A 3 yr old spayed female mixed-breed dog weighing 19.4 kg was evaluated for ingestion of 1,856 mg/kg (180 tablets) of ibuprofen, a human formulated nonsteroidal anti-inflammatory drug (NSAID). At the time of presentation, the patient was alert and hypersalivating, but her mental status rapidly declined to obtunded, stuporous, and then comatose within 30 min of presentation. Initial treatment included supportive therapy with prostaglandin analogs and antiemetics. An IV lipid emulsion (ILE) was administered as a bolus, followed by a constant rate infusion. Clinical signs began to improve approximately 3 hr after completion of the lipid infusion. The patient required supportive care for 3 days before discharge. This case report demonstrates the use of ILE for treatment of ibuprofen toxicosis in a dog. ILE infusion may be a therapeutic option for patients with toxicosis due to lipid-soluble drugs.
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March/April 2014
Case Reports|
March 01 2014
Treatment of Ibuprofen Toxicosis in a Dog with IV Lipid Emulsion
Luiz Bolfer, DVM;
Luiz Bolfer, DVM
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL (L.B.); and Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL (M.M., T.N., M.O.).
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Maureen McMichael, DVM, DACVECC;
Maureen McMichael, DVM, DACVECC
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL (L.B.); and Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL (M.M., T.N., M.O.).
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Thandeka R. Ngwenyama, DVM;
Thandeka R. Ngwenyama, DVM
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL (L.B.); and Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL (M.M., T.N., M.O.).
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Mauria A. O'Brien, DVM, DACVECC
Mauria A. O'Brien, DVM, DACVECC
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL (L.B.); and Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL (M.M., T.N., M.O.).
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J Am Anim Hosp Assoc (2014) 50 (2): 136–140.
Citation
Luiz Bolfer, Maureen McMichael, Thandeka R. Ngwenyama, Mauria A. O'Brien; Treatment of Ibuprofen Toxicosis in a Dog with IV Lipid Emulsion. J Am Anim Hosp Assoc 1 March 2014; 50 (2): 136–140. doi: https://doi.org/10.5326/JAAHA-MS-5979
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