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The following questions are regarding a young male cat with urethral obstruction

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3. The following questions are regarding a young male cat with urethral obstruction.
Answer all parts of this question:
a) Describe the effects of hyperkalemia on action potential generation and the
subsequent effects on the electrocardiogram. (10 marks)
b) List the spectrum of treatment options for hyperkalemia in this cat, and describe
their mechanisms of action. (10 marks)
c) Explain your considerations when devising an intravenous fluid plan for this cat
for the duration of hospitalisation. (8 marks)
d) Describe methods for providing local analgesia and anaesthesia for urethral
catheterisation in this cat, including a detailed description of the technique where
appropriate. (10 marks)
e) Provide a mechanistic explanation of the treatment options for urethral spasm in
cats following urinary obstruction. (10 marks)
4. Answer all parts of this question:
a) Describe the etiopathogenesis of heatstroke in dogs. (10 marks)
b) Explain in detail why a 30 kg English bulldog is likely more susceptible to
heatstroke than a 30 kg Pointer dog. (6 marks)
c) Describe the pathophysiology of disseminated intravascular coagulation (DIC)
and associated findings on coagulation tests. (10 marks)
d) List and describe recognised associations with non-survival in dogs with
heatstroke. (8 marks)
Question 4 continued over page
Veterinary Emergency Medicine and Critical Care Paper 2 Page 5 of 7
e) Interpret the following viscoelastic test results and suggest appropriate
therapeutic intervention:
i. Thromboelastography (TEG) from a dog with liver disease. This TEG was
performed on kaolin activated, citrated whole blood. (7 marks)

 
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