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Raquel M.

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  • Raquel M.
    Participant
    16:03 25/02/25

    Replying to Felipe M. 25/02/2025 - 15:27

    Thank you to both of you! That’s very helpful information and guidelines to follow. The clinic I worked at used to stock the paracetemol IV solution but this one currently doesn’t but in case I have it to hand in again then this is great information.

    My current colleague mentioned that she felt dogs on chronic paracetamol use are predisposed to splenic tumors but I haven’t heard of this or seen evidence for this before. Do you either of you have any opinions on this?

    Raquel M.
    Participant
    16:55 24/02/25

    Thanks for sharing this Scott! I love having evidence based guidelines to refer to when making recommendations for commonly seen cases. To answer your questions-

    Have you observed prazosin reducing UO recurrence in your cases? I have used it and seen it used post-UO unblocking when discharging animals home to the owner. I can’t honestly say if it’s helped or not in some cases or other factors played a role.
    Do you still include prazosin in your post-obstruction treatment protocols? Not routinely. I would use in cases where there a history of recurrent UOs if I really felt like all other interventions were working. Or in higher risk situations, say if the owner was at the point of rehoming or euthanasia if the UO recurred again.
    Have you encountered issues with rebound spasm after stopping prazosin? I haven’t. It was more recently in my career that I learn from this platform that weaning cats off of the medication is recommended. I never used it very often however so that may have been why I never witnessed rebound spasm after stopping the prazosin.
    What alternative medical or environmental approaches do you use to manage urethral spasm? I like to follow the OHIO Indoor Cat initiative guidelines. I’ve used Purina Hydracare supplements to help with hydration and decrease USG. I’ve used gabapentin as an anti-anxiety as well and buprenorphine, cerenia as visceral pain relief. I do find them challenging cases if the owner is not on board with making environmental changes and trying out different changes to see what might work

    Raquel M.
    Participant
    16:45 24/02/25

    Thank you for posting this. The responses from Dr. Scott and Felipe have been super helpful.

    The dose in the Plumb’s formulary used in USA for paracetemol is 10-15mg/kg every 8-12 hours and that’s most commonly used on island. We do have vets from the UK who does higher to the Pardale V dose which is 33mg/kg bid-tid.

    For otherwise healthy animals, would the 10-15mg/kg as a starting dose be ineffective?

    Kind regards,
    Raquel

    Raquel M.
    Participant
    16:21 24/02/25

    Replying to scott@vtx-cpd.com 22/02/2025 - 00:32

    Thanks very much for your thorough reply. I really appreciate it!

    Raquel M.
    Participant
    15:29 04/02/25

    Replying to scott@vtx-cpd.com 16/10/2024 - 12:57

    Hi everyone,

    Oh those are great ideas Scott! I love email. I find it easier for me to explain things and clients have a record of it and I do as well. It gives clients a chance to take the information all and then get back to me with questions or concerns. I like email along with in person conversations. We use text as well at the clinic I’m at. Phone calls are fine as well but I think it helps keeping the phonelines free for concerns that can’t be dealt with in other ways.

    I’m not sure if all clients like it. I give the option that they can call or arrange to see me in person if they would like to.

    Raquel M.
    Participant
    17:54 17/01/25

    And yes I would really appreciate if you could draft a protocol and provide materials for the clinic for uncomplicated diarrhea : ) It would really help to encourage change. Thanks so so much!

    Raquel M.
    Participant
    16:33 17/01/25

    Replying to scott@vtx-cpd.com 17/01/2025 - 14:37

    I also read that Hills I/D Digestive food is labeled for growth as well? Unfortunately, my clinic only stocks the Hills I/D low fat but the other clinics on island seem to stock the Hills ID Digestive/Sensitive food more readily than the Purina HA. Would that be another good option also if it’s easier to source?

    Raquel M.
    Participant
    16:29 17/01/25

    Replying to scott@vtx-cpd.com 17/01/2025 - 14:37

    Thank you, that’s great advice as usual! I’ll relay that to the owner and thank you for offering advice on the discussion on reducing the use of metronidazole!

    I’ll keep you informed

    Raquel M.
    Participant
    12:37 17/01/25

    Replying to scott@vtx-cpd.com 14/01/2025 - 12:47

    Good news, LLoyd’s owner said his stool was normal when I checked in earlier this week to discuss further recommendations with her. He is currently on his initial diet that the O had been using prior to the start of the diarrhea. It is a Grain Free diet by Taste of the Wild Brand.

    When would be best to transition him to a more nutritionally balanced diet to aid him with gaining back a better BCS and weight and avoiding any negative effects of a grain free diet? How long of a transition would be best?

    Thanks as always,
    Raquel

    Raquel M.
    Participant
    12:52 14/01/25

    Replying to scott@vtx-cpd.com 14/01/2025 - 12:47

    Thanks again and yes I will keep you up to date! I’m also trying to find ways to introduce the idea of not using metronidazole as the first option in acute cases of uncomplicated diarrhea in the clinic. That’s the standard for most vets on island. Do you have any thoughts on how best it is to bring that up to my colleagues? I’ve newly joined the clinic so I’m trying to be careful with how I approach it.

    Raquel M.
    Participant
    11:04 14/01/25

    Replying to scott@vtx-cpd.com 12/01/2025 - 01:01

    That’s great! Thanks so much as always and yes we do have Purina HA available on island ! And yes that all makes complete sense. I’ll repeat the panacur and speak to her about the other options.

    I had the owner using the Purina score chart but I’ll need to follow up with compliance as I’ve been off for a bit on holiday 🙂

    Raquel M.
    Participant
    01:41 08/06/24

    Replying to scott@vtx-cpd.com 08/06/2024 - 01:36

    Thank you!

    Raquel M.
    Participant
    15:32 05/06/24

    Replying to scott@vtx-cpd.com 24/05/2024 - 18:39

    Thank you so much! Also, how often would you recommend for the refractometer to be calibrated?

    Raquel M.
    Participant
    16:44 01/06/24

    Replying to scott@vtx-cpd.com 01/06/2024 - 14:25

    Thanks again! That was super helpful. I love how friendly and open you are to answering questions and providing information. This platform is great 🙂

    Raquel M.
    Participant
    15:34 25/05/24

    Replying to scott@vtx-cpd.com 24/05/2024 - 18:34

    Hi Scott,

    Thanks very ouch as always! That is great information.

    I’ve heard of urine dipstick strips that use the pattern of the color change for the Blood parameter to determine RBC vs hemoglobin or myoglobin so I was curious to know your thoughts on it.

    Thanks again!

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