By William Bernard
ISBN-10: 1840760818
ISBN-13: 9781840760811
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Sample text
Therapies aimed at improving cardiovascular status that result in decreased urine output are highly unlikely to be beneficial and should be urgently reviewed. Conversely, improved urine output is one of the earliest signs of successful therapy. Falling urine output is an early indicator of hypovolemia. Hemodynamics are not the only factors that can affect urine output. Acute renal failure may result in oliguria, anuria or, uncommonly in foals, polyuria. Other causes of decreased urine output include blocked urinary catheters and defects in bladder wall integrity.
8–10%) 1–5 seconds Tacky Variable Often 2–3 seconds Normal or increased (70–140 bpm) Decreased arterial blood pressure Severe (>10%) 1–5 or more seconds Dry Variable. Often >4 seconds Normal or increased (70–180 bpm) Reduced jugular fill. Barely detectable peripheral pulse. Sunken eyes Note that signs are not consistently present in foals. neonatal foals and make managing the sodium concentration during maintenance therapy far easier. The advantage of Plasmalyte-M is that it is isotonic. However, it contains significant amounts of glucose, which must be taken into account when formulating nutrition plans, and may make maintaining a tight glucose control technically harder.
In a rat model of endotoxemia, dobutamine maintained intestinal villi blood flow at preendotoxic levels. This beneficial effect on splanchnic perfusion is also seen with dobutamine therapy in human septic patients, but not with dopamine therapy. Maintenance of splanchnic perfusion may be important in foals, as it may prevent bacterial translocation across the intestinal wall and establishment or worsening of septicemia. Dobutamine may also have a role in improving splanchnic perfusion when vasopressors such as norepinephrine or epinephrine are used, presumably through its action on beta-2 receptors.
Equine Paediatric Medicine by William Bernard
by Daniel
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