Page 26 - Fluid, Electrolyte, and Acid-Base Disorders in Small Animal Practice
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16         APPLIED PHYSIOLOGY



               TABLE 1-6       Measurements of Daily Water Intake and Output in Sedentary
                               Dogs and Cats
            Measurement           Species        mL/kg/day*          Condition or Diet            Reference

            Input
            Water drunk          Feline         71.3                                         Chew 9
                                 Feline         50.6                                         Thrall and Miller 57
                                 Canine         56.1-70.8                                    Chew 9
                                 Canine         38.9 (19.5-84)                               O’Connor 40
            Output
            Urine volume         Canine         13.3 (10.5-17.9)    Caged                    O’Connor 40
            Fecal water          Feline         25-29 g/day         Caged                    Jackson and Tovey 23
                                 Feline         56 g/day            Caged                    Thrall 57
            Insensible loss      Canine         20.5                69% H 2 O diet           Smith et al 54
                                 Feline         12.42               70% H 2 O diet           Hamlin and Tashjian 16
                                 Feline         29.0                Dry ration               Thrall and Miller 57
                                 Canine         26.2 (8.1-70.7)     Beef and biscuit         O’Connor 40
            *Except as noted in table.




               TABLE 1-7       Maximal Urine                                                       1000
                               Osmolalities (mOsm/kg)                 600                             1200
            Species       mOsm/kg            Reference                                                   1600

            Dog          2425           Chew 9                       Urine volume (ml/day)  400            2000
                                                       17
            Dog          2791           Hardy and Osborne *
            Cat          3200           Chew 9
            Cat          3420-4980      Thrall and Miller 57          200
                                                   50
            Cat          2984           Ross and Finco *
            *Values obtained after dehydration resulting in 5% body weight loss.
                                                                                200     400    600     800
                                                                                  2Na + 2K + Urea (mmol/day)
            273 to 2620 mOsm/kg) than in the evening (mean,      Figure 1-8 Urine volume of a dog plotted against urinary
            1400   586 mOsm/kg; range, 161 to 2830 mOsm/         excretion of solute (2Na þ 2K þ urea) during consumption of 320
            kg). 58  There was no effect of sex on urine osmolality,  (1), 385 (l), and 770 (s) grams of food. Each symbol represents data
            but urine osmolality decreased significantly with age.  from 1 day. The lines labeled 1000, 1200, 1600, and 2000 indicate
               Figure 1-8 depicts urine volume and urine osmolality  urine osmolality (mOsm/kg). (From O'Connor WJ, Potts DJ.
            plotted as a function of urine solute in a dog fed varying  Kidneys and drinking in dogs. In: Michell AR, editor. Renal disease in
                                                                 dogs and cats: comparative and clinical aspects. Oxford, UK:
            quantities of food. 40  Increased intake produced increased  Blackwell Scientific, 1988: 35.)
            renal solute and increased urine volume; however, urine
            osmolality remained approximately 1600 mOsm/kg
            (1200 to 2000 mOsm/kg).  41  Urine osmolalities did
            not, as might be expected, increase toward the maximum  from the diet of an animal in zero balance, all nitrogen
            attainable (2400 to 2800 mOsm/kg) in water-deprived  is assumed to form urea. Urea constitutes two thirds of
            dogs. 9,17  Thus, urine osmolality is conserved in the pres-  the urinary solute load in dogs. 40  The amount of solute
            ence of increased urine solute load by an increase in urine  in the diet is determined by the composition and the
            volume. The physiologic mechanisms that conserve urine  quantity of food and minerals ingested. Increasing dietary
            osmolality as the renal solute load varies are not well  protein results in increased urea production. Metabolism
            defined.                                             of carbohydrates and fats yields only CO 2 and H 2 O and
               The renal solute load is derived from dietary sources of  does not produce urea or other solutes that must be
                                                     þ
            protein and minerals and comprises urea, Na ,K ,Ca 2þ ,  excreted in the urine. Diets high in minerals that are well
                                                 þ
                       þ

            Mg 2þ ,NH 4 , and other cations and PO 4 3   ,Cl ,   absorbed from the gut (usually NaCl) provide more
                2                                                solute for excretion.
            SO 4  , and other anions. When estimating solute load
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