Hypomagnesaemia in Large Animals Flashcards
(32 cards)
Role of Mg in body
- intracellular cation responsible for intracellular signaling
- extracellular: nerve transmission, motor endplate w/ Ach, hyperexcitability -> Tetany
Mg Storage & Use in Ruminants
- vast majority inaccessible
- SI = site of net secretion
- SI excretion, susc to any changes in diet Mg
- XS lvls excreted in urine
Mg homeostasis
- No FB mechanism/homeostatic mechanism to regulate Mg in ruminants
- Conc det’d by: [Mg(serum) = (Mg(absorption)) - (Mg(loss))]
- variable due to intake
Mg Absorption
- Dietary K+ depolarises apical membrane of ruminal epithelium reducing Mg absorption
- Absorption = main component responsible for Mg variation
- Rumen = main site in adults; net secretion from SI
Rumen Transport of Mg for absorption is dependent on
- conc of Mg in soln
- Integrity of Mg active transport system (Na-linked): lush high moisture spring pasture - low in diet Na, high in K
Mg loss in ruminants
- mediated by kidney
- increased reabsorption w/ elevated PTH (indirect)
- ONLY in hypermagnesaemia
Epidemiology & risk factors
- affects dairy & beef cattle
- age: 4-7 yrs
- stage of lactation: 1st 2 mos
- Stress: modifiable
Dietary risk factors
- forage type/conservation - grass < silage
- Fertiliser - type & intensity of application
- Grass species (Mg content)
- Cereals
- Seasonality - Autumn/spring
- low energy feeds
- increased RDP
- Interactions of Na: Mg absorption Na-linked, increase K
Peracute Clin signs hypoMg
- Sudden death
- found dead
Acute HypoMg is an
EMERGENCY
Acute HypoMg clin signs
- stop eating, muscle twitching, fall to ground
- opisthotonus
- hyperexcitability
- Nystagmus
- spasm of masticatory muscles
- frothing at mouth
- pricked ears
- retraction of eyelids
- clonic convulsions of limbs, seizure-like, paddling
- extensor rigidity
- periods of calm, loud tachycardia
- often hypermotile rumen & D
- Death in 30 min - 1 hr
Subacute clin signs of HypoMg
3-4 day course
* excitable
* vocal
* ‘spasmodic’ urination
* increased freq of defecation
* marginal Mg status, where stressful even may push to acute
* ‘Behaving oddly’
Chronic/subclinical HypoMg
- uncommon Dx
- Non-specific: ill thrift, reduced milk yld, dullness
- occasional sudden death in herd
Dx of HypoMg
- Hx
- Clin signs
- Reponse to txt
- Serum Mg sample if warranted
- PM - Dx difficult (Vitreous/aqueous humor samples up to 72 hrs after death)
Differentials for Hypomagnesaemia
- Stage 1 hypoCa
- Nervous ketosis
- BSE - response to txt rules out
- Listeriosis
- Pb poisoning - recumbency common sign
Blood biochemistry
- Mg levels
- Ca often low
- K often high if clinical
Treatment of Hypomagnesaemia
- if convulsing: SEDATE
- Na pentobarbital (20%) 5-15 ml slowly IV
- monitor heart continuously
- Follow w/ 400 ml 20% Ca borogluconat-Mg hypophosphate sln slowly IV
- 400 ml 25% MgSO4 sln SQ
- use flutter valve & 14G needle
- DON’T KILL THE COW BY REVERSING ORDER
How to sedate a convulsing cow
- A2 agonist - Xylazine (note: lowers seizure threshold)
- Diazepam & Pentobarbital = Anti-convulsions (under cascade), incl. Euthatol if necessary
Hypomagnesaemia txt & case mgmt
- achieve sedated animal that is no longer twitching/convulsing
- place in sternal recumbency
- provide shelter
- should be standing/normal in 12-24 hrs; if not = poor prognosis
- 60 mg MgO orally in at risk period & cohorts
- Examine entire herd policy - iceberg
Prevention of hypomagnesaemia
- risk periods
- Provision of supplemental Mg in at-risk periods
- feed supplements
- pasture dusting
- Mg Bullets
- Mg in drinking water
- Oral supplementation of Mg
Risk periods for hypomagnesaemia
- 6-8 wks after going to grass in spring
- winter milk herds on lush autumn aftermath
- sept-March in outwintered sucklers
- transit tetany
Ideal dosing of Mg supplement in at-risk period
~30 g of Mg/cow/day (= 60 g MgO)
Issues with Mg supplement lie with
appropriate delivery
Supplementing Mg in feed
- palatability = poor
- Mg inclusion in concentrates = V. SUCCESSFUL
- Available Mg depends on amt & conc of ration