By Angela Randels-Thorp, David Liss
Acid-Base and Electrolyte guide for Veterinary Technicians provides a simple to appreciate but finished method of acid-base and electrolyte balance.
- Covers the body structure of fluids and their impression on acid-base and electrolyte balance
- Offers specified details on dealing with acid-base and electrolyte derangements in disease
- Includes entry to a better half web site with case stories and a number of selection questions
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Extra resources for Acid-base and electrolyte handbook for veterinary technicians
Com Chapter 2: Disorders of Sodium 23 Treatment Primary treatment should be aimed at addressing the underlying cause. Hyper osmolality and dehydration as a consequence of osmotic diuresis should be corrected. Fluid selection and rate of administration must be carefully evaluated in these patients. 5 mEq/L/hr, or 10–12 mEq/L/24 hr. This is because the body responds to protect the brain from dehydration by making idiogenic osmoles to maintain cerebral water balance, similar to what happens in hypernatremic conditions.
Additionally, the patient must be provided supplemental potassium and sodium. It is important to note that the hypochloremia will not resolve if hypokalemia is present: both must be addressed simultaneously. If volume expansion without sodium is required, administration of ammonium chloride, potassium chloride, calcium chloride, or magnesium chloride may be indicated. Treatment of the underlying disease is imperative for the patient’s recovery. Oxygen therapy for patients with chronic pulmonary disease should be performed with caution.
Volume depletion triggers protective mechanisms, including the thirst response, in order to maintain circulating volume, which further dilutes plasma sodium levels. Diuretic administration can also lead to this state by enhancing loss of water in the renal tubules by inhibiting the reabsorption of sodium (and subsequently water). The extent of the effect from diuretics depends on a number of factors, including dose, clinical condition of the patient, and how early in renal tubule they take effect.