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Decontamination Myths and Realities for Dogs and Cats
“Should I give milk, Doc?”
Katherine Peterson, DVM, DACVECCEmergency and Critical Care Specialist
Pet Poison Helpline
September 29, 2015
Did you know?
In 2014 Nationwide’s top 5 toxicities and the total amount claimed for each…
TOP 5 TOXICITIESTOP 5 TOXICITIES
Xylitol, Mold,
Mycotoxins
Xylitol, Mold,
Mycotoxins
$655,049$655,049
Drug Tox, Flea/TickDrug Tox, Flea/Tick
$726,602$726,602
Plant Origin –nuts, onions, nushrooms
Plant Origin –nuts, onions, nushrooms
$520,044$520,044
Rodenticide Toxicity
Rodenticide Toxicity
$208,103$208,103
Methylxanthine(chocolate,
caffeine)
Methylxanthine(chocolate,
caffeine)
$429,398$429,398
Nationwide and Pet Poison Helpline®
working together
Shared mission in highlighting the importance of preparing for accidents and poisonings in small animals
Addressing the cost of veterinary care Nationwide covers the $49 Pet Poison Helpline fee when a pet is
brought in to your hospital for care
Enabling best medicine Pet owners with Nationwide pet insurance spend 60% more on
veterinary care than those without pet insurance
9/28/2015
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Nationwide and Pet Poison Helpline® working together
Providing veterinary reviewed pet health information online www.petpoisonhelpline.com/owners www.petinsurance.com/healthzone.aspx
Providing complimentary pet owner educational materials for your practice –available for ordering First Aid for Your Pet brochure Poisoning Emergencies brochure Toxins in the Kitchen stickers Toxic Human Meds stickers Emergency Numbers stickers
Introduction
Katherine Peterson, DVM, DACVECC
Emergency and Critical Care Specialist
Pet Poison Helpline
Minneapolis, Minnesota
Objectives• Familiarize with indications for decontamination• Topical
• Ingestion of a caustic substance or hydrocarbon– ↑ aspira�on pneumonia
• Endoscopy (obscure visualization)
• Abdominal surgery of the GIT
• Gastric or intestinal obstruction
Cathartics: Why do we use them?
• Osmotic – draws water into GIT
• Accelerated speed of drug transit through GI
• ↓ time for toxin absorption
• ↓ time for desorption of toxin from AC
Whole Bowel Irrigation
• Indications
– Enteric coated drugs
– Iron
– Sustained or extended release drugs
– Packets of drugs
• NE or NG tube
• Polyethylene glycol
– 25-40 ml/kg PO followed by a continuous oral infusion of 0.5 ml/kg per hour until
• Treat until radiographic clearance or clear effluent
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Endoscopic or Surgical Removal
• Endoscopy– Coins– Non-leaking batteries (esp button batteries)– Patches (fentanyl, lidocaine)– Bottles/plastic– Other metals– Evaluate for injury to esophagus/stomach
• May be delayed depending on patient stability– General anesthesia– Cost– Operator dependent
Surgery
• Unable to vomit or remove endoscopically– Sharp objects– Large foreign bodies– Gorilla glue!– Medication bezoars– Leaking batteries– Large number objects– Bread dough
• Rumenotomy– Foreign body objects or large amounts of ingested
toxins.
Should I give milk?
• In general…NO!
– Causes gastroenteritis in dogs and cats
• But…may be useful for insoluble calcium oxalate plants or with fluoride toxicity.
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When in doubt, call 800-213-6680
• Something you’re not familiar or comfortable with
• Odd clinical signs
• Animals with preexisting disease
PET POISON HELPLINE
Introducing…
Pet Poison Helpline’s new video series:
More information coming in tomorrow’s follow-up email!
In the meantime…1. Subscribe to our YouTube Channel (petpoisonhelpline)2. Follow the blog on our website for updates3. Sign up for our program or contact us for more info:
1. When will I get my CE certificate? We’ll email it to you within 24 hrs.
2. I attended the webinar but wasn’t the person who logged in. Can I still get interactive CE credit? Yes. Send your name and email address to [email protected] by 1pm central time on September 30, 2015 (strict deadline).
3. Can I watch the recorded webinar online for CE credit? Yes. You can receive non-interactive CE credit. Go to the “For Vets” page on our website, www.petpoisonhelpline.comfor more info.