Page 85 - Fluid, Electrolyte, and Acid-Base Disorders in Small Animal Practice
P. 85

Disorders of Sodium and Water: Hypernatremia and Hyponatremia  75



              TABLE 3-5       Mean Maximal Values for                electrolytes and osmotic pressure in healthy beagles.
                                                                     J Vet Med Sci 1999;61:637.
                              Parameters of Total                 3. Atkins CE, Tyler R, Greenlee P. Clinical, biochemical,
                              Urine Solute                           acid-base, and electrolyte abnormalities in cats after hyper-
                                                                     tonic sodium phosphate enema administration. Am J Vet
                              Concentration*                         Res 1985;46:980.
                                                                  4. Authement JM, Boudrieau RJ, Kaplan PM. Transient
                                 WDT       RVPT      AVPT            traumatically induced central diabetes insipidus in a dog.
                                                                     J Am Vet Med Assoc 1989;194:683.
            Uosm (mOsm/kg)      2199      1518      933           5. Bagley RS, de Lahunta A, Randolph JF, et al.
            Urine specific gravity  1.063  1.042    1.021            Hypernatremia, adipsia, and diabetes insipidus in a dog
            Uosm/Posm           7.2       5.6       3.3              with hypothalamic dysplasia. J Am Anim Hosp Assoc
                                                                     1993;29:267.
            From Hardy RM, Osborne CA. Water deprivation test in the dog:  6. Bagshaw SM, Townsend DR, McDermid RC. Disorders
            maximal normal values. J Am Vet Med Assoc 1979;174:479; Hardy RM,  of sodium and water balance in hospitalized patients.
            Osborne CA. Aqueous vasopressin response test in clinically normal dogs  Can J Anaesth 2009;56:151.
            undergoing water diuresis: technique and results. Am J Vet Res  7. Betjes MGH. Hyponatremia in acute brain disease: the
            1982;43:1987; and Hardy RM, Osborne CA. Repositol vasopressin  cerebral salt wasting syndrome. Eur J Int Med 2002;13:9.
            response test in clinically normal dogs undergoing water diuresis: technique  8. Biewenga WJ, Rijnberk A, Mol JA. Osmoregulation of sys-
            and results. Am J Vet Res 1982;43:1991.                  temic vasopressin release during long-term glucocorticoid
            *Normal dogs undergoing routine water deprivation testing (WDT),  excess: a study in dogs with hyperadrenocorticism. Acta
            repositol vasopressin testing (RVPT), and aqueous vasopressin testing  Endocrinol 1991;124:583.
            (AVPT).                                               9. Bissett SA, Lamb M, Ward CR. Hyponatremia and
                                                                     hyperkalemia associated with peritoneal effusion in four
            and consisted of USG values of 1.012 to 1.033, urine     cats. J Am Vet Med Assoc 2001;218:1590.
            osmolalities of 429 to 1437 mOsm/kg, and urine/      10. Boag AK, Coe RJ, Martinez TA, et al. Acid-base and elec-
            plasma osmolality ratios of 1.5 to 5.1. 68  Water should  trolyte abnormalities in dogs with gastrointestinal foreign
                                                                     bodies. J Vet Intern Med 2005;19:816.
            be provided ad libitum during testing, but water loading
                                                                 11. Brady CA, Vite CE, Drobatz KJ. Severe neurological
            should not be performed in clinical patients.            sequelae in a dog after treatment of hypoadrenal crisis.
              In the repositol vasopressin test, 3 to 5 U of vasopres-  J Am Vet Med Assoc 1999;215:222.
            sin tannate in oil (pitressin tannate) is given intramuscu-  12. Breitschwerdt EB, Root CR. Inappropriate secretion of
            larly, and the bladder is emptied 3 to 6 hours after     antidiuretic hormone in a dog. J Am Vet Med Assoc
                                                                     1979;175:181.
            injection. Parameters of urinary concentrating ability are  13. Breitschwerdt  EB,  Verlander  JW,  Bribernik  TN.
            measured before and at 6, 9, 12, and 24 hours after injec-
                                                                     Nephrogenic diabetes insipidus in three dogs. J Am Vet
            tion. Oral water loading must be avoided because of the  Med Assoc 1981;179:235.
            danger of potentially lethal water intoxication. 69  Maximal  14. Brofman PJ, Knostman KA, DiBartola SP. Granulomatous
            response to repositol vasopressin occurred 8 to 12 hours  amebic meningoencephalitis causing the syndrome of
                                                                     inappropriate secretion of antidiuretic hormone in a
            after injection and consisted of USG values of 1.028 to
                                                                     dog. J Vet Intern Med 2003;17:230.
            1.057, urine osmolalities of 1052 to 1850 mOsm/kg,   15. Brown E, Markandu ND, Roulston JE, et al. Is the renin-
            and urine/plasma osmolality ratios of 3.9 to 6.7. 69     angiotensin-aldosterone system involved in the sodium
              The standard or modified water deprivation test is the  retention  of  the  nephrotic  syndrome?  Nephron
            preferred initial test of urinary concentrating ability  1982;32:102.
                                                                 16. Bruyette DS, Nelson RW. How to approach the problems
            because mean maximal values are usually higher with this
                                                                     of polyuria and polydipsia. Vet Med 1986;81:112.
            test and results are easier to interpret (Table 3-5). Why  17. Bulger RE. Composition of renal medullary tissue. Kidney
            higher values for parameters of urinary concentrating abil-  Int 1987;31:557.
            ity are achieved with this test as compared with the exoge-  18. Burnie AG, Dunn JK. A case of central diabetes insipidus
            nous vasopressin tests is unknown. Possible explanations  in the cat: diagnosis and treatment. J Small Anim Pract
                                                                     1979;23:237.
            include the actions of antidiuretic substances other than
                                                                 19. Burrows CF, Bovee KC. Metabolic changes due to exper-
            ADH that may be present in hydropenic individuals, the   imentally induced rupture of the canine urinary bladder.
            effect of slower renal medullary blood flow in dehydrated  Am J Vet Res 1974;35:1083.
            patients, and intensification of the medullary interstitial  20. Chastain CB, Graham CL, Riley MG. Myxedema coma in
            gradient in dehydrated individuals.                      two dogs. Canine Pract 1982;9:20.
                                                                 21. Chatterjee K. Hyponatremia in heart failure. J Intensive
                                                                     Care Med 2009;24:347.
            REFERENCES                                           22. Chew DJ, Leonard M, Muir WW. Effect of sodium bicar-
                                                                     bonate  infusion  on  serum  osmolality,  electrolyte
              1. Abramov M, Beauwens R, Cogan E. Cellular events in  concentrations, and blood gas tensions in cats. Am J Vet
                vasopressin action. Kidney Int 1987;32(Suppl. 21):S56.  Res 1991;52:12.
              2. Ajito T, Suzuki K, Iwabuchi S. Effect of intravenous infu-  23. Chew M. Salt poisoning in a boxer bitch. Vet Rec
                sion of 7.2% hypertonic saline solution on serum     1969;85:685.
   80   81   82   83   84   85   86   87   88   89   90