Hope Mills Road Animal Hospital

Hope Mills Road Animal Hospital

Post-Cruciate Surgery Care

When you pick your pet up after surgery, he/she will have a pressure wrap on his/her leg. This wrap will stay on until you bring your pet back in for the bandage removal in 2-3 days. You will need to put a cold pack on the leg for 10-15 minutes, approximately 2-3 times a day.

When you bring your pet back in for the bandage removal we will go over physical therapy with you. This will include warm packs, range of motion, and cold packs; to be done in that order. The warm packs and cold packs will be applied to the leg for 10-15 minutes each.

After bandage is removed, please monitor the leg and incision site daily and call if there is any redness, swelling, discharge, or missing sutures noted. Please leave the E-collar on at all times to prevent your pet from removing sutures. Leash walk ONLY for short trips outside to use the bathroom for the first few weeks after surgery. After the first week is over you may begin to take your pet on short leashed walks (approximately a "block") and increase the distance slowly.

Your pet should improve a little bit each day. If it appears to be getting worse, please call us.

Remember your pet has just had a major orthopedic surgery and may act painful. You may give your pet the pain medicine provided. If your pet seems extremely painful, please call the hospital at 425-8117.

If any problems after hours, please contract Animal Urgent Care at 864-2844.


Parathyroid Hormone (PTH) Deficiency & Calcium Deficiency Following Throidectomy:

How Does One Get a Parathyroid Deficiency?

There are several ways. Although this does not happen frequently, the most common way for cats to get parathyroid deficiency is from damage to the parathyroid glands as the result of surgery for hyperthyroidism. The diseased thyroid glands are located adjacent to the tiny parathyroid glands and inadvertent removal or damage to the parathyroids is an obvious surgical pitfall.

How does PTH Deficiency Affect Blood Calcium Levels?

When blood calcium levels drop, PTH would normally bring it back up. What happens when there isn't any PTH or there isn't enough? Calcium stays low and vitamin D is not activated. Phosphorus levels in blood rise as there is no PTH to enhance the kidney's ability to remove it. Elevated phosphorus levels further suppress the system for Vitamin D activation. Without calcium, muscle contraction becomes abnormal and the nervous system more excitable.

Symptoms of Hypocalcemia:

Seizures (called hypocalcemic tetany) can result. This type of seizure occurs when the calcium level drops below 6 mg/dl and in dogs (but not cats) seem to be associated with exercise. Other symptoms include: nervousness, disorientation, drunken walk, fever, weak pulses, excessive panting, muscle tension, twitches and tremors. Cats tend to show more listlessness than dogs and also tend to raise their third eyelids. Painful muscle cramping occurs which can lead a pet to become aggressive. If calcium levels drop to 4 mg/dl or below, death generally result

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