Hooo-Hooo Hooo-Hooo Vol. 13 Issue 01 - Page 7

Figure 2 complications and had a normal recovery. Post-operative treatment included Temgesic 0.02 mg/ kg every 8 hours for the next days, and no further antibiotics were prescribed, since the operation was considered a clean surgery. The following morning, milk meals was started, initially from a bottle and then from a bowl to avoid further teat foreign bodies. Milo initially drank well but that afternoon, when the owners visited, Milo was noted to be slightly depressed and lethargic. At this time he also started to refused milk and was still dehydrated. A clinical exam at this time showed: pronounced tachypnea, temperature of 38.9°C and a pulse rate of 200 beats per minute. Since he had pulled out his IV fluid line, he was re-sedated with Midazolam at 1.15 mg/kg and Ketamine at 2.3 mg/ kg. Further blood sampling, revealed a low hematocrit (33 %) and TPS (58 g/l). These results suggested blood loss, presumably through the GIT. To restore body fluids and blood volume he received ringers lactate solution at 50ml/kg and Voluven (Hetastch) at 10ml/ kg. Antibiotic therapy was immediately started with Cefazolin at 30 mg/kg q 24 and Metronidazole at 12.5 mg/kg q 12. The following morning, an ultrasound inspection revealed a large amount of fluid in the peritoneum cavity, and a sample was aspirated. Analysis of this fluid: the pre-centrifuge colour was orange, while post centrifuge colour was straw; fluid clarity pre- centrifuge was opaque and post-centrifuge was clear; SG 1017, protein 25g/L; RCC < 10.000 cells/ Figure 3 Figure 4 2019 ISSUE 01 7