Page 2704 - Cote clinical veterinary advisor dogs and cats 4th

Asthma 1403

Asthma
VetBooks.ir Acute respiratory distress?

No (stable) Yes

Chronic management
Cytology:
not eosinophilic
Bronchoalveolar lavage
Cytology: eosinophilic Thoracic auscultation,
visual inspection
Wheezes or loud
Muffled lung sounds; bronchovesicular sounds;
Environmental inspiratory distress expiratory distress
modulation

Oral prednisolone
Bronchodilators Consider thoracocentesis
Fluid or air No fluid or air
Well- Poorly
controlled controlled
signs signs
Not feline asthma Minimize handling; give oxygen, parenteral
bronchodilator, and corticosteroid
Slowly taper to Is dose of
lowest effective prednisolone Stable Unstable
doses; consider appropriate? Is
inhaled steroids the cat getting
the medications? Thoracic radiographs

Yes No
Bronchial pattern • Pleural effusion
Consider oral • Interstitial infiltrates
dexamethasone • Mass lesion
or triamcinolone

Well-controlled signs Poorly controlled signs Not feline asthma

Consider: cyclosporine, secondary infection,
alternative diagnosis, hyposensitization

UPDATED AND EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
ORIGINALLY WRITTEN BY: Carol Reinero, DVM, PhD, DACVIM

Clinical Algorithms

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