Aldridge Fluid Pathophysiology Clin Correlations VM 564 2022 PDF

Fluid and Electrolyte Pathophysiology and Therapy Clinical Applications Dr Brian Aldridge Brain Teaser Case 1 - Scenario What are the primary fluid/electrolyte losses in these general clinical scenarios? Steer with rumen acidosis Cow with LDA 3 year old Holstein cow Lethargic Inappetant Dry m...

Fluid and Electrolyte Pathophysiology and Therapy Clinical Applications Dr Brian Aldridge Brain Teaser Case 1 - Scenario What are the primary fluid/electrolyte losses in these general clinical scenarios? Steer with rumen acidosis Cow with LDA 3 year old Holstein cow Lethargic Inappetant Dry mms Drop milk production Heart rate 90 bpm Right sided ‘ping’ Suspect RDA Calf with diarrhea Case 1 - Questions What are the primary clinical and lab abnormalities of concern in this patient? What is your assessment of this animal’s acid-base status? What is your fluid therapy plan for this animal in terms of: • Composition • Rate • Route Metabolic Alkalosis Case 2 - Scenario Costanza Physiology 4 hour old goat kid Tachycardia Prolonged dystocia Hypothermia Lateral recumbency Depressed Tachypnea Suspect metabolic complications of dystocia Case 2 - Questions What are the primary clinical and lab abnormalities of concern in this patient? What is your assessment of this animal’s acid-base status? What is your fluid therapy plan for this animal in terms of: • Composition • Rate • Route Case 3 - Scenario 9 year old Shorthorn Lethargic Inappetant Dry mms Feed in nostrils Heart rate 90 bpm Probable ‘choke’ PCV Total Protein Na+ ClK+ pH HCO3 TCO2 Base Deficit pO2 pCO2 BUN Lactate Creatinine Glucose Case Case 51 1 11.6 144 118 3.7 7.18 7.9 9.0 -21 40 25 55 4.8 4.7 80 – Lab Normal Results 32-36 % 6.5-7.5 g/dl 132-140 mEq/L 98-106 mEq /L 3.6–5.6 mEq /L 7.35-7.45 22-26 mEq /L 20-31 mEq /L -5 to +5 meq/L 80-110 mm Hg 35-45 mmHg 20-30 mg/dl <1.5 mmol/L 1-2 mg/dl 45-75 mg/dl Respiratory Alkalosis Case 2 - Questions What are the primary clinical and lab abnormalities of concern in this patient? What is your assessment of this animal’s acid-base status? What is your fluid therapy plan for this animal in terms of: • Composition • Rate • Route Costanza Physiology Respiratory Acidosis Metabolic Acidosis Costanza Physiology Costanza Physiology Costanza Physiology Costanza Physiology