administering metronidazole

RE: administering metronidazole

James Colver Cert. Ed, RVN — Fri, 10 Aug 2018 22:13:07 GMT

one dog slightly ataxic, another with full blown seizures

RE: administering metronidazole

apache — Sun, 05 Aug 2018 23:44:14 GMT

[quote user="Nick Shackleton "]

It’s not just veterinary healthcare but also human healthcare https://www.medicines.org.uk/emc/product/1842/smpc

[/quote]

Yes, I know. That doesn't mean it's the same in dogs.

RE: administering metronidazole

Sal the 1st — Sun, 05 Aug 2018 19:40:23 GMT

Have seen just a single case of ? reaction - and that was a dog that started vomiting during admin - but as it was a GI case anyway....

RE: administering metronidazole

Heather Bacon — Sun, 05 Aug 2018 18:10:59 GMT

I have seen a couple of dogs develop puffy faces and extremities, and one dog who started having seizures. All were within about 10 minutes in to administration.

RE: administering metronidazole

Nick Shackleton — Sun, 05 Aug 2018 17:38:40 GMT

It’s not just veterinary healthcare but also human healthcare https://www.medicines.org.uk/emc/product/1842/smpc

RE: administering metronidazole

apache — Sun, 05 Aug 2018 14:02:00 GMT

Has anyone seen toxic signs? We've always pushed it over about 1 minute and never seen a reaction. Is this another thing stuck in vet folklore and no one knows why?

RE: administering metronidazole

James Colver Cert. Ed, RVN — Sat, 04 Aug 2018 21:03:11 GMT

Yes 20mins minimum regardless of dose. Patient may become ataxic or even start seizuring otherwise.

RE: administering metronidazole

Steph Worsley — Fri, 03 Aug 2018 23:35:02 GMT

yes all doses no matter the volume need to be given over 20 mins, given any quicker can cause toxicity and side effects, obviously the dose rate mg/kg is the same so the smaller animals will be given smaller amounts...still (possibly higher) risk of toxicity.

cost of syringe drivers aren't cheap but it's all relative and depends on the number of cri's etc you might be using, if you have drip pumps you could administer that way - not my favourite way of doing it especially if you have lots of different staff in the kennel area it's easy to go on automatic pilot and just press run or adjust the volume to be infused when it beeps and end up giving an overdose if you do go this way then putting tape over the buttons with metronidazole written all over should stop that

RE: administering metronidazole

Sal the 1st — Fri, 03 Aug 2018 23:11:15 GMT

[quote user="Josephine "]

We don't have a syringe driver unfortunately. Are they expensive?

[/quote]

depending on how often you are needing to sit with a patient and for how long - then some practices find it cheaper to leave a nurse in the kennel rather than plugging something in at the wall, especially if your patient is close obs. There are a couple of cheaper options to an infusion pump - either the balloon infusors or the spring infusors could be worth looking at?

RE: administering metronidazole

Josephine — Fri, 03 Aug 2018 22:12:37 GMT

We don't have a syringe driver unfortunately. Are they expensive?

Do all doses need to be given over 20 mins? Surely not for less than 20mls?

RE: administering metronidazole

James Colver Cert. Ed, RVN — Fri, 03 Aug 2018 20:42:21 GMT

Yes - over at least 20 minutes. Use a syringe driver or drip pump or get someone to sit there for 20 minutes!

RE: administering metronidazole

Steph Worsley — Fri, 03 Aug 2018 18:01:37 GMT

over 20-30 mins via syringe driver