Neonatal Development/Care of Puppies, Kittens, and Foals Flashcards
the window of time characterized by various transition periods such as neonatal period, weaning and maturation
Postparturient Period
Pediatric stethoscopes have a ___ bell
2 cm
Normal for neonatal puppies/kittens to have hair on most of their body except ______.
ventral abdomen
Normal neonatal puppies/kittens have ____ + ____ skin on their ventral abdomen.
hairless + dark pink
Bluish skin indicates _______ in neonatal puppies/kittens.
cyanosis
Dark red skin indicates ______ in neonatal puppies/kittens.
sepsis
the bulging of eyes from behind closed eyelids in neonates
Abnormal formation of nose + external ears
Neonatal Ophthalmia
Flattening or malformations in the chest of neonatal puppies/kittens may indicate ______.
Pectus excavatum
chest wall deformity characterized by a concave depression of the sternum
Pectus excavatum
Normal abdomens for puppies are _____ and _____ for kittens. It’s abnormal to see _____, ______, and _____.
Normal abdomens for puppies are MILDLY PUDGY and LEAN for kittens. It’s abnormal to see BLOATING, ABDOMINAL WALL DEFECTS, and PERSISTENT URACHUS.
During a neonatal physical exam, the genitals/anus are checked for _____.
Patency
the reflex in which a puppy or kitten tries to suck or chew on a finger (should be present at birth)
Suckling Reflex
the reflex in which a puppy or kitten will press its head against a bowed hand (should be present at birth)
Pressing Reflex
the reflex in which a puppy or kitten will “roll up” and adduct its hind legs when held by the head (present until age 3-4 days)
Flexor Tone
the reflex in which a puppy or kitten will stretch its back and hind legs when held by the head (present after age 4 days)
Extensor Tone
the reflex in which forcefully rubbing a healthy puppy or kitten in the lumbar region will result in vocalization and great activity
Lumbar Reflex
the reflex in which a puppy or kitten in dorsal recumbency has the toe of a hindlimb pinched and they abduct the opposite hindlimb (present until 3 weeks of age)
Extensor Reflex
the reflex in which a puppy or kitten in dorsal recumbency has their head bent to one side and they stretch their legs on that side while bending the legs on the opposite side (present until 3 weeks of age)
Magnus Reflex
the reflex in which a puppy or kitten held by the thorax has head bent toward one side and those limbs stretch OR head is bent dorsally and front limbs stretch while hindlimbs abduct (present until 3 weeks of age)
Tonic Neck Reflexes
the reflex in which a puppy or kitten is made to stand on one limb, moved horizontally, and the supporting limb will jump to maintain support for the body (already present at age 2-4 days)
Hopping Reflex
the reflex in which a patient urinates or defecates when the associated region is stimulated with a moist cloth or cotton (present until age 3-4 weeks)
Anogenital Reflex
the reflex in which a patient blinks in response to a light tap on the medial or lateral canthus (present as soon as eyes are open)
Palpebral Reflex
the reflex in which a patient retracts the eyeball and blinks in response to touching the cornea (present as soon as eyes are open)
Corneal Reflexes
the reflex in which a patient blinks when a threatening gesture is made toward the eye being evaluated (usually present age 10-14 weeks but can be as early as 2 weeks)
Menace Reflex
When do the testicles descend in kittens vs puppies?
Kittens = born descended
Puppies = 6-8 wks
Puppies and kittens can lift their head by day ____.
3
Puppies/kittens can crawl in a coordinated manner at week _____.
2
Puppies/kittens open their eyes at _____ days.
7-12
Puppies/kittens’ external ear canals open at _____ days.
14-16
Birth weight is doubled by:
_____ days for kittens
_____ days for puppies
7-10 days > kittens
10-12 days > puppies
Puppies/kittens can stand by week _____.
3
_____ and _____ antibodies are absorbed during the first 24 hours for puppies and 16 hours for kittens
IgG and IgA
the measurement used to indicate hydration levels and kidney function
Urine Specific Gravity (aka urine concentration)
Urine specific gravity is _____ before 4 weeks and _____ after 4 weeks
Before = 1.012-1.020
After = > 1.020
In 1 week, draw no more than ____ circulating blood volume in a healthy puppy/kitten and no more than ____ in a sick neonate.
Healthy = no more than 10%
Sick = no more than 5%
Radiography is best for _____ in neonatal puppies/kittens
Thoracic studies
_____ is tolerated better than radiography in neonatal puppy/kitten diagnostics
Ultrasonography
Umbilical remnant is treated with _____.
1% iodine
Deworming puppies begins at _____ weeks old and continues at ____ week intervals.
Begins at 2 weeks
Continues at 2 week intervals
______ is given to puppies to eliminate _____ worms.
Pyrantel pamoate
Round worms
What 5 neonatal illnesses in puppies/kittens need immediate attention?
- Hypothermia
- Dehydration
- Hypoglycemia
- Neonatal Isoerythrolysis
- Malnutrition
temporary lack of movement in the intestines due to lack of peristalsis or obstruction
Ileus
What is the treatment for hypothermia in puppies/kittens? Give 3 methods
- Slowly reheat patient 2ºF per hour
- Admin IV fluids no warmer than 2ºF above body temp
- Oral admin of warmed LRS + 50% dextrose
Why is LRS + 50% dextrose given to hypothermic puppies/kittens?
Supports glycogen stores in liver > helps prevent GI collapse
What occurs if a hypothermic puppy/kitten is rewarmed over 4ºF in 1 hour?
Delayed organ failure > death
Tacky to dry mucous membranes indicates ____% dehydration in neonatal puppies/kittens
5-7%
Dry mucous membranes and decreased skin elasticity indicates ____% dehydration in neonatal puppies/kittens
10%
In neonatal puppies/kittens, fluid requirements are _____ and total volume that can be given is _____.
high / low
A bolus of ___ mL per ____ g of BW is given to dehydrated puppies/kittens over _____ min.
A bolus of [3.3] mL per [100] g of BW is given to dehydrated puppies/kittens over [5-10] min.
The maintenance dose for dehydrated puppies/kittens is ____ mL/kg/hr.
6 mL/kg/hr
_____% of the fluid deficit in dehydrated puppies/kittens is added over ____ hours as a part of the fluid replacement therapy
Add 50% of fluid deficit over 6 hours
Fluid Deficit = ______________
Fluid Deficit = BW [kg] x % dehydration
LRS with ____ of maintenance potassium is used for fluid replacement therapy in puppies/kittens
LRS with 20 mmol/L of maintenance potassium
______ is the most common cause of seizures in neonatal puppies/kittens
Hypoglycemia
Hypoglycemic serum glucose levels:
Canines =
Felines =
Canines = <30 mg/dL
Felines = <50 mg/dL
Hypoglycemia in puppies/kittens is treated by slowly infusing _____ via IV or IO at _____ g/kg
infusing 5-10% dextrose in normal saline at 0.5-1 g/kg
an acute, severe hemolytic anemia as a result of maternal antibodies causing an incompatibility reaction
Neonatal Isoerythrolysis (NI)
the destruction of RBCs (noun and adjective)
Hemolysis (n) / Hemolytic (adj)
a condition in which RBCs are destroyed faster than the body can replace them and results in a low RBC count
Hemolytic Anemia
a condition in which RBCs are destroyed faster than the body can replace them and results in increased levels of bilirubin in the bloodstream
Hemolytic Icterus
Neonatal isoerythrolysis occurs in type ___ kittens born to type ____ queens.
Type A kittens > Type B queens
Give 3 ways NI treated in kittens
- Remove at risk kittens from queen during first day of life only
- Foster-nurse by Type A queen
- Hand-feed kitten milk replacer
a condition of neonates that may appear normal at birth but gradually fade and die within two weeks of life
Fading Puppy/Kitten Syndrome
List some causes of fading puppy/kitten syndrome
- Insufficient care + feeding from mother
- Congenital defects
- Infectious diseases
- Parasites
- Malnutrition
A critical neonate is characterized by what 5 things?
- Anorexia
- Lethargy
- Emaciation
- Birth defects
- Death
term for present at birth
Congenital
Give some things to consider when administering medication to pediatric patients (puppies/kittens)
- Higher total body water (up to 82% of body weight)
- Less fat
- Less muscle mass
- Muscle not well vascularized
- Lower plasma protein concentration
- Higher gastric pH
- Weaker/slower GI peristalsis
- Lower intestinal blood flow
- Better intestinal absorption of proteins
- Intestinal flora not fully developed
- Blood-brain barrier not fully developed
- Liver - some enzymes need up to 4 months to develop
- Kidney - glomerular filtration developed by 3-4 weeks, tubular secretion developed by 6 months
The neonatal period for
puppies _____
kittens _____
foals _____
Puppies = first 4 weeks of life
Kittens = first 4 weeks of life
Foals = birth to 1 month
foals just before and just after birth
Perinatal
The normal equine gestational period is approx. ____ days, but can range between ____ and ____ days.
Normal > ~ 320 days
Range > 320-400 days
High risk mares are mares at risk or suspected to have _____
placentitis
What are 3 clinical signs of placentitis in mares?
- Vaginal discharge
- Premature udder development
- Premature lactation
How many stages of equine labor are there?
3
How long does each stage of equine labor take?
Stage 1 = 1-4 hours
Stage 2 = 30 min
Stage 3 = 3-4 hours
How can you tell if foaling will occur within 30 minutes?
Sweat on the mare’s shoulders
The equine placenta is considered retained if it is not delivered in ____ hours.
6 hours
a condition characterized by low blood oxygen levels
Hypoxemia
a condition characterized by too much carbon dioxide in the blood
Hypercapnia
Neonatal foals should be standing within _____.
1-2 hours
List some preparturition physical changes that occur in mares
- Increased udder enlargement
- Pelvic ligament relaxation over tail head
- Vulvar softening and elongation
- Prefoaling secretions (wax aka dried milk) accumulate on teats
- Increased calcium in the colostrum
when a foal does not ingest an adequate amount of colostrum within the first 12-24 hours of life or if the colostrum is of poor quality
Failure of Passive Transfer (FPT)
How is FPT treated before and after 24 hours?
Before = NG tube with donor colostrum
After = IV admin of donor plasma
Neonatal foal IgG levels and FPT:
_____________ indicates adequate transfer
_____________ indicates FPT
800 mg/dL or greater = adequate transfer
200 mg/dL or less = FPT
foals that are delivered at full-term gestational age but present with similar characteristics of premature foals
Dysmature Foals
foals that are carried for an extended period past full term and become increasingly abnormal the longer they are in utero
Postterm Foals
a condition which results in abnormal behavior, poor nursing ability, and weakness and is associated with other problems, such as sepsis, neonatal gastroenteropathy, and neonatal nephropathy
Neonatal Encephalopathy
- aka Neonatal Maladjustment Syndrome (NMS)
- aka “Dummy Foal”
a condition characterized by abnormal GI tract motility and absorption leading to intolerance of enteral nutrition, such as reflux after feeding
Neonatal Gastroenteropathy
a condition characterized by renal insufficiency that may resolve or may be too severe for recovery
Neonatal Nephropathy
an acute, severe bacterial infection causing multiorgan dysfunction, including poor perfusion of the limbs, cardiovascular collapse, and metabolic derangements (such as profound hypoglycemia)
Sepsis/Septic Shock
when the meconium is impacted in the colon and the foal will display abdominal discomfort such as tail flagging and rolling
Meconium Retention
development of acute diarrhea, often caused by an infectious organism (i.e. rotavirus, Salmonella spp., or Clostridium spp.) and requires immediate treatment in an isolated stall
Colitis
a condition characterized by an foal’s urachus not being closed and leaking urine
Patent Urachus
development of an infected joint or growth plate
Septic Arthritis/Septic Physitis