Page 37 - BSAVA Guide to Pain Management in Small Animal Practice
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BSAVA Guide to Pain Management in Small Animal Practice
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Diagnosis of osteoarthritis and maladaptive pain in cats
Are NSAIDs contraindicated?
Yes No
Initial course of analgesia provided using Initial course of NSAID, weight loss
opioid, steroid or suitable adjunct, weight programme, diet supplementation/
loss programme, diet supplementation/ modi cation, aseline haematology,
modi cation, lood sample for aseline biochemistry and urinalysis
haematology and biochemistry and urinalysis
Re-check within 2–4 weeks using
feline PAT and clinical evaluation
Improving No improvement
Continue with analgesia, reassess regularly Consider owner compliance, palatability of
using PAT, and monitor haematology and medication, consider switching to another
biochemistry and urinalysis every 6–12 months NSAID* or longer course of current NSAID**.
Evaluate the complementary therapies
the cat is receiving
Manage owner expectations, and prepare Re-check after changing medication, and ensuring cat
owner that acute are ups may occur re uiring is gaining ma imum ene t from complementary
treatment and that the disease is progressive therapies, diet, exercise, and enrichment
Improved Little improvement
Consider adding an adjunct
in refractory cases
ecision making algorithm for managing chronic pain in cats. NSAI non steroidal anti in ammatory
drug; PA pain assessment tool. Bridging medication may be re uired for the washout period;
Re evaluate diagnosis.
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