Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Veterinary Research and Animal Science |
Texto Completo: | https://www.revistas.usp.br/bjvras/article/view/51916 |
Resumo: | Diabetic ketoacidosis (DKA) is considered a typical high anion gap metabolic acidosis due to the retention of ketoanions. The objective of this study was to describe the acid-base disturbances of dogs with DKA and further characterize them, according to their frequency, adequacy of the secondary physiologic response, and occurrence of mixed disturbances. Sixty dogs with DKA were enrolled in the study. Arterial blood pH and gas tensions, plasma electrolytes, serum b-hydroxybutyrate (b-OHB), glucose, albumin and urea concentrations were determined for all dogs included in the study. All dogs were evaluated individually and systematically by the traditional approach to the diagnosis of acid-base disorders. Most of the dogs had a high anion gap acidosis, with appropriated respiratory response (n = 18; 30%) or concurrent respiratory alkalosis (n = 14; 23%). Hyperchloremic acidosis with moderated to marked increases in b-OHB was observed in 18 dogs (30%) and 7 of these patients had concurrent respiratory alkalosis. Hyperchloremic acidosis with mild increase in b-OHB was observed in 6 dogs (10%). Four dogs (7%) had a high anion gap acidosis with mild increase in b-OHB and respiratory alkalosis. Most of dogs with DKA had a high anion gap acidosis, but mixed acid-base disorders were common, chiefly high anion gap acidosis and concurrent respiratory alkalosis, and hyperchloremic acidosis with moderated to marked increases in serum b-OHB. |
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USP-49 |
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Brazilian Journal of Veterinary Research and Animal Science |
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Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casosAcid-base abnormalities in dogs with diabetic ketoacidosis: a prospective study of 60 casesEndocrinologia. Diabetes mellitusEquilíbrio ácido-baseAnion gapEndocrinologyDiabetes mellitusAcid-base balanceAnion gapDiabetic ketoacidosis (DKA) is considered a typical high anion gap metabolic acidosis due to the retention of ketoanions. The objective of this study was to describe the acid-base disturbances of dogs with DKA and further characterize them, according to their frequency, adequacy of the secondary physiologic response, and occurrence of mixed disturbances. Sixty dogs with DKA were enrolled in the study. Arterial blood pH and gas tensions, plasma electrolytes, serum b-hydroxybutyrate (b-OHB), glucose, albumin and urea concentrations were determined for all dogs included in the study. All dogs were evaluated individually and systematically by the traditional approach to the diagnosis of acid-base disorders. Most of the dogs had a high anion gap acidosis, with appropriated respiratory response (n = 18; 30%) or concurrent respiratory alkalosis (n = 14; 23%). Hyperchloremic acidosis with moderated to marked increases in b-OHB was observed in 18 dogs (30%) and 7 of these patients had concurrent respiratory alkalosis. Hyperchloremic acidosis with mild increase in b-OHB was observed in 6 dogs (10%). Four dogs (7%) had a high anion gap acidosis with mild increase in b-OHB and respiratory alkalosis. Most of dogs with DKA had a high anion gap acidosis, but mixed acid-base disorders were common, chiefly high anion gap acidosis and concurrent respiratory alkalosis, and hyperchloremic acidosis with moderated to marked increases in serum b-OHB.A cetoacidose diabética (CAD) é considerada um quadro típico de acidose metabólica e aumento do anion gap, devido à retenção de cetoânions. O objetivo deste estudo foi descrever os distúrbios ácido-base de cães com CAD e ainda caracterizá-los, de acordo com sua frequência, adequação da resposta secundária fisiológica e ocorrência de distúrbios mistos. Sessenta cães com CAD foram incluídos no estudo. O pH e hemogasometria arteriais, eletrólitos plasmáticos, glicose, b-hidroxibutirato (b-OHB), albumina e ureia séricos foram determinados para todos os cães incluídos no estudo. Todos os cães foram avaliados individualmente e de forma sistemática pela abordagem tradicional para o diagnóstico de distúrbios ácido-básicos. A maioria dos cães tinha uma acidose metabólica com aumento do anion gap, com resposta respiratória apropriada (n = 18; 30%) ou alcalose respiratória concomitante (n = 14; 23%). A acidose hiperclorêmica com aumento moderado a marcante do b-OHB sérico foi observada em 18 cães (30%) e sete desses pacientes tinham alcalose respiratória concomitante. A acidose hiperclorêmica com aumento discreto do b-OHB sérico foi observada em seis cães (10%). Quatro cães (7%) tinham acidose metabólica com aumento discreto do b-OHB e alcalose respiratória. A maioria dos cães com CAD tinha uma acidose metabólica com aumento do anion gap, mas distúrbios ácido-básicos mistos foram comuns, principalmente, acidose metabólica com aumento do anion gap e alcalose respiratória concomitante e acidose hiperclorêmica associada a um aumento de moderado a marcante do b-OHB sérico.Universidade de São Paulo. Faculdade de Medicina Veterinária e Zootecnia2012-08-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/bjvras/article/view/5191610.11606/issn.1678-4456.v49i4p325-332Brazilian Journal of Veterinary Research and Animal Science; Vol. 49 Núm. 4 (2012); 325-332Brazilian Journal of Veterinary Research and Animal Science; Vol. 49 No. 4 (2012); 325-332Brazilian Journal of Veterinary Research and Animal Science; v. 49 n. 4 (2012); 325-332Brazilian Journal of Veterinary Research and Animal Science; V. 49 N. 4 (2012); 325-3321678-44561413-9596reponame:Brazilian Journal of Veterinary Research and Animal Scienceinstname:Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (FMVZ-USP)instacron:USPenghttps://www.revistas.usp.br/bjvras/article/view/51916/55968Duarte, RicardoSimões, Denise Maria NunesKanayama, Khadine KazueKogika, Márcia Meryinfo:eu-repo/semantics/openAccess2020-06-23T04:08:06Zoai:revistas.usp.br:article/51916Revistahttps://www.revistas.usp.br/bjvrasPUBhttps://www.revistas.usp.br/bjvras/oaibjvras@usp.br1413-95961413-9596opendoar:https://www.revistas.usp.br/bjvras/index2023-01-12T16:43:22.501260Brazilian Journal of Veterinary Research and Animal Science - Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (FMVZ-USP)false |
dc.title.none.fl_str_mv |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos Acid-base abnormalities in dogs with diabetic ketoacidosis: a prospective study of 60 cases |
title |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos |
spellingShingle |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos Duarte, Ricardo Endocrinologia. Diabetes mellitus Equilíbrio ácido-base Anion gap Endocrinology Diabetes mellitus Acid-base balance Anion gap |
title_short |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos |
title_full |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos |
title_fullStr |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos |
title_full_unstemmed |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos |
title_sort |
Distúrbios ácido-base em cães com cetoacidose diabética: estudo prospectivo de 60 casos |
author |
Duarte, Ricardo |
author_facet |
Duarte, Ricardo Simões, Denise Maria Nunes Kanayama, Khadine Kazue Kogika, Márcia Mery |
author_role |
author |
author2 |
Simões, Denise Maria Nunes Kanayama, Khadine Kazue Kogika, Márcia Mery |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Duarte, Ricardo Simões, Denise Maria Nunes Kanayama, Khadine Kazue Kogika, Márcia Mery |
dc.subject.por.fl_str_mv |
Endocrinologia. Diabetes mellitus Equilíbrio ácido-base Anion gap Endocrinology Diabetes mellitus Acid-base balance Anion gap |
topic |
Endocrinologia. Diabetes mellitus Equilíbrio ácido-base Anion gap Endocrinology Diabetes mellitus Acid-base balance Anion gap |
description |
Diabetic ketoacidosis (DKA) is considered a typical high anion gap metabolic acidosis due to the retention of ketoanions. The objective of this study was to describe the acid-base disturbances of dogs with DKA and further characterize them, according to their frequency, adequacy of the secondary physiologic response, and occurrence of mixed disturbances. Sixty dogs with DKA were enrolled in the study. Arterial blood pH and gas tensions, plasma electrolytes, serum b-hydroxybutyrate (b-OHB), glucose, albumin and urea concentrations were determined for all dogs included in the study. All dogs were evaluated individually and systematically by the traditional approach to the diagnosis of acid-base disorders. Most of the dogs had a high anion gap acidosis, with appropriated respiratory response (n = 18; 30%) or concurrent respiratory alkalosis (n = 14; 23%). Hyperchloremic acidosis with moderated to marked increases in b-OHB was observed in 18 dogs (30%) and 7 of these patients had concurrent respiratory alkalosis. Hyperchloremic acidosis with mild increase in b-OHB was observed in 6 dogs (10%). Four dogs (7%) had a high anion gap acidosis with mild increase in b-OHB and respiratory alkalosis. Most of dogs with DKA had a high anion gap acidosis, but mixed acid-base disorders were common, chiefly high anion gap acidosis and concurrent respiratory alkalosis, and hyperchloremic acidosis with moderated to marked increases in serum b-OHB. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-08-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/bjvras/article/view/51916 10.11606/issn.1678-4456.v49i4p325-332 |
url |
https://www.revistas.usp.br/bjvras/article/view/51916 |
identifier_str_mv |
10.11606/issn.1678-4456.v49i4p325-332 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/bjvras/article/view/51916/55968 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina Veterinária e Zootecnia |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina Veterinária e Zootecnia |
dc.source.none.fl_str_mv |
Brazilian Journal of Veterinary Research and Animal Science; Vol. 49 Núm. 4 (2012); 325-332 Brazilian Journal of Veterinary Research and Animal Science; Vol. 49 No. 4 (2012); 325-332 Brazilian Journal of Veterinary Research and Animal Science; v. 49 n. 4 (2012); 325-332 Brazilian Journal of Veterinary Research and Animal Science; V. 49 N. 4 (2012); 325-332 1678-4456 1413-9596 reponame:Brazilian Journal of Veterinary Research and Animal Science instname:Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (FMVZ-USP) instacron:USP |
instname_str |
Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (FMVZ-USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Brazilian Journal of Veterinary Research and Animal Science |
collection |
Brazilian Journal of Veterinary Research and Animal Science |
repository.name.fl_str_mv |
Brazilian Journal of Veterinary Research and Animal Science - Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (FMVZ-USP) |
repository.mail.fl_str_mv |
bjvras@usp.br |
_version_ |
1797051563269685248 |