Exotics- Reptiles- 5

kelseyfmeyer's version from 2015-09-08 16:52

Reptile Theraputics continued

Question Answer
who can you use levamisole (anthelmentic) on?most species
metronidazole (anthelmentic) is good for treating what? and what other use might it have?good antiprotozoal, and appetite stimulant?
what should you know if you're going to give fenbendazole to reptiles?often used, but dose conservatively (Reports of radiomimetic effects to GI tract at 5x published dose (100 mg/kg)
why would you want to administer Fipronyl? (anthelmentic)Topical application miticide, acaricide (ticks/mites)
HTRS: what's Rush's opinion on anthelmentics/ treatment of mites?she likes to use olive oil on the animal, and then treat the ENVIRO with fipronyl
Analgesics--> Butorphanol: why would you choose this over buprenorphine?This is more appropriate because Reptilian species may have more Kappa receptors (similar to birds), and butorphanol is a kappa agonist, whereas buprenorphine is a pure Mu agonist. Not to mention, Clinically Bup has caused prolonged recoveries in some gopher tortoises
what are the NSAIDs you can use in reptiles (which are particularly good in chelonia?)Carprofen, meloxicam have been used without apparent ill effect in chelonia. There is also ketoprofen available.
If you are going to administer corticosteroids, what kinda time frame are you gonna wanna keep? what are the routes of admin and which is preferred? Why must you be careful if you are administering corticosteroids?Administer over first 24-48 hours (dont dose again unless you absolutely need to!), you can admin IV (preferred), IO, or IM. The reason we gotta be careful is that the immunosuppressive length and anti-inflammatory effects are UNKNOWN.
what are the two types of corticosteroids you can give to reptiles?Dexamethasone Sodium Phosphate (1-4 mg/kg), Prednisolone sodium succinate (2 mg/kg)
which anesthetics--> Dissociatives can you give to reptiles?ketamine, tiletamine+zolazepam
which anesthetics--> Alpha agonists can you give to reptiles?Medetomidine (REVERSIBLE! WOO!-->Atipamezole is the agent to reverse it)
Can you use propofol in reptiles?yes, but be aware there can be Irritant/slough if extravasation
which inhalent anesthetics can you use on reptiles?isoflurane (most common) and sevoflurane (expensive but worth it)
Oh, there's a wound? #1 important thing for wound care?LAVAGE!!!! LAVAGE!!!!
what are the three types of lavages you can use in wound care?a balanced solution (saline- normal or half strength), antiseptics, or lavage with antimicrobials
what kinda antiseptic lavages are there? (3) explain anything you should know about them(1) chlorhexidine (2) betadine **long term can cause thyroid problems (goiter) (3) Trifectant * must be no involvement of internal organs
if you are going to use a lavage with antimicrobials, what two things must you keep in mind?(1) Never use greater than single dose based on animal weight (never know how much a wound is going to absorb, so make sure you wont OD) (2) Body perception as FB?
what two types of bandaging are preferred for reptiles, and why is this? how often would you changing bandaging?Wet to dry and dry to wet are best. This is because Caseated nature of reptilian inflammatory response usually makes these two types of bandages better for maintaining granulation tissue and debridement. bandages may be changed from twice daily to every other day
Wound Care--> ointments/topicals: which topical ointments should you avoid? (2)avoid "caine" containing ointents (tox levels unknown). also avoid steroids (long term effects unknown)
Wound Care--> ointments/topicals: Silver sulfadiazine, Triple Ab, CHX (chlorhex), Betadine--> what should you know about using these?Once the wound is free of bacteria, DISCONTINUE USE!!! Because Most abx slow growth of the granulation bed
Wound Care--> ointments/topicals: what are 3 brands she likes? what is a natural product she likes?Caravet wound gel, Orabase gel, Neo-predef powder short term she also likes. she REALLY LIKES HONEY!!! because it works as a Antimicrobial and stimulates wound healing
Wound Care--> ointments/topicals: Orabase gel--> what is this good for?can use for wound care, and May be mixed w antibiotics
Fracture stabilization--> chelonia: what are some materials to stabalize?You may or may not cover with a bandage (Tegaderm, vetwrap, duct tape), you might need to use wire/bone plate screws. You might also be able to use Bio-absorbable bone cement (calcified triglyceride product) or a fiberglass patch.
fiberglass patches are espeically useful in fracture stabalization for who? what must you make sure of?Best on testudo and box turtles, should be air penetrable to allow breathing of wound
Fracture stabilization--> iguanids-- how do you do this? and how long might it take to heal?Tape affected leg against body, May take 4-6 weeks to heal

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