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给幼犊口服大剂量钾导致的钾中毒及酸碱平衡问题

Potassium toxicity and acid-base balance from large oral doses of potassium to young calves.

作者信息

Neathery M W, Pugh D G, Miller W J, Whitlock R H, Gentry R P, Allen J C

出版信息

J Dairy Sci. 1979 Nov;62(11):1758-65. doi: 10.3168/jds.S0022-0302(79)83494-3.

Abstract

Potassium chloride and sodium chloride were infused into the reticulorumen of male Holstein calves, approximately 6 mo of age and 260 kg, at .29, .58, 1.15, 1.73, 2.31, or 2.88 g potassium per kilogram body weight or 1.35, 2.12, or 2.16 g sodium per kilogram in equal volumes of water. Paired controls were infused with water. Calves were monitored for physiological changes for 6 h at 15, 30, or 60-min intervals. Potassium and total solids of plasma and packed cell volume were increased at potassium doses greater than .29 g of potassium per kilogram body weight within 1 h after dosing. At the higher doses of potassium, sodium content of plasma increased about 1 h after the increase in plasma potassium. Respiration rates within a potassium treatment varied with respect to time after dosing, but generally they increased, and associated variables of carbon dioxide pressure, pH, and bicarbonate in blood were decreased accordingly. Clinical toxicity signs, including excess salivation, muscular tremors of legs, and excitability were observed with potassium doses greater than .58 g of potassium per kilogram body weight. Three of five calves given 1.73 g of potassium per kilogram, three of four calves given 2.31 g of potassium per kilogram, and one calf given 2.88 g of potassium per kilogram body weight died. With a small number of calves, oral sodium infusions increased plasma sodium in proportion to the dose, but plasma potassium remained relatively constant. Sodium infusions of 2.12 and 2.16 g of sodium per kilogram body weight were fatal.

摘要

将氯化钾和氯化钠以每千克体重0.29、0.58、1.15、1.73、2.31或2.88克钾或每千克1.35、2.12或2.16克钠的剂量,溶于等量水中,注入大约6月龄、体重260千克的雄性荷斯坦犊牛的网瘤胃。配对对照组注入水。以15、30或60分钟的间隔对犊牛进行6小时的生理变化监测。给药后1小时内,钾剂量大于每千克体重0.29克钾时,血浆钾和总固体以及红细胞压积增加。在较高的钾剂量下,血浆钾增加约1小时后,血浆钠含量增加。钾处理组内的呼吸频率随给药后的时间而变化,但总体上有所增加,血液中二氧化碳分压、pH值和碳酸氢盐等相关变量相应降低。当钾剂量大于每千克体重0.58克钾时,观察到临床毒性体征,包括流涎过多、腿部肌肉震颤和兴奋性增加。每千克体重给予1.73克钾的5头犊牛中有3头、每千克体重给予2.31克钾的4头犊牛中有3头以及每千克体重给予2.88克钾的1头犊牛死亡。对于少数犊牛,口服钠注入后血浆钠与剂量成比例增加,但血浆钾保持相对恒定。每千克体重注入2.12和2.16克钠是致命的。

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