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→Treatment
==Treatment==
==Treatment==
===Acute Treatment===
===Acute Treatment===
The general treatment involves fluid correction and maintenance while any underlying cause is treated. Support is then given to allow the inflammatory process to subside. Oral feeding should be witheld for a short in vomiting patients but enteral and parenteral feeding can be well tolerated.
The general treatment involves fluid correction and maintenance while any underlying cause is treated. Support is then given to allow the inflammatory process to subside. Oral feeding should be witheld for a short in vomiting patients but enteral and parenteral feeding can be well tolerated.
'''Antibiotics''': if a pancreatic infection is suspected then [[Potentiated-Sulphonamides|trimethoprim-sulphonamide]] and [[Fluoroquinolones|enrofloxacin]] have good penetration to the pancreas.
'''Analgesia''' should always be given even without signs of pain. Recommended options include subcutaneous [[Opioids#Pethidine|pethidine]], intravenous or continuous rate infusion [[Opioids#Morphine|morphine]] or transdermal [[Opioids#Fentanyl|fentanyl]]. Dogs can also be given intraperitoneal [[Local Anaesthetics#Lidocaine|lidocaine]] or [[Local Anaesthetics#Bupivicaine|bupivicaine]].
If a pancreatic infection is suspected then [[Antibiotics|Antibiotics]] should be administered, [[Potentiated-Sulphonamides|trimethoprim-sulphonamide]] and [[Fluoroquinolones|enrofloxacin]] have good penetration to the pancreas.
A whole blood or plasma transfusion can be given with severe disease to replace α-macroglobulins. Albumin also provides oncotic support and limits pancreatic ischaemia and oedema.
For short term use in fulminating pancreatitis [[Steroids|Corticosteroids]] can be given alongside fluids. Long term treatment may lead to unwanted complications.
[[Dopamine]] can help reduce feline pancreatitis.
Diet changes Small amounts of water offered once the patient has stopped vomiting. Food can be gradually introduced with a low protein and fat content as these are more likely to cause signs. Fat can be further introduced if symptoms have still not returned. If signs reoccur then further starvation should be carried out. Total parenteral nutrition can be used to sustain animals that are unable to tolerate food at all.
'''Supportive care''':
'''Supportive care''':
===Long-term treatment===
===Long-term treatment===
In most patients that have one episode, they may only need to avoid fatty foods. Recurrent hypertriglyceridaemia may need pharmacological intervention.
In most patients that have one episode, they may only need to avoid fatty foods. Recurrent hypertriglyceridaemia may need pharmacological intervention.
==Prognosis==
==Prognosis==
The disease varies widely and the prognosis can vary from full recovery to death. Generally if the case is an uncomplicated single episode patients make a good recovery.
The disease varies widely and the prognosis can vary from full recovery to death. Generally if the case is an uncomplicated single episode patients make a good recovery.