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Emergency > Asthma - Cat > Flashcards

Asthma - Cat Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

What age and breed most commonly affected by Asthma?

A

Middle aged

Siamese

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2
Q

Type of breathing in Asthma?

A

DEEP ; EXPIRATORY PUSH

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3
Q

Do asthmatic cats have hx of Vomit?

A

Yes. ~ 15%

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4
Q

Exam in a cat with Asthma might be normal. T/F

A

T

Otherwise expiratory wheeze and push

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5
Q

What type of pattern seen on XRAY in Asthma?

A

Bronchial to BI pattern

TRAMLINES and DOUGHNUTS

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6
Q

Other findings which can be seen in a cat with Asthma on XRAY? Mention main 3

A
  • Collapse of right middle lung lobe (dont mistake with neoplasia)
  • Spontaneous Pneumothorax
  • Caudal rib fractures
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7
Q

Are lungs Hypo or Hyper inflated in asthma in XRAY?

A

HYPER

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8
Q

What will you expect in CBC in a cat with Asthma?

A

Eosinophilia i.e. >1500/uL

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9
Q

What other common tests can be done in a cat with signs similar to asthma who showed bronchial or BI pattern on XRAY?

A
  • HWT to r/o heartworm associated respiratory disease

- Baermann fecal to r/o lung worms

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10
Q

When do we need to give Injectable DEX SP or Dexamethasone to a cat with Asthma?

A

If VERY SEVERELY ILL

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11
Q

_________ class of drug are initial life saving hallmark therapy

A

Glucocorticoids

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12
Q

General Rx TGH for cats with Asthma?

A
  • Glucocorticoids
    +/- Antibiotics
    +/- Bronchodilators
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13
Q

3 Main CORTICOSTEROIDS options for chronic therapy in cats with Asthma?

A

Prednisolone oral
Fluticasone inhaler
Depo-Medrol

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14
Q

Dose of oral prednisolone?

A

1-2 mg/kg BID for 10-14 days → if they start feeling better then either taper over 2-3 months or start fluticasone

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15
Q

If client wants to continue Prednisolone and donot want to start fluticasone then when should we start tapering the dose and should taper it over how long time?

A

~ 10-14 d

Over 2-3 months

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16
Q

Dose of fluticasone?

A

110-220 ug BID

Taper to SID if there is no coughing for 6 months

17
Q

What is the criteria for going with SID dose of fluticasone?

A

No coughing for 6 months

18
Q

Tip to remember DexSP dose as per vet girl

A

Move the decimal for Prednisolone dose

Prednisolone : 1-2 mg/kg BID
DexSP : 0.1-0.2 mg/kg

19
Q

In which cases do author sent home Antibiotics?

A

If SIGNIFICANT lung pattern

20
Q

Name two main antibiotic choices for Asthma if needed?

A

Doxycycline and Azithromycin

21
Q

Options for Bronchodilators in Cats?

A

Terbutaline and theophylline

Albuterol is not indicated for chronic dose

22
Q

When to use Albuterol?

A

For immediate relief
Not indicated for chronic use
Dose is 90 ug PRN
Max effect in 5-20 min

23
Q

Doses of Fluticasone and Albuterol?

A

Fluticasone initial dose is 110-220 ug BID

Albuterol 90 ug PRN

24
Q

Class of albuterol and terbutaline?

A

Beta 2 agonists

25
Q

Adverse affects of Beta 2 Agonists? Main 4 effects

A
  • ↑ HR
  • CNS Stimulation
  • Tremors
  • Hypokalemia
26
Q

Beta- 2 agonists and Furosemide cause ↓ K as a side effect. T/F

A

T

27
Q

Dose of Terbutaline in Cats for chronic use.

A

0.1-0.2 mg/kg PO q8-12 hr

Acute injectable dose is 0.01 mg/kg IV or SQ (i.e. BW/100)

28
Q

Dose of terbutaline for rapid use in hospital and its route.

A

BW/100 i.e. 0.01 mg/kg

IV or SQ

29
Q

Theophylline is preferred for beta 2 agonists for emergency setting. T/F

A

F

Beta 2 agonists are more effective in emergency settings

30
Q

Does author prefer terbutaline or theophylline for asthma cats in majority cases.

A

Terbutaline

31
Q

Terbutaline has to be always used with _____ medication in cases of asthma

A

GLC

As b2 agonists donot have any anti-inflammatory effects in their own

32
Q

When does author use theophylline instead of terbutaline in Cases of asthma?

A
  • non responders to GLC

- GLC contraindicated due to infection of comorbidity (DM,Cushging’s disease)

33
Q

Can you use both terbutaline and theophylline together and if yes then when?

A

Yes

In cases of SEVERE ASTHMA

Emergency (9 decks)

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