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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.