Small Animal Acute Abdomen and GDV

Question 1

2 good choices for antiemetics in acute abdomen

Answer 1

Odansetron (NK1) and Maropitant (5HT3)

Question 2

What class of meds are best for pain control for acute abdomen? and give 2 examples

Answer 2

Full pure mu opioid receptor agonists best (fentanyl and methadone)

Question 3

Which pain med should you avoid in acute abdomens b/c of side effects

Answer 3

Hydromorphone (Nausea and emesis) also NSAIDS are bad … remember methadone is one of the least nauseating opioids so that’s why we use it!

Question 4

When should you give antibiotics for an acute abdomen and which type?

Answer 4

ASAP (even prioritize over waiting for culture samples) and enrofloxacin or ampicillin

Question 5

2 reasons why we do AFAST in acute abdomens

Answer 5

(1) Look for free fluid (4 sites) and guide collection and (2) check for other pathologies such as intussceptions, masses etc.

Question 6

what three things should you put your abdominal fluid in?

Answer 6

red top for chem, edta for fluid/cytology, transport medium for anaerobic/aerobic culture

Question 7

Which two differentials for acute abdomen would give you a non-septic suppurative peritonitis?

Answer 7

Pancreatitis and bile peritonitis

Question 8

Name a good indicator of prognosis for GDV

Answer 8

> /50% increase in lactate from presentation to after treatment

Question 9

Whats a cardiac fallout of GDV that you want to monitor for

Answer 9

ventricular tachycardia

Question 10

Which radiology view is diagnostic for GDV

Answer 10

R lateral and you’ll also want to get an orthogonal in there

Question 11

What happens to the pylorus during GDV

Answer 11

moves dorsally and to the L

Question 12

Are antibiotics indicated for GDV

Answer 12

rarely

Question 13

Name 3 poor prognostic indicators for GDV

Answer 13

Lactate doesn’t go down, long time from onset to presentation, gastric necrosis or gastrectomy, arrhythmias, need for splenectomy, multi-organ involvement