German Shephard
Sunday, July 9, 2017
Monday, August 29, 2011
health problems
Clinical signs:
· Weak femoral pulses
· Tachycardia
· Tympanic and distended abdomen(sounds hollow
when you tap it)
· Signs of shock
· Pale and muddy mucous membranes
· possibility of enlarged spleen and cyanosis
Initial treatment provided:
If the patient coming into the clinic still shows signs of GDV,
then the following procedures are followed:
1. Oxygen must be administered
2. Place a large bore of about (16g-18g) of IV of the fore
limbs. this is provided on for the fore limbs instead of the hind limbs as GDV
results in decreased venous return in the caudal vena cava.
3. Then take blood sample or conducting tests. Preferably the
blood samples are taken prior to fluid administration, as this might cause some
changes in test readings of the blood, however if less staff are available, the
blood samples can be taken after fluid administration as it is of higher
importance
4. Crystalloid fluids at 45mL/Kg of the 0.9% bolus is
administered. this is only half the amount of bolus administered. Colloids at
5-10ml/kg is also administered with this. (however if crystalloids are
administered alone then the bolus can be increased by about 40-60% over what
was needed when it was combined with colloids)
5. If lab work can be done, then a CBC (TPP/PCV if CBC is
not available), biochem, electrolyte and lactate must be tested. moreover, a
coagulation profile must also be done in case of DIC.
Lactate levels greater that 6mmol/L shows signs of gastric
necrosis and can be a worse diagnosis for the patient.
6. Reassess MM, CRT, RR, pulses, HR and BP. administer another
bolus if necessary.
7. Radiographs must be taken in order to confirm GDV
8.Then deflate/ remove the gaseous build-up in the stomach via
stomach tubes or if that fails by trocharisation.
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