Managing Heatstroke

posted: by: ACC Tags: "Clinic Specials" "News" 

Risk Factors:
·           Lack of acclimatization
·           Humidity
·           Drugs (e.g. Lasix)
·           Obesity
·           Cardiovascular disease
·           Geriatric
·           Thick hair coat
·           Macadamia nuts
·           Exercise in hot weather
·           Hyperthyroidism
·           Eclampsia (milk fever)
·           Confinement/poor ventilation
·           Water deprivation
·           Short-faced breed
·           Laryngeal disease
·           Central/peripheral nervous system disease
·           Prior heatstroke
·           Amphetamines
·           Eating toads
·           Febrile disease
·           Seizures

Clinical Signs May Include:
·           Temperature >104
·           Sticky gums
·           CRT - immediate or non-detectable
·           Blindness
·           Coma
·           Increased heart rate
·           Bloody stool or vomit
·           Hypersalivation
·           Weakness
·           Excessive panting
·           Bright pink gums
·           Lack of coordination
·           Seizures
·           Skin Bruising
·           Decreased blood pressure
·           Dark urine
·           Dehydration
·           Lack of urination


Protocol for Managing Heatstroke Cases Presented to AMC:
·           Notify veterinarian immediately.
·           Obtain current weight for dosing emergency drugs.
·           Give oxygen by mask or flow-by if mask upsets patients. May be necessary to intubate patient. Flush anesthesia from line before initiating oxygen therapy.
·           Take temperature with glass thermometer.
·           If temperature is greater than 104 degrees and the patient is symptomatic, place wet towels on the patient and apply rubbing alcohol to footpads and inner ear flaps.
·           Hook up to EKG machine.
·           Prepare forearm for IV catheter and gather catheter supplies.
·           Draw blood for CBC, Chem panel and Blood Gas.
Check temperature every 5 minutes unless others directed by the attending veterinaria