Heat stroke
Hyperthermia is the scientific name for elevated body temperature. In dogs, elevations of rectal temperatures above 103°F are considered to be abnormal and hyperthermic. In the absence of illness, body temperatures in excess for 106°F are commonly attributable to exposure to excessive external environmental temperatures. Multiple organ failure and often death occur when the body temperatures reach 109°F.
If the individual’s temperature was not extremely high and emergency treatment was instituted immediately, most healthy individuals fully recover. Others may suffer permanent organ injury and/or die as a result of complications from multiple organ dysfunction (MODs). Damage sustained by the brain’s thermoregulatory center predisposes heat stroke victims to repeat bouts of hyperthermia.
Treatment requires safe and controlled reduction in body temperature that can be achieved by pouring cool water over the head, stomach, underarms, ventral abdomen, and feet. During transport to a veterinary facility, cool cloths may be applied to these areas. Careful application of rubbing alcohol to the paw pads helps to increase perspiration by dilating the pores. A digital rectal thermometer should be used to monitor the animal’s temperature.
Aggressive cooling measures should be halted once the rectal temperature has fallen to 103ºF (39.4ºC). Animals so affected should be examined by a veterinarian, even if normal rectal temperatures have been re-established. Blood work to evaluate critical organ function is often recommended to determine the extent of tissue injury which may or may not be grossly evident.
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