Calcium homeostasis, acid–base balance, and health status in periparturient Holstein cows fed diets with low cation–anion difference

Forty multiparous Holstein dry cows on d 21 prepartum were randomly allocated to four blocks of 10 cows to examine the effects of reducing the dietary cation–anion difference (DCAD) on calcium homeostasis, acid–base balance, health status, and subsequent lactation performance. The reduced DCADs (Na + K − Cl − S, mEq/kg DM) of + 150,+ 50, − 50, and − 150 were obtained by addition of anionic salts. Reducing DCAD resulted in mild metabolic acidosis as indicated by the sharp decline in urinary pH, and minor reductions in blood pH and HCO₃⁻ concentration. Greater plasma calcium concentration was observed in cows fed diets of − 50 and − 150 DCAD (P < 0.05) than those on + 50 and + 150 DCAD diets. The nadir of plasma calcium level on the day of calving was lower (P < 0.05) than the highest level on d 14 prepartum (8.33 vs. 9.30 mg/dL). Composite colostrum calcium concentration was decreased (P < 0.05) with time on d 1 relative to d 2 postpartum (0.212 vs. 0.174%), and feeding of diet − 150 DCAD induced higher (P < 0.05) composite colostrum calcium content than other three DCAD diets. No case of milk fever occurred for any diets, but feeding the two negative DCAD diets reduced (P < 0.05) retained placenta incidence compared with diet of + 150 DCAD. Dry matter intake, milk yield and compositions of fat, protein, and lactose were non-significantly affected (P > 0.05) by dietary treatments. In conclusion, urinary pH is an effective indicator of extracellular fluid acid–base balance, and feeding negative DCAD in late gestation period is beneficial for dairy cows in blood calcium homeostasis and improvement of health status.     

Cardiovascular,respiratory, electrolyte and acid–base balance during continuous dexmedetomidine infusion in anesthetized dogs

ObjectiveTo evaluate the cardiovascular, respiratory, electrolyte and acid–base effects of a continuous infusion of dexmedetomidine during propofol–isoflurane anesthesia following premedication with dexmedetomidine.Study designProspective experimental study.AnimalsFive adult male Walker Hound dogs 1–2 years of age averaging 25.4 ± 3.6 kg.MethodsDogs were sedated with dexmedetomidine 10 μg kg^?1 IM, 78 ± 2.3 minutes (mean ± SD) before general anesthesia. Anesthesia was induced with propofol (2.5 ± 0.5 mg kg^?1) IV and maintained with 1.5% isoflurane. Thirty minutes later dexmedetomidine 0.5 μg kg^?1 IV was administered over 5 minutes followed by an infusion of 0.5 μg kg^?1 hour^?1. Cardiac output (CO), heart rate (HR), ECG, direct blood pressure, body temperature, respiratory parameters, acid–base and arterial blood gases and electrolytes were measured 30 and 60 minutes after the infusion started. Data were analyzed via multiple linear regression modeling of individual variables over time, compared to anesthetized baseline values. Data are presented as mean ± SD.ResultsNo statistical difference from baseline for any parameter was measured at any time point. Baseline CO, HR and mean arterial blood pressure (MAP) before infusion were 3.11 ± 0.9 L minute^?1, 78 ± 18 beats minute^?1 and 96 ± 10 mmHg, respectively. During infusion CO, HR and MAP were 3.20 ± 0.83 L minute^?1, 78 ± 14 beats minute^?1 and 89 ± 16 mmHg, respectively. No differences were found in respiratory rates, PaO₂, PaCO₂, pH, base excess, bicarbonate, sodium, potassium, chloride, calcium or lactate measurements before or during infusion.Conclusions and clinical relevanceDexmedetomidine infusion using a loading dose of 0.5 μg kg^?1 IV followed by a constant rate infusion of 0.5 μg kg^?1 hour^?1 does not cause any significant changes beyond those associated with an IM premedication dose of 10 μg kg^?1, in propofol–isoflurane anesthetized dogs. IM dexmedetomidine given 108 ± 2 minutes before onset of infusion showed typical significant effects on cardiovascular parameters.     

Diagnostic utility of computed tomography imaging in foals: 10 cases (2008–2010)

Despite an increasing number of case reports published using computed tomography (CT) in foals only limited data on its diagnostic utility are available. Medical and imaging records of 10 foals that had a CT examination between May 2008 and December 2010 were retrieved and studied. Three out of 10 cases were examined for orthopaedic problems, 3 were referred for medical disorders, 3 for both orthopaedic and medical problems, and one case was presented for a follow‐up of an abdominal mass. In this series CT was an accurate diagnostic tool in identifying abscesses, osteomyelitis, arthritis, physitis and fractures, bone ossification defects, intracranial haematomas and sinusitis. An indication for the best medical and/or surgical approach was obtained.     

A case‐based review of a simplified quantitative approach to acid‐base analysis

Objective – To present a simplified quantitative approach to acid‐base analysis and to demonstrate its clinical utility. Data Sources – Original research articles and textbooks. Data Synthesis – A simplified quantitative approach to acid‐base analysis is presented, which is derived from the Fencl‐Stewart approach and calculates the magnitude of the effect on the standardized base excess (SBE) of 5 separate variables: (1) a free water effect (marked by sodium concentration), (2) an effect marked by the chloride concentration, (3) an albumin effect, (4) a lactate effect, and (5) a phosphate effect. Six clinical cases with acid‐base abnormalities are presented in which the quantitative approach provides information that is not apparent from the traditional approach. Conclusion – This simplified quantitative approach provides a comprehensive evaluation of complex acid‐base disorders, identifies individual processes and their relative influence on SBE, and aids in the development of an appropriate therapeutic plan.