Hypomagnesaemia in Large Animals Flashcards

(32 cards)

1
Q

Role of Mg in body

A
  • intracellular cation responsible for intracellular signaling
  • extracellular: nerve transmission, motor endplate w/ Ach, hyperexcitability -> Tetany
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2
Q

Mg Storage & Use in Ruminants

A
  • vast majority inaccessible
  • SI = site of net secretion
  • SI excretion, susc to any changes in diet Mg
  • XS lvls excreted in urine
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3
Q

Mg homeostasis

A
  • No FB mechanism/homeostatic mechanism to regulate Mg in ruminants
  • Conc det’d by: [Mg(serum) = (Mg(absorption)) - (Mg(loss))]
  • variable due to intake
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4
Q

Mg Absorption

A
  • 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
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5
Q

Rumen Transport of Mg for absorption is dependent on

A
  1. conc of Mg in soln
  2. Integrity of Mg active transport system (Na-linked): lush high moisture spring pasture - low in diet Na, high in K
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6
Q

Mg loss in ruminants

A
  • mediated by kidney
  • increased reabsorption w/ elevated PTH (indirect)
  • ONLY in hypermagnesaemia
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7
Q

Epidemiology & risk factors

A
  • affects dairy & beef cattle
  • age: 4-7 yrs
  • stage of lactation: 1st 2 mos
  • Stress: modifiable
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8
Q

Dietary risk factors

A
  • 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
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9
Q

Peracute Clin signs hypoMg

A
  • Sudden death
  • found dead
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10
Q

Acute HypoMg is an

A

EMERGENCY

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11
Q

Acute HypoMg clin signs

A
  • 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
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12
Q

Subacute clin signs of HypoMg

A

3-4 day course
* excitable
* vocal
* ‘spasmodic’ urination
* increased freq of defecation
* marginal Mg status, where stressful even may push to acute
* ‘Behaving oddly’

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13
Q

Chronic/subclinical HypoMg

A
  • uncommon Dx
  • Non-specific: ill thrift, reduced milk yld, dullness
  • occasional sudden death in herd
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14
Q

Dx of HypoMg

A
  • Hx
  • Clin signs
  • Reponse to txt
  • Serum Mg sample if warranted
  • PM - Dx difficult (Vitreous/aqueous humor samples up to 72 hrs after death)
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15
Q

Differentials for Hypomagnesaemia

A
  • Stage 1 hypoCa
  • Nervous ketosis
  • BSE - response to txt rules out
  • Listeriosis
  • Pb poisoning - recumbency common sign
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16
Q

Blood biochemistry

A
  • Mg levels
  • Ca often low
  • K often high if clinical
17
Q

Treatment of Hypomagnesaemia

A
  • 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
18
Q

How to sedate a convulsing cow

A
  • A2 agonist - Xylazine (note: lowers seizure threshold)
  • Diazepam & Pentobarbital = Anti-convulsions (under cascade), incl. Euthatol if necessary
19
Q

Hypomagnesaemia txt & case mgmt

A
  • 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
20
Q

Prevention of hypomagnesaemia

A
  • risk periods
  • Provision of supplemental Mg in at-risk periods
  • feed supplements
  • pasture dusting
  • Mg Bullets
  • Mg in drinking water
  • Oral supplementation of Mg
21
Q

Risk periods for hypomagnesaemia

A
  • 6-8 wks after going to grass in spring
  • winter milk herds on lush autumn aftermath
  • sept-March in outwintered sucklers
  • transit tetany
22
Q

Ideal dosing of Mg supplement in at-risk period

A

~30 g of Mg/cow/day (= 60 g MgO)

23
Q

Issues with Mg supplement lie with

A

appropriate delivery

24
Q

Supplementing Mg in feed

A
  • palatability = poor
  • Mg inclusion in concentrates = V. SUCCESSFUL
  • Available Mg depends on amt & conc of ration
25
Never feed high Mg feeds to...
calves, drystock, sheep Causes urolithiasis
26
Mg licks
* 'bitter taste' - can mask w/ molasses * variable intake per cow * hierarchy w/i herd/dominance issues over bucket can impact those lower down in hierarchy
27
Pasture dusting of Mg
* environmental concerns (runoff, etc) * only economical if stocking rate is 1+cow per acre * Grass cover must be >/= 10 cm * Need 20-35 MgO per hectare * Issues w/ RAIN making it go away!
28
Mg Bullets
* each bullet released <1g Mg/d * problem w/ retention * inadeq in severe deficiencies * sucklers these are used often
29
Mg in drinking water
* will avoid if another source of water can be found * gives 20-40 g Mg/cow/day as soluble salt - prevents tetany in Spring/Autumn * >40g = D * impacts taste * ltd by variability in water intake per cow * cows have little or no water intake in wet weather * must be no other water sources for them to be willing to ingest it
30
Other ways to prevent HypoMg
* avoid K application in spring (prev. autumn) * supply Na licks * avoid stress * provide shelter
31
Oral supplementation of Mg
* if no concentrate feeding -> sprinkle MgO BID on silage * if hay -> dampen before sprinkling to get proper supplementation
32
HypoMagnesaemia in calves
* uncommon * calves 2-6 mos of age, on milk (Mg low in milk, must supplement) * Mg initially absorbed from SI in calves (adults SI is for excretion) -> absorption declines by 3 mos of age; exacerbated by D assoc'd w/ Cu def; more able to mobilise Mg than an adult