Moderator R. Bagley
Introduction R. Bagley
Presentation of the case—animal presents in a coma.
First question
Recommendations for initial evaluation and management.
Dr. Cauzinille response
Discuss clinical exam findings. What examination features are important when presented with a comatose animal? what differential diagnosis?
Dr. Bagley response
Discuss intracranial pathophysiological and ICP considerations.
Second question
What diagnostic tests would be important to perform in this animal?
Dr. Cauzinille response
Animal’s respiration becomes irregular.
Third question
How would we manage the respiratory aspects of this animal?
Discuss respiration and respirator management.
Dr. Haskins response
Dr. Hughes response
Fourth question
Discuss the role of blood pressure and vascular volume management.
Discuss fluid choice, administration rates, etc.
Dr. Hughes response
Dr. Haskins response
Further evaluation reveals that the animal is severely hypernatremia.
Fifth question
What would be your considerations at this point? How would you treat this situation?
Dr. Hughes response
Discuss differentials and pathophysiology.
Dr. Haskins response
Discuss fluid therapy.
Sixth question
The animal’s pupils become ansiocoric.
Dr. Cauzinille response
Dr. Bagley response
Final discussion of the important aspects of this case.
Dr. Cauzinille response
Discuss importance of the clinical exam.
Dr. Haskins response
Discuss importance of CO2 in intracranial disease.
Dr. Hughes response
Discuss role of fluid therapy in intracranial disease patient.