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 precise details on handling acid-base and electrolyte derangements in disease
- Includes entry to a significant other site with case reviews and a number of selection questions
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Extra resources for Acid-base and electrolyte handbook for veterinary technicians
Normal renal water excretion is impaired and sodium is diluted. No matter the cause, deterioration will continue as a result of the inappropriate feedback mechanisms, thus prompt diagnosis and treatment of the underlying cause is essential to resolution in these patients. Normovolemic hyponatremia is seen in patients with mild volume expansion due to continued vasopressin release or sustained excessive water intake. This leads to the development of natriuresis (urinary excretion of sodium) due to an increase in GFR and consequent inhibition of sodium and water reabsorption in the renal tubules.
These patients are not actually hypochloremic: it is laboratory error. True hypochloremic patients have a decrease in the number of chloride ions, which results in a metabolic alkalosis. Corrected hypochloremia, after confirming by the formula for corrected chloride, will show a decrease in chloride with a likelihood of alkalosis. If pseudohypochloremia has been ruled out then a cause for the hypochloremia should be sought. These patients may have an excess of bicarbonate, administration of something containing more sodium than chloride (compared to ECF), or an increase in the loss of chloride from the body.
If the patient’s hypochloremic metabolic alkalosis does not correct with chloride administration, it is termed chloride resistant. Patients with hypochloremia frequently have concurrent hypokalemia additionally. 2). A decrease in chloride can be seen in patients with vomiting, use of loop diuretics, hyperadrenocorticism (Cushing’s disease) and post steroid administration. Chloride responsive metabolic alkalosis is most common as it is seen in patients with vomiting, use of diuretics and post hypercapnic syndrome.
Acid-base and electrolyte handbook for veterinary technicians by Angela Randels-Thorp, David Liss