1. Equine Medication Techniques
Chapter 4
Large Animal Clinical Procedures
Pg. 67

2. Large dosing syringe

3. Open the lips first

4. While parting the lips, place the syringe into the lateral far point of the mouth.

5. Proper position of the oral syringe

6. No, No! Don’t place the syringe over the incisors.

7. Another No, No. Avoid delivering the medication in the interdental space.

8. Deworming with a tube paste

9. Deworming

10. Balling Gun: Used to administer large boluses
Balling Gun: Used to administer large boluses. Not always a good choice as it is very large and must be placed over the base of the tongue deep far back into the mouth.

11. Stomach pump: Very common method of delivering medications or liquids from a bucket or plastic jug.

12. Stomach Pump Usage
Never force liquids against back pressure into the horse.
The capacity of an avg lb horse’s stomach is 4 to 5 gallons. Do not exceed this volume.
Typically, 1 gallon of fluid is the max given at one dosing, though this may be repeated at 30 minute or 1 hour intervals in urgent situations.

13. Various Plastic Clear Nasogastric Tubes

14. The smaller end goes into the nose.

15. Nasogastric Tubes
Can be left in place for 24 to 48 hours. Be sure to secure them to the halter with adhesive tape.

16. Be sure that the horse can not get his hoof into the tube.

17. Another view

18. Proper position of the tube is marked with adhesive tape or a sharpie at the level of the nostril.

20. Removing the Nasogastric Tube
Always crimp the tube by folding it over double during removal.
Slowly pull out 12 inches at a time.
Beware of nosebleeds.
Be watchful of the horse as it may buck it’s head.

21. Why crimp the tube?
Often there is liquid material inside the tube. This liquid can be inhaled back into the lungs of the horse and they can develop aspirate pneumonia.