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scott@vtx-cpd.com

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  • scott@vtx-cpd.com
    Keymaster
    10:24 01/07/20

    I think it is about choosing the right cases. I definitely think they have a place in cases where animals have a diagnosis and are already being appropriately treated. I can understand his concerns as there will be cases where it just becomes a way of making them eat.

    The drug I was talking about above is definitely worth looking in to:

    Entyce

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:14 01/07/20

    Indeed. I think it is good to have the option.

    Especially in cases that are hospitalised and need more than maropitant. I think it highlights the really good point regarding stopping vomiting and tacking nausea. They are different and need to be tackled differently.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:09 01/07/20

    Hey.

    Thanks for this. Interesting comments. Does anyone every administer sorbitol in these cases? I have never given it as a separate thing. Is there an animal safe preparation of sorbitol?

    I have always found activated charcoal difficult to calculate the dose and administer (especially the powder). There is a new suspension that does seem easier to administer:

    Carbomate

    Does anyone have experience of using this?

    Scott x

    scott@vtx-cpd.com
    Keymaster
    09:26 30/06/20

    Intracellular bacteria and neutrophils indeed! Thanks for the comments about the glucose and lactate too!

    The dog has a BBQ skewer through its stomach wall!

    Scott x

    scott@vtx-cpd.com
    Keymaster
    19:03 29/06/20

    I am so pleased she is still with us.

    I definitely think the tylosin would be worth a shot!

    Scott x

    scott@vtx-cpd.com
    Keymaster
    14:45 27/06/20

    How did this case get on? Any improvement?

    Scott x

    scott@vtx-cpd.com
    Keymaster
    14:33 27/06/20

    Hey.

    I really think there would be. Appetite stimulants are always tricky from the point of view of knowing when to use them. On the other hand, nutrition is so important for healing generally.

    I think it may be the little kick start those DKA and pancreatitis cases need!

    I would definitely have a bottle in stock.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:32 24/06/20

    Hello.

    It does seem to be amazing stuff. The most useful time seems to be in the early inflammatory period to kill bacterial contaminants. It seems that if a would is ‘too wet’ or it has started granulating it becomes less useful.

    The following is a free article regarding the use of Italian Honey in veterinary medicine:

    https://pubmed.ncbi.nlm.nih.gov/27504886/

    Hope that helps.

    Scott x

    scott@vtx-cpd.com
    Keymaster
    11:00 21/06/20

    Here is the link to the paper:

    https://pubmed.ncbi.nlm.nih.gov/32255828/

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    18:41 02/06/20

    Thanks Liz.

    I knew you would know!

    Scott x

    scott@vtx-cpd.com
    Keymaster
    10:46 24/05/20

    Hey.

    Do you know who makes the dentasept? I am struggling to fing it. I wanted to check the ingredients.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    09:51 16/05/20

    Overall, I don’t think there would be a strong contraindication regarding making these patients sick.

    I have been asking round in the office too! Most people agree that if there is not a partial torsion, vomiting should be safe. There is always the risk of aspiration too.

    Most of these cases I have managed with analgesia, fluids and time.

    Hope that helps.

    Scott x

    scott@vtx-cpd.com
    Keymaster
    09:49 15/05/20

    THis is quite a new paper looking at risks with foreign body emesis. Generally wuite safe!

    https://pubmed.ncbi.nlm.nih.gov/32077200/?from_term=apomorphine+dogs+complications&from_sort=date&from_pos=1

    I cant find anything specific. I also can’t find any reports of gastric rupture with apomorphine. Does anyone know of any reports of this?

    Scott

    scott@vtx-cpd.com
    Keymaster
    07:45 15/05/20

    This is a really interesting question!

    Did you make this patient sick?

    I think another consideration would be the position of the stomach. If there was any sort of partial torsion, I would obviously be more concerned about emesis.

    Let me have a look at the literature too.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    19:13 08/05/20

    This is a really interesting question.

    I definitely ‘grew up’ being told that bicarbonate therapy was a last resort. I try to think about this in the context of some of the more common cases that we see:

    In diabetic ketoacidosis (DKA). The metabolic acidosis of DKA typically resolves with fluid therapy and insulin alone. Sodium bicarbonate, is no longer recommended. The American Diabetes Association does list it as a treatment option for patients with a pH < 7.0 1 hour after onset of fluid therapy, without prospective randomized studies to demonstrate efficacy. Bicarbonate drives K into cells, potentially worsening hypokalaemia; shifts the oxyhaemoglobin curve to the left, decreasing oxygen release at the tissue level; and can contribute to paradoxical CNS acidosis, fluid overload, lactic acidosis, persistent ketosis and cerebral oedema. Regardless of the condition, it would be rare to reach for the bicarbonate without other therapies (fluids) starting first. The only clinical situation where I have used bicarbonate was in a rare case of distal renal tubular acidosis (secondary to IMHA). These cases have significant bicarbonate wastage due to their tubular disorder. I have also been bicarbonate used in cases of CPR when bloods have been taken during the CPR and a severe acidosis is determined. Overall, not something I can think of many indications for. Any other thoughts? Scott

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