Bird 4 Flashcards

1
Q

when should we perform blood collection on bird in exam and why?

A

Perform as soon as possible
o Limit stress leukogram
o Limit elevation in some enzymes
o Limit elevation in blood glucose and lactates

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2
Q

what can we do to make blood collection easier? How?

A

Sedation makes it easier
o Midazolam/butorphanol 2/2
mg/kg intranasal
o Reversed with flumazenil 0.05 mg/kg intranasal

> dosages can be species specific

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3
Q

venipuncture sites for avian blood collection

A

o Right jugular vein (much bigger than left) o (Left jugular vein)
o Ulnar vein
o Medial metatarsal vein

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4
Q

best blood collection site for parrots and small birds of prey, and how many people required

A

o Right jugular vein preferred
o One person job

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5
Q

best blood collection site for medium to large birds of prey, and how many people required

A

o Any site
o Two-person job

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6
Q

best blood collection site for anseriformes and galliformes

A

o Medial metatarsal vein easiest

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7
Q

where not to take blood from for strigiformes? why?

A

Strigiformes
o Not medial metatarsal (feathered)

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8
Q

where not to take blood from for columbiformes? why?

A

o Not jugular (no apterium in these species + cervical plexus)

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9
Q

max volume for bird blood collection? what should we be careful of?

A

o 1% of body weight
o Caution in tiny birds, account for hematoma formation, prior and future blood loss (surgery)

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10
Q

required volume for bloodwork, for CBC, biochem, and vetscan

A

o CBC: 0.2-0.4 mL
o Biochemistry: 0.2mL plasma (0.4-0.5 blood)
>Don’t use serum, you’ll lose volume
o Vetscan: 0.1mL whole blood - But decreased panel

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11
Q

materials for blood collection in bird

A

o Smallest needle possible for the volume
harvested
o Needle size: 22-28G
o Syringe size: Insulin – 3cc syringe

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12
Q

technique for blood collection in bird

A

o Small amount of alcohol
o Stay parallel to the vein, bend the needle, keep the head extended
o Stabilize needle on your thumb or index finger
o Suction steadily with medium speed
- Too slow > clotting
- Too quick > vessel collapse
o Hold for clotting
- Longer pressure for ulnar and medial metatarsal vein
- Bandage
o Remove needle prior to tube transfer

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13
Q

blood collection tubes to use for CBC, bichem

A

o CBC > EDTA
o Biochemistry > Heparin
- Spin and separate plasma prior to submission

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14
Q

Do not pre-heparinize syringes in what scenarios for bird blood collection

A

Do not pre-heparinize syringes in small birds or for blood culture

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15
Q

supportive care for birds, main principles

A
  • Fluid therapy
  • Oxygen therapy
  • Thermal support
  • Nutritional support
  • Initial treatment
    o Frequently broad-spectrum antibiotics
    o Analgesics
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16
Q

most sick birds require some form of what type of therapy

A
  • Most sick birds require some forms of fluid therapy
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17
Q

why is fluid therapy more challenging in birds

A

o Small size
- Harder to place catheters
- Tiny volume of IV drugs
- Limitations of infusion equipment
o Readily damage IV materials and bandages
o Monitoring is complicated

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18
Q

important osmoregulation considerations in birds for fluid therapy

A

o Uricotelic
o Post-renal handling of urine
o Salt glands

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19
Q

daily water requirements for birds

A

o Poorly investigated in pet birds
o 50-100 mg/kg/day
o Higher in neonates

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20
Q

rotues of administration for fluid therapy in birds

A

PO
SC
IV
IO

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21
Q

PO fluids: sites, pros cons, fluid type

A

sites: Crop, Proventriculus
pros: Least invasive
cons: GI disease, Neuro disease, Debilitated bird
Fluid type: hypotonic

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22
Q

SC fluids: sites, pros cons, fluid type

A

sites: Inguinal web,
Interscapular, Axillary area
pros: Non invasive, well tolerated
cons: Mild dehydration, Limited volume
Fluid type: Isotonic, Hypotonic

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23
Q

IV fluids: sites, pros cons, fluid type

A

sites: Ulnar vein, Medial metatarsal, Jugular vein
pros: IV access for drugs, Rapid dissemination, More precise dosing
cons: Low tolerance, Bleeding if damage
fluid type: Isotonic, Hypotonic ,Hypertonic, Colloid, Blood

24
Q

IO fluids: sites, pros cons, fluid type

A

sites: Ulna, Tibiotarsus
pros: No bleeding,
Ideal when veins are small
IV access for drugs Rapid dissemination More precise dosing
cons: Low tolerance, Painful
Potential for osteomyelitis Fluid extravasation

fluid types: Isotonic Hypotonic (Hypertonic) (Colloid) Blood

25
colume of SC fluids per site
o About 10 ml/kg/site
26
* IVcatheterplacement
Ulnar vein Medial metatarsal vein
27
* IO catheter placement; type of needle, anesthesia needed?
o 22g 1.5” spinal needles o 26-25g hypodermic needles o Anesthesia not needed o Local analgesia debatable
28
how to check IO catheter placement
Can check placement by tracking a bolus in the ulnar vein
29
where to never place IO catheter
CAREFUL: NOT in pneumatic bones (humerus, femur)
30
first step of fluid therapy plan
o Assess hydration status and signs of hypovolemia (see Lecture 3)
31
3 stages of fluid therapy
o Resuscitation o Rehydration o Maintenance
32
what do we use for resuscitation phase in bird fluid therapy
- Plasmalyte A: 10-15 mL bolus - Hypertonic NaCl 7.5%: 3 mL bolus - Colloids: 5-10 mL bolus - Vasopressors (dopamine, norepinephrine)
33
rehydration considerations fro bird fluid therapy
- 50-100% estimated loss over 24h - Maintenance requirements and anticipated loss - Select fluid type based on blood gases/electrolytes and disease condition
34
mainteneace route for bird fluid therapy, generally
- Typically switch to subcutaneous
35
PCV volume indicated for bird blood transfusion
* PCV<20%
36
How and when to perform bird blood transfusion? volume, type of blood, rate?
* Volume o 1% BW of donor bird o Use multiple birds * Only use homologous blood o Half-life: 1 week o Use a neonatal filter * Rate o Over 1-4h
37
why do oxygen therapy for birds?
o High basal oxygen requirements o Beneficial in any respiratory disease - Higher capacity to absorb oxygen in birds o Pre-oxygenation prior to restraint
37
types of oxygen therapy for birds?
o Flow-by: FiO2 25-45% o Facemaks: FiO2 35-60% o Oxygen cages: FiO2 40-60%
38
why offer thermal support therapy for birds
o High avian body temperature (38-39OC) o Reverse hypothermia o Parrots are tropical species!!! o Decrease energy requirements in fast metabolism species - Temperature regulation > major energy expenditure - Less nutritional support, help control weight loss
39
what is the Thermal neutrality zone for birds and how do we acheive this? when should we be cautious?
o Thermal balance > no energy expenditure for thermogenesis, just basal metabolism o **Typically: 30-35oC** o Incubators or heat bulbs o Cautious with arctic species (snowy owls, gyrfalcons)
40
indications for nutritional support in birds
o Anorexia/dysorexia o Emaciation o Increased metabolic cost of illness o Diseases of beak, head, crop o Nutritional deficiencies o As a vehicle for oral drugs
41
contra-indications for nutritional support in birds?
Contra-indications > Risk of regurgitation / aspiration o Seizures, neurological diseases o Sedation
42
how do energy demands change with illness?
Increased energy associated with various illnesses
43
MER calculation for birds
MEr (kCal) = 2*BMR = 2*K*Wkg^0.75 K=78 for most birds and 128 for passerines
44
Daily energy requirement for strarvation vs sepsis?
o Starvation: 0.7*MER o Sepsis: 1.5*MER
45
Use of handfeeding or critical care powdered formula for birds; energy density?
o Roughly equivalent at **1 kcal/mL**
46
tradeoff of feeding for nutritional support? how do we deal with this, ie. what is our feeding strategy
Trade-off between meeting requirements and repeated gavage-feeding and handling o Divide into **30 mL/kg feeding** (estimated crop volume) o Typically **start with twice a day** in moderately sick birds and go from there o Very difficult to meet requirements of small birds
47
what is crop feeding?how do we do it?
o Nutritional support or PO drug administration o Usually one-person job o Esophagus then to the right (crop) o Check placement o Always the last treatment you administer o Be ready to put the bird back o If regurgitation, put it back immediately
48
methods of nutritional support for raptors
o Tube-feedingto proventriculus (bypass crop or no crop) o Hand-feeding/gavage pieces of food
49
indications for esophagostomy tube in birds for nutritional support
o Indications - Maxillofacial trauma - Diseases of esophagus and crop - Frequent regurgitation when handling - Long duration of nutritional support - Decreased frequency of handling (hooded raptors)
50
methods of oral drug admin for different bird species
o Liquid to parrots and small birds o Can do pills in raptors, chickens, ducks, pigeons
51
should we use water drug admin for birds? when and why?
o Not a great idea o Can not control the dose o Depends on drinking o Degrades over time o Used in passerines (drink a lot) and for chlamydiosis in colonies of cockatiels (doxycycline) o Does not work in budgerigars (do not drink much)
52
when do we use in feed drug admin for pet birds?
o Avian chlamydiosis in budgerigars (Doxycycline)
53
how do we perform intramuscular drug admin for birds? what is an issue we should be aware of?
o In the pectoral muscle (alternate side) o Use smallest needle possible o Can cause local muscle necrosis Especially enrofloxacin, should not be given IM
54
subcutaneous drug admin considerations for birds?
o May add some drugs to subcutaneous fluids o Do not inject undiluted enrofloxacin (skin necrosis)