Management of the critically ill horse Flashcards
what fluid rates do you give hypovolaemic horses
replace 50% of the fluid deficit as a bolus and the remaining 50% over the next 6-8 hours
when should you not use oral fluids
animals that have ileus
the fluid wont be absorbed
it will cause discomfort and pain
for a horse with 5% fluid deficit whats the best route to give fluids
oral- it is cheaper
when should Hartmanns or lactated ringers not be used in hypovolaemia
if the animal is in intrinsic renal failure
horse that have food withheld in combination with resuscitation fluids develop……
Hypokalaemia
Hypomagnesaemia
as these are often in diet of horses
If horse is not eating and has concurrent administration of lactate ringers/ hartmanns what will happen
will develop low K+ and Mg2+
due to them being reliant on it being in diet and fluids have low levels of this
Describe how to treat Hypoproteinaemia in horses with D+
Plasma
OR
commercially available products - more complications
Describe how to treat SIRS and sepsis in horses
antimicrobials
fluid resuscitation
treat inflammation, endotoxemia and any coagulopathies
T/F opiods cause ileus
False-
pain is a cause of ileus
List 4 causes of ileus
pain
abdominal surgery
Drugs
GI/ abdominal disease and inflammation
List the potential treatments for ileus
Prokinetics
Analgesia
Treatment of primary disease
Restoration of perfusion
what is in partial parenteral nutirion
40-50% dextrose +/- amino acids
describe total parenteral nutrition
40-50% dextrose + AA + lipid
Q expensive
describe how we monitor nutrition status in horses
weight physical exam
hydration status
metabolic lab work
blood glucose
total proteins
triglycerides
BUN
electrolytes
T/F Any period without food leads to GI changes in horses
True
want to resume enteral feeding as soon as possible
