Felis ISSN 2398-2950

Kirby's Rule of Twenty

Contributor(s): Elisa Mazzaferro, Duana Mcbride

Introduction

  • Checklist developed by Dr. Rebecca Kirby, one of the founding members of the American College of Veterinary Emergency and Critical Care, and founding member of the Veterinary Institute of Trauma, Emergency, and Critical Care.
  • Checklist involves monitoring multiple organ systems in the most critically ill patients.
  • Aids in the integration of disease processes, and possible interactions of drugs associated with therapy.

Mortality

  • Mortality in patients who need Rule of Twenty monitoring is high, depending on the primary disease state and response to aggressive therapy.

Pathogenesis

Etiology

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Checklist

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Record charts

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Further Reading

Publications

Refereed papers

  • Recent references from VetMed Resource and PubMed.
  • Purvis D & Kirby R (1994) Systemic Inflammatory Response Syndrome and Septic ShockVet Clin North Am Small Anim Pract 24(6), 1225-1247 PubMed.

Other sources of information

  • Kirby R (1995) Septic Shock. In: Kirk's Veterinary Therapy XII Small Animal Practice. Bonagura JD & RW Kirk, editors, WB Saunders, Philadelphia, pp 139-146.


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