,
,Pain Management for
Veterinary Technicians
and Nurses
,
,Pain Management
for Veterinary
Technicians
and Nurses
Editor
Mary Ellen Goldberg
Instructor VetMedTeam, LLC
Executive Secretary
International Veterinary Academy of Pain Management
Consulting Editor
Nancy Shaffran
President-Elect
International Veterinary Academy of Pain Management
,This edition first published 2015 © 2015 by John Wiley & Sons, Inc.
Editorial Offices
1606 Golden Aspen Drive, Suites 103 and 104, Ames, Iowa 50014-8300, USA
The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
9600 Garsington Road, Oxford, OX4 2DQ, UK
For details of our global editorial offices, for customer services and for information about how to
apply for permission to reuse the copyright material in this book please see our
website at www.wiley.com/wiley-blackwell.
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients,
is granted by Blackwell Publishing, provided that the base fee is paid directly to the Copyright Clearance Center,
222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license
by CCC, a separate system of payments has been arranged. The fee codes for users of the Transactional Reporting
Service are ISBN-13: 978-1-1185-5552-1/2015.
Designations used by companies to distinguish their products are often claimed as trademarks. All brand names
and product names used in this book are trade names, service marks, trademarks or registered trademarks
of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
The contents of this work are intended to further general scientific research, understanding, and discussion only and are not
intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by health
science practitioners for any particular patient. The publisher and the author make no representations or warranties with
respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without
limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications,
changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and
devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each
medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added
warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or
Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author
or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further,
readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work
was written and when it is read. No warranty may be created or extended by any promotional statements for this work.
Neither the publisher nor the author shall be liable for any damages arising herefrom.
Library of Congress Cataloging-in-Publication Data applied for.
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print
may not be available in electronic books.
Set in 10/12pt Sabon by SPi Publisher Services, Pondicherry, India
1 2015
,To Dr. Stephen J. Goldberg who has been my physical, mental, and financial support
through this entire journey. Thank you for all you have given me professionally and
personally. You have allowed me to expand in areas I never dreamed possible.
For that you have my undying gratitude and love.
MEG
Dedicated with unending gratitude to Rachel Malinowitzer who provides a constant
rate infusion of analgesia for all the aches and pains of my life.
NS
,
,Contents
contributors
Preface
ix
xi
Chapter 4
Acknowledgements xiii Physiology of Pain 30
About the Companion Website xv Kristen Cooley
Chapter 1 Chapter 5
Advancing Veterinary Pain Management Analgesic Pharmacology 42
into a New Era 1 Michelle Albino
Patricia R. Zehna
Chapter 2 Chapter 6
Pain Management Careers for Veterinary Locoregional Analgesic Blocking
Technicians and Nurses 8 Techniques 67
Mary Ellen Goldberg, Kristen Hagler, Mary Ellen Goldberg, Nancy Shaffran,
and Janel Holden Kim Spelts, David Liss, Tasha McNerney,
Trish Farry, Samantha Rowland,
and Jennifer L. Dupre
Chapter 3
Pain Recognition in Companion
Species, Horses, and Livestock 15
Chapter 7
Cheryl Irzyk Kata, Samantha Rowland, Surgical Pain Management 93
and Mary Ellen Goldberg Tasha McNerney and Trish Farry
, viiiContents
Chapter 8 Chapter 15
Analgesia for Emergency and Critical Nutritional Considerations for Pain
Care Patients 115 Management in Dogs and Cats 286
Kim Spelts and David Liss Kara M. Burns
Chapter 9 Chapter 16
Chronic Pain Management for the
Physical Rehabilitation and
Companion Animal 125
the Veterinary Technician 295
Christopher L. Norkus
Stephanie Ortel
Chapter 10
Analgesia for Shelter Medicine and
Chapter 17
Trap-Neuter-Return Programs 147 The Veterinary Technician in
Mary Ellen Goldberg Alternative Therapies 309
Stephanie Ortel, Mary Ellen Goldberg,
Lis Conarton, Kari Koudelka,
Chapter 11 and Robin Downing
Analgesia in Equine Practice 157
Samantha Rowland and Jennifer L. Dupre
Chapter 18
Chapter 12 Pain Management for End-of-Life Care
Amir Shanan
331
Analgesia for Livestock and Camelids 185
Mary Ellen Goldberg
Appendices
Chapter 13 Appendix A: Formulary 340
Appendix B: Constant Rate Infusions
Analgesia in Exotic Animals 216
Example Calculations 384
Kate Lafferty, Stephen J. Cital,
Appendix C: Critical Care Case Studies 393
and Mary Ellen Goldberg
Appendix D: Routine Case Protocols 396
Appendix E: Key Signs of Pain According
Chapter 14 to Chapters of Text
Appendix F: Further Reading
399
401
Analgesia for Zoo Animal
and Wildlife Practice 263 Index403
Lindsay Wesselmann, Stephen J. Cital,
and Mary Ellen Goldberg
,Pain Management for
Veterinary Technicians
and Nurses
,
,Pain Management
for Veterinary
Technicians
and Nurses
Editor
Mary Ellen Goldberg
Instructor VetMedTeam, LLC
Executive Secretary
International Veterinary Academy of Pain Management
Consulting Editor
Nancy Shaffran
President-Elect
International Veterinary Academy of Pain Management
,This edition first published 2015 © 2015 by John Wiley & Sons, Inc.
Editorial Offices
1606 Golden Aspen Drive, Suites 103 and 104, Ames, Iowa 50014-8300, USA
The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
9600 Garsington Road, Oxford, OX4 2DQ, UK
For details of our global editorial offices, for customer services and for information about how to
apply for permission to reuse the copyright material in this book please see our
website at www.wiley.com/wiley-blackwell.
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients,
is granted by Blackwell Publishing, provided that the base fee is paid directly to the Copyright Clearance Center,
222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license
by CCC, a separate system of payments has been arranged. The fee codes for users of the Transactional Reporting
Service are ISBN-13: 978-1-1185-5552-1/2015.
Designations used by companies to distinguish their products are often claimed as trademarks. All brand names
and product names used in this book are trade names, service marks, trademarks or registered trademarks
of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
The contents of this work are intended to further general scientific research, understanding, and discussion only and are not
intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by health
science practitioners for any particular patient. The publisher and the author make no representations or warranties with
respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without
limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications,
changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and
devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each
medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added
warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or
Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author
or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further,
readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work
was written and when it is read. No warranty may be created or extended by any promotional statements for this work.
Neither the publisher nor the author shall be liable for any damages arising herefrom.
Library of Congress Cataloging-in-Publication Data applied for.
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print
may not be available in electronic books.
Set in 10/12pt Sabon by SPi Publisher Services, Pondicherry, India
1 2015
,To Dr. Stephen J. Goldberg who has been my physical, mental, and financial support
through this entire journey. Thank you for all you have given me professionally and
personally. You have allowed me to expand in areas I never dreamed possible.
For that you have my undying gratitude and love.
MEG
Dedicated with unending gratitude to Rachel Malinowitzer who provides a constant
rate infusion of analgesia for all the aches and pains of my life.
NS
,
,Contents
contributors
Preface
ix
xi
Chapter 4
Acknowledgements xiii Physiology of Pain 30
About the Companion Website xv Kristen Cooley
Chapter 1 Chapter 5
Advancing Veterinary Pain Management Analgesic Pharmacology 42
into a New Era 1 Michelle Albino
Patricia R. Zehna
Chapter 2 Chapter 6
Pain Management Careers for Veterinary Locoregional Analgesic Blocking
Technicians and Nurses 8 Techniques 67
Mary Ellen Goldberg, Kristen Hagler, Mary Ellen Goldberg, Nancy Shaffran,
and Janel Holden Kim Spelts, David Liss, Tasha McNerney,
Trish Farry, Samantha Rowland,
and Jennifer L. Dupre
Chapter 3
Pain Recognition in Companion
Species, Horses, and Livestock 15
Chapter 7
Cheryl Irzyk Kata, Samantha Rowland, Surgical Pain Management 93
and Mary Ellen Goldberg Tasha McNerney and Trish Farry
, viiiContents
Chapter 8 Chapter 15
Analgesia for Emergency and Critical Nutritional Considerations for Pain
Care Patients 115 Management in Dogs and Cats 286
Kim Spelts and David Liss Kara M. Burns
Chapter 9 Chapter 16
Chronic Pain Management for the
Physical Rehabilitation and
Companion Animal 125
the Veterinary Technician 295
Christopher L. Norkus
Stephanie Ortel
Chapter 10
Analgesia for Shelter Medicine and
Chapter 17
Trap-Neuter-Return Programs 147 The Veterinary Technician in
Mary Ellen Goldberg Alternative Therapies 309
Stephanie Ortel, Mary Ellen Goldberg,
Lis Conarton, Kari Koudelka,
Chapter 11 and Robin Downing
Analgesia in Equine Practice 157
Samantha Rowland and Jennifer L. Dupre
Chapter 18
Chapter 12 Pain Management for End-of-Life Care
Amir Shanan
331
Analgesia for Livestock and Camelids 185
Mary Ellen Goldberg
Appendices
Chapter 13 Appendix A: Formulary 340
Appendix B: Constant Rate Infusions
Analgesia in Exotic Animals 216
Example Calculations 384
Kate Lafferty, Stephen J. Cital,
Appendix C: Critical Care Case Studies 393
and Mary Ellen Goldberg
Appendix D: Routine Case Protocols 396
Appendix E: Key Signs of Pain According
Chapter 14 to Chapters of Text
Appendix F: Further Reading
399
401
Analgesia for Zoo Animal
and Wildlife Practice 263 Index403
Lindsay Wesselmann, Stephen J. Cital,
and Mary Ellen Goldberg
