The collapsed puppy or kitten - where to start?
The collapsed puppy or kitten is a common emergency presentation in practice. These patients have the potential to deteriorate rapidly and typically have life-threatening abnormalities. These most commonly include hypothermia, hypoglycaemia and hypoxia, but some patients may have hypovolaemia, dehydration, trauma, sepsis, infectious disease and/or congenital abnormalities. They require prompt recognition and successful treatment requires an awareness of the most likely causes as well as an understanding of the differences in paediatric physiology, vitals and laboratory testing compared to their adult equivalents. This lecture will cover the most important considerations when dealing with these fragile patients, giving practical recommendations for their management.
- - Hypothermia, hypoglycaemia, and hypoxia are common causes of collapse in the neonatal patient
- - Neonates with hypothermia should be rewarmed slowly and only fed once gut motility has been re-established
- - Shock and dehydration present differently in the neonatal patient. Fluid requirements for neonates are much higher than that of an adult patient
- - Low birth weight and a failure to gain weight is associated with a high mortality