Fluid Therapy For Dogs With Pancreatitis
Complications of fluid overload in severe acute pancreatitis a 77 years old male patient with biliary pancreatitis and preexisting congestive heart failure due to long lasting arterial hypertension and aortic valve stenosis was resuscitated with a total of 2500 ml balanced crystalloid infusion over the first 24 h.
Fluid therapy for dogs with pancreatitis. Canine pancreatitis is a gastrointestinal disorder that causes inflammation of the pancreas. That gives the pancreas a rest. Your dog needs hospitalization to watch his condition in case complications arise. Perfusion intravenous fluid therapy.
Dehydration makes a bad situation much worse. Aggressive iv intravenous fluid therapy is essential. It can stress other organs as well. Patients are given fluids for many reasons and the number of available fluids is growing.
19 the current role of colloid solutions in pancreatitis management in veterinary patients is controversial. The 2013 aaha aafp fluid therapy guidelines for dogs and cats is the most complete and medically sound compilation of updates insights advice and recommendations ever developed for helping to ensure that your patients receive appropriate individualized fluid therapy. For the first 24 hours vets may recommend no food or water and pain medications by mouth. As the symptoms improve a low fat diet is introduced to ease the burden on the digestive system.
Initially fluids should correct dehydration over the first 12 24 hours while also meeting maintenance needs. Fluid therapy is the mainstay of treatment at least for the first 24 48 hours. The fluid rate should be adjusted frequently to account for ongoing losses e g vomiting diarrhea ascites and to correct fluid electrolyte and acid base. Fluid therapy is one of the most common therapies provided in small animal medicine.
Subcutaneous fluids are inadequate for all but the very mildest cases. Knowing why fluids are ordered the goals and limitations of fluid therapy and how fluids are chosen is a key competency for veterinary technicians. Disturbed pancreatic microcirculation is one of the earliest events in pancreatitis development and is usually multifactorial in origin. Aaha guidelines review the latest information that helps the veteri.
There is a theoretical benefit in using alkalinising fluids. Many dogs with a history of acute pancreatitis must be on a special diet for the rest of their lives. Crystalloid therapy alone may not be adequate in dogs with severe acute pancreatitis. Most dogs with acute pancreatitis ap require iv fluid therapy to correct fluid and electrolyte deficits.
Giving your dog iv fluids is a common practice for pancreatitis.