VITONAL B

COMPOSITION
Each 100 ml contains::
Calcium Borogluconate 8,260 g; Calcium lactobionate 6,890 g; Calcium levulinate 5,630 g; Calcium hypophosphite 0,860 g; Vitamin 81 (Thiamine Hydrochloride)0,530 g; Potassium Chloride 0,022 g; Anhydrous Caffeine 0,058 g; Excipients q.s.f. 100 ml.

INDICATIONS
When a bovine involuntarily lose the station because of serious nutritional imbalance, its life is in serious danger. Trying to cover its requirements quickly and efficiently is essential to save its life.
Vitonal-B is a balanced solution, based on organic salts of Calcium, Magnesium, Phosphorus, Potassium, Chlorine and Sodium combined with Thiamine and Caffeine (muscular stimulant, defatigant).

Vitonal-B is indicated in all those circumstances in which a bovine falls involuntarily and cannot recover the station by its own means (discarding here major trauma as fractures and/or amputations).
Its use is especially suggested in emergency Therapy in the “Downer cow” syndrome efficiently covering the requirements in case of acute postpartum hypocalcaemia, acute hypomagnesaemia tetany (grass staggers), acute hypophosphatemia, hypokalemia, ketoacidosis, hypoenergetic syndrome, myositis, rhabdomyolysis, hyponutrition, exhaustion, cachexia and general states of metabolic imbalance.

INDICATIVE DOSAGE
Use in Bovines of any breed, age and sex.

URGENCY-DOWNER COW:
Apply 50 to 100 ml every 100 kg of weight by low intravenous route by gravity.

Procedure:

1.  A sterile route will be used for the administration of parenteral solutions (with macro-drip) and with the plastic end the rubber stopper of the container will be perforated thus accessing the content.
2. The bottle is inverted thus achieving that the liquid dislodged the air contained in the cannula. This procedure ends when the liquid flows freely through the opposite end (purge maneuver)
3. The jugular path is accessed with the needle and with the verification of being in the venous bed, the end of the cannula is connected to the needle, the container is inverted and the product is administered by gravity or continuous drip.
4. During the supply of the product, the respiratory parameters of the animal should be controlled, and administration should be stopped in the event of paroxysmal tachycardia or tachypnea or adverse anaphylactic reactions.

The dose is effect-dependent. The indicated dose may be repeated between 2 to 3 times until the desire effect is achieved. The interval between repetitions should not be less than 15 to 20 minutes.
The optimal effect will be evaluated by the rapid recovery of the condition and the rise of the animal. If during the infusion of the product, the animal recovers the standing position, the intravenous administration should be suspended and the supportive treatment will continue.

Support Treatment:
Immediately after the animal recovers the standing position, administer 15 to 20 ml every 100 kg of weight subcutane­ously (divided into four points of application).
24 hs after the animal recover, apply subcutaneously: 40 ml total in animals weighing more than 250 kg t; 20 ml total in animals weighing less than 250 kg (in two points of application).

GENERAL CARE OF THE ANIMAL IN EMERGENCY
The left lateral decubitus should be prevented in ruminants to avoid tympanism (preventive trocarization). Preferably achieve the sternal decubitus.
Care at all times the integrity of the operator and the animal. Balance the internal environment. Avoid dehydratation. Provide shade, water and food of high glycemic value and digestibility to the animal in recumbency.
In dairy animals be careful not to overdose them once they have been recovered, to avoid impulsive leakage of minerals by milk. Remember that the animal must be treated within 6 hours of recumbency for best results. After this period, the internal environment should be stabilized particularly for each patient.
A previous clinical diagnosis is recommended to discard traumatic causes or hyperglycemia.