Vet Treatment Considerations

Syringe Feeding - Verify it's occurring frequently enough at appropriate volumes. Smaller patients may need TID feedings or oral dextrose regularly.

Parasite/Giardia Concern - Panacur should be given PO SID for 5 days depending on source of puppy and testing done prior to arrival.

Hypokalemia - Consider if KCL is needed in CRI fluids depending on puppy condition/response to treatment.

Patient exposed with No Signs - Start 3 doses of Polyflex at intake. Can discontinue if doing well and not breaking with signs at end of course.

Excessive vomiting: If still vomiting on Cerenia consider Ondansetron for rescue medication.

Rebound Illness

1. Check PCV/TP always

2. If <5lbs, check blood glucose. May need to go up to 10-20% dextrose in CRI fluid bag if can’t maintain BG at 5%.

3. Treatment depends on cause/suspicion:

   • Hypoproteinemia is very common. Syringe feeding most important for this but hetastarch (10 – 20 ml/lb/24 hours) divided or as CRI may also be helpful if protein very low and puppy not doing well or if they are clinical for hypoproteinemia.

   • Abscess from blown IVC or Baytril – common: treat with doxycycline and tramadol.

   • Intussusception – somewhat common: surgery and hetastarch – vet needs to feel abdomen

   • URI – common – Doxycycyline, Azithromycin, or Baytril if possible pneumonia

   • Dehydration – Possible.

   • Parasitism – Possible, consider parasites not treated by strongid (whipworms, coccidia, giardia, tapeworms).

   • Esophagitis - Uncommon.