CAL: Spontaneous Haemabdomen Flashcards
1
Q
shock dose fluids
A
60=90ml/kg/hr (fraction of this eg 20-30ml over 20mins)
2
Q
What BP are you aiming for with shock tx?
A
MAP of 70 mmHg
3
Q
If a benign lesion on the spleen is removed with splenectomy, what is the px?
A
Curative - very good! But hard to tell apart from mlalignant
4
Q
What is the most common cause of non-traumatic acute haemabdomen in dogs?
A
Haemangiosarcoma
5
Q
Px for HS spleen?
A
splenectomy will be palliative to stop the bleed
- 3-12weeks surivial
- +chemo 6mo
6
Q
Do dogs and cats need to be blood typed before transfusion?
A
- Dogs can have first one but must be typed after that
- Cats too risky, always type before transfusion
7
Q
What syndrome is commonly seen with splenic HS?
A
DIC so do coag tests!
8
Q
rISKS OF SPLENECTOMY?
A
> gastritis/pancreatitis - compromised blood supply > anaesthesia > infection > haemorrhage - losoe ligatures - DIC > cardiac arrhythmias - esp. common with splenic masses - can tx with antidysrhythmics but only if BP/HR causing significant problem
9
Q
What chemo agent is particularly good for HS?
A
Doxorubicin containing protocols (beware cardiac effects)
