Flashcards in Canine heartworm Deck (34)
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31
Feline heartworms
Treatment--adulticide therapy?
- Adulticide treatment no longer recommended
- Melarsamine not very effective + severe rxns and toxicities
- Survival w/ prophylaxis and symptomatic treatment = survival w/ adulticide therapy
- Melarsamine not very effective + severe rxns and toxicities
- Survival w/ prophylaxis and symptomatic treatment = survival w/ adulticide therapy
32
Feline heartworm
Treatment--"accepted" guidelines
- Asymptomatic, ag/ab positive, normal rads
- No treatment; prophylaxis
- Symptomatic, ag/ab positive, abnormal rads
- No adulticide--just supportive pred as needed, no aspirin
- Crisis--oxygen, dex/pred IV, furosemide, ACE, digoxin
- Physical removal poss--jugular venotomy, thoracotomy, and atriotomy/pulmonary arteriotomy (var. results)
- Ivermectin at prophylactic dose (1 study)
- No treatment; prophylaxis
- No adulticide--just supportive pred as needed, no aspirin
- Crisis--oxygen, dex/pred IV, furosemide, ACE, digoxin
33
Feline heartworm
Prevention
-
RECOMMENDED, esp. in endemic areas
- Heartgard, milbemax, revolution, advantage multi
- Ab tests might become +
- Questionable if screening tests necessary before prophylaxis
34
Feline heartworm
Prognosis
DDx
- Prognosis--guarded
- Sudden death can occur w/ only 1 worm
- Good if placed on preventatives and survives past 2 years
- DDx
- Coughing--parasitic lung disease--Aleurostrongylus
-
Paragonimus--feline asthma, cardiomyopathy
- Dyspnea--pleural effusion, FIP, anemia, lymphosarcoma
- Sudden death can occur w/ only 1 worm
- Good if placed on preventatives and survives past 2 years
- Coughing--parasitic lung disease--Aleurostrongylus
- Paragonimus--feline asthma, cardiomyopathy
- Dyspnea--pleural effusion, FIP, anemia, lymphosarcoma
