Neonatal Care Flashcards

1
Q

How much colostrum should be consumed within 12 hrs?

A

10% of foal bw

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2
Q

What is adequate passive transfer?

A

12-24hr: >800 IgG is adequate PT

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3
Q

What are the portals of entry for causing neonatal sepsis?

A

Gut, lungs, umbilicus

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4
Q

How often should foal be nursing?

A

More than 7x/day

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5
Q

What are the typical jts for orthopedic infection to occur?

A

MC/MT, tibiotarsal, or femorotibial

“Knee, fetlock, hock”

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6
Q

What is the most common cause of colic in foals? How can we tx?

A

Meconium Impaction;

Treat = sedate, Buscopan, NSAIDs, Acetylcysteine retention enema, endoscope

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7
Q

What do we use to tx contractual deformity in foals?

A

Oxytetracycline diluted with saline NOT LRS, splint, +/- surgery

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8
Q

Hypoxic-Ischemic Encephalopathy/Dummy Foals/Neonatal Maladjustment Syndrome, what are the two causes known?

A

Hypoxic insult during birth OR persistent fetal sleep (Use Madigan squeeze or drug to lessen progesterone synthesis like Dutasteride)

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9
Q

What drugs do we use to tx HIE aka dummy foal aka neonatal maladjustment Syndrome?

A

DMSO, fluids, NSAIDs, GastroGard
Thiamine
MgSO4
Naloxone

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10
Q

Random note- abdominocentesis to know for finallll—>

A

Done right of midline caudal pectoralis muscles– sterile prep– Lidocaine block done SQ and IM– #15 scalpel blade stab incision– bitch catheter– fluid into 2 purple tops and 1 red top tube

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11
Q

After __ hrs the window of colostrum absorption closes

A

12 hours

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12
Q

Well foal exam 12-24 hrs of age-what to expect:

A

May have PDA murmur (should close within 3 days), pass meconium, umbilicus small and dried, >800mg/dL IgG (adequate passive transfer)

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13
Q

what do we do if IgG is too low???

A

Low IgG does not mean that the foal will become septic but it may but do plasma transfusion if under 400mg/dL

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14
Q

Where does infectious osteoarthritis usually occur in foals? How do we diagnose it?

A

usually joints or growth plates; do arthrocentesis (will see elevated protein conc. and low viscosity of synovial fluids), rads

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15
Q

Tx for infectious osteoarthritis:

A

empiric abx, intra articular abx, regional limb perfusion

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16
Q

Prognosis for infectious osteoarthritis?

A

Bony changes decrease prognosis along with inf. of many jts, unable to see cartilage, and lameness persists

17
Q

What is the tx for contractural deformities

A

oxytetracycline, splints, corrective sx

prognosis varies by severity and locations, can be severe enough to cause need for euth. esp. if in the carpus

18
Q

How long does it take to see ortho infections on rads?

A

10-14 days to see changes on rads

19
Q

Congenital hypothyroidism usually occurs in premature foals with ___ _____ _____

A

cuboidal bone hypoplasia

20
Q

Premature placental separation can cause what illness in foals?

A

Hypoxic insult causing dummy foal

21
Q

What neurotransmitters are responsible for persistent fetal sleep????

A

inhibitory endocrine neurotransmitters (Progesterone’s such as Pregnenolone/Prostaglandin D2/Placental neuroinhibitory peptide/Adenosine)

22
Q

What is foal heat caused by?

A

changes in foal’s enteric flora

tx symptomatically, self limiting

23
Q

Rotavirus occurs in foals from __ days to __ months of age. CS are caused by _____

A

2 days to 6 months; dehydration

24
Q

How is foal diarrhea different from adult diarrhea?

A

Foal- originates from the SI

Adults- originates from the LI

25
rotavirus is shed by foals on average of ___ days after resolution of CS and can shed up to ___ ____
3 days; 12 days
26
What other known factors affect the GI tract of a foal with diarrhea caused from rotavirus?
Affects villi of intestinal lining, decreases digestibility, undigested milk sugars hold water and contribute to diarrhea blunted vili so decreased surface area and increased secretion with decreased absorption
27
How can we diagnose rotavirus?
PCR
28
why does diarrhea occur with rotavirus?
decreased SA Decreased absorption or secretion of water undigested nuts are fermented by bacteria increased int. motility loss of digested enzymes
29
When should preg mares be vax to protect the foal from rotavirus?
Preg mares should be vax at 8,9 and 10 months of gestation but foals may still get rotavirus
30
Unlike Clostridium perfringens A, type ___ is NOT normal flora
Type C
31
What is the tx for meconium aspiration?
Intranasal O2, glycopyrrolate, prednisolone sodium succinate, NSAIDs, abx, IV fluids
32
What e'lyte changes do we see with uroperitoneum???
Hyperkalemia, hypochloremia, hyponatremia
33
What abx are eliminated in the urine and can be used for patent urachus foals?
TMS (sulfas), beta lactams, tetracyclines
34
How can we sx correct uroperitoneum from patent urachus?
Remove apex of bladder and umbilical remnants and suture the umbilical rent, prognosis is good
35
What bacteria is NOT a cause of diarrhea in foals?
E. coli
36
Perfrengens are type __ and ___ that cause diarrhea in foals
Types A and C
37
What components can cause diarrhea in foals?
``` Rotavirus A- VIRAL Perf. type A and C Salmonella Clostridium Difficle (C. diff) Cryptosporidium parvum- PROTOZOAL ```