摘要:

SummarySeventeen cases of acetamninophen intoxication in cats were identified over a 12‐year period. Information obtained from the medical records included the signalment, amount acetaminophen ingested, time from ingestion until treatment was initiated, clinical signs, physical examination, clinical pathology, treatment and outcome. The most common cause intoxication was owner administration. In cats that died or were euthanized the dose administered ranged from 10mg/kg to 17Omg/kg, while in cats that survived the dosage ranged from 10mg/kg to 400mg/kg. The most common clinical signs were depression, increased respiratory rate, respiratory distress, pale/muddy mucous membranes, and hypothermia. Twelve cats survived. Ten of these cats had treatment initiated within 14 hours after ingestion. One cat that survived had treatment initiated 24 hours after ingestion, and a second cat that survived had treatment initiated 48 hours after ingestion. Time between ingestion and initiation treatment may be as important if not more important than the actual dosage acetaminophen administere

ISSN:1479-3261    

DOI:10.1111/j.1476-4431.1996.tb00034.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

SummaryApparent restihg energy expenditure (AREE) and respiratory quotient (RQ) were determined by open flow indirect calorimetry in a group of 104 apparently resting, critically ill, postoperative and severely traumatized dogs. The evaluations were conducted in a calm, temperature‐controlled environment after at least a 12‐hour fast. Subjects were allowed to acclimilate to the monitoring equipment prior to beginning the study. The clinical patients were compared to a group of 20 clinically normal, apparently resting, client owned dogs (NC). The data was also compared to published normals (NP) for energy expenditure of apparently resting dogs. Measurements were indexed to actual body weight in kilograms (BW) as well as to metabolic body size(BW0.75). Measurements of VO2(VO2/kg and VO2/kg0.75) and VCO2(VCO2/kg and VCO2/kg0.75) were used to calculate the RQ and the AREE. Critically ill, postperative and severely lower RQ values AREE/kg or AREE/kg0.75(p=0.39). The PO&T dogs did exhibit significantly lower RQ values (p<0.0001) than either the (NC) or (NP) groups. Measured AREE of the PO&T dogs was significantly less than a calcualted value using the illness/injury/infection energy requirement (IER), (p<0.0001). Energy expenditure in typical trauma and postoperative patients may commonly be overstimated by the IER method. Conclusion: The AREE of critically ill, postoperative and severly trumatized dogs was not higher than healthy dogs as has been previously suggested in the literat

ISSN:1479-3261    

DOI:10.1111/j.1476-4431.1996.tb00035.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

SummaryElevation in blood lactate concentration, with or without accompanying metabolic acidosis, is a hallmark finding in patients with circulatory compromise, and is also consistently noted in other conditions affecting critically ill or injured individuals. Little is reported in a veterinary literature regarding lactate measurement in the emergency and critical care setting, despite impressive reports of the clinical usefulness of lactate measurement in people. The purpose of this article is to review lactate kinetics and the clinical utility of lactate measurement. Limitations to lactate evaluation will also be discussed.

ISSN:1479-3261    

DOI:10.1111/j.1476-4431.1996.tb00036.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

SummaryWe report the first case of colonic volvulus in a cat. A 12‐year old spayed, female domestic shorthair cat with chronic bowel disease presentated with one‐day history of lethargy and anorexia. Physical examination abnormalities included cachexia, poor perfusion, and poor skin turgor. A large, non painful, gas‐filled, tubular structure, occupying the majority of the abdominal cavity was noted by palpation. Abdominal radiographs revealed a gas‐filled displaced colon. Exploratory laparotomy confirmed a volvulus at the root of the colonic mysetery, along with a partial torsion of the distal colon. The majority of the colon was determined to be necrotic and was surgically resected. Due to persistent hypotension and perceived poor prognosis, the cat was eut

ISSN:1479-3261    

DOI:10.1111/j.1476-4431.1996.tb00037.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

SummarySuccessful resuscitation of a trauma‐induced, suspected tension pneumomediastinum in a dog is presented. The cause was a caudal cervical penetration wound which acted as a one‐way valve allowing air to enter, but not exit, the cranial mediastium. Early in the course of hospitalization, respiratory and cardiovascular collapse occurred; an emergent parasternotomy allowed decompression of the mediastinum, and the cradiovascular system immediately responded. The dog made a complete recovery following surgical exploration and removal of contaminated mediastinal tissue. Nine days of intensive care included 24‐hour monitoring, oxygen therapy, intravenous crystalloids and colloids, continuous pleural suctioning, nutritional support, antibiotics, and pain co

ISSN:1479-3261    

DOI:10.1111/j.1476-4431.1996.tb00038.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:1479-3261    

DOI:10.1111/j.1476-4431.1996.tb00039.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY