Acid-base and electrolyte handbook for veterinary by Angela Randels-Thorp, David Liss

Veterinary Medicine

By Angela Randels-Thorp, David Liss

Acid-Base and Electrolyte guide for Veterinary Technicians provides a simple to appreciate but entire method of acid-base and electrolyte balance.

  • Covers the body structure of fluids and their impact on acid-base and electrolyte balance
  • Offers exact info on handling 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

Example text

Machines that utilize ­titrimetric methods to measure chloride will underestimate chloride values if triglyceride concentrations are >600 mg/dL. These patients are not actually hypochloremic: it is laboratory error. 9% NaCl • Hypertonic saline • Potassium chloride • Magnesium chloride Parenteral nutrition A variety of disease processes may result in a “true” corrected hyperchloremia. Pseudohyperchloremia should be ruled out. Once it is, and the corrected chloride confirms hyperchloremia, then the derangement may be considered true.

The secretion and absorption is due to the active transport of either bicarbonate, chloride, or both. The colon is highly efficient in the absorption of chloride and up to 90% of the chloride in the fecal material is absorbed. As fecal material reaches the distal colon, active chloride resorption continues with secretion of bicarbonate. Therefore, animals with vomiting or diarrhea can lose large amounts of chloride which can create metabolic alkalosis. The kidneys play an important role in the regulation of chloride within the body.

G. g. g. ketonurina, glucosuria, or mannitol administration; DiBartola 2012). In comparison to pure water loss, hypotonic fluid loss stimulates a less dramatic fluid shifting from the ICF to the ECF in order to re‐establish equilibrium. As a result, these patients frequently present with a degree of hypovolemia. Hypervolemic hypernatremia is the least common cause of hypernatremia in veterinary medicine and is seen when sodium, or other impermeant solutes, is gained (Mazzaferro 2013). g. ingestion of homemade salt, playdough, or the use of salt as an emetic) or the addition of an alternate impermeant solute—such as mannitol, glucose, or sodium bicarbonate—to the ECF.

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