Canine Questions Flashcards
What breed to most predisposed to GDV?
Great danes
What are the clinical signs of GDV?
Non-productive retching/vomiting, abdominal distention, restlessness/nervous pacing/painful, increased RR, shock signs (tachycardia, weak pulses, pale MM, prolonged CRT)
What ECG arrhythmia is most likely common before and especially after GDV surgery?
VPCs
What will you see on the blood gas of a patient with GDV?
Metabolic acidosis +/- respiratory compensation
What is the preferred radiographic view to diagnose a GDV?
Right lateral abdominal
What is the first step in treating GDV?
Stabilize patient (place catheter, shock dose of crystalloid fluids)
What are the steps in treating GDV?
Stabilize the patient, decompress the stomach, monitor BP and ECG, check lactate levels
What are two ways you can decompress the stomach with GDVs?
Orogastric tube or trocarization
Lactate levels greater than ___mmol/L may predict gastric necrosis
6 mmol/L
What is the goal of GDV surgery?
Fully decompress and reposition the stomach
What do you classically see as you enter the abdomen of a GDV patient?
A drape of omentum covering the stomach
What is the prognosis of GDV surgery with post-op care?
75-85%
What are some negative prognostic indicators from GDV surgery?
- Lactate > 6 mmol/L
- Need for gastric resection and splenectomy
- Long onset of signs to time of presentation (5 or 6 hours)
- Recumbency at presentation
What should also be performed during a GDV surgery?
Prophylactic gastropexy
