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Retrospective evaluation of ProcalAmine administration in a population of hospitalized ICU dogs: 36 cases (2010–2013)
Author(s) -
Olan Natasha V.,
Prittie Jennifer
Publication year - 2015
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.12306
Subject(s) - medicine , azotemia , metabolic alkalosis , hypochloremia , hyperchloremia , metabolic acidosis , retrospective cohort study , hyponatremia , population , hypernatremia , parenteral nutrition , anesthesia , renal function , chemistry , environmental health , organic chemistry , sodium
Objective To describe the use of ProcalAmine as a source of parenteral nutrition in hospitalized dogs and to report complications possibly referable to its use. Design Retrospective study. Settings Private veterinary teaching hospital. Animals Thirty‐six dogs hospitalized in ICU receiving ProcalAmine between October 2010 and March 2013. Interventions None. Measurements and Main Results The most common underlying disease process in this population of dogs was trauma ( n = 8). Median duration of administration was 4 days and median resting energy requirement provided via ProcalAmine was 33%. ProcalAmine was administered via central catheters in 86% of cases and via peripheral catheters in 14% of cases. The overall mechanical complication rate was 19%. Metabolic complications possibly associated with ProcalAmine administration were documented in 12/36 dogs. Hyponatremia was most commonly identified ( n = 6) followed by hyperglycemia ( n = 4), hypochloremia ( n = 2), azotemia ( n = 2), metabolic alkalosis ( n = 2), hyperchloremia ( n = 1), and metabolic acidosis ( n = 1). Conclusion ProcalAmine appears to be relatively safe and a viable option for parenteral nutrition in ill and injured dogs. Due to the potential for electrolyte derangements and other metabolic complications, daily monitoring of these parameters is advisable.