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Exam 4
LA Hypocalcemia
48
Veterinary Medicine
Professional
11/17/2016

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Cards

Term
What is Phase I of lactation cycle in a dairy cow?
Definition
-day 0-70
-peak lactation occurs at 4-6 weeks
Term
What problems occur during Phase I of lactation cycle in a diary cow?
Definition
-clinical and subclinical hypocalcemia
-ketosis, hepatic lipidosis, LDA, RFM
Term
What is PHase II of lactation cycle in a dairy cow?
Definition
-day 70-140
-max feed intake at 8-10 weeks: begin gaining weight
Term
What problems exist during Phase II of lactation cycle in a dairy cow?
Definition
-silent heats, cystic ovaries
-low milk fat test, early drop in milk production
Term
What is PHase III of lactation cycle in a dairy cow?
Definition
-day 140-305 days
-mid to late lactation: replace body weight
-INSTITUTE PREVENTIVE MEASURES FOR KETOSIS AND HEPATIC LIPIDOSIS
Term
What is Phase IV of lactation cycle in a dairy cow?
Definition
-day 60 to 21-14 days prepartum
-dry period
-maitain body condition score for fetal development and colostrum production
Term
What is Phase V of lactation cycle in a dairy cow?
Definition
=transition phase of dry period: 14-21 days prepartum to parturition
-INSTITUE HYPOCALCEMIA PREVENTIVE MEASURES
-rumen adaptation to concentrate diet
Term
What are the other names for hypocalcemia in a pregnant dairy cow?
Definition
-aka parturient paresis and milk fever
Term
How common in milk fever in the US? Who is affected?
Definition
-5% in the US
-metabolic disease of adult dairy cows
Term
What is milk fever?
Definition
-acute Ca deficiency that occurs during the periparturient period
-75% within 24h of calving
Term
How does age and production levels affect incidence of milk fever?
Definition
-inc age & inc pdn = inc incidence of milk fever
Term
What is the physiology behind milk fever?
Definition
-demand for Ca > resourced and availability
Term
What is the physiology behind dec [Ca] wiht milk fever?
Definition
-dec feed intake at calving = dec Ca absorption from GI tract
-dec Ca mobilization = tissues refractory to PT => delayed Vit D pdn => dec # Vit D Rc
Term
What is the common predisposing factor in the diet that leads to milk fever?
Definition
-diet for dry cow: inc K, inc P, dec Mg
Term
How does a diet high in K lead to milk fever in a dairy cow?
Definition
-causes metabolic alkalosis which dec tissue response to PTH by changing Rc confirmaiton
Term
What are the clinical signs of Stage I milk fever in a dairy cow?
Definition
-less than 1 hr
-ataxic
-seak: shifting weight
-muscle tremors
-hypersensitivity/hyperesthesia
-anorexia
-mild tachycardia and hyperthermia
-tongue extension
Term
What are the clinical signs of Stage II milk fever in a diary cow?
Definition
-1-12h
-sternal recumbency
-S-shaped curvature of neck
-muscle fasciculation
-mild bloat, constipation, full urinary bladder
-dilated pupils-tachycardia w/ dec heart sounds
-poor perfusion
Term
What are the clinical signs of Stage III milk fever in a dairy cow?
Definition
-short time period
-lateral recumbency
-loss of consciousness
-severe bloat
-muscle faccidity
-tachycardia w/ inaudible heart sounds
-coma to death
Term
What do we see on clin path with milk fever?
Definition
-hypocalcemia
-hypophosphatemia
-hypermagnesemia (due to dec P)
-hyperglycemia (Stress)
0inc CPK and AST
-stress lekogram
Term
How does parturition change calcium homeostasis?
Definition
-stim PTH = activate vitamin D = inc Ca and PO4 resorption from bone
Term
What problems do we see with altered calcium metabolism due ot parturition?
Definition
-dec Vit D
-alkalosis due to high K in diet = dec Ca absorption
Term
Why does hypocalcemia due to milk fever cuase flaccid paralysis?
Definition
-loss of membrane stabilization
-inability to release ACh and NMJ
-thus dec muscle excitaiton-contraction coupling
-enhaced by hypophosphatemia & hypermagnesemia
Term
What treatment do we use to prevent Stage I milk fever?
Definition
-Ca gels or pastes PO
-Ca salts SC
Term
How do we treat Stage II and III of milk fever?
Definition
-Ca salts IV SLOWLY over 15min
-OR Ca soln with P, Mg, K, dextrose
Term
Which vessel is best for administration of Ca salts IV for treating stage II or III milk fever?
Definition
-jugular vein
Term
What are the signs of successful treatment of stage II or III milk fever?
Definition
-inc mental awareness
-improve CO: dec HR, inc amplitude and heart sounds
-return of smooth and skeletal msucle funciton
Term
How frequently do milk fever relapses occur after successful treatment? IN which animals? Clinical signs?
Definition
-25-30% w/in 24-48h
-in older cows deficient in P, Mg, and/or K
-anorexia, alkalosis, anitial PE missed a problem, new complication
Term
What are possible complications of milk fever?
Definition
-bloat
-dystocia or uterine prolapse
-aspiration pneumonia
-musculoskeletal injury: crush, gastroc rupture, coxofemoral luxation
-peripheral nerve injuries
-coliform mastitis
-LDA
Term
How do we prevent relapses and complications of milk fever?
Definition
-incomplete milking
-SC or oral admin of Ca
-good footing
-keep cow sternal
-provide fresh food, water, and shade
Term
How do we prevent milk fever on a herd level?
Definition
-DCAD: dietary cation anion difference
-use acidogenid diet )inc Cl-/S- anions) to prevent milk fever
Term
How do acidogenic diets prevent milk fever?
Definition
-dec blood pH: metabolic acidosis = inc bone resorption of Ca
-inc Vit D: inc Ca absorption in intestine
=defferential absorption of cations and anions in gut = inc Ca absorption
Term
In addition to diet, how else do we avoid milk fever at a herd level?
Definition
-avoid alfalfa hay
-withold K fertilizaiton from field
-best - corn silage
Term
What is the best anion to add to diet to prevent milk fever?
Definition
-ammonium chloride
-feed at least 2-3 weeks before parturition during transition phase of dry period
Term
What is the major downside to ammonium chloride in the diet?
Definition
-unpalatable
-sulfate salts taste better
Term
Which breeds of dairy cattle are predisposed to milk fever?
Definition
-HOlsteins
-Jerseys
Term
How do we monitor pregnant cows for milk fever?
Definition
-urine pH
-Holsteins: 6-6.5
-Jerseys: 5.5-6
Term
What is the best prevention method for milk fever?
Definition
-oral calcium supplementation around calving: 12h pre to 12-24h post-calving
Term
What is the second best prevention method for milk fever?
Definition
-parenteral Ca admin around calving SC
Term
What is the pathophysiology behind hypocalcemia in beef cattle?
Definition
-inc Estrogen in late gestation = dec osteoclast activity
Term
What is the epidemiology of hypocalcemia in beef cattle?
Definition
-late gestation >>> periparturient
Term
What is the etiology of hypocalcemia in pregnant beef cattle?
Definition
-inc getal skeeltal demands for Ca
-feed deprivation or inadequate nutrition
Term
What is the epidemiology of hypocalcemia in pregnatn sheep?
Definition
-late estation >> first 6w of lactation
Term
What is the etiology behind hypocalcemia in pregnant sheep?
Definition
-large fetoplacental units
Term
What is the major differential for hypocalcemia in pregnant sheep?
Definition
-pregnancy toxemia
Term
How do we treat sheep with pregnancy hypocalcemia? How do we prevent it?
Definition
-Ca gluconate IV or SC
-Prevent: avoid stress 4-6w prior to lambing and maintain a balanced ration
Term
What is the epidemiology oc hypocalcemia in a pregnant dairy goat?
Definition
-during lacation
-at parturition
-late estation with multiple kids
Term
What are the clinical signs of preganncy hypocalcemia in goats?
Definition
-hyperexcitability or mild depression
-ataxia
Term
If the pH is still too high in a diary cow that is on a DCAD diet, what is wrong?
Definition
-mixing error or she is not eating
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