GDV

Question 1

Gastric Dilatation-Volvulus

Answer 1

Dilatation of the stomach with investor and gas, with rotation of the stomach into an abnormal position. Life-threatening, typically in deep chested, large and giant breed dogs.

Question 2

Classic clinical signs

Answer 2

Vomiting, retching and bloating

Question 3

Left untreated

Answer 3

The animals will die of cardiovascular collapse.

Question 4

The in large stomach compresses the caudal vena cava and affects venous return to the heart leading to -

Answer 4

Hypovolemic shock

Question 5

Large-bore catheters should be placed immediately in the front legs for jugular vein because –

Answer 5

Venous return from the coddle half of the body is impaired by the dilated stomach. Best to place at least two catheters.

Question 6

What is typically obtained shortly after presentation

Answer 6

Baseline bloodwork, coagulation assessment, ECG and blood gas

Question 7

After fluids are started –

Answer 7

Stomach must be decompressed to help stabilize and decrease the chance of gastric will necrosis secondary to vascular compromise from severe distention.Orogastric tube is placed

Question 8

If the orogastric tube can’t be passed after sedation, the stomach should be decompressed by

Answer 8

Throcarization

Question 9

For throcarization the -

Answer 9

Right side of the stomach is aseptically prepared behind the last rib.

Question 10

Throcarization

Decompression is performed by

Answer 10

Passage of a large-bore needle or a large-bore IV catheter attached to a 60 ML syringe with a three-way stop cock gently passed into that dilated stomach percutaneously.

Question 11

After stabilization and vital signs are improving –

Answer 11

Right lateral abdominal radiographs are obtained. Thoracic radiography should also be performed because aspiration is a possibility

Question 12

A broad-spectrum anabiotic to help prevent septicemia should intestinal compromise lead to bacterial translocation from the G.I. tract into the bloodstream should be started as a result of –

Answer 12

Vascular compromise to the stomach wall

Question 13

Anastasia can be challenging because

Answer 13

Respiratory compromise often occurs as a result of compression of the diaphragm by the gas-distended stomach. Blood pressure, often low and difficult to maintain.