Treatment
Before surgery, the mare received 30 ml of gentamicin (6.6 mg/kg SID)
and 24 ml of penicillin G potassium (22,000 IU/kg QID) intravenously
(IV), and 1 ml of tetanus toxoid intramuscularly (IM).
The mare was hospitalized for five days post operatively, with her
vitals being constantly monitored, which remained normal throughout the
entire period. Postoperative treatment consisted of 30 ml of gentamicin
every 24 hours for four days, 22,000 IU of penicillin G potassium every
six hours for four days, 6ml of flunixin meglumine IV, every 12 hours
for six days, 1000lb dose of omeprazole for six days and altrenogest
12ml orally every 24 hours.
The mare received two days of maintenance fluid therapy intravenously.
Furthermore, a lidocaine 2% CRI was given on the first day, starting
with 35 ml in 15 minutes and followed by 75ml per hour. Cryotherapy with
ice boots on all four legs was applied during the first two days.
Complete blood cell count, chemistry, fibrinogen, and Serum Amyloid A
(SAA) were performed on days three and five, showing normal parameters.
SAA was the only parameter affected with 2837.00 mcg/ml (normal range 0
– 20 mg/L).
On the sixth day, the mare was discharged on normal feed with exercise
restrictions, including stall rest for three weeks, followed by small
paddock turnout for four weeks.