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Question | Answer |
---|---|
The total body weight is about | 70% water. |
70% of the body water is | ICF (30-40% of body weight). |
30% of the body water is | ECF (20-30% of body weight). |
Interstitial fluid makes up about | 22-25% of this. |
Intravascular fluid makes up about | 8%. |
The normal physiological cation to anion ratio of the body fluid is | 1:1. |
A lot of water is lost during | respiration |
it is a good idea to keep animals | on fluids during surgery. |
When protein level is less 5.5g/dl, the animal is | hypoproteinemic |
Hypoproteinemia | will cause fluids to move from the vascular system to extravascular spaces, causing edema |
A sunken eye is the most common sign of | dehydration in ruminants |
Hyponatremia is most commonly seen in | liver diseases due to problems with aldosterone synthesis. |
If you see circling piglets, you might suspect | salt poisoning (hypernatremia). |
The primary danger of hyperkalemia is | life threatening cardiac arrhythmias and myocardial depression. |
You should not perform surgery on | hypokalemic animals (K+ is less than 3.3mEq/L). |
Acute replacement of K+ should not exceed more than 0.25 – 0.50mEq/kg/hr, otherwise you risk | stopping the heart. |
Hypocalcemia is almost always associated with | hypoalbuminemia. |
Carbonic anhydrase inhibitors Commonly used | Acetazolamide,Dichlorphenamide,Methazolamide |
These agents inhibit carbonic anhydrase enzyme, causing | a reduction of H+ ions available for Na-H exchange, Na+ and HCO3 excretion is increased. |
Loop diuretics Commonly used | Furosemide,Ethacrynic acid,Bumetanide |
These drugs block the reuptake of Cl¬- and Na+ | Loop diuretics |
Furosemide | increases urinary calcium excretion and is therefore used for the treatment of hypercalcaemia, and hypercalcuri nephropathy in dogs and cats. |
Osmotic diuretics Commonly used | Mannitol,Urea,Organic acids,Glucose |
These drugs are non absorbable, and therefore produce an “osmotic pressure” that increases urine production | Mannitol,Urea,Organic acids,Glucose |
Mannitol | is the drug of choice for reducing intracranial pressure and cerebral edema. |
These drugs should not be used in generalized edema or acute cardio-pulmonary edema conditions, because they cause an initial expansion of ECF | Mannitol,Urea,Organic acids,Glucose |
K+ sparing diuretics Commonly used | Spironolactone,Amiloride,Triamterene |
Spironolactone | is a steroid analog of aldosterone and is a competitive antagonist of aldosterone, therefore it causes the excretion of Na+ and H2O, while K+ is retained. |
Thiazide diuretics Commonly used | Chlorthiazide,Hydrochlorthiazide,Metolazone (thiazide-like) |
Act on the distal tubules, increases Na+, K+, Cl- and Mg2+ excretion and decreases Ca2+ excretion | Thiazide diuretics |
Methylxanthines Commonly used | Aminophylline,Theophylline,Caffeine,Theobromine |
Diuretic effect due to increased renal blood flow and glomerular filtration rate and the inhibition of Na+ resorption in the proximal tubule | Methylxanthines |
Epinephrine | is the drug of choice for the emergency treatment of life threatening bronchoconstriction, bronchospasm and acute anaphylactic shock |
It comes in a 1:10,000 concentration for use in small animals or a 1:1000 concentration for use in large animals | epinephrine |
Don’t use the 1:10,000 epinephrine concentration in | horses, they will sweat profusely over their entire body and could die. |
Neo-synephrine is similar to | norepinephrine |
Adverse effects of terbutaline | use with care in cases of cardiac diseases, diabetes, hyperthyroidism, hypertension and seizure disorders, long term use can cause hypokalemia. |
Methylxanthine drugs | are phosphodiesterase inhibitors which induce bronchodilation by blocking the degradation of cAMP by phosphodiesterase in airway smooth muscle cells and inhibition of light chain myokinase |
the increase of cAMP levels in mast cells inhibits the release of | histamine and other autocoids therapeutic value includes bronchodilation, CNS stimulation, positive chronotropic/inotropic effects, as well as a mild diuretic effect |
Methylxanthines | are relatively insoluble in water |
Aminophylline | is actually the ethylenediamine complex of theophylline |
Glucocorticoids are often used for the treatment of | antigen-induced inflammatory bronchial disease or when anti-histamines fail to work. |
Leukotriene receptor antagonists or Lipooxygenase inhibitors Commonly used (anti-leukotrienes) | Zafirlukast,Montelukast,Zileuton |
Leukotrienes are | potent bronchoconstrictors and trigger inflammatory responses such as edema formation |
Leukotriene drugs | are higly selective and potent (orally) inhibitors of leukotriene production or function |
Have been used to effectively treat asthma in cats | leukotrienes |
Doxapram | stimulates the respiratory center in the medulla |
It does not work when used with a neuromuscular blocking drug (e.g. Guafenesin) because these drugs will block the signal from the medulla | doxapram |