Lesson 5, Topic 4
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Treatment
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Goals of therapy:
- Treat pulmonary edema/pleural effusion:
- Thoracocentesis
- Furosemide
- Venodilator therapy (nitroglycerine cream)
- If cat is being treated with corticosteroids, attempt to discontinue corticosteroid use as they promote fluid retention.
- Augment systolic dysfunction
- ACE inhibitors
- efficacy undetermined in cats
- Pimobendan
- safety and efficacy undetermined in cats
- Arterial vasodilators (non-ACE inhibitors)
- safety and efficacy undetermined in cats
- ACE inhibitors
- Prevent thromboembolic disease
- See section addressing thromboembolism below
- Treat the underlying etiology
- Taurine supplementation 250 to 500 mg PO (BID) if taurine deficiency is suspected
- Other measures
- Low sodium diet (watch for refusal to eat)
- Restrict activity