Thursday, August 19, 2010

Congestive Heart Failure

Mahalingam Muralithas Dear Doctors...
Case discussion
Sig: canine, GS, 9yrs, male, around 25kg,
Cli.Findings : limbs and scrotal edema, exercise intolerance, Sinus arrhythmia, weak pulse, dyspnoea, T-101.8'F, mm-Pale, CRT>2Sec
X.Ray and Scanning : Pleural and pericardial effusion, Vertebral Heart Score[VHS] is 11.5.
ECG : short and wider P wave, long PR interval,
Diagnosis : Congestive Heart failure(CHF)
Treatment and management: 1st day; after diagnose for the emergency reliefness Pericardiocentesis and Thoracocentesis were done. start with high dose Frusemide(6mg/kg) and supportive treatment(IV) plus K suppliment.
2nd day; same treatment with Digoxin
3rd day; changed to Spironolactone, Digoxin, Enalapril plus supportive with diet mgt
for 9 days in a calm separate place.
Now bit improved and no recurrent fluid accumulation
and going to discharge with the same treatment with oral route with client advice.

28 January at 19:56 · · · Flag
    • Swarupmay Majumdar great work, nice presentation. what is dossage of digoxin? I am very cautious on Digoxin. not very safe.
      29 January at 15:27 · · Report

Mahalingam Muralithas I am having a doubt, Some vets giving oral treatment of Frusemide, spironolactone together plus K supplement with other medicines for the suspected CHF cases.

Does it possible to give both Diuretic at the same time for the suspicion of CHF?.

28 January at 20:04 · · · Flag
    • Saurabh Saxena yes,,it is done to maintain equimolarity of cellular fluids in the body..but then u have to keep monitorig and reqularly watch serum electrlytes values
      29 January at 09:30 · · Report
    • Swarupmay Majumdar In CHF there is intracellular (?) accumulation of fluid in lungs,peritoneum,llimbs and other places which needs to beregulary thrown out.Lasix and spirinolactone works in such a way that the K-sparing effets of Spirinolactone reduces the disadvantages of lasix and added K- supplementation with lasix. one the otherhand spirinolactone is a loop diuretics unlike lasix. so the combination is good when one thinks for long time management of CHF.You can use both together.
      29 January at 15:25 · · Report
    • Mahalingam Muralithas thank you for your interest on my doubt
      29 January at 17:49 · · Report


Posted by at

1 comment:

  1. Stephenie BrownNovember 28, 2020 at 10:32 PM

    I'M TOTALLY FREE FROM HEPATITIS B
      I’m Stephanie Brown, I was diagnosed with Hepatitis B 4 years ago, I lived in pain with the knowledge that I wasn't going to ever be well again. I have used several antiviral medications, but this could not fight the virus of me rather I got side effects of fever, muscle and joint pain. After  spending so much money on antiviral drugs but I never get better. I made research on the internet for herbal medicine. AS I was determined to get my lifestyle back and to be able to do things I am restricted from doing, I saw a lady’s post on how Herbal Dr. JAMES cured her of HIV with his herbal mix medicine. I contacted the same Doctor through his email....Drjamesherbalmix@gmail.com....we spoke, I told him all that I have been going through, and he told me not to worry that everything will be better again, so he prepared his herbal mix medicine and sent it to me through DHL courier company and told me the usage, after 21 days of completing the herbal medicine, I was totally free from Hepatitis B, I went to see a doctor for a blood test, After taking a sample of my blood for the test the result came out negative, I just can’t deny that I’m the happiest woman on earth this very moment, I’m so happy and thanks to Herbal Doctor JAMES,He also told me he cures  diseases   such as Alzheimer's disease, schizophrenia, Autism. Bipolar disorder,  Shingles, Melasma, Underactive thyroid, Melanoma, Cancer, Weak Erection, Wart Remover, HPV, Herpes, Fibromyalgia, HIV, Hepatitis b,Liver/Kidney Inflammatory, Epilepsy, Fibroid, Diabetes,COPD, Back pain, Nephrotic syndrome,Infertility.Cardiovascular diseases.lung diseases,Thyroid disorders ,PCOS,Contact him on his email and get rid of your diseases, he is a good  man  Email....Drjamesherbalmix@gmail.com

    ReplyDelete

If you are willing to see the full discussion on this topic happening on Facebook, click this link and join in SAVIN forum for Vets In small Animal Practice "http://www.facebook.com/group.php?gid=205150136887"

Subscribe to: Post Comments (Atom)