variações dos níveis séricos de sódio, potássio e glicose de cães em choque séptico sodium, potassium and glucose serum levels changes in dogs with endotoxic shock

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ID: 149759
1999
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Abstract
Foram avaliados os níveis séricos de sódio, potássio e glicose em trinta e cinco cães, machos e fêmeas, que se apresentaram em estado de choque séptico decorrente da gastrenterite hemorrágica, antes e após terapia sintomática (Ringer com lactato de sódio e glicose), com a finalidade de se determinar a melhora clínica obtida. Observou-se que 74,2% dos animais apresentavam hipocalemia, 57,1% hipoglicemia e 60% discreta hiponatremia, quando da primeira colheita. Após 2 horas da instituição da terapia sintomática, observou-se que a hipopotassemia ainda persistia, porém a hipoglicemia fora suficientemente corrigida (apenas 5,8% mantiveram-se hipoglicêmicos). Conclui-se que a terapia sintomática é efetiva para a correção dos valores glicêmicos, porém não é capaz de repor a deficiência de potássio apresentada por estes animais, devendo ser então acrescida deste íon.
In order to evaluate sodium, potassium and glucose serum levels changes in dogs with septic shock, thirty-five young dogs of both sexes presenting hemorragic gastroenteritis and signs of septic shock were studied. Hypokalemia was observed in 74.2%, hypoglicemia in 57.1% and mild hyponatremia in 60% of the animals. Two hours after therapy (Ringer’s sodium lactate solution and glucose), glucose serum levels increased, but hypokalemia was still present. This study revealed that the therapy was effective to increase the glucose serum levels but, it was not able to correct the hypocalemia, and therefore, this ion have to be add in order to obtain success in the treatment of this condition.
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Authors ;Leonardo Pinto Brandão;Mitika Kuribayashi Hagiwara;Márcia Mery Kogika;Júlia Yuzuki Habu Ikesaki;Reimy Kawahara;Vera Assunta Battistini Fortunato Wirthl
Journal Trials
Year 1999
DOI
10.1590/S0103-84781999000400018
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84781999000400018
Keywords
glucose sodium septic shock potassium

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