Max

Anamnesis:

A 4-year-old male intact Jack Russell Terrier, weighing 5 kg / 11 lbs, has eaten two 500mg of paracetamol tablets. The dog was home alone when it happened, the ingestion of the tablets may have been around 2-6 hours ago. One small pile of vomit was found at home, but no tablets. The dog has an unwell look on his face and is lethargic.

General examination:

the dog is lethargic, has pink and moist mucous membranes, heart rate is 130 bpm, auscultation normal, body temperature normal, reacts to abdominal palpation.

By checking from GekkoVet the information about the paracetamol toxicity, the toxic dose is over 75-150 mg/kg which means Max has ingested a toxic dose. Since paracetamol is hepatotoxic and can cause hematological disturbances, a common bloodwork is checked.

Complete blood count and blood biochemistry results:

Elevated ALAT and AFOS, other values in the reference range.

GekkoVet gives us information about the treatment goals and supportive care. Different protocol options help us to come up with a treatment plan and also inform the owners about the treatment options and possible outcomes.

Treatment plan:

Since the dog is already showing some poisoning symptoms and the tablets are rapidly absorbed from the stomach, the emesis is not induced
Hospitalization and fluid therapy
Intravenous acetylcysteine (NAC)
Intravenous gastrointestinal protectants and antiemetics
Orally S-Adenosyl-L-Methionine (SAMe)

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