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VET 111- sm. animal

Neonatal Care, Reproductive/Urinary Diseases (chp 6+7)

TermDefinition
Neonatal Illnesses these require immediate attention: hypothermia, dehydration, hypoglycemia, neonatal isoerythrolysis, and malnutrition
Neonatal Temperature maintains heat from mother > shivers and vasoconstriction mechanisms begin at 6-8 days > body temp similar to adults at 6 weeks.
Hypoxia deficiency in the amount of oxygen reaching the tissues.
Hypothermia in Neonates this causes the gut motility to slow and decrease temp, regurgitation/aspiration pneumonia will occur, gastric contents ferment and cause bloat, cellular immune factors are inhibited.
Hypothermia @ birth below 94*F
Hypothermia @ 1-3 days of age below 96*F
Hypothermia @ 1 week of age below 99*F
Neonates below 88*F (Clinical Signs) -restlessness, crying, red mucous membranes, skin cool to touch, respiratory rate above 40 bpm and heart rate above 200 bpm.
Neonates @ 78-85*F (Clinical Signs) -lethargy, uncoordinated but responsive, respiratory rate 20-25 bpm, heart rate below 50 bpm
Neonates below 70*F (Clinical Signs) -appears dead, treat is able to arouse.
Hypothermia Treatment Tx: slowly reheat with fluids (2*F per hour), warm ambient air, do not give anything PO unless u can hear gut sounds.
Dehydration this is treated with fluid therapy (IV, IO, IP, SQ) and all fluids must be warmed to 98-99*F before administered.
Hypoglycemia risk for this is great, most common cause of seizures in neonates. Healthy neonates can maintain normal blood glucose for up to 24 hrs without nursing.
Hypoglycemia Treatment Tx: dextrose slowly IV or IO (Intraosseous)
Intraosseous the process of injecting medications, fluids, or blood products directly into the marrow of a bone; this provides a non-collapsible entry point into the systemic venous system.
Neonatal Isoerythrolysis a fatal condition in which the antibodies in a mother's milk destroys the baby's red blood cells, occurs w blood type B queens. No clinical signs and jaundice/death occurs in 2 days of life.
Fading Puppy/Kitten Syndrome (CS's) CS: anorexia, lethargy, emaciation, birth defects, stillbirth/weak at birth, death (necropsy recommended for cases w unapparent cause). Treated with supportive care.
Fading Puppy/Kitten Syndrome Causes Causes: poor management, malnutrition, inappropriate environmental conditions, congenital/genetic defects, infections.
Orphan Puppy/Kitten Care maintaining an ambient temperature, proper nutrition (feed 5-6 times a day), stimulate urination/defecation after each feeding.
Pseudocyesis false pregnancy, common in dogs but rare in cats, lasts for 1-3 weeks, tends to reoccur.
Pseudocyesis (Clinical Signs) CS: weight gain, mammary gland enlargement, lactation, mother behavior, carrying stuffed toys.
Pyometra pus within the uterus, occur within 2 months of last estrous cycle, less common in cats.
Pyometra (CS's) CS: anorexia, PU (polyuria)/PD (polydypsia), abdominal enlargement. Can have vaginal discharge and an open cervix or none.
Pyometra (Treatment) Tx: antibiotics, ovariohysterectomy, prostaglandins for open pyo only, will shrink corpus luteum.
Fetal Death re-absorption if early in gestation, expulsion of uterine contents/abortion, may confuse with failing to conceive, can have bacterial and viral causes.
Dystocia difficult birth, emergency situation. Breech presentation (feet first) is normal for dogs and cats, about 50% chance.
Dystocia (CS's) CS: weak infrequent contractions for 1-2 hrs w/o progress, prolonged interval greater than 4 hours between pups, mother is in obvious extreme pain.
Dystocia (Treatment) Tx: manual manipulation to remove pup, administer oxytocin for uterine contraction, cesarean section.
Mammary Gland Neoplasia (Dogs) most common tumor of female dogs, 1/4 chance, is 50% of all canine tumors. 50% are benign. Most common after the 1st heat cycle.
Mammary Gland Neoplasia (Cats) third most common tumor in female cats, risk is same for cats spayed or not, 10-20% are benign.
Mammary Gland Neoplasia this neoplasia can eventually go to the lungs. CS: firm hard nodules and sometimes ulcerations. Treated w surgery, chemo is not curative.
Prostate Diseases -hyperplasia, neoplasia, cysts, prostatitis. CS's depend on the disease. Most common is straining to defecate/urinate, painful urination, or stiff gait. Treated with castration (except for neoplasia).
Cryptorchidism retained testicle, can be one or both testes, is labeled this is not descended by 6 months. This is inheritable and gives an increased risk for testicular cancer.
Urinary System Functions -waste removal (main), regulation of water/electrolyte content, involved in RBC production, control of blood pressure.
Feline Idiopathic Cystitis used to be referred as "Feline lower urinary tract disease," cause is unknown.
Feline Idiopathic Cystitis (CS's) CS: dysuria, hematuria, inappropriate urination, more frequent urination (pollakiuria), licking genital area.
Dysuria difficult urination
Feline Idiopathic Cystitis (Tx) Tx: no antibiotics used unless bacteruria, self-limiting 7-10 days but can reoccur, reduce stress, nutrition high in omega 3 fatty acids + fish oil, increase water, frequent litter changes, ANALGESIA.
Canine Cystitis most common cause is bacterial, most due to an ascending infection of E. coli or Proteus spp. Dx by a cysto. Treated with antibiotics and repeated cysto after.
Feline Uroliths (bladder stones) polycrystalline concreations of minerals and small amount of protein matrix.
Urethral Plug small amount of minerals in large amount of protein matrix.
Urethral Plug (CS's) -obese older male cats, distended bladder/palpation, straining to urinate, crying in litter box, rolling on floor/painful abdomen, collapse, can die from high potassium if not treated within 24-36 hours.
Urethral Plug (Tx) Tx: Rx diet, antibiotics, gentle catheter, IV fluids, urinary catheter for 2-3 days. Can also be treated with a cystotomy (to remove stones) or a perineal urethrostomy.
Urethrostomy removal of the penis by surgery.
Renal Failure one of the most common disease in vet med, can be acute or chronic. Disease is not evident until approx. 66% of kidney function is lost.
Acute Renal Failure Causes Causes: hypoperfusion, nephrotoxic injury (drugs or antifreeze), infection (lepto), immune mediated.
Hypoperfusion decreased blood supply, shock, anesthesia induced.
Acute Renal Failure (CS's) -anorexia, vomiting, diarrhea, oliguria, polyuria/polydypsia, dehydration, fever (if infectious)
Oliguria reduced output of urine
Chronic Renal Failure leading cause of death in geriatric small animal patients, more common in cats, irreversible progressive disease that is ultimately fatal.
Chronic Renal Failure (CS's) CS: dullness, lethargy, weakness, cervical ventroflexion in cats, anorexia, vomiting, diarrhea, dehydration.
Renal Failure (Treatment) Tx: fluids (IV and then SQ if chronic), electrolytes, discontinue potentially nephrotoxic drugs, intestinal protectants, high quality protein and low phosphorus diet, stimulate RBC production.
Canine Urinary Incontinence loss of voluntary control of micturition.
Micturition urination
K9 Urinary Incontinence (Tx) Tx: depends on cause of incontinence, hormone response is treated w/ Diethylstilbesterol (DES) or Phenylpropanolamine (PPA) also known as Proin.
Created by: Riley.Scherf
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