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56 Cards in this Set

  • Front
  • Back

Fluid Therapy Rate for Adult Horses and Cattle

2 mL/kg/hr

Replacement Fluid Bolus Size

20 mL/kg up to 60 mL/kg in one hour

Calculation of Water Deficit from % Dehydration

Body weight (kg) * Percent dehydration (decimal) = Water Deficit (L)


eg 500 kg * 0.05 = 25 L water deficit

Horse Normal Values

T: 98.5 - 101.5 *F


P: 28 - 40 bpm


R: 8 - 18 bpm

Cow Normal Values

T: 101.5 - 102.5 *F


P: 60 - 80 bpm


R: 12-36 bpm


Rumen contractions: 1 - 3 /min

Equine Drugs with Effects on CNS

Xylazine


Detomidine


Acepromazine


Butorphanol

Xylazine in Horses


COMMONLY USED

Dose: 0.3 - 0.5 mg/kg IV (or IM)


Concentration: 100 mg/mL (1.5 mL / 500 kg)


- Alpha-2 Adrenoceptor Agonist


- Rapid onset, moderate sedation, short acting, good analgesia


- Risk of ataxia, can cause aggression


- Potential adverse effects: cardiovascular (hyper- followed by hypo- tension, bradycardia), hyperglycemia, reduced gastric motility, increased urination and sweating

Detomidine in Horses


COMMONLY USED

Dose: 0.01 - 0.02 mg/kg IV (or IM)


Concentration: 10 mg/mL (0.5 mL / 500 kg)


- Alpha-2 Adrenoceptor Agonist


- Rapid onset, profound sedation, longer acting than xylazine, excellent analgesia


- Risk of ataxia, can cause aggression


- Potential adverse effects: cardiovascular (hyper- followed by hypo- tension, bradycardia), hyperglycemia, reduced gastric motility, increased urination and sweating


Acepromazine in Horses


COMMONLY USED

Dose: 0.02 - 0.06 mg/kg IV (or IM)


Concentration: 10 mg/mL (1-3 mL / 500 kg)


- Alpha-1 antagonist, antagonizes dopamine


- Tranquilizer, not sedative, often used with Alpha-2 agonists. No analgesia.


- Potential adverse effects: hypotension, prolapsed penis and priapism, decreased seizure threshold

Butorphanol in Horses


COMMONLY USED

Dose: 0.01 - 0.02 mg/kg


Concentration: 10 mg/mL (0.5 - 1 mL / 500 kg)


- Agonist-antagonist opioid, used with alpha-2 agonists


- Controlled substance. Good analgesia.


- Potential adverse effects: decreased GI motility, excitation, respiratory depression

Antimicrobials in Horses

- Procaine Penicillin G, Potassium Penicillin G


- Ceftiofur


- Gentamicin, Amikacin


- Chloramphenicol


- Potentiated Sulfonamides (trimethoprim-sulfa)


- Oxytetracycline, Doxycycline


- Enrofloxacin


- Clarithromycin, Azithromycin, Erythromycin


- Rifampin


- Metronidazole


Potassium Penicillin G in Horses


COMMONLY USED

KPEN


Dose: 22,000 units/kg slow IV every 6 hours


Concentration: 250,000 units/mL (reconstituted)


- Beta-lactam antimicrobial. Interferes with cell wall synthesis. Best on gram+ and anaerobes.


- Poor penetration to abscesses


- Synergystic with aminoglycosides


- Complication: antimicrobial-associated diarrhea

Procaine Penicillin G in Horses


COMMONLY USED

PPG - DO NOT GIVE IV - SEVERE NEURO SIGNS AND DEATH


Dose: 22,000 units/kg IM every 12 hours


Concentration: 300,000 units/mL


- Beta-lactam antimicrobial. Interferes with cell wall synthesis. Best on gram+ and anaerobes.


- Poor penetration to abscesses


- Synergystic with aminoglycosides


- Complication: procaine reaction (refrigerate to reduce risk), antimicrobial-associated diarrhea

Ceftiofur in Horses

Dose: 2 - 10 mg/kg IV (or IM) every 6-12 hours


Concentration: 50 mg/mL (reconstituted)


- Beta-lactam antimicrobial, 3rd gen cephlasporin


- Inhibits cell wall synthesis


- Broad spectrum, anaerobes


- No penetration in the CNS


- Complication: antimicrobial-associated diarrhea

Gentamicin in Horses


COMMONLY USED

DO NOT USE IN FOOD ANIMALS


Dose: 6.6 - 8.8 mg/kg IV (or IM) every 24 hours


Concentration: 100 mg/mL (33-44 mL / 500 kg)


- Aminoglycoside, binds 30s ribosomal subunit to inhibit protein synthesis


- Works on Gram -, aerobes (uptake into cell is oxygen-dependent process)


- Complication: Nephrotoxicity, ototoxicity, neuromuscular blockade

Amikacin in Horses

DO NOT USE IN FOOD ANIMALS


Dose: 21 - 25 mg/kg IV (or IM) every 24 hours


Concentration: 250 mg/mL (50 mL / 500 kg)


- Aminoglycoside, binds 30s ribosomal subunit to inhibit protein synthesis


- Works on Gram -, aerobes (uptake into cell is oxygen-dependent process)


- Complication: Nephrotoxicity, ototoxicity, neuromuscular blockade


- Used locally for regional limb perfusion!

Chloramphenicol in Horses

Dose: 30 - 60 mg/kg PO every 6 hours


- Binds 50s ribosomal subunit, inhibits protein synthesis. Broad spectrum.


- Excellent distribution throughout the body


- Idiosyncratic aplastic anemia seen in people.

Trimethoprim-sulfa in Horses


COMMONLY USED

Dose: 15 mg/kg PO every 12 hours


Concentration: 250 mg/tablet


- Potentiated sulfonamide, inhibits folic acid pathway. Broad-spectrum.


- Complication: MORE diarrhea!

Oxytetracycline in Horses

Dose: 5 - 10 mg/kg IV every 12-24 hours


Concentration: 100 mg/mL (33 mL / 500 kg)


- Tetracycline. Binds to 30s ribosomal subunit and interferes with protein synthesis.


- Treatment of choice for Potomac Horse Fever (Neorickettsia risticii), contracture in foals


- Complication: rapid IV -> hypotension and collapse, nephrotoxicity

Doxycycline in Horses

Dose: 10 mg/kg PO every 12 hours


- Tetracycline. Binds to 30s ribosomal subunit and interferes with protein synthesis.


- Complication: antimicrobial-associated diarrhea

Enrofloxacin in Horses

Dose: 5 mg/kg IV every 24 hours


Concentration: 100 mg/mL


OR Dose: 7.5 mg/kg PO every 24 hours


- Fluoroquinolone. Inhibits DNA gyrase and DNA repair. Best against gram -, some gram +.


- Excellent distribution


- Complication: cartilage damage in young'uns

Azithromycin in Horses

Dose: 10 mg/kg PO every 24-48 hours


- Macrolide. Binds 50s ribosomal subunit, interferes with protein synthesis.


- Primarily used for Gram +, some Gram - compared to other macrolides.


- Complication: hyperthermia in foals.

Clarithromycin in Horses

Dose: 7.5 mg/kg PO every 12 hours


- Macrolide. Binds 50s ribosomal subunit, interferes with protein synthesis.


- Primarily used for Gram +. Tx of choice for R.equi (with rifampin)


- Complication: hyperthermia in foals.

Erythromycin in Horses

Dose: 25 mg/kg PO every 6-8 hours


- Macrolide. Binds 50s ribosomal subunit, interferes with protein synthesis.


- Primarily used for Gram +.


- Complication: hyperthermia in foals. Fatal colitis in mares of foals administered erythromycin.

Rifampin in Horses

Dose: 5-10 mg/kg PO every 12 hours


- Inhibits DNA-dependent RNA polymerase


- Must be administered with another antibiotic due to RAPID bacterial resistance


- Tx of choice (w/ clarythromycin or other macrolide) for R.equi.


- Used to improve penetration (e.g. abscesses)


- STAINS EVERYTHING RED.


Metronidazole in Horses

Dose: 15 to 25 mg/kg PO every 6-12 hours


Concentration: 500 mg/tablet


- Active against anaerobic bacteria!


- Often used with other antimicrobials


- Treats antimicrobial-associated diarrhea


- Complication: ANOREXIA, free-radical damage to DNA

NSAIDs in Horses

- Phenylbutazone


- Flunixin Meglumine


- Firocoxib



- Complication: nephrotoxicity, right dorsal colitis, hypoproteinemia, inhibit platelet aggregation, GI ulceration

Phenylbutazone in Horses


COMMONLY USED

Dose: 2.2 - 4.4 mg/kg IV or PO every 12 hours


Concentration: 200 mg/mL IV, 1g/tablet oral


- Inhibit COX1 (constitutive) and COX2 (inducible)


- Used mainly for musculoskeletal cases

Flunixin Meglumine in Horses


COMMONLY USED

Dose: 0.25 mg/kg IV every 6 hours to 1.1 mg/kg every 12 hours


Concentration: 50 mg/mL (10 mL / 500 kg)


- Inhibit COX1 (constitutive) and COX2 (inducible)


- Preferred for soft tissue cases, incl colic


- Risk of clostridial myositis if given IM

Firocoxib in Horses

Dose: 0.09 mg/kg PO every 24 hours


Loading dose: 0.27 mg/kg IV or PO


- COX1 sparing NSAID


- Similar efficacy to phenylbutazone in horses with osteoarthritis

Drugs with GI effects in Horses

Lidocaine

Lidocaine in Horses

Dose: 1.3 mg/kg IV bolus over 15 min followed by 0.5 mg/kg/min constant rate infusion


- Sodium channel blocker


- Used in horses with GI tract disease.


- Primarily anti-inflammatory, improved GI motility

Bovine Drugs with Effects on the CNS

- Xylazine


- Acepromazine

Xylazine in Cows


COMMONLY USED

Dose: 0.02 - 0.1 mg/kg IV (or 0.02-0.5 mg/kg IM)


- Alpha-2 Adrenoceptor Agonist


- Mediate sedation, analgesia, decreased output from sympathetic nervous system


- Cows more sensitive to this drug than horses - dose = 1/10th, results in recumbency


- Potential adverse effects: cardiovascular (hyper- followed by hypo- tension, bradycardia), reduced gastric motility, risk of regurgitation, risk of abortion in last trimester of pregnancy

Xylazine Withholding Periods in Cows

- IV: 3 days for milk, 5 for meat


- IM: 5 days for milk, 10 days for meat

Acepromazine in Cows


COMMONLY USED

Dose: 0.02 - 0.06 mg/kg IV (or IM)


Concentration: 10 mg/mL (1-3 mL / 500 kg)


- Alpha-1 antagonist, antagonizes dopamine


- Tranquilizer, not sedative, often used with Alpha-2 agonists. No analgesia.


- Potential adverse effects: hypotension, decreased seizure threshold


- Low dose will not result in recumbency

Acepromazine Withholding Periods in Cows

2 days for milk, 7 days for meat

Antimicrobials in Cows

- Potassium Penicillin G, Procaine Penicillin G


- Ceftiofur sodium (Naxcel), Ceftiofur hyodrochloride (Excenel)


- Oxytetracycline


- Florfenicol

Potassium Penicillin G in Cows


COMMONLY USED

KPEN


Dose: 22,000 units/kg slow IV every 6 hours


- Beta-lactam antimicrobial. Interferes with cell wall synthesis. Best on gram+ and anaerobes.


- Poor penetration to abscesses

Potassium Penicillin G Withholding Periods in Cows

48 hours for milk, 10 days for meat

Procaine Penicillin G in Cows


COMMONLY USED

PPG - DO NOT GIVE IV - SEVERE NEURO SIGNS


Dose: 44,000-66,000 units/kg SQ or IM q12


- Beta-lactam antimicrobial. Interferes with cell wall synthesis. Best on gram+ and anaerobes.


- Poor penetration to abscesses


- Complication: procaine reaction (refrigerate to reduce risk)

Procaine Penicillin G Withholding Periods in Cows

48 hours for milk, 10 days for meat

Ceftiofur Sodium (Naxcel) in Cows

Dose: 1.1 - 2.2 mg/kg IM every 24 hours


- Beta-lactam antimicrobial, 3rd gen cephlasporin


- Inhibits cell wall synthesis


- Broad spectrum, anaerobes


- USDA/FDA ban on extra-label use

Ceftiofur Sodium (Naxcel) Withholding Periods in Cows

0 Days milk, 0 days meat

Ceftiofur Hydrochloride (Excenel) in Cows

Dose: 1.1 - 2.2 mg/kg SQ every 24 hours


- Beta-lactam antimicrobial, 3rd gen cephlasporin


- Inhibits cell wall synthesis


- Broad spectrum, anaerobes


- USDA/FDA ban on extra-label use

Ceftiofur Hydrochloride (Excenel) Withholding Periods in Cows

0 Days milk, 48 hours meat

Oxytetracycline in Cows

Dose: 6.6-11 mg/kg IV, SQ or IM q24


- Tetracycline. Binds to 30s ribosomal subunit and interferes with protein synthesis.


- Complication: rapid IV -> hypotension and collapse, nephrotoxicity

Oxytetracycline Withholding Periods in Cows

4 days milk, 28 days meat

Florfenicol in Cows

Dose: 20 mg/kg IM every other day


- Binds 50s ribosomal subunit, inhibits protein synthesis


- Broad spectrum, excellent distribution throughout the body


- For use in non-lactating cows

Florfenicol Witholding Period in Cows

IM: 28 days


SQ: 38 days

NSAIDs in Cows

- Flunixin Meglumine


- Phenylbutazone


- Aspirin



- Complication: nephrotoxicity, inhibit platelet aggregation, abomasal ulceration

Flunixin Meglumine in Cows

Dose: 1.1 mg/kg IV every 24 hours


- Only NSAID approved for use in beef cattle


- Should only be given IV


- Withholding Periods: 3 days milk, 10 days meat

Phenylbutazone in Cows

Dose: 2 to 6 mg/kg PO or IV every 24-48 hours


- Prohibited in dairy cattle > 20 months of age


- Withholding Periods: 10 days milk, 45 days meat


- Use discouraged by FARAD for food animals

Aspirin in Cows

Dose: 100 mg/kg PO every 12-24 hours


- Extra-label use


- Use discouraged by FARAD for food animals

Local Anesthetics in Cows

Lidocaine

Lidocaine in Cows

Dose: Do not exceed 10 mg/kg


- Sodium channel blocker. Primary local anesthetic used for regional anesthesia in bovine surgery


- Toxicity signs: CNS signs such as dullness, muscle fasciculations, seizures


- Withholding periods: 24 hours for milk & meat