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    Central Veterinary Emergency Services

Sunday, January 24, 2010

All Sewn Up

Animals eat the strangest things. I was perusing the patient board in the Critical Care Unit Sunday night and was surprised to read "FB needle". Fortunately I knew the code and realized that "Ozzy" had eaten a needle. What?!? I went to find "Ozzy" in his cage and found an adorable orange colored domestic short hair kitty resting quietly. Hanging on the side of his cage was a plastic bag with the needle and thread that had been recovered from his stomach during surgery.

I included the digital x-ray taken of "Ozzy" before surgery. If you look right in the center of the image the needle is clearly visible. Most likely "Ozzy" got to chewing on the string and pretty soon had the whole string and needle sliding right down his throat. Fortunately "Ozzy's" owners saw him ingest the needle and brought him to the hospital right away. A needle like this one could perforate the stomach or intestine and cause internal bleeding and infection. Or the needle could migrate to another part of the body and cause multiple other issues. "Ozzy" got lucky, this needle stayed right in the stomach and didn't cause any further damage. Most likely "Ozzy" will go home tomorrow and will recover just fine from this incident and hopefully he won't chew on anymore string, especially string attached to a needle.

Good luck, "Ozzy"!!

posted by Central Veterinary Emergency Services   9:53 PM 0 Comments

Sunday, January 17, 2010

Wiley Coyote

We have the cutest Dachshund ever in our hospital. He has one brown eye and one blue and his tail has not stopped wagging since he arrived. He is wrapped up in bandages with a cute little penguin attached to the green wrap. Despite his wonderful personality it is plain to see that the poor little guy has had better days. Unfortunately, he is here because he was attacked by a coyote.

Coyote attacks on dogs and cats have become quite common in urban areas around the Denver area. If we were to average the number of cases we have seen in our Veterinary ER over a year we estimate that we see one coyote attacked dog or cat per week. Most of the cases we see are dogs with the unfortunate reality that cats are often taken by the coyote with no chance of recovery.

Injuries can range from minor abrasions and a couple puncture wounds to very serious lacerations and open chest cavity wounds depending on the severity of the attack. Fortunately, we have been fortunate and better than 90% of the cases have recovered from their injuries.

As winter wears on and breeding season starts the coyotes will be looking for food and may become more aggressive. There are precautions you can take to keep your animals safe if you know of coyote citings in your neighborhood.

The Colorado Division of Wildlife has the following recommendations on their website:

  • Keep pets on a leash when walking.
  • Never allow your pets to "play" with a coyote.
  • Pick up small pets if confronted by a coyote.
  • Do what you can to discourage a coyote's approach - yell, stomp your feet, throw small rocks or sticks at it.
  • Always supervise your pet when outside, especially at dawn and dusk.
  • Never leave cats or dogs outside after dark.
  • Don't leave food or water outside for pets.
  • If you must leave your pet outside, secure it in a fully enclosed kennel.
  • Keep your pets up to date on vaccinations.

For more information contact the Colorado Division of Wildlife by calling the main Customer Service # 303-297-1192 or go to the CDOW website for a listing of an office closer to your location.

The moral of the story...living with wildlife requires a bit of precaution.


posted by Central Veterinary Emergency Services   11:35 PM 0 Comments

Sunday, January 10, 2010

Top 10 Human Medications that Poison Pets

Below is a list of the top 10 human medications most frequently ingested by pets, along with some tips from the veterinarians at Pet Poison Helpline on how to prevent pet poisoning from human medications. This list comes from calls received at Pet Poison Helpline.

1) NSAIDs (e.g. Advil, Aleve and Motrin)

Topping our Top 10 list are common household medications called non-steroidal anti-inflammatories (NSAIDs), which include common names such as ibuprofen (e.g., Advil and some types of Motrin) and naproxen (Aleve). While these medications are safe for people, even one or two pills can cause serious harm to a pet. Dogs, cats, birds and other small mammals (ferrets, gerbils and hamsters) may develop serious stomach and intestinal ulcers as well as kidney failure.

2) Acetaminophen (e.g. Tylenol)

One regular strength tablet of acetaminophen may cause damage to a cat's red blood cells, limiting their ability to carry oxygen. In dogs, acetaminophen leads to liver failure and, in large doses, red blood cell damage.

3) Antidepressants (e.g. Effexor, Cymbalta, Prozac, Lexapro)

While these antidepressant drugs are occasionally used in pets, overdoses can lead to serious neurological problems such as sedation, incoordination, tremors and seizures. Some antidepressants also have a stimulant effect leading to a dangerously elevated heart rate, blood pressure and body temperature. Pets, especially cats, seem to enjoy the taste of Effexor and often eat the entire pill. Unfortunately, just one pill can cause serious poisoning.

4) ADD/ADHD medications (e.g. Concerta, Adderall, Ritalin)

Medications used to treat Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder contain potent stimulants such as amphetamines and methylphenidate. Even minimal ingestions of these medications by pets can cause life-threatening tremors, seizures, elevated body temperatures and heart problems.

5) Benzodiazepines and sleep aids (e.g. Xanax, Klonopin, Ambien, Lunesta)

These medications are designed to reduce anxiety and help people sleep better. However, in pets, they may have the opposite effect. About half of the dogs who ingest sleep aids become agitated instead of sedate. In addition, these drugs may cause severe lethargy, incoordination (including walking "drunk"), and slowed breathing in pets. In cats, some forms of benzodiazepines can cause liver failure when ingested.

6) Birth control (e.g. estrogen, estradiol, progesterone)

Birth control pills often come in packages that dogs find irresistible. Thankfully, small ingestions of these medications typically do not cause trouble. However, large ingestions of estrogen and estradiol can cause bone marrow suppression, particularly in birds. Additionally, female pets that are intact (not spayed), are at an increased risk of side effects from estrogen poisoning.

7) ACE Inhibitors (e.g. Zestril, Altace)

Angiotensin-converting enzyme (or "ACE") inhibitors are commonly used to treat high blood pressure in people and, occasionally, pets. Though overdoses can cause low blood pressure, dizziness and weakness, this category of medication is typically quite safe. Pets ingesting small amounts of this medication can potentially be monitored at home, unless they have kidney failure or heart disease. All heart medications should be kept out of reach of pets.

8) Beta-blockers (e.g. Tenormin, Toprol, Coreg)

Beta-blockers are also used to treat high blood pressure but, unlike the ACE inhibitor, small ingestions of these drugs may cause serious poisoning in pets. Overdoses can cause life-threatening decreases in blood pressure and a very slow heart rate.

9) Thyroid hormones (e.g. Armour desiccated thyroid, Synthroid)

Pets - especially dogs - get underactive thyroids too. Interestingly, the dose of thyroid hormone needed to treat dogs is much higher than a person's dose. Therefore, if dogs accidentally get into thyroid hormones at home, it rarely results in problems. However, large acute overdoses in cats and dogs can cause muscle tremors, nervousness, panting, a rapid heart rate and aggression.

10) Cholesterol lowering agents (e.g. Lipitor, Zocor, Crestor)

These popular medications, often called "statins", are commonly used in the United States. While pets do not typically get high cholesterol, they may still get into the pill bottle. Thankfully, most "statin" ingestions only cause mild vomiting or diarrhea. Serious side effects from these drugs come with long-term use, not one-time ingestions.

Tips for Keeping "Lucky" Safe:

  • Always keep medications safely out of reach and never administer a medication to a pet without first consulting your veterinarian.
  • Never leave loose pills in a plastic zip bag - the bags are too easy to chew into. Make sure visiting house guests do the same, keeping their medications high up or out of reach.
  • If you place your medication in a weekly pill container, make sure to store the container in a cabinet out of reach of your pets. Unfortunately, if they get a hold of it, some pets might consider the pill container a plastic chew toy.
  • Never store your medications near your pet's medications - veterinarians frequently receive calls from concerned pet owners who inadvertently give their own medication to their pet.
  • Hang your purse up. Inquisitive pets will explore the contents of your bag and simply placing your purse up and out of reach can help to avoid exposure to any potentially dangerous medication(s).
  • It is also important to note that while a medication may be safe for children, it may not be safe for animals. Pets metabolize medications very differently from people. Even seemingly benign over-the-counter or herbal medications may cause serious poisoning in pets.
  • If your pet has ingested a human over-the-counter or prescription medication, please call your veterinarian or Pet Poison Helpline's 24-hour animal poison control center at (800) 213-6680 immediately.

posted by Central Veterinary Emergency Services   11:05 PM 0 Comments

Monday, December 28, 2009

New Year = New You...and "Lucky" Too!

Are you looking ahead to the New Year with some goals in mind? Perhaps the idea of weight loss or increased exercise is on your list. Before embarking on your new routine consider making the task more fun by adding "Lucky" to your plans. What better encouragement could you ask for?

According to AAHA (American Animal Hospital Association), a 2008 study by the Association for Pet Obesity and Prevention showed that more than 44% of dogs in America are considered overweight - about 33 million. If your dog is part of the statistic, now is the time to get him moving.

AAHA has created a tool for a 2010 New Year's Resolution for you and your pet to resolve to get in shape. A signature and a paw print mark your commitment to a healthy new year. To download your own copy just click over to the AAHA website .

There are lots more health and fitness tips for you and your dog in Dogs Lose Lbs! You Win!, also available through AAHA. To order your own copy click here.

While on the AAHA site you might also spend some time on the www.healthypet.com website for fun and useful information for all pet owners.

Happy New Year!

posted by Central Veterinary Emergency Services   10:37 AM 0 Comments

Sunday, December 20, 2009

Happy Holidays

Central Veterinary Emergency Services will be open from 2 pm on Christmas Eve until 8 am on Monday, December 28. Hopefully all will be well and we won't see you, but rest assured that we will be here should an unforeseen event with one of your four-legged friends change your holiday plans.

Reflect upon your present blessings of which every man has many...
- Charles Dickens


posted by Central Veterinary Emergency Services   7:12 PM 0 Comments

Sunday, December 13, 2009

Baby, It's Cold Outside!

Did you know?
We've just come out of a cold snap in Colorado with temperatures in the
teens and single digits and wind chill below zero. Other areas of the country are still in the middle of a deep freeze. You may have noticed your four legged family members being just as hesitant as you to roam outside for long in these temps. It is a misnomer that an animal should be able to withstand really cold temperatures just because it has fur without conditioning or special gear. I've covered this topic a bit already in the post titled "Winder Adventures", but let's consider a few other dangers that pop up in the cold weather months.

Small Vs. Big, Short Vs. Long
Although some pets are conditioned to cold weather, veterinary experts agree that you should bring outdoor pets indoors if the temperature drops below 20 degrees Fahrenheit.
Puppies, kittens, and short haired pets should come inside anytime the temperature goes below 40 degrees. Long haired pets do have a bit of an advantage, but proper grooming is essential to help them maintain a layer of warming air within their coat. Pets who are heavily matted cannot keep themselves as warm.

Shelter
If your pet must stay outdoors, be sure to provide shelter for your pet. A good "house" will have three enclosed sides, will be elevated off the ground, and will contain generous amounts of bedding such as straw or hay.
In cold weather, bigger is not always better. A house just big enough for your pet will warm up faster and retain heat better than something that is too big. Your pet will need access to fresh water that isn't frozen. Use heated water bowls and replenish them frequently.

Antifreeze
Antifreeze is a common and deadly pet poisoning during colder months. If you suspect your pet has consumed any antifreeze at all, you must contact your veterinarian immediately!
Antifreeze has a sweet taste to pets, so they will readily lap up any spilled material. If you spill antifreeze, dilute the area well with water and sweep excess water into a rocky or sandy area. Cover area with soil to keep pets from licking at the rocks. Read my post on a pet friendly Antifreeze alternative.

Cars and Pets
Cats love to warm up underneath car hoods. If your car is kept outdoors, or if cats have access to your garage, be sure to pound on the hood of the car prior to turning the ignition. Many cats are killed or injured grievously by fan belts and moving engine parts.
Also, pets should not be left alone in vehicles due to the potential for carbon monoxide poisoning or hypothermia.

Hypothermia
Our pets suffer from frostbite and hypothermia just like we do. Consider keeping dogs on a leash when they go outside. Many curious dogs off leash will explore "frozen" retention ponds, lakes or streams and fall through the ice into frigid water. I cover signs and treatment of hypothermia in the "Winter Adventures" post.

Heat Source Cautions
You may encourage your dog or cat to warm up by a wood-burning stove
, fireplace, or space heater. Be very careful to monitor your animal around any of these heat sources. They can cause severe burns. If your animal is mobile, let him move away from the heat when he's had enough. For non-mobile pets keep the animal a safe distance away and turn its body every 5 minutes to allow the area near the heat source to cool off.

Arthritis
Older pets may suffer more from arthritis during these months. You might consider providing warm, raised bedding to decrease the exposure to cold floors and drafts that can intensify the pain and stiffness of arthritis. Hydrotherapy can be a great exercise for pets with arthritis to gently loosen up stiff joints without weight bearing pressure on painful limbs.
Marty Pease leads the CRCG clinical rehabilitation staff. She is a licensed Physical Therapist with over 21 years of experience and was certified by the University of Tennessee in canine rehabilitation in 2003. Marty would love to have you visit the Canine Rehabilitation & Condition Group (CRCG) to take your dog for a swim in the Open Dog Pool. You can also talk to your family veterinarian for other arthritis treatments for dogs and cats.

The moral of the story...snuggle a little closer with your cold nosed dog or cat to keep warm this winter.

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posted by Central Veterinary Emergency Services   9:42 PM 0 Comments

Sunday, December 6, 2009

What Should Santa Bring "Lucky"?

Even if our pets don't know the true meaning of the holidays, they do enjoy the attention and special presents that owners give them. Pet owners and those looking to give gifts to pets or owners could consider actual physical gifts, gifts that benefit other animals, or a gift that might benefit the pet in the future.

Remember, when giving gifts to your pet to consider his or her personality. If your dog tends to shred his toys than a stuffed animal with a squeaky center is probably not a good idea. The last thing you want is to have a Christmas present become an ingested foreign body that leads to an emergency visit to the nearest veterinary hospital.

That said there are lots of great options on the market these days, and whether you plan a trip to your local pet super store or want to stay home and shop on-line we have some suggestions to get you started.

Consider the "Croc" shaped shoe bed at http://www.sasquatchpetbeds.com/ or the beds made from recycled material at http://www.mollymutt.com/, either option gives your friend a new and comfortable place to stay. It may take some time for "Lucky" to get accustomed to his new bed. Placing one of his familiar blankets in the bed may help his acceptance of his luxurious new accommodations.

Toys are important to help keep your pet occupied and out of trouble. A variety of laser pointers are available at most major pet retailers, including the new FroliCat BOLT Automatic Laser toy. Dogs love any number of toys and this year you can choose from tough durable KongĀ® toys and the new GoughNuts. PetSmart has their soft plush Luv-A-Pet toys and 10% of sales go to help homeless pets. Remember when choosing a toy for your pet to ensure that the toy is durable without any removable pieces that could be swallowed. The first introduction to a new toy should be at a time when you can spend time with your pet to make sure they "play responsibly".

Or maybe you just want your pet to have a new outfit for the holidays. At http://www.poochieheaven.com/, you can find everything from Santa hats to elf outfits and gingerbread tees!

Overall, beyond the fun toys or fancy clothes for your pets, we recommend that you consider some less common, but definitely helpful gifts.

Millions of pets wander off each year, unable to find their way back home. A microchip, along with proper registration can insure your pet's safe return in case he becomes lost. Ask your family veterinarian for more information.

Being prepared for any emergency may not be a flashy gift, but it could save your pet's life. Consider pet insurance or even a Pet Health Savings plans as one way to help protect your pet from serious illness or injury. A variety of insurance plans are available at http://www.purinacare.com/ or http://www.petsbest.com/ and you can even set up an interest bearing, insured savings account for your pet by visiting http://www.pawsitivesavings.com/.

There are lots of families who need some assistance with their pet's medical bills. Here at the VRCC Specialty & Emergency Hospital we raise funds for the Animal Care Foundation, a non-profit organization providing one-time, partial financial assistance for emergency or specialty veterinary care from VRCC to low income Colorado residents. You can donate here.

Remember your local pet shelters this holiday season. In the Denver area the Dumb Friends League or Maxfund could always use a donation to care for the animals for which they provide shelter and love. Can't add one more pet to your house? Consider being a Pet Pal for a Maxfund animal.

And, as Dr. Arnold Goldman from Connecticut writes, "the gift of time matters to them the most." Make it a point to spend a little more time with your pets each day.

Our pets give us so much and ask so little in return. Ask your family veterinarian about ideas to help keep your four legged friend healthy and happy.

Happy shopping!

posted by Central Veterinary Emergency Services   7:07 PM 0 Comments

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