Management of equine diarrhoea Flashcards
List 4 aims of diagnostic investigation of diarrhoea
Determine likely cause of D++
Determine need for supportive therapy
Determine need for specific therapy
Determine risk to in-contact horses and personnel
How much fluid can a 500kg horse with profuse diarrhoea lose in a day
100L/day of fluid through its GIT making its fluid requirement 125L/day
Describe how to give Fluid Replacement and Electrolytes in mild to moderate D+
may maintain with voluntary drinking
+/- NGT
Describe how to give Fluid Replacement and Electrolytes in moderate to severe D+
IVFT (Hartmanns)
what happens to oncotic pressure in horses with diarrhoea
decrease- due to loss of albumin through the GIT
this increases the risk of them developing oedema
What is the NSAID of choice in horses
flunixin meglumine
When would you use antimicrobials in cases of D+ in young and adult horses
if neutropaenic or signs of sepsis
which antimicrobials would you use in D+ in young adults and adult horses
Try and restrict use
but if going to use penicillin IM and gentamicin IV
List 2 specific therapies to use when treating right dorsal colitis
Misoprostal
Psyllium
List 2 specific therapies to use when treating Cysthostomiasis
anthelmintics: moxidectin
Pre-treatment with steroids - To try and combat the inflammation that is going to be produced when you kill the encysted larvae
List a specific therapy to use when treating sand enteropathy
Psyllium
what is the antibiotic of choice when treating Lawsonia intracellularis
Doxycycline (antibiotic)- due to it being an intracellular organism- for many weeks
How can flunixin be helpful when treating sepsis
May help to block parts of the sepsis cascade
When does cryotherapy do
cooling the feet
critical
Reduces incidence of laminitis in horses diagnosed with colitis
Describe how to treat Mild D+ and Normovolaemic
diet- simple grass diet- avoid grains
+/- biosponge
close monitoring
