help with dyspnoeic cat this evening

RE: help with dyspnoeic cat this evening

Nicola Cole — Tue, 05 Jan 2021 08:16:27 GMT

[quote userid="2457" url="~/001/veterinary-clinical/small-animal/diagnostic-imaging/f/discussions/29579/help-with-dyspnoeic-cat-this-evening/227545#227545"]Seems quite low? I thought 1-2mg/kg, or higher if clinically indicated, is usual?[/quote]

Also usually go 1-2mg/kg (the 0.4 didn’t register when I read it!)

RE: help with dyspnoeic cat this evening

Beats — Tue, 05 Jan 2021 07:39:48 GMT

[quote userid="9440" url="~/001/veterinary-clinical/small-animal/diagnostic-imaging/f/discussions/29579/help-with-dyspnoeic-cat-this-evening/227546#227546"]We opted for Euthanasia[/quote]

Always a good call in cat with pleural effusion!

(Only sure way of preventing suffering with respiratory distress again in future)

RE: help with dyspnoeic cat this evening

Jill Butterworth — Tue, 05 Jan 2021 07:31:49 GMT

When they feel like that it's usually a mass.

RE: help with dyspnoeic cat this evening

janine redman — Mon, 04 Jan 2021 23:24:07 GMT

Thanks all. Settled on oxygen and butorphanol so ultrasound to check diaphragm and fluid . Pleural and peritoneal effusion . Very poor contractility of heart . Drained 70 ml fluid to help rule out other causes and after a chat with owners. We opted for Euthanasia. It had a really solid non compressible thorax which was odd . I think just from respiratory effort but had considered neoplasiau

RE: help with dyspnoeic cat this evening

Gillian Mostyn — Mon, 04 Jan 2021 22:09:42 GMT

[quote userid="12930" url="~/001/veterinary-clinical/small-animal/diagnostic-imaging/f/discussions/29579/help-with-dyspnoeic-cat-this-evening/227543#227543"]and give 0.4mg/kg furosemide IM[/quote]

Seems quite low? I thought 1-2mg/kg, or higher if clinically indicated, is usual? Or am I misunderstanding?

RE: help with dyspnoeic cat this evening

Nicola Cole — Mon, 04 Jan 2021 21:46:43 GMT

Was going to say the same. Aerophagia as can’t breathe properly so plenty of gas in stomach.

O2, frusemide, drain, more oxygen, re-assess.

RE: help with dyspnoeic cat this evening

Beats — Mon, 04 Jan 2021 21:40:05 GMT

Non-expert thoughts:

This has CHF and I would drain what pleural fluid I could and give 4mg/kg [edited, thanks Gillian! Sounds like my dose might be a bit high now though!] furosemide IM (+ leave in appropriate oxygen-enriched calm environment)

I think the diaphragmatic line is obscured by the effusion, and the gas bubble in stomach from aerophagia due to dyspnoea, with the gas bubble in the stomach overlying the lungs in the DV view.