The treatment of parvovirus is fairly straightforward and directed at supportive therapy. Replacing fluids lost through vomiting and diarrhea is probably the single most important treatment.
Fluid Therapy
One of the ways parvo can kill is via the metabolic derangements that occur with dehydration. It is crucial to replace the vast fluid losses (from vomiting and diarrhea) with intravenous fluids. Fluids are given as a steady drip rather than simply under the skin so that absorption into the circulation is direct. Potassium is usually added to the fluids in order to maintain electrolyte balance. Dextrose (sugar) is also frequently added as the stress of the disease may lower blood sugar, especially in a small puppy.
Antibiotics
The second way parvo kills is through bacterial invasion of the circulatory system (sepsis). The intestine is normally full of bacteria and when the parvovirus ulcerates the intestine there is little to prevent the bacteria from marching easily into the bloodstream. With the GI tract damaged, antibiotics cannot be given orally. They are given either as shots or are added into the IV fluid bag. There are a number of antibiotics that may be selected.
Control of Nausea
Patient comfort is an important part of treatment for any disease but is especially important for parvo treatment as these puppies feel extremely nauseated. Again, the GI tract is too damaged for oral medication so medications are given as injections.
Monitoring
The following tests are helpful in adjusting parvovirus treatment:
Fecal floatation to rule out worms/internal parasites
The last thing these patients need is a parasite burden contributing to their nausea and diarrhea. Since parvo victims are puppies and puppies are high risk for parasitism, it is important to test for worms and microbes that can contribute to the GI upset and eliminate them.
White blood cell counts/complete blood counts
One of the first acts of the parvovirus is to shut down the bone marrow production of immunologic cells (the white blood cells). White blood cell counts are often monitored as the infection is followed. The white blood cell count bottoms out at the height of the viral infection and recovers as the patient’s immune system gains the upper hand.
Urine specific gravity/Azostix
In order to assess the effectiveness of the fluid therapy, some objective evaluation of dehydration is useful. If adequate IV fluids have been provided then the urine produced will be dilute (as measured by specific gravity) and Azostix measures of protein metabolites, which build up in the blood stream, should be at normal levels.
Abdominal Palpation
Abnormal motility of the intestines occurs with this infection. Sometimes an area of intestine actually telescopes inside an adjacent area in a process called intussusception. This is a disastrous occurrence as intussusception can only be treated surgically and parvo puppies are in no shape for surgery. Euthanasia is usually elected in this event.
Total blood protein
Protein depletion is common when there is heavy diarrhea. If blood proteins drop too low, certain IV fluids or even plasma transfusions are needed to prevent massive, life-threatening edema, an abnormal collection of fluid.
Home Treatment for Parvo
Home treatment for parvo infection is a bad idea when compared to hospitalization and intensive care. Mortality rises substantially and the heavy diarrhea and vomiting lead to heavy viral contamination in the home. Still, if financial concerns preclude hospitalization, home care may be the puppy’s only chance. Fluids will have to be given under the skin at home as will injectable medicines.
Mr.Prateek Kashyap +91 9873677387 Nirvana kennels Dog Behaviour Specialist
nirvanakennels@gmail.com
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