By Mike Davies
Advisor to remedy of the getting older cat or puppy, for veterinarians. Discusses health-care subject matters particular to aged animals. Softcover.
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Extra resources for Canine and Feline Geriatrics (Library Vet Practice)
Fluids and potassium supplementation. Once stabilised reintroduce drug at 50-75% original dose. If necessary use an alternative inotrope such as dobutamine. Sympathomimetic drugs Dobutamine hydrochloride A synthetic catecholamine (sympathomimetic) which acts by stimulating β-and ∝adrenergic activity and increases myocardial contractility. Indicated for cardiogenic shock, bradycardia, dilated cardiomyopathy, congestive heart failure. Side-effects Tachycardia - should monitor ECG. v. infusion for up to 3 days.
There is thinning of the ventricular walls (unless compensatory hypertrophy is present) and atrophy of papillary muscles and trabeculae. Focal endocardial fibrosis is present. In boxers there is usually thickening of the atrioventricular valves (mitral, but sometimes the tricuspid or aortic valve). Histopathology Myocardial degeneration. Aetiopathogenesis The aetiology is unknown in most cases. Metabolic defects have been demonstrated in some species and carnitine-related problems in the myocardium have been reported in some dogs, including boxers with DCM.
Captopril An angiotensin-converting enzyme (ACE) inhibitor. Indicated for conheart failure. Contraindications Renal impairment. Side-effects Hypotension, renal failure, gastrointestinal disorders, anorexia. Dose Start with low doses due to hypotensive effects. d. orally. d. orally. Library of veterinary practice 49 Canine and Feline Geriatrics Mike Davies Enalapril maleate Indicated for the treatment of congestive heart failure in dogs caused by mitral regurgitation or dilated cardiomyopathy as an adjunctive therapy with diuretics.