Pneumonia, heaves or heart failure? - Page 3
 
 

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Pneumonia, heaves or heart failure?

This is a discussion on Pneumonia, heaves or heart failure? within the Horse Health forums, part of the Keeping and Caring for Horses category
  • Should you keep a horse with pneumonia inside during extreme heat

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    07-04-2012, 09:00 PM
  #21
Foal
Quote:
Originally Posted by Hunter65    
Well yay that's great news! Sorry you had to go through all those vets though. He is so pretty I hope he makes a full recovery.
Thanks! I do too! I was so encouraged when he galloped through his pasture today!
     
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    07-05-2012, 12:01 AM
  #22
Green Broke
That is wonderful news. I suspect the murmur is no big deal as he is running around.
Please continue with the updates, though I suspect they wiill all be good.
Can I ask what kind of trailer he was hauled in? Was he able to lower his head? I'm guessing he had shipping fever.
     
    07-05-2012, 12:50 AM
  #23
Yearling
Nevermind... missed the update!
     
    07-05-2012, 11:48 AM
  #24
Foal
Quote:
Originally Posted by natisha    
That is wonderful news. I suspect the murmur is no big deal as he is running around.
Please continue with the updates, though I suspect they wiill all be good.
Can I ask what kind of trailer he was hauled in? Was he able to lower his head? I'm guessing he had shipping fever.
I had him professionally transported in a large side loader, and I don't think he was allowed to have his head down for long. :(
     
    07-05-2012, 11:57 AM
  #25
Green Broke
Quote:
Originally Posted by Me and Smiling Horse    
I had him professionally transported in a large side loader, and I don't think he was allowed to have his head down for long. :(
Mention that to your vet, it could matter.
How is your boy today?
     
    07-05-2012, 12:12 PM
  #26
Foal
I'm so happy to say that his temp is 100.7 rectally, but it's also 94 degrees outside with high humidity! That's SO much better than before! His cough is gone, the vet said just a few traces of crackles left in his right lung - left is now clear!!! He seems brighter, has a springier step, and is back to nickering for his mash etc! I cut back the lasix to 1/3 of what he was getting due to the high heat index and the potential for dehydration.

He's getting Excede (extended release naxcel) and he seems to be responding to it nicely! I'm so grateful and relieved!
Hunter65 likes this.
     
    07-05-2012, 12:30 PM
  #27
Green Broke
Quote:
Originally Posted by Me and Smiling Horse    
I'm so happy to say that his temp is 100.7 rectally, but it's also 94 degrees outside with high humidity! That's SO much better than before! His cough is gone, the vet said just a few traces of crackles left in his right lung - left is now clear!!! He seems brighter, has a springier step, and is back to nickering for his mash etc! I cut back the lasix to 1/3 of what he was getting due to the high heat index and the potential for dehydration.

He's getting Excede (extended release naxcel) and he seems to be responding to it nicely! I'm so grateful and relieved!
As a nurse you probably know that lasix can deplete potassium which can effect heart function, so it's good to decrease it if you can.
I'm so glad he's doing well.
     
    07-05-2012, 01:46 PM
  #28
Yearling
I'm so happy that he's doing so well :). He sounds like he's back to loving life. He's such a handsome boy.
natisha likes this.
     
    07-06-2012, 03:25 AM
  #29
Foal
Dear Natisha,
Yes, I know about the K+ depletion asscoaited with loop diuretics. I aske dmy vet about it and she said, believe it or not, to get some salt substitute (not real salt) and offer it to him! She said it's made of potassium chloride. :) But ya know... I'm cutting back that lasix. It' SO hot outside and his lung are basically clear now...
     
    07-06-2012, 09:12 AM
  #30
Yearling
Quote:
Originally Posted by Me and Smiling Horse    
Dear Natisha,
Yes, I know about the K+ depletion asscoaited with loop diuretics. I aske dmy vet about it and she said, believe it or not, to get some salt substitute (not real salt) and offer it to him! She said it's made of potassium chloride. :) But ya know... I'm cutting back that lasix. It' SO hot outside and his lung are basically clear now...
I do not wish to be the bearer of bad news, but part of the reason that his lungs are clear is because of the lasix. I have trouble conveying this to the owners of my small animal patients who are in congestive heart failure. I am keeping my fingers crossed for you that this was just a very severe case of pneumonia but if you cut back on his diuretic please do so under the guidance of your vet so you can make sure he doesn't develop pulmonary edema again. If it is heart failure, the more times we allow the edema to develop, the harder it is to get things managed again.

I honestly am not trying to be a pill and I REALLY hope things go well with him, but with how rapid his response was to the meds I fear the worst. Pneumonia does not generally respond to antibiotics so quickly so I am worried it was the edema responding to the lasix. I will keep my fingers crossed that he does well as you back off on the diuretics.
     

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