What are the cardiovascular and respiratory challenges faced by large animal neonates?
-fetal ducts (foramen ovale, ductus arteriosus) take time to close
-asphyxia can lead to gasping and not receiving enough air
How can neonates be stimulated to breathe?
-tickle nostril with a piece of straw
-vigorous rubbing of skin over legs to stimulate somatic resp. effect
-suction of the airway with care
What does prolonged aspiration stimulate in neonates?
vagal bradycardia
What are the charactersitics of transient acidosis in large animal neonates?
-can experience metabolic acidosis in the first 4 hours
-can experience respiratory acidosis in the first 48 hours
-dystocia may induce persistent acidosis and hypoxia
What are the characteristics of energy metabolism in the neonate?
*last trimester:
-fetus makes and stores glycogen in liver (10%)
-short term supply only
*in uterus:
-3% body weight accumulation of adipose
-thermoregulation reserve
Which fuels are used as energy during gestation?
-lactate by the fetus
-amino acids by the mother
What are the characteristics of thermoregulation in newborns?
-must generate heat
-large surface area (heat loss) to body weight (heat production) ratio
-amniotic fluid evaporation and low resistance to cooling contribute to potential hypothermia
Which aspects of the neonate can contribute to thermogenesis?
-shivering
-increased metabolic rate
-brown adipose tissue
What are the effects of adverse weather on neonates?
-hypothermia
-death
-starvation
What are the 1-2-3s of foal parameters?
-should be standing in 1 hour
-should be nursing in 2 hours
-should be defecating in 3 hours
How long after birth should a foal be sternal/sitting?
5 minutes
How long after birth should a foal exhibit the suckling reflex?
5 to 10 minutes
What care should be done for newborns after birth?
-dip navel
-enema
-be sure foal receives colostrum
-vaccinations
-antibiotics
-vitamin E and selenium
What is the care done for the umbilical cord?
-allow to break off naturally
-dip end of umbilicus in 0.5% chlorhexidine, dilute iodine tincture, or povidone iodine
-apply dip 1 to 2 times daily for 2 to 3 days
What are the characteristics of enemas in large animal neonates?
-recommended by some vets to remove meconium
-OTC disposable enemas may cause electrolyte abnormalities and phosphate toxicities
-can use warm soapy water with 1/2 teaspoon of detergent
What are the characteristics of colostrum ingestion?
-newborn must nurse in the first 2 hours for most effective transfer
-if unsure of adequate ingestion, provide 20-40 ml/kg of good quality colostrum via bottle or tube feed
What are the characteristics of vaccinations in foals?
-if mare is vaccinated 1 month prior to foaling, no vaccinations needed in the foal
-if mare was not vaccinated prior to foaling, foal should be given tetanus toxoid and/or tetanus antitoxin
What are the characteristics of antibiotic use in foals?
*only use in foals who:
-are born in contaminated environment
-have abnormal placenta
-may not have received colostrum in time
*one shot is worse than none
*prophylactic use discouraged
-leads to abx resistance
-unnecessary exposure of newborn to possible toxic side effects
When should vitamin E and selenium be administered to foals?
-region is selenium deficient
-mother was not supplemented during pregnancy
Which questions should be asked during the newborn exam of a foal?
-foal activity
-foal frequency of nursing
-foal hunger levels
-evidence of cleft palate
-foal meconium passage
-enema(s) in the foal
-appearance of placenta
-appearance of dam’s udder/fullness after nursing
What are the normal and abnormal parameters of foal appearance?
*normal:
-BAR
-erect head and neck
*abnormal:
-depressed
-sleepy
-excitable
-seizures
-hypotonia; sepsis, immaturity
What are the normal TPRs for foals?
-temp. between 99-102 deg. F
-HR between 80 and 120 bpm
-RR between 30 and 40 rpm
What can cause an abnormal temp. in foals?
-hypothermia due to sepsis
-fever due to infection
What can cause abnormal heart rate in foals?
*increased:
-pain
-dehydration
-sepsis
*decreased:
-shock
-hypothermia
-hypoglycemia