scott@vtx-cpd.com
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How did this case get on? Any improvement?
Scott x
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 🙂
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
Thanks Liz.
I knew you would know!
Scott x
Hey.
Do you know who makes the dentasept? I am struggling to fing it. I wanted to check the ingredients.
Scott 🙂
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
THis is quite a new paper looking at risks with foreign body emesis. Generally wuite safe!
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
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 🙂
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
I am sorry you are having trouble posting Gail. I will pop the information you were trying to post below. Thank you so much again for sharing.
Articles advocating use of ranitidine in rabbits:
https://vetboss.co.uk/show10MinuteTopUp.php?type=Exotics&Entity=10MinuteTopUps&ID=41
Non-Obstructive Gastrointestinal Motility Disorders of Rabbits
https://www.vetstream.com/treat/lapis/generics/ranitidine
https://veterinary-practice.com/article/working-together-on-gut-stasis
http://www.tokyovets.com/2017rabbitintestinal1.pdf
https://www.bsavalibrary.com/content/chapter/10.22233/9781910443521.ch17sec4
This is really interesting.
Thank you so much for this Simon.
Scott 🙂
Great to hear!
Scott x
The animal data definitely support twice daily omeprazole.
Omeprazole at 1mg/kg BID is the most effective way to modify gastric acid.
Scott 🙂
Gail.
You make a good point regarding the omeprazole. The data sheet does advise giving this over 30mins. We should be following this as much as possible.
One way around this would be to sue injectable pantoprazole. The effect is the same but does not require the 30 mins.
Hope that helps.
Scott 🙂
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