• 제목/요약/키워드: Acid Base Status

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A comparison of traditional and quantitative analysis of acid-base and electrolyte imbalance in 87 cats

  • Chun, Daseul;Yu, DoHyeon
    • 대한수의학회지
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    • 제61권4호
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    • pp.40.1-40.6
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    • 2021
  • Acid-base disorder is a common problem in veterinary emergency and critical care. Traditional methods, as well as the Stewart method based on strong ion difference concepts and the Fencl-Stewart method, can be used to analyze the underlying causes. On the other hand, there are insufficient comparative study data on these methods in cats. From 2018 to 2020, 327 acid-base analysis data were collected from 69 sick and 18 healthy cats. The three most well-known methods (traditional method, Stewart method, and Fencl-Stewart method) were used to analyze the acid-base status. The frequency of acid-base imbalances and the degree of variation according to the disease were also evaluated. In the traditional acid-base analysis, 5/69 (7.2%) cats showed a normal acid-base status, and 23.2% and 40.6% of the simple and mixed disorders, respectively. The Fencl-Stewart method showed changes in both the acidotic and alkalotic processes in 64/69 (92.8%), whereas all cats showed an abnormal status in the Fencl-Stewart method (semiquantitative approach). The frequencies of the different acid-base imbalances were identified according to the analysis method. These findings can assist in analyzing the underlying causes of acid-base imbalance and developing the appropriate treatment.

Antioxidants Supplementation on Acid Base Balance during Heat Stress in Goats

  • Sivakumar, A.V.N.;Singh, G.;Varshney, V.P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권11호
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    • pp.1462-1468
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    • 2010
  • The effects of vitamin C and vitamin E with selenium on acid-base balance and some stress hormones were evaluated during heat stress in goats. Goats, 1.5 years of age, were divided into control, heat stress and antioxidant treatment groups 1, 2 and 3. Except for the control, all groups were exposed to a temperature of $40{\pm}2^{\circ}C$ with a relative humidity of 30% for 5 h/d for 21 days in a psychrometric chamber. Rectal temperature and respiratory rates were recorded daily post exposure. Blood samples were collected on every 3rd day for estimation of plasma vitamins C and E, total antioxidant activity and hormones, and separate blood samples were taken to estimate acid-base status. The rectal temperature and respiratory rates were increased (p<0.05) in the heat stress group only. Except for pH and $pO_2$, which were increased significantly (p<0.05) other parameters of acid-base balance such as $pCO_2$, $HCO_3^-$, $TCO_2$, BEb, BEcef, PCV and Hb were significantly decreased (p<0.05) in the heat stress group. An improvement in acid-base status was noted in the antioxidant supplemented groups. Prolactin and cortisol levels were significantly (p<0.05) higher and free T3 and T4 levels were significantly (p<0.05) lower in the heat stress group. Levels of prolactin and cortisol were decreased and free T3 and T4 were increased in antioxidant treatment groups. Different levels of antioxidant supplementation resulted in similar protection against heat stress.

염소의 산·염기 균형 특성에 관한 연구 (A Study on Characteristics of Acid-Base Balance in Goats)

  • 양일석;성호경
    • 대한수의학회지
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    • 제25권2호
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    • pp.133-144
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    • 1985
  • The changes of acid-base status in vitro of the venous blood for 24 hours in ten Korean native goat were investigated. The acid-base parameters were measured within ten minutes after collection of the blood, and every hour during the first six hours and finally after twenty four hours of storage. Blood samples were stored at two different temperatures ($0-4^{\circ}C$ and $21-24^{\circ}C$). Twelve goats were induced acute acid-base disturbances by intravenous infusion of either hydrochloric acid or sodium bicarbonate and inhalated with $CO_2$ gas mixture (20% $CO_2$, 80% $O_2$) or hyperventilation were performed by means of respirator. The results were as follows; 1. Blood samples could be stored during the first two hours in ice water ($0-4^{\circ}C$) and one hour at room temperature without significant changes in pH. The magnitudes of changes were similar to those of cow, and lower than those of men and dogs. 2. The mean values of acid-base parameters in normal goat were arterial pH, 7.40; $P_{CO_2}$, 35.4mmHg; $HCO_3{^-}$, 21.8mEq/L. 3. Both the base excess and the bicarbonate showed high correlation (r=0.99) during the metabolic disturbance and were represented as $B.E.=1.38\;HCO^-{_3}-29.7$. 4. The slope of blood buffer curve obtained from the in vivo experiment was 16.3mEq/L/pH. 5. The magnitudes of changes in hydrogen ion concentration per unit change of $P_{CO_2}$ were 0.8nM/mmHg in hypercapnia and 1.0nM/mmHg in hypocapnia. 6. The ranges of acid-base parameters in normal goat urine were pH, 6.0-8.1; $P_{CO_2}$, 42-61mmHg; $HCO_3{^-}$, 2-110mEq/L. The concentration of potassium was higher (60-200mEq/L), and that of sodium was lower (8-70mEq/L) than those of human urine.

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A Novel Therapeutic Measure for Metabolic Acidosis with Amino Acids

  • Kim, Jun;Goo, Yong-Sook;Kim, Sang-Jeong;Park, Sang-Chul;Koh, Chang-Soon
    • The Korean Journal of Physiology
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    • 제26권1호
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    • pp.89-97
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    • 1992
  • In hypoxic tissue conditions, pyruvate can not enter the Krebs cycle and lactic acid, produced from pyruvate, accumulates to induce lactic acidosis. Pyruvate, However, can also be converted to alanine by glutamate pyruvate transaminase, that could be enhanced by glutamate. Therefore, it would be a fundamental measure to treat the lactic acidosis in tissue hypoxic conditions when one can convert the accumulated lactic acid, through pyruvate, to alanine. To test the above hypothesis, we induced a lactic acidosis in cats and the effect of glutamate on recovery of acid base state and removal of the lactic acid from blood were assessed and the results were compared with those of bicarbonate administration, which is one of the most frequently used conventional measure for correction of the acid base state during lactic acidosis. The results were that glutamate and combined glutamate bicarbonate solutions not only restored the acid base status completely from the lactic acidosis in an hour or two, but also restored the blood level of lactate partially. We concluded that administration of glutamate solution to convert pyruvate into alanine is effective in preventing lactic acid accumulation and treating lactic acidosis.

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개 파보바이러스성 장염에서 산-염기 장애의 진단 (Diagnosis of Acid-Base Disorders in Canine Parvoviral Enteritis)

  • 정석영;김요한;김두
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.352-356
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    • 2011
  • Abstract: This study was aimed to diagnose acid-base disorders of dogs with canine parvoviral enteritis (CPE) and data to establish a rational fluid therapy regimen for patients with CPE. A total of 43 dogs which had clinical signs of CPE and had detected canine parvovirus by polymerase chain reaction, were bled anaerobically from jugular vein at the time of admission. Blood chemical test, determination of electrolytes and blood gas analysis were conducted, and calculated values were obtained from each measured items. The values of blood chemical and electrolytes of dogs with CPE were various depending on the degree of clinical signs, and these tests were not specific to diagnose for CPE. Hypochloremia (20.9%), hyperchloremia (11.6%), hypokalemia (7.0%), hyperkalemia (11.6%), hyponatremia (9.3%) and hypernatremia (18.6%) were diagnosed as abnormalities of electrolytes from 43 dogs with CPE. The 29 out of 43 dogs (67.4%) were metabolic acidosis and 3 dogs (7.0%) were metabolic alkalosis. The acid-base status of 11 dogs out of 43 dogs (25.6%) was normal.

선천성 및 후천성 심질환 환자에서 체외순환 전, 중, 후의 동맥혈 가스의 비교 분석 (Comparative Analysis of arterial Gases and Acid-base status in Patients with Congenital and Acquired Heart Disease at Preoperative Period, During Extracorporeal Circulation. and Postoperative Period)

  • 이동석;이봉근;김송명
    • Journal of Chest Surgery
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    • 제34권11호
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    • pp.831-842
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    • 2001
  • 배경: 심질환 환자는 심장의 구조적 혹은 기능적 결함으로 인하여 혈역학적 변화가 필연적으로 존재하며 그 결과 신체대사에 심각한 영향을 미치므로 수술전부터 산, 염기의 이상이 초래된다. 수술방법에는 필연적으로 비생리적인 체외순환법과 저체온법 및 혈액희석법과 같은 다양한 특수한 기법이 도입된다. 따라서 수술전 이미 존재하는 산 염기의 이상상태에서 체외순환이라는 수술적 침습에 의해 가해지는 shear압박으로 인하여 이미 악화된 상태의 산 염기 변화를 더욱 심하게 만들게 된다. 저자는 청색증을 포함한 소아심질환 환자와 선천성을 포함한 성인 심질환 환자에서 수술전 체외순환중, 수술후의 산, 염기의 치료지침을 얻기 위하여 본 연구를 시도하게 되었다. 대상 및 방법: 1997년 1월부터 1999년 5월가지 체외순환하에 개심술을 시행한 52례를 연구대상으로 하였다, 연구대상은 소아 및 성인 심질환, 선천성 및 후천성 심질환, 그리고 비청색증과 청색증심장병으로 구분하여 수술전, 수술중의 체외순환중, 그리고 수술후 각각 $\alpha$-stat 동맥혈 가스분석 결과를 분석, 비교하여 다음과 같은 결과를 얻었다. 결과: 수술전 산 염기 상태는 모든 심질환 환자들에서 대상성 대사성 산증이 기본적으로 존재하였다. 또한 성인 심질환과 후천성 심질환 환자군에서 저탄산가스 혈증이 존재하였으며, 청색증 심질환 환자군에서만 유일하게 대상성 호흡성 염기증이 있었다. 체외순환중에는 성인 심질환 환자군에서는 염기증만이 발생하였고 후천성 심질환 환자군에서는 정상상태의 산 염기 상태이었다. 반면에 소아심질환 환자군에서는 저 탄산가스 혈증 및 대상성 대사성 산증과 호흡성 염기증이 함께 공존하였다. 선천성과 비청색증 심질환 환자군에서는 각각 비대상성 호흡성 염기증 경향과 비대상성 호흡성 염기증이 발생하였다. 청색증 심질환 환자군에서는 체외순환중에 오히려 대상성 호흡성 산증과 대사성염기증이 발생하였다. 수술후 성인 심질환 환자군에서는 정상 상태의 산 염기 상태로 회복되었으며, 후천성심질환 환자군에서는 단지 표준 bicarbonate가 증가한 것만이 나타났다. 소아, 선천성, 비청색증 및 청색증 심질환 환자군에서는 모두 공통적으로 buffer base가 부족한 것으로 나타났다.

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Electrolyte and acid-base imbalance in native calves with enteropathogenic diarrhea

  • Kang, Seongwoo;Park, Jinho;Choi, Kyoung-Seong;Park, Kwang-Man;Kang, Jin-Hee;Jung, Dong-In;Yu, Dohyeon
    • 대한수의학회지
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    • 제60권3호
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    • pp.133-137
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    • 2020
  • Diarrhea is the most common cause of death in calves, and remains a major health challenge. Although there are many studies on the related pathogens, the understanding of the clinicopathological changes is limited. This study aimed to identify the pathogens and observe the clinicopathological changes in electrolytes and acute phase proteins (APPs) associated with diarrhea. Blood samples and fecal samples were collected from 141 calves for the determination of APPs, electrolyte and acid-base status and identification of enteropathogens, respectively. Single or co-infections with enteropathogens, including virus (bovine viral diarrhea virus, coronavirus, and rotavirus), Eimeria, Cryptosporidium, and Escherichia coli K99 were detected in both non-diarrheic and diarrheic calves. Levels of APPs such as serum amyloid A, haptoglobin and fibrinogen were comparable between diarrheic and non-diarrheic calves. Hypoglycemia, high blood urea, electrolytes and acid-base imbalance (hyponatremia, hypochloremia, and decreased bicarbonate), and strong ion difference (SID) acidosis showed a significant association in diarrheic calves (p < 0.01). Particularly, significant hyponatremia, bicarbonate loss, SID acidosis, hypoglycemia, and elevated blood urea nitrogen were found in rotavirus-infected calves. Monitoring the clinicopathological parameters of APPs and electrolyte levels could be vital in the clinical management of diarrheic calves.

체외순환을 위한 혈액희석법에 대하여 (Hemodilution in Clinical Extracorporeal Circulation)

  • 이성행
    • Journal of Chest Surgery
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    • 제10권2호
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    • pp.250-267
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    • 1977
  • Open heart surgery has been performed on 20 patients, using hemodilution principle under the moderate hypothermia from Dec. 1975 through Aug. 1977 at the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine. All these patients, body surface area ranged from 0.53 to 1.67$M^2$, were divided into two groups as a child group [below 15 yrs] and a adult group[above 15 yrs]. The oxygenator were primed with fresh ACD blood, 5 per cent dextrose, Hartmann`s solution, 15 per cent mannitol, sodium bicarbonate, dexamethasone and antibiotics. The average flow rate was 2.0 L/$M^2$/min. in child group and 2.3L/$M^2$/min. in adult group. The degree of hemodilution in child and adult group was 30.7% and 29.3% respectively. The minimal value of rectal temperature was $30.84{\pm}0.7^{\circ}C.$, in child group and $30.0{\pm}1.5^{\circ}C.$, in adult group. We studied the changes of hemodynamic status, blood components, electrolyte, acid-base status. blood lactic acid and urine output during and after cardiopulmonary bypass.

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동맥혈 및 뇨 $P_CO_2}, P{O_2}$ 의 산-염기 균형 및 뇨량과의 관계 (Relationships between arterial and urinary $P_CO_2}, P{O_2}$ and acid-base balances)

  • 김용진;이영균
    • Journal of Chest Surgery
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    • 제16권2호
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    • pp.213-220
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    • 1983
  • Pulmonary function is the determinant of blood gas tension. However, Acid-Base disturbances can also alter partial pressures of oxygen and carbon dioxide in arterial blood. During respiratory acidosis $PO_2$ will be lowered and reverse changes will be produced during respiratory alkalosis. On the other hand, in metabolic acidosis $PO_2$ will be elevated and $PCO_2$ will be lowered by the respiratory compensation, and reverse response will be induced in metabolic alkalosis. Urinary gas tension has many influencing factors than arterial blood and difficult to estimate the tendency of its alterations. Urinary $PO_2$ and $PCO_2$ are not always identical level as venous blood. It is to be altered by blood gas tension, flow rate of urine, metabolic rate of kidney, and Acid-Base status of blood. Particularly countercurrent exchange of oxygen and carbon dioxide in the renal medulla will make larger alteration of gas tension than venous blood. After induction of Acid-Base disturbances [disturbances] arterial and urinary $PCO_2$, $PO_2$, urinary volume, and osmolarity were determined in dogs, and the relationships between arterial and urinary $PCO_2$ , $PO_2$ Acid-Base disturbances, urinary volume, and osmolarity were investigated. 1. During the acute Metabolic and Respiratory disturbances urinary pH did not respond on respiratory origin. However, there were immediate urinary response in pH on metabolic origin. 2. Urinary $PO_2$, $PCO_2$, did not always follow arterial or venous gas tension and Acid-Base disturbance. Urinary $PCO_2$, correlate well with the urinary volume. The larger the urinary volume, $PCO_2$ lowered to the venous level. The smaller the urinary volume, urinary $PCO_2$ tends to be higher. However urinary $PO_2$ did not have any particular correlation with urinary volume. 3. Correlation between urinary $PCO_2$ and $PO_2$ were inversely proportional to arterial blood. Differences of $PCO_2$ between arterial blood and urine also did not have any particular correlation with urinary volume. This may suggest that changes on blood gas tensions can influence on urinary $PCO_2$. 4. There were eminent clear inverse correlation between urinary $PCO_2$ and osmolar concentrations of urine. Above results strongly suggest that partial pressure of gas in urine primarily depend upon counter-current exchanges in renal medullary tissues.

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Effect of Dietary Cation-Anion Difference during Prepartum and Postpartum Periods on Performance, Blood and Urine Minerals Status of Holstein Dairy Cow

  • Razzaghi, A.;Aliarabi, H.;Tabatabaei, M.M.;Saki, A.A.;Valizadeh, R.;Zamani, P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제25권4호
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    • pp.486-495
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    • 2012
  • Twenty four periparturient cows were used to determine the effects of DCAD on acid-base balance, plasma and urine mineral concentrations, health status, and subsequent lactation performance. Each group of 12 cows received either a diet containing -100 DCAD or +100 DCAD for 21 d prepartum. Both anionic and cationic groups were divided into two groups, one received a +200 DCAD and the other +400 DCAD diet for 60 d postpartum. Prepartum reduction of DCAD decreased DMI, urinary and blood pH, urinary concentrations of Na or K and increased plasma and urinary Ca, Mg, Cl and S. Also cows fed -100 DCAD diet consumed the most dry matter in the first 60 d after calving. Postpartum +400 DCAD increased milk fat and total solid percentages, urinary and blood pH and urinary Na and K concentrations, but urinary Ca, P, Cl and S contents decreased. Greater DMI, FCM yields were observed in cows fed a diet of +400 DCAD than +200 DCAD. No case of milk fever occurred for any diets but feeding with a negative DCAD diet reduced placenta expulsion time. In conclusion, feeding negative DCAD in late gestation period and high DCAD in early lactation improves performance and productivity of dairy cows.