Empfohlen
Empfohlen
Weitere ähnliche Inhalte
Was ist angesagt?
Was ist angesagt? (13)
Ähnlich wie Francevet Treating Liver Disease Without Videos
Ähnlich wie Francevet Treating Liver Disease Without Videos (20)
Kürzlich hochgeladen
Kürzlich hochgeladen (20)
Francevet Treating Liver Disease Without Videos
- 1. Treating Liver Disease (in 30 minutes!) Craig B Webb, PhD, DVM, DACVIM Professor & Head Small Animal Medicine Section Colorado State University Veterinary Teaching Hospital
- 2. Disclosure #2: I think Nutramax Labs is a Great Company!
- 3. Medical Management of Congenital Portosystemic Shunts “Sophie” 1 yo FS Chihuahua “Jack” 8 mo MC Domestic short hair
- 4. Emergent Treatment of Seizures IV Fluids with Dextrose Warm Water Enema with Lactulose Diazepam (Phenobarbitol or KBromide if necessary) Levetiracetam to reduce post-op seizures (20 mg/kg TID at least 24 hrs pre-op)
- 5. PSS Medical Treatment •Lactulose •Acidify the colon, cathartic •Drives Ammonia to Ammonium (not absorbed) •0.25-0.5 ml/kg, 3-4x/day, to effect Lactic Acid
- 6. PSS Medical Treatment •Lactulose •Acidify the colon, cathartic •Reduces Ammonia production & absorption •0.25-0.5 ml/kg, 3-4x/day, to effect Lactic Acid
- 7. PSS Medical Treatment •Diet •Protein Restriction IF Hepatic Encephalopathy • 11% Dry Matter basis •Hepatic Diets for Non-HE Liver dogs 17.8% DM [Cu] 4.6 ppm 14% DM [Cu] 7 ppm 19% DM [Cu] 4.9 ppm
- 8. PSS Medical Treatment •Diet •Protein for a Growing Puppy (20-25% DM) •Add cottage cheese or vegetable-based protein 17.8% DM [Cu] 4.6 ppm 14% DM [Cu] 7 ppm 19% DM [Cu] 4.9 ppm
- 9. PSS Medical Treatment •Diet •Vitamin Supplementation •Water soluble: B1 (thiamine – cats!) •Fat soluble: K (clotting) & vitamin E (oxidative stress) •Fiber •SCFA = acidification = NH3 to NH4+ •Antioxidants •More to come
- 10. PSS Medical Treatment •Microbiota •Lactic acid producing bacteria •Metabolism of fiber to SCFA •Decrease pH, Decrease [Ammonia]
- 11. Treating Feline Cholangitis Neutrophilic Acute or Chronic “Grumpy” 8 yo MC Domestic short hair Anorexia, vomiting, ptyalism Febrile, jaundice
- 12. Treating Feline Cholangitis Neutrophilic Acute (or Chronic) Non-Specific & Supportive Fluids, Electrolytes, Nutrition, Pain Vit K1 {0.5-1.5 mg SQ, q 12 h (2-3 doses)}
- 14. Empirically Cover the Enterics Ampicillin or Clavimox Metronidzole or Pradofloxacin 2 months +/-
- 15. Empirically IF Chronic or IF antibiotic failure add Prednisolone 1 mg/kg BID for 2 weeks; 1 mg/kg SID for 2 weeks; 0.5 mg/kg SID for 2 weeks; 0.5 mg/kg q48hr
- 16. Treating K9 Hepatopathies [Cu] - associated Hepatitis “Bella” 8 yo FS Labrador Ret Anorexia, lethargy, vomiting Weight-loss, jaundice
- 17. Avoid Copper in Diet, Treats, Supplements Do not restrict protein unless HE BalanceIT.com
- 21. Chelate the Copper •[Cu] > 600 µg/g - 1000 µg/g dry weight •Penicillamine on an empty stomach •2-6 months •Problem: Penicillamine on an empty stomach •Hyporexia, nausea, vomiting
- 22. How to Help Stop the Vomiting Decrease Nausea Increase Appetite
- 23. Treating K9 Hepatopathies K9 (Immune) Chronic Hepatitis 1-2 mg/kg day Taper Steroid hepatopathy Hard to monitor 5 mg/kg BID Without steroids Vomiting Monitor Enzymes
- 24. Treating Any Liver Disease Support the Liver “Drain the Swamp” Ursodiol Choleretic Hepatoprotective Biliary cirrhosis Denamarin Antioxidant SAMe + Silybin
- 26. Dr. Twedt – Before Vit E
- 27. Dr. Twedt – After Vit E
- 28. Treating Feline Hepatic Lipidosis Center S. Vet Clin NA Sm Anim Pract 2005 Vit K (for Procedures) Vit E B-soluble vitamins Thiamine Vit B12 L-Carnitine SAMe
- 29. RedRubber&CurvedCarmalts Empower the Owner with Easy Access VIDEO #1 will be here
- 30. www.milainternational.com Video #2 will be here
- 32. THANK YOU! Serge Martinod Directeur Scientifique, Dr. Vétérinaire, Arcanatura SAS