Equine x2 Flashcards
PE of injured horse
PE,Palpate, sedate, standing, xray, US
clip,chlorhex
clean, debride, suture
AB for 7-10days
contam:
lavage
dissect
debride
honey and water is a good antibacterial
Septic Joint
Diagnosis:
Cytology: WBC >20G/l
TP > 3.5g/DL
X-ray, synovial fluid analysis, swelling
T: Lavage and Debridement
Septic Arthritis
Lavage, Open drain
high amount of Fluids in IV
debridement, CANNOT leave the wound open
intraarticular ab
im antibiotics: pen
IV ab: gent
Regional limb perfusion
tourniquet above and below area to be treated
use biggest vein -ceph/saphenous
Butterfly catheter
approx 60ml in 20-30mins
FOKP
OMEPRAZOLE
FM,
KETOPROFEN
PBZ
Street Nail
Leave nail in
xray - 2 views
remove, trim hoof, clean and disinfect puncture wound
using sterile probe, inject contrast to see if synovial membrane is intact
T: Surgical
Debridement
Bursoscopy
systemic ABs for 2 weeks
Regional iv perfusion several times
wound toilette
use for deep wounds
removal of dead tissue, FB and pus
aim is to make wound suitable for granulation and epithelialisation
use products that are also used in eye such as chlorhex,hydrogen peroxide and povidone iodine
aim is debride and excission
wound dressing
DIPP
Decr. oedema
immobilises
prevents hx
prevents contam
primary layer: over surgical site/wound
sterile, semiocclusive, non adherent, conforming sterile gauze to hold in place
secondary: cotton wool 1-2cm
over primary bandage
hoof-waterproof tape
materials:
meleolin
cotton wool
gauze
vetwrap
elastoplast
exuberant granuation tissue
overgrowth of granulation tissue usually affects lower limbs
T: Chemical cauterisation
Cryosurgery, Resection
Excision:
Standing, Sedated,Prep area, Excise, Pressure warp, Silicone dress, tissue graft sometimes needed
give preop ab but none postop
no need for LA
Acute Corneal Ulcer
Diagnosis: Stain, Ab tests, slit lamp test, Cytology
Treatment:
Sedate, Standing, Clean, Debride
SPL:
AB: Gentamycin every 2-6hours
AM: Fluconazole every 2-4hours
Collagen Inhibitors: every 1-2 hours
1% Atropine: Every 4-6 hours
NSAIDS: flunixin meglumine PO/IV 5-7days
Systemic AM/AB
PE of colic
- Behaviour : BAR
2.Body Surface: sweaty patches
3.Abdominal Shape and Size
4.Abdominal Ausculation: Min 2 areas/side and 1min/side
R+L paralumbar fossa
R+L Lower abdomen behind costal arch - Temp
6.Pr
7.RR
8.MM - CRT
Rectal Exam
Standing ,sedated, spasmolytics:buscopan, restraint in stock/twitch/pick up FL, enema if lot of hard,dry poo
gel lubricant
Nasogastric Intubation
Standing, Sedated, Restrain
lubrication
introduce ventral nasal meatus, flexed head horse must follow tube, swallow reflex, see in jugular groove, create a siphon
ph approx 5
Abdominal Us
Must be quick
FLASH approx 10.7 mins
Fast localised abdominal us of horse
7 windows:
1. Ventral abdomen
2. Renosplenic window
3. Gastric Window
4. R middle third of abd
5. L middle third of abdomen
6. Cranial ventral thorax
7. Duodenal window
Abdominocentesis
When you suspect an abdominal rupture
Standing, sedated, clip and prep ether side of linea alba, needle technique: 18-19G needle ventral abdomen wall and rotate if necessary
should get 1-2mls fluid max
send to Lab:
EDTA: Nucleated cell count, Cytology
Plain: TP, Lactate, Glucose
Should be clear/straw yellow
newspaper test
Proximal enteritis
duodunem and prox jejunum
C: clostridium, fusarium, idiopathic
T:
1. Nasogastric tubing: every 2-4hrs
Aggressive fluid therapy with crystalloids 7%Nacl
Laminitis prevention
parenteral feeding: if anorexia for 2-3d
check BG and Insulin
NSAIDS: Flunixin Meglumine every 8-12hours
AB: Gentamycin, penicillin
Lidocaine given as bolus
Check: Oncotic pressure, TP, Colloids(Plasma,HES)
