CEBRA notes LA Exam 1 Flashcards
What does the ICF have high concentrations of?
potassium and phosphorus
What does the ECF have high concentrations of?
sodium, chloride and albumin
1 L=
1kg
At what percent dehydration will large animals appear clinically normal?
6%
Why are RBC indices and blood TP so variable in LA?
horses have splenic contractions
If an animal is in shock, what is the highest amount of fluids they can receive asap (within 1 hr)?
up to their blood volume so
6% of their body weight so 0.06 x bw in kgs
What ions are lost by the body rapidly via anorexia for ex?
potassium and chloride
When would I use 7% NaCl (hypertonic saline)
animals that are having a severe hypovolemic crisis
remember to follow with more conventional fluids
What type of fluids are most effective for shock caused by acute blood loss?
Hypertonic fluids
Other than a hypovolemic crisis, when else would using hypertonic fluids be helpful?
hyponatremia
hypochloremia
What is a patient experiencing metabolic acidosis (secretional) so bicarb loss, going to respond the best to fluid wise?
fluids containing a base
What is the cut off value for blood pH that warrants correction to maintain enzyme function? What should you give?
blood pH < 7.25
give bicarb!
What is normal blood bicarb?
24 mEq/L
Why is it important to only give 50% of the bicarb deficit as a bolus or to give the entire deficit of a 2-4 hour period?
to prevent paradoxical cerebral acidosis
A patient with metabolic alkalosis should be given what type of fluid?
a fluid with no base buffer such as 0.9%NaCl because these patients already have too much base!
Treat any deficits slowly!
What is hypernatremia and hyperchloremia best treated with in regard to fluids?
fluids that mimick normal plasma so Normasol or LRS
acute derangements can be txd with 5% dextrose or 0.45% saline
What fluids should be used to tx hyponatremia?
isotonic polyionic fluids OR hypertonic fluids containing supplemental NaCl or NaHCO3
What is an extremely common electrolyte abnormality that you will see in hoofstock that have been off feed for any length of time?
hypokalemia!
What does too rapid of administration of potassium pose a risk for and why?
bradycardia and cardiac arrest
What is the general rule of thumb for how much potassium supplementation a LA will receive?
0.5 mEq/kg bw/hr
What may be used to combat severe hyperkalemia?
dextrose containing fluids + insulin
Why should calcium be administered slowly?
bc its cardiotoxic
What should I avoid mixing banamine with?
calcium
LRS
What is the normal Ca2+ value in LA
10 mEq/dL