Management of the Post-Operative Colic Flashcards
what NSAIDs can we prescribe to horses?
banamine
phenylbutazone
ketoprofen
what are the effects of banamine?
analgesic
anti-inflammatory
anti-endotoxic
good for visceral pain
what are the side effects of NSAIDs?
gastric ulceration
nephrotoxicity
delayed mucosal healing
what is dimethyl sulfoxide?
free radical scavenger
may help reduce bowel edema and adhesion formation
what are the complications of antibiotics?
diarrhea
toxic effects
bacterial resistance
which horses require special considerations with dietary management after a colic?
neonates
obese ponies
pregnant mares
what are the differentials for fever?
incisional infection
catheter site infection
peritonitis
colitis/salmonella
pneumonia
what are the clinical signs with an incisional infection?
incisional drainage
fever
sensitivity to palpation
dehiscence
what are maintenance fluids for adult horses?
60 ml/kg/day
what is ileus?
lack of small intestinal motility
when do adhesions often manifest?
10-14 days post-operatively usually
do not always manifest
how does heparin help with adhesions?
enhance activity of AT III (blocks prothrombin to thrombin and fibrinogen to fibrin)
fibrinolytic activity
what are the clinical signs of endotoxemia?
fever
injected mucous membranes
increased PCV with decreased TS
digital pulses
increased heart rate
decreased intestinal motility
how can you diagnose septic peritonitis?
cytology
culture
what are the side effects of NSAIDs?
gastric ulceration
nephrotoxicity
delayed mucosal healing
what are the effects of butorphanol?
potent analgesic
not anti-inflammatory
decreases GI motility
how long should antibiotics be prescribed?
minumum 3 days
how long should simple colics be kept off food?
12-24 hours
no water 6-12 hours
how long should complicated colics be kept off water and food?
water 24-48 hours
food 48 hours
what is maintenance for foals?
90 ml/kg/day
how can you monitor patients on intravenous fluids?
heart rate/CRT
PCV/TS
nova/chemistry
what are some fluid supplements?
KCl
Mg and Ca
glucose
what are the differentials for ileus?
primary small intestinal lesion
complications with anastomosis
what is the most commonly used drug for ileus?
lidocaine
