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Gastric Dilatation and Volvulus (view source)
Revision as of 15:45, 21 August 2010
, 15:45, 21 August 2010no edit summary
==Treatment==
==Treatment==
Initial treatment should be aimed at managing the dog's hypovolaemic shock. Large bore (16 or 18 gauge) catheters should be placed into the cephalic or jugular veins and a proportion of the shock dose of Compound Sodium Lactate (90ml/kg/h) should be administered based on the severity of the dog's clinical signs. Hypertonic saline or colloid fluids may be indicated in very large dogs or those who have not responded to a bolus dose of crystalloid fluids. Monitoring of the animal's cardiovascular status should be performed with regular blood pressure measurements, heart rates, PCV and total solids and urine output.
Gastric decompression is performed by introduction of a lubricated premeasured (from nostril to last rib) stomach tube or by It is important to mimimise stress when this procedure is carried out. Sedation is not usually required but suitable drugs for this include Butorphanol, Fentanyl or Diazepam. It the animal is resistant to orogastric intubation or becomes stressed, trocharizing the most tympanic area caudal to the ribs with a 14 to 16 gauge catheter.
Gastric decompression is performed by introduction of a lubricated premeasured (from nostril to last rib) stomach tube or by It is important to mimimise stress when this procedure is carried out. Sedation is not usually required but suitable drugs for this include Butorphanol, Fentanyl or Diazepam. It the animal is resistant to orogastric intubation or becomes stressed, trocharizing the most tympanic area caudal to the ribs with a 14 to 16 gauge catheter.