Difference between revisions of "Cattle Medicine Q&A 11"

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'''A 6-year-old Holstein cow, which calved 36 hr earlier, is presented in sternal recumbency, profoundly depressed, dehydrated, afebrile (38.5°C,101.3°F)), with toxic mucous membranes, an elevated heart rate of 96 beats per minute, and an increased respiratory rate (34 breaths per minute). The udder is soft but a pale, serum-like, secretion can be drawn from one quarter.'''
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'''A 6-year-old Holstein cow, which calved 36 hr earlier, is presented in sternal recumbency, profoundly depressed, dehydrated, afebrile (38.5°C,101.3°F), with toxic mucous membranes, an elevated heart rate of 96 beats per minute, and an increased respiratory rate (34 breaths per minute). The udder is soft but a pale, serum-like, secretion can be drawn from one quarter.'''
  
 
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Treatment of endotoxic shock (coliform mastitis) includes intravenous injection of a NSAID, repeated 12 hr later. <br><br>
 
Treatment of endotoxic shock (coliform mastitis) includes intravenous injection of a NSAID, repeated 12 hr later. <br><br>
Hypertonic saline (7.2%) infusion at a dose rate of 5mL/kg (3 L for 600 kg cow) over 5–7 minutes is achieved through a 13-gauge 10cm jugular catheter. <br><br>
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Hypertonic saline (7.2%) infusion at a dose rate of 5mL/kg (3 L for 600 kg cow) over 5–7 minutes is achieved through a 13-gauge<sup>1</sup> 10cm jugular catheter. <br><br>
 
Access to 30–60 L of warm water, which may contain electrolytes, must be provided although not all cows drink; some clinicians recommend stomach tubing volumes up to 30–40 L. <br><br>
 
Access to 30–60 L of warm water, which may contain electrolytes, must be provided although not all cows drink; some clinicians recommend stomach tubing volumes up to 30–40 L. <br><br>
 
This cow made a full recovery. Mastitis caused by ''Streptococcus uberis'' can present with many of the clinical features of coliform mastitis and it may prove prudent to administer a broad-spectrum antibiotic both parenterally and by intramammary infusion.  
 
This cow made a full recovery. Mastitis caused by ''Streptococcus uberis'' can present with many of the clinical features of coliform mastitis and it may prove prudent to administer a broad-spectrum antibiotic both parenterally and by intramammary infusion.  
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|q3=What control measures could be adopted?
 
|q3=What control measures could be adopted?
 
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*Teat sealants should be used at drying-off.  
 
*Teat sealants should be used at drying-off.  
 
*Use of J5 ''Escherichia coli'' core antigen vaccine could be considered.
 
*Use of J5 ''Escherichia coli'' core antigen vaccine could be considered.
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| align="left" | <p>Comments by Nick Lyons MA VetMB CertCHP MRCVS</p>
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<p>1. Minor point, only catheters 12 or 14 gauge are available in the UK. </p>
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Latest revision as of 15:10, 19 March 2012


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A 6-year-old Holstein cow, which calved 36 hr earlier, is presented in sternal recumbency, profoundly depressed, dehydrated, afebrile (38.5°C,101.3°F), with toxic mucous membranes, an elevated heart rate of 96 beats per minute, and an increased respiratory rate (34 breaths per minute). The udder is soft but a pale, serum-like, secretion can be drawn from one quarter.


Question Answer Article
Which diseases would you consider? (Most likely first.) Link to Article
What treatments would you administer? Link to Article
What control measures could be adopted? Link to Article



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Comments by Nick Lyons MA VetMB CertCHP MRCVS

1. Minor point, only catheters 12 or 14 gauge are available in the UK.





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