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| ===Acid-base correction=== | | ===Acid-base correction=== |
| Imbalances should be corrected after taking a blood gas reading. | | Imbalances should be corrected after taking a blood gas reading. |
− | *If metabolic acidotic: give sodium bicarbonate (1mmol/kg), but do repeated blood gas | + | *If metabolic acidotic: give sodium bicarbonate but do repeated blood gas |
| *If metabolic alkalosis: replace volume defecit with intravenous NaCl and KCl. | | *If metabolic alkalosis: replace volume defecit with intravenous NaCl and KCl. |
| *Blocking of acid secretion: | | *Blocking of acid secretion: |
| **[[Gastroprotective Drugs#Histamine (H2) Receptor Antagonists|Histamine receptor antagonists]]: | | **[[Gastroprotective Drugs#Histamine (H2) Receptor Antagonists|Histamine receptor antagonists]]: |
− | ***cimetidine (10 mg/kg, per os (PO)/intramuscular (IM)/intravenous (IV), three times daily (tid) | + | ***cimetidine |
− | ***ranitidine (Dogs: 2 mg/kg, PO/IV, tid. Cats: 2.5 mg/kg, IV two times daily (bid) or 3.5 mg/kg, PO bid | + | ***ranitidine |
− | ***famotidine (0.5-1 mg/kg, PO/IV, once daily (sid)-bid | + | ***famotidine |
| **Gastrin antagonists: | | **Gastrin antagonists: |
| ***proglumide | | ***proglumide |
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| ***pirenzepine | | ***pirenzepine |
| **Adenyl cyclase inhibitors: | | **Adenyl cyclase inhibitors: |
− | ***[[Gastroprotective Drugs#Prostaglandin E Analogues|prostaglangin E2 (PGE) analogues]] (misoprostol (Dogs: 2-5µg/kg PO tid) | + | ***[[Gastroprotective Drugs#Prostaglandin E Analogues|prostaglangin E2 (PGE) analogues]] (misoprostol) |
| **[[Gastroprotective Drugs#Proton Pump Inhibitors|H<sup>+</sup>:K<sup>+</sup>ATPase inhibitors ]]:- for use when patient is refractory to histamine antagonists | | **[[Gastroprotective Drugs#Proton Pump Inhibitors|H<sup>+</sup>:K<sup>+</sup>ATPase inhibitors ]]:- for use when patient is refractory to histamine antagonists |
− | ***omeprazole (0.7 mg/kg PO sid) - good for exercise induced gastric ulceration | + | ***omeprazole - good for exercise induced gastric ulceration |
| | | |
| ===Mucosal protectants=== | | ===Mucosal protectants=== |
− | Such as misoprostol can be given alongside [[NSAIDs|NSAIDs]] to decrease the risk of ulceration. '''[[Gastroprotective Drugs#Binding Agents|Sucralfate]]''' (Dogs: 0.5-1g PO bid/tid. Cats: 0.25g PO bid/tid) which is polyaluminium sucrose sulphate, binds to damaged mucosa and assists in the treatment of gastric ulceration. It is best given 2 hours after acid inhibitors to prevent interference. | + | Such as misoprostol can be given alongside [[NSAIDs|NSAIDs]] to decrease the risk of ulceration. '''[[Gastroprotective Drugs#Binding Agents|Sucralfate]]''' which is polyaluminium sucrose sulphate, binds to damaged mucosa and assists in the treatment of gastric ulceration. It is best given 2 hours after acid inhibitors to prevent interference. |
| | | |
| ===Prophylaxis=== | | ===Prophylaxis=== |