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Emergency Situations

  • Cyanosis is defined as a bluish discoloration of the skin and mucous membranes of the body caused by inadequate oxygen levels. Several different conditions involving the cardiovascular/circulatory system and/or the respiratory system that can lead to cyanosis, including congenital defects, degeneration of heart valves or heart muscle, blood clots in the lungs, pulmonary hypertension, pneumonia, asthma, lung flukes, smoke inhalation, or muscle damage to the diaphragm. Cyanosis is an emergency, and the root cause may be life threatening and may or may not be reversible. Once back home, homecare instructions must be followed carefully.

  • Cyanosis is defined as a bluish discoloration of the skin and mucous membranes of the body caused by inadequate oxygen levels. Several different conditions involving the cardiovascular/circulatory system and/or the respiratory system that can lead to cyanosis, including congenital defects, degeneration of heart valves or heart muscle, blood clots in the lungs, pulmonary hypertension, pneumonia, asthma, lung flukes, smoke inhalation, or muscle damage to the diaphragm. Cyanosis is an emergency, and the root cause may be life-threatening and may or may not be reversible. Once back home, homecare instructions must be followed carefully.

  • Cystine bladder stones appear to be the result of a genetic abnormality that prevents a dog from reabsorbing cystine from the kidneys. While bladder stones in general are somewhat common in dogs, cystine bladder stones are rare. Your veterinarian may be able to palpate the stones or may need to perform imaging studies such as a bladder ultrasound or a contrast radiographic study. There are two primary treatment strategies for treating cystine bladder stones in dogs: urohydropropulsion or surgical removal. Dogs that have developed cystine bladder stones in the past will often be fed a therapeutic diet for life. Unfortunately, cystine stones have a high rate of recurrence, despite careful attention to diet and lifestyle.

  • Cystitis is a general term referring to inflammation in the urinary bladder. The term cystitis does not imply a specific underlying cause. In cats, diseases of the lower urinary tract (bladder and urethra) are often grouped under the term feline lower urinary tract disease (FLUTD). The initial diagnosis of FLUTD is based on the identification of signs of lower urinary tract inflammation.

  • Diabetes mellitus results from an inadequate production of insulin from the pancreas. The primary treatment is replacement by insulin injections. The body’s response to the injections needs to be regularly monitored by glucose curves over 12-24 hours. There are several glucometers that can be used at home for this purpose. Insulin must be stored and reconstituted carefully to ensure dosing is accurate. Giving subcutaneous injections of insulin can seem daunting at first, but by following the directions in this handout, it will quickly become second nature to both you and your pet. Hypoglycemia can result from too much insulin, not enough food, or excess exercise. Pet owners are trained to recognized hypoglycemia and treat or obtain emergency veterinary attention.

  • Diabetic ketoacidosis is a life-threatening condition that results from inadequate insulin or interference of insulin action on the body preventing glucose regulation. This causes a buildup of ketone bodies that, at a high enough level, will cause a metabolic derangement resulting in inability to retain water, weakness, vomiting and weight loss, among other signs. Treatment usually requires intensive hospitalized care including IV fluids, potassium supplementation, short acting insulin injections, and regular monitoring of glucose and electrolytes. In dogs already diagnosed with diabetes, ketoacidosis can often be prevented with regular glucose monitoring performed at home.

  • Even though e-cigarettes may be safer for humans than using traditional tobacco products, they are certainly not safe for pets. The nicotine associated with e-cigarettes, even without the tobacco, poses a serious health threat for dogs and cats.

  • Eclampsia in cats is a rare emergent condition of hypocalcemia that generally occurs one to four weeks after giving birth but can occur before. Risk factors include a poor diet, abnormal parathyroid gland, and calcium supplementation during pregnancy. Signs of eclampsia start as restlessness, panting, and stiffness and can progress to disorientation, tremors, inability to walk, and convulsions. Treatment includes intravenous fluids, careful intravenous calcium supplementation, and other supportive medications followed by oral supplementation and weaning kittens as soon as possible or supplementing their diet with milk replacer.

  • Eclampsia in dogs is an emergent condition of hypocalcemia that generally occurs one to four weeks after whelping but can also occur shortly before giving birth. Risk factors include a poor diet, small breed dogs, abnormal parathyroid gland, and calcium supplementation during pregnancy. Signs of eclampsia start as restlessness, panting, and stiffness and can progress to disorientation, tremors, inability to walk, and convulsions. Treatment includes intravenous fluids, careful intravenous calcium supplementation, and other supportive medications. This is followed by oral supplementation and weaning puppies as soon as possible or supplementing their diet with milk replacer.

  • Egg binding is not uncommon in birds and may be resolved easily if treated early. Egg binding occurs when the female bird is unable to expel the egg from her body. If a prolonged period has elapsed since the bird began attempting to lay the egg, she may become critically ill. Birds with egg binding may or may not have passed an egg more than 2 days ago, are usually weak, not perching, often sitting low on the perch or on the bottom of the cage, and are straining as if trying to defecate or to lay an egg. Treatment varies depending upon how sick the bird is, as well as the location of the egg and the length of time the bird has been egg bound. Critically ill birds are first treated supportively for shock, and then attempts are made to extract the egg. If your veterinarian cannot see the egg through the vent, surgery under general anesthetic may be necessary to remove the egg from the abdomen. A hysterectomy (removal of the oviduct and uterus) is typically the last choice therapy, when medical and egg extraction through the vent are not possible.