Page 962 - Small Animal Internal Medicine, 6th Edition
P. 962

934    PART VII   Metabolic and Electrolyte Disorders




  VetBooks.ir  Drugs Used in Electrolyte Disorders                          RECOMMENDED DOSE


             GENERIC NAME
             (TRADE NAME)          PURPOSE                DOG                        CAT

             Alendronate           Treat hypercalcemia    Unknown                    10 mg PO, after 12-hour fast,
                                                                                       once weekly
             Calcitonin—salmon     Treat hypercalcemia    4-6 IU/kg SC q8-12h        Unknown
             Calcium—injectable and   Treat hypocalcemia  See Box 53.7               See Box 53.7
               oral preparations
             Calcium gluconate 10%  Treat hyperkalemia    2-10 mL IV, slow bolus     1-5 mL IV, slow bolus
                                   Treat hypocalcemia     0.5-1.5 mL/kg IV, slow bolus   0.5-1.5 mL/kg IV, slow bolus to
                                                            to effect                  effect
             Furosemide (Lasix)    Treat hypercalcemia and   1-4 mg/kg IV, PO q6-12h  1-4 mg/kg IV, PO q6-12h
                                     hypermagnesemia
             Hypertonic (7.2%) saline  Treat cerebral edema  3-5 mL/kg over 20 minutes in   Same
                                                            central vein
             Insulin—regular       Treat hyperkalemia     0.5-1 U/kg plus 2 g        0.5-1 U/kg plus 2 g dextrose/U
               crystalline                                  dextrose/U of insulin in   of insulin in parenteral fluids IV
                                                            parenteral fluids IV
             Magnesium—injectable   Treat hypomagnesemia  See p. 932                 See p. 932
               and oral preparations
             Mannitol 20%          Treat cerebral edema   1-3 mg/kg over 20 minutes in   Same
                                                            central vein
             Pamidronate           Treat hypercalcemia    1-2 mg/kg in 150 mL 0.9%   Recommend alendronate
                                                            saline IV over 2-4 h
             Potassium gluconate   Treat hypokalemia      2.2 mEq K/100 kcal food    2.2 mEq K/100 kcal food
               (Kaon Elixir, Tumil-K)                       consumed per day or        consumed per day or
                                                            2 mEq K/4.5 kg PO q2h      2 mEq K/4.5 kg PO q12h
             Prednisone (dog),     Treat hypercalcemia    1-2 mg/kg PO q12h          1-2 mg/kg PO q12h
               Prednisolone (cat)
             Sodium bicarbonate    Treat hyperkalemia     1-2 mEq/kg IV, slow bolus  1-2 mEq/kg IV, slow bolus
             Vitamin D preparations  Treat hypocalcemia   See Box 53.7               See Box 53.7
            IV, Intravenous; PO, oral; SC, subcutaneous.
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