Author: Anna Sharland, RVN. Anna is currently a rotational nurse working in theatre, diagnostics and wards at Cave Veterinary Specialists in Somerset. Outside work, she loves hiking adventures with her dogs as well as horse riding and yoga.
ABSTRACT This nursing care analysis explores the management of a 6-month-old male Weimaraner presenting with acute vomiting, inappetence, lethargy and a newly identified systolic heart murmur. The primary disease process was identified as a jejunal foreign body causing obstruction and subsequent dehydration, while the secondary disease process involved a heart murmur probably related to turbulent blood flow or a congenital defect. Clinical assessment included detailed physical examination, comprehensive blood gas analysis and vigilant monitoring of vital parameters, which revealed significant dehydration, electrolyte imbalances and elevated renal markers. Patient management involved intravenous fluid therapy with potassium supplementation, regular monitoring of hydration and urine output, and prophylactic antibiotics to prevent infection. Careful anaesthesia planning was implemented due to the increased risks posed by the patient’s age, metabolic demands and systemic compromise. postoperative care included controlled analgesia and continued support to restore fluid and electrolyte balance. The case highlights the importance of thorough assessment, individualised perioperative care and multidisciplinary teamwork in managing complex emergencies in veterinary practice. The analysis highlights the need for evidence-based protocols and diligent nursing observation to optimise patient outcomes in cases involving combined gastrointestinal and cardiovascular problems.
Keywords foreign body, heart murmur, haematemesis, hypoglycaemia, hypokalaemia
DOI: https://doi.org/10.56496/TVPT3485
To cite this article: Sharland, A, (2025) Obstruction of the jejunum and a heart murmur in a young dog: A case study and nursing care analysis. VNJ 40(6) pp34-41
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