Page 1039 - Small Animal Internal Medicine, 6th Edition

CHAPTER 57 Neonatology and Pediatrics 1011

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A B

FIG 57.6
Intraosseous catheter placement in the neonate. (A) Proximal humerus. (B) Proximal femur.

FIG 57.7
Warm water bath during the resuscitation of a chilled
neonate.
FIG 57.8
Post resuscitation, neonates are kept warm in an insulated
styrofoam box with a warm air blanket.

mucous membranes should be pink and moist, a suckle neonates will attempt to right themselves and orient by
reflex present, the coat full and clean, and the urethra and rooting toward their dam. Neonates are highly susceptible
anus patent (Fig. 57.11). The thorax should be auscultated; to environmental stress, infection, and malnutrition. Proper
vesicular breath sounds and a lack of murmur are normal; husbandry is critical and should include daily examination
subtle murmurs, if present, should resolve within 24 hours. of each neonate for vigor and recording of weight. Severe
The abdomen should be pliant and not painful. A normal congenital defects can result in morbidity and mortality;
neonate will squirm and vocalize when examined, and will breeders may elect euthanasia if the prognosis is poor or
nurse and sleep quietly when returned to the dam. Normal the cost of therapy prohibitive. The hematologic values for