During this period parenteral nutrition should be given if the facilities are available. Small volumes of glucose solution can then be given by mouth, followed by the gradual introduction of a bland starch-based diet e.g. boiled rice. Carbohydrate sources are chosen because they cause the least stimulation of pancreatic enzyme secretion. Corticosteroids - the use of corticosteroids is controversial because of their known association with causing pancreatitis. However, they may have an important beneficial role in controlling shock when it is present.
Transfusion replaces the macroglobulins.
Replace fluid and electrolyte losses. Antibiotics - bacteria have been found circulating in the blood of dogs with pancreatitis even though the bacteria were not involved as a cause of the disease. Insulin is required if diabetes mellitus is a complication due to loss of Islets of Langerhans. Prognosis Good in most cases except in severe cases with widespread intravascular coagulation, or severe cardiac complications. All rights reserved.