Fluid Therapy in Critical Care
Intravenous fluid administration is probably the most frequently used therapy in veterinary hospitals. Aggressive IV fluid resuscitation in emergent patients and continuous IV fluid administration in hospitalized patients have long been considered fundamental in the management of critically ill animals. However, research into whether the type and volume of fluids infused can contribute to comorbidities and decrease the chances of a favorable outcome continues. This article reviews new trends in fluid therapy in human and veterinary critical care medicine.
Top 10 Toxicologic Causes of Hypoglycemia in Dogs
A discussion about the 10 most common toxicologic causes of hypoglycemia in the dog, including the sago palm tree, xylitol, NSAIDs, zinc and aluminum phosphide.
Internal MedicineThe Asthmatic Cat: Management Guidelines
Tekla Lee-Fowler, DVM, MS, DACVIM (SAIM) Auburn University College of Veterinary Medicine Asthma Therapy Management of the actue and the chronic asthmatic feline patient must be addressed using a multi-modal, anti-inflammatory approach. Feline asthma is an inflammatory condition of the lower airways that manifests clinically as a chronic cough and, in some cases, intermittent exacerbations …
Fluid Therapy in Hospitalized Patients (Part 2) Electrolyte Abnormalities and Fluid Balance
Bridget M. Lyons, VMD Lori S. Waddell, DVM, DACVECC University of Pennsylvania HOLDING WATER Water loss may result from pure water loss, as seen with diabetes insipidus, elevated body temperature, primary hypodipsia, and water restriction. Alternatively, it may occur with loss of fluids that are hypotonic relative to plasma, such as with vomiting, diarrhea, third-space …
Fluid Therapy: Part 1 Fluid Therapy in Hospitalized Patients: Patient Assessment and Fluid Choices
Bridget M. Lyons, VMD Lori S. Waddell, DVM, DACVECC University of Pennsylvania GO WITH THE FLOW Fluid therapy is a mainstay of care in the hospitalized small animal patient. Assessment of a patient’s fluid deficits and ongoing needs will help determine what variety of fluid and rate to use. Fluid therapy is an essential component …
ACVN Nutrition NotesTo Feed or Not to Feed? Controversies in the Nutritional Management of Pancreatitis
nutritional management of pancreatitis continues to be guided primarily by the human literature and clinical experience due to lack of controlled clinical trials. Any…
The Yellow Cat: Diagnostic & Therapeutic StrategiesCE Article
There is no mystery when it comes to a “yellow” cat. Icterus and jaundice—both of which describe a yellowish pigmentation of the skin—indicate hyperbilirubinemia, a 5- to 10-fold elevation in serum bilirubin concentration.
However, this is where the certainty ends and the diagnostic challenge begins. The icteric cat presentation is not a sensitive or specific marker of disease, despite the visually obvious and impressive clinical sign…
Uncovering the Cause of Fever in Dogs
When describing FUO in dogs, fever is usually defined as greater than 103.5°F to 104°F (39.7–40°C), with no duration of fever specified. In animals, the path to revealing the cause of persistent fever can be lengthy and expensive but, in most patients, an etiology can be eventually identified
Early Diagnosis of Chronic Kidney Disease in Dogs & Cats: Use of Serum Creatinine & Symmetric Dimethylarginine
Chronic kidney disease (CKD) is a common cause of decreased quality of life as well as death in dogs and cats. The prevalence of CKD has been estimated to be 0.5% to 1% in dogs and 1% to 3% in cats,1,2 but it increases with age, especially in cats. An estimated 30% to 50% of cats 15 years of age or older have CKD.