Bonatto Natália Camila Minucci, Alves Laís Sodré Santana, Silva Luara Evangelista, Milhorine Carolina Aparecida, de Barros Luiz Daniel, Santos Julian Andrade, de Almeida Breno Fernando Martins, da Costa Flaiban Karina Keller Marques
Department of Preventive Veterinary Medicine, State University of Londrina - (UEL), Londrina, PR, Brazil.
Department of Preventive Veterinary Medicine, State University of Londrina - (UEL), Londrina, PR, Brazil.
Res Vet Sci. 2023 Jan;154:52-58. doi: 10.1016/j.rvsc.2022.11.008. Epub 2022 Nov 17.
To evaluate the interference of postprandial lipemia on blood gas parameters and to assess the acid-base status by the quantitative approach of the strong ion model blood samples of 15 healthy dogs were collected during fasting (0 h) and at one (1 h), three (3 h) and five (5 h) hours after the induction of lipemia with a hypercaloric diet. Total cholesterol (TC) and triglyceride (TG) levels were used to assess lipemia and these were correlated with the parameters evaluated accordingly. Anion gap decreased at 5 h without correlation with TC and TG, whereas other parameters measured by the blood gasometer did not change. In the evaluation of the acid base state, the apparent strong ion difference (SIDa) and the strong ion gap (SIG) showed a decrease at 5 h without correlation with lipemia. Lipid levels correlated with the effective strong ion difference (SIDe), the concentration of total non-volatile weak acids (A), albumin, phosphate, and magnesium. The SIDe increased at 1 h and at 3 h; the A at 1 h, 3 h, and 5 h; albumin increased at 1 h and 3 h; phosphate increased at 1 h, 3 h and 5 h; and magnesium decreased at 5 h. Though postprandial lipemia does not interfere with blood gas analysis, it can cause errors in the variables used to assess the acid-base status, which are dependent on biochemical analytes. Therefore, caution is required when interpreting electrolyte disturbances that result from the postprandial state.
为评估餐后血脂异常对血气参数的干扰,并通过强离子模型的定量方法评估酸碱状态,在15只健康犬禁食(0小时)时以及用高热量饮食诱导血脂异常后1小时、3小时和5小时采集血样。用总胆固醇(TC)和甘油三酯(TG)水平评估血脂异常,并将其与相应评估的参数进行关联。5小时时阴离子间隙降低,与TC和TG无相关性,而血气分析仪测量的其他参数未改变。在酸碱状态评估中,表观强离子差(SIDa)和强离子间隙(SIG)在5小时时降低,与血脂异常无相关性。血脂水平与有效强离子差(SIDe)、总非挥发性弱酸浓度(A)、白蛋白、磷酸盐和镁相关。SIDe在1小时和3小时时升高;A在1小时、3小时和5小时时升高;白蛋白在1小时和3小时时升高;磷酸盐在1小时、3小时和5小时时升高;镁在5小时时降低。虽然餐后血脂异常不干扰血气分析,但它会导致用于评估酸碱状态的变量出现误差,这些变量依赖于生化分析物。因此,在解释餐后状态引起的电解质紊乱时需要谨慎。