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Contingency Plan for Hawaiian Monk Seal Unusual Mortality Events

Contingency Plan for Hawaiian Monk Seal Unusual Mortality Events

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A-7<br />

the needle still and attach the extension set firmly. An assistant should connect the extension set to the<br />

syringe.<br />

Collect 35 - 105 cc of whole blood by slowly drawing upward on syringe. Bubbles in syringe indicate your<br />

needle/extension set or extension set/syringe connections are not secure. This should be corrected as it may<br />

lead to hemolysis and poor filling. When finished collecting blood, disconnect syringe from the extension<br />

set, and immediately remove needle from the seal.<br />

When filling tubes, remove caps (take care to keep inside top of cap from making contact with anything),<br />

tilt tubes and slowly push blood out of syringe and down side of tube to prevent lysis. First fill LTT and<br />

GNTT 3/4 full to allow <strong>for</strong> proper ratio of blood to anti coagulant, immediately replace cap, and mix the<br />

specimen by gently inverting the tube several times to thoroughly mix additive and blood. Fill scintillation<br />

or teflon vial (<strong>for</strong> toxicology) with 5-6 mL of whole blood. Then fill SST with remainder of blood. If<br />

special tubes <strong>for</strong> other studies are required, fill them accordingly.<br />

During restraint, closely monitor respiratory rate, cardiac rate, eyes, and body movements and temperature<br />

of the seal being handled. Changes in temperature, breathing, and heart rate, unresponsive eyes, seizures,<br />

muscle weakness or spasms, and rigid/flacid flippers may indicate severe stress or shock. If this happens,<br />

ABORT the procedure immediately. THE VETERINARIAN ON SITE WILL DIRECT<br />

EMERGENCY PROCEDURES AS NECESSARY. Emergency procedures may include:<br />

a) moving away from the animal to avoid any added stress<br />

b) using emergency equipment to establish an airway<br />

c) cooling the seal by drenching with water<br />

d) loading emergency drugs (see below)<br />

e) taking careful notes<br />

f) treating <strong>for</strong> emergency conditions as necessary, i.e., capture myopathy, dehydration, cardiac arrest,<br />

vomiting,<br />

wounds, seizures<br />

Notify Marine Mammal Research Program Chief of the situation as soon as possible.<br />

Emergency Drug Doses<br />

DRUG SEAL SIZE DRAW ADMINISTRATION<br />

DOPRAM (Doxapram<br />

hydrochloride; 20<br />

mg/ml) Pup or juvenile 10 ml<br />

DOPRAM (Doxapram<br />

hydrochloride; 20<br />

mg/ml) Subadult or adult 20 ml<br />

Give 5 ml, slow IV<br />

Repeat if needed<br />

Give 10 ml, slow IV<br />

Repeat if needed<br />

ATROPINE sulfate<br />

(1/120 gr) Pup or juvenile 1.5 - 3 ml Give 1.5 ml IV or 3 ml IM<br />

ATROPINE sulfate<br />

(1/120 gr) Adult 2.5 - 4 ml Give 1.5 ml IV or 3 ml IM<br />

EPINEPHRINE<br />

(1:1000) All sizes 5 ml<br />

Give 1 ml/100-200 kg IM or IV,<br />

repeat prn<br />

DEXAMETHASONE<br />

4 mg/ml All Sizes Give 10 ml /50-100 kg IM or IV<br />

FLUMAZENIL<br />

(Romazicon, 0.5<br />

mg/5/ml) Pup or juvenile 1 bottle (5 ml)<br />

FLUMAZENIL<br />

(Romazicon, 0.5<br />

mg/5/ml) Subadult or adult 1 bottle (5 ml)<br />

Give 2.5 ml slow IV (over 60 sec)<br />

Repeat in 2-3 min if needed<br />

Give 2.5 ml slow IV (over 60-90 sec)<br />

Repeat in 2-3 min if needed

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