592
edits
Changes
→Treatment
**A long course, 4-6 weeks, of an appropriate antibiotic should be given in light of bacterial culture and sensitivity results.
**A long course, 4-6 weeks, of an appropriate antibiotic should be given in light of bacterial culture and sensitivity results.
**Selected antibiotic should be excreted in the bile in active form, and should be active against aerobic and anaerobic intestinal coliforms.
**Selected antibiotic should be excreted in the bile in active form, and should be active against aerobic and anaerobic intestinal coliforms.
**Amoxicillin at 15-20 mg/kg PO q8hours is a good initial choice.
**Amoxicillin at 15-20 mg/kg PO q8 hours is a good initial choice.
*Surgery is warranted if discrete choleliths or complete biliary obstruction is identified.
*Surgery is warranted if discrete choleliths or complete biliary obstruction is identified.
**In cases of complete extrahepatic biliary obstruction, surgical decompression and cholecystoduodenostomy or cholecystojejunostomy should be performed.
**In cases of complete extrahepatic biliary obstruction, surgical decompression and cholecystoduodenostomy or cholecystojejunostomy should be performed.
*Ursodeoxycholic acid at 15 mg/kg q24hours may be given.
*Ursodeoxycholic acid at 15 mg/kg q24 hours may be given.
**It has hepatoprotective (anti-inflammatory, immunomodulatory and antifibrotic effects) properties and choleretic effect. The latter promotes increased fluidity of biliary secretions for treating or preventing sludging.
**It has hepatoprotective (anti-inflammatory, immunomodulatory and antifibrotic effects) properties and choleretic effect. The latter promotes increased fluidity of biliary secretions for treating or preventing sludging.
*A high protein diet rather than a protein-restricted diet is more appropriate for feeding anorexic cats to prevent the development of hepatic lipidosis
*A high protein diet rather than a protein-restricted diet is more appropriate for feeding anorexic cats to prevent the development of hepatic lipidosis