Changes in several blood and urine parameters during combined hyperfluid therapy for the treatment of chronic obstructive bronchitis (COB) in the horse

During the combination of oral and intravenous application of saline solution for treatment of the COPD of horses the level of hydraemia basing on the total protein concentration in the serum, the urine production and the specific weight of urine was determined. Additionally the development of serum concentration and of renal excretion rates of potassium, calcium and magnesium were ascertained. The level of hydraemia resulting from the combined method is almost identical with the solely intravenous performed hyperinfusion therapy. Due to the excessive application of fluid an extremely high level of urine production is reached which causes a reduced specific weight as well as an increased renal excretion of potassium, calcium and magnesium. The result is a real loss of electrolytes which is - apart from hydraemia - the reason for the lower level of the corresponding serum concentrations. This seems to be important, especially for potassium and magnesium, because the organism is unable to compensate the loss of these electrolytes in the same way as the loss of calcium. In connection with the renal loss of electrolytes during the high level of urine production glucosuria is observed.