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You need to first determine that the effusion is present, and then remove it (thoracocentesis).Radiographs often only tell you that pleural effusion is the cause of the dyspnea, not the cause of the effusion.Acepromazine, for example, produces much greater sedative effect than the Valium/butorphanol mixture described.
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I have a great deal of experience with this situation, and strong convictions as well.
My concoction of choice for sedating cardiac patients, both dogs and cats, is diazepam (Valium) and butorphanol, 0.2 mg/kg of each, mixed for an IV injection (stings if given out of the vein).
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