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METABOLIC MANAGEMENT OF THE HORSE WITH ACUTE ABDOMINAL CRISIS *
Author(s) -
Donawick William J.
Publication year - 1975
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.1975.tb00550.x
Subject(s) - medicine , metabolic acidosis , hypovolemia , sodium bicarbonate , acidosis , hemoconcentration , stomach , anesthesia , intensive care medicine , hematocrit , chemistry
SUMMARY The horse with an abdominal crisis caused by acute gastro‐intestinal tract obstruction develops hypovolemia, hemoconcentration, electrolyte depletion, metabolic acidosis and shock. During preparation for operation, treatment with fluids, antibiotics and bicarbonate will impede metabolic imbalance. Stomach decompression may slow the passage of sodium, water and potassium to the gut lumen, reduce pain and minimize the risk of stomach rupture. Selected laboratory determinations and the monitoring of arterial and venous pressures will provide a measure of severity and serve as a guide to replacement therapy. In the post surgical period, vigilance must be directed towards potassium and bicarbonate imbalanc and adequate hydration.