Xylitol-dog-VG

Question 1

Xylitol is not toxic to cats. T/F

Answer 1

T

Only Dogs

Question 2

2 main effects of Xylitol to body?

Answer 2

• ↓ glucose

- Liver necrosis

Question 3

Average dose of xylitol in gums?

Answer 3

Very variable

2mg-1000 mg/piece of gum is average

Question 4

How much dose will cause hypoglycemia?

Answer 4

> 100 mg/kg

0.1 g/kg

Question 5

How much dose will cause liver necrosis?

Answer 5

> 500 mg/kg

Question 6

TOA of CS, especially:

• ↓ glucose
• liver necrosis

Answer 6

• ↑ glucose in <1 hr

- liver injury DAYS LATER !!!

Question 7

Main signs of hypoglycemia are weakness, collapse, vomit ,ataxia. T/F

Answer 7

T

Question 8

Signs of liver failure are seen in few hours in xylitol toxicity. T/F

Answer 8

F

Seen DAYS LATER !!!!!

Question 9

Gums have 2 mg-1000 mg/piece, tell how much in following gums:

• orbit
• trident
• mentos
• orbit soft
• ice breaker

Answer 9

• orbit: 2 mg
• trident : 150 mg
• mentos: 720 mg
• orbit soft: 1300 mg
• ice breaker: 1200 mg

Question 10

Thumbrule to memorise the mg in a gum?

Answer 10

• 1st ingredient ~ 1000 mg
• 3rd to 5th ingredient ~ 150-750 mg
• 9th to 12th ingredient ~ 2 mg

Question 11

Rx of Xylitol toxicity is similar to ______ overdose in dogs

Answer 11

INSULIN

Question 12

Rx of insulin overdose and xylitol toxicity is similar . T/F

Answer 12

T

Question 13

General Rx points for Xylitol toxicity?

Answer 13

• Rx similar to insulin overdose
• Emesis if asymptomatic
• Activated charcoal is not effective
  -Symptomatic : → Dextrose bolus & CRI
  +/- liver protects

Question 14

Why we use liver protectants in xylitol toxicity?

Answer 14

As Xylitol damages liver

Question 15

When to check Coag panel in Xylitol toxicity?

Answer 15

If ALT getting into several thousands

**plasma transfusion might be needed in that case