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Hypoadrenocorticism is still relatively uncommon or underdiagnosed in dogs. Statistics gathered from a large veterinary hospital placed the number at 0.36 dogs per 1000. For an average veterinary practice with two veterinarians and 1500 canine patients, this would mean an average of one diagnosis of the disease each year. [9] [11]
Fluid replacement or fluid resuscitation is the medical practice of replenishing bodily fluid lost through sweating, bleeding, fluid shifts or other pathologic processes. . Fluids can be replaced with oral rehydration therapy (drinking), intravenous therapy, rectally such as with a Murphy drip, or by hypodermoclysis, the direct injection of fluid into the subcutaneous tis
A combination of etomidate and diazepam would be an even safer anesthetic consideration, but etomidate is not commonly carried by general veterinary practitioners due to its cost. Fluid therapy is equally essential for correcting derangements. Commonly, a fluid low in potassium, such as 0.9% NaCl, is selected.
Treatment protocol also includes intravenous fluid therapy and/or administration of activated charcoal. [38] Large breeds are less susceptible to chocolate poisoning, but can still die after eating four ounces [39] of chocolate. Carob treats are often available as dog treats; these are unrelated to chocolate and are safe.
[22] [23] In patients that do not respond well to immunosuppressive therapy or have constant relapse a splenectomy may be undertaken. Removal of the spleen removes the primary site of clearance of platelets and prevents production of autoantibodies. [1] Survival following splenectomy is unpredictable and lifelong care is often needed.
Symptoms include lethargy, a fruit-like smell of the breath or urine, shortness of breath, and an increase in thirst. Emergency care includes fluid therapy, insulin, management of presenting symptoms and 24-hour hospitalization.
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Veterinary anesthesia includes anesthesia of the major species: dogs, cats, horses, cattle, sheep, goats, and pigs, as well as all other animals requiring veterinary care such as birds, pocket pets, and wildlife.