Courtney Waxman, Patients Be Fear Free℠ BAS, CVT, RVT, VTS Amputation (ECC), Monique Feyrecilde, BA, LVT, VTS (Behavior), Teaching Stephani Hrabnicky, LVT, Purdue University, West Lafayette, IN Animals, Mercer Island Veterinary BluePearl Veterinary Partners, Clinic, Mercer Island, WA Southfield, MI 78 EXTRA MILE WHAT MOVES YOU Changing Animal Welfare on Native Reservations Erin A. Spencer, MEd, CVT, VTS (ECC), Assistant Professor, University of Massachusetts Amherst Rural Area Veterinary Services (RAVS) is a service program that