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Gail Smith

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  • Gail Smith
    Participant
    00:26 07/02/20

    ~OOO Simon thats awesome! I have that list infront of me and was trying to think of how to remember it
    I assume other toxins can cause it too ?

    For metabolic alkalosis I understand that its either non Chloride responsive or Chloride responsive to include
    Gastric V+, diuretic therapy, refeeding syndrome and administration of Alkali (I assume Bicarb)

    Is it correct that non-responsive means losing Cl- and responsive is gaining Cl-?

    The last list I have is penicillin overdose and hyperaldosteronianism

    Gail Smith
    Participant
    23:50 06/02/20

    im taking pancreatitis back and amending my answer to DKA

    it was my first thought but then i had to think abt it for a bit

    Gail Smith
    Participant
    17:39 06/02/20

    Pancreatitis?

    Gail Smith
    Participant
    17:27 06/02/20

    Thank you Sara :O)
    Where I was we were measuring the bladder diameter accross and down so when I say a bladder is 8cm it means
    8cm by 8cm so i guess one could estimate the volume using these measurements with the formula for volume of a sphere

    Pls see attached

    LiNK: https://ibb.co/6Xs2Kt2

    I guess they developed this tool over years of being able to estimate fullness of bladders

    Gail Smith
    Participant
    15:55 06/02/20

    where do you orderthd portugal blood from?

    Gail Smith
    Participant
    03:55 06/02/20

    AH hah, thanks Simon. I had no doubt about Annette’s analysis but I think I got confused because I have been revising this method using 1) check ph 2) check PCO2 3) check Base Excess 4) Check Amnion Gap

    When I read the question I thought “Wait where is the BE and Amnion Gap?!”

    Thank you so much, everyone for your responses

    Gail

    Gail Smith
    Participant
    22:33 05/02/20

    I think its not what the question is asking. I think they want the acid/base status of this patient but I imagine this dog is possibly hypovolaemic, possibly coupled with dehydarion as well…or it became dehydrated and as this was not corrected it progressed to hypovolaemic

    Gail Smith
    Participant
    22:27 05/02/20

    oh I forgot to add ’tissue perfusion’ because we are not transporting 02 to cell mitrochondria fast enough?

    Gail Smith
    Participant
    22:26 05/02/20

    Ok, this makes sense, thank you for the posts. I assume anaerobic repiration because we are hyperventilating and having to produce ATP without 02 then lactic acide build-up

    In the revision I did they said the Base excess will tell one whether its metabolic or respiratory in nature?

    Gail Smith
    Participant
    15:55 05/02/20

    Well, a few years ago my oriental had a very weird accident and presented with puncture wounds all over his body. He was ataxic and could only walk in circles. Nothing on x-rays. He went onto metacam for two weeks and the ataxia slowly resolved. His foot the absessed and anti-biotics did not resolve it. His tiisue was surgically removed from his hock down and culture down. The targetted anti-boitics helped and it resolved. He was lame continuously and diagnosed with a lateral retinicular ligament rupture. The vet was suspicious of an ACL injury too but the cat is not a good candicate for this surgery as he is a bit daft with recovery. We used cartrophen off-lisense about one year after the injury and it seemed to improve

    Secondly my 19yr old cat is very arthritic. She is CKD and does not react well to opioids so she is on a low dose of gabapentin and we have just started a trial of cartrophen to see if this helps her. I did not find much on this is cats but it seems that vets are using it and I read an article about the use of Adequan in cats but there seems to be no real data on whether these therapies are beneficial. The old lady started her catrophen today. She is having one sc (0.1ml) injection weekly for 4 weeks then one monthly. We will assess any improvement at her next kidney check in April. Will let you know how she gets on

    Gail Smith
    Participant
    20:57 02/02/20

    What about that synthetic blood you can source from Portugal for felines?

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