Tremblay R R
Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Canada.
Vet Clin North Am Food Anim Pract. 1990 Mar;6(1):77-101. doi: 10.1016/s0749-0720(15)30896-3.
Intravenous fluid therapy is valuable as primary or ancillary therapy for many conditions in calves. The first step in developing an intravenous fluid plan is determination of the volume needed to replace the fluid deficit, estimated on the basis of clinical signs. The parenteral solution to be used is chosen to be similar in electrolyte composition to the fluid lost. Abnormalities of specific electrolytes, acid-base balance, and energy metabolism can be addressed during volume replacement; this requires an understanding of the pathophysiology of the primary clinical abnormality. The fluid delivery system is composed of an administration set and an intravenous catheter. The administration set allows sterile delivery and regulation of the rate of administration. An intravenous catheter is selected, inserted, and maintained to minimize the potential for catheter-related complications.
静脉输液疗法作为犊牛多种病症的主要或辅助治疗方法具有重要价值。制定静脉输液计划的第一步是根据临床症状估计确定补充液体缺失所需的量。所选用的胃肠外溶液的电解质组成要与丢失的液体相似。在补充液体量的过程中,可以解决特定电解质、酸碱平衡及能量代谢的异常问题;这需要了解原发性临床异常的病理生理学。输液系统由输液器和静脉导管组成。输液器可实现无菌输液并调节输液速度。选择、插入并维护静脉导管,以尽量减少与导管相关并发症的发生可能性。