Pericarditis/Pericardial Effusion

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                      General Information



The pericardium is a thin sac that surrounds the heart.  Its

function is to support and protect the heart.  Under normal

circumstances, this sac contains only a very small amount of

fluid.  Pericarditis is inflammation of this sac.  Pericardial

effusion is a large increase in the amount of fluid within the

sac.  Pericardial effusion compresses the heart and decreases its

pumping ability.  Pericardial effusion often develops after

pericarditis.  Causes of pericardial disease include heart

failure, tumors, trauma to the heart or pericardial sac,

bacterial toxins or infection, viral infections and diseases

that interfere with normal blood clotting.



                 Important Points in Treatment



1.  Various laboratory tests, radiographs (x-rays),

    electrocardiographs (EKG) and such specialized techniques as

    angiography and echocardiography are often necessary to

    diagnose and monitor the response to treatment of pericardial

    disease. Pericardial disease is always a serious problem, and

    successful treatment is not always possible. 



2.  Give all medication as directed.  Call the doctor if you

    cannot give the medication. 



3.  Diet:  Follow the instructions checked. 



    ____Feed the normal diet. 



    ____A special diet is required.  Feed as follows: 





4.  Water:  Follow the instructions checked. 



    ____Keep fresh water available at all times. 



    ____Restrict water intake as follows: 





5.  Activity:  Your pet's activity must be restricted during the

    initial treatment period.  Do not allow running, rough or

    active play, or episodes of excitement or agitation.

    Allowable exercise includes:





       Notify the Doctor if Any of the Following Occur:



* Your pet has difficulty breathing or heavy coughing.



* Your pet's signs seem to worsen.



* Your pet seems weak or depressed, or refuses to eat.



* Your pet has an unsteady gait or disturbed balance.