Rivas L J, Hinchcliff K W, Kohn C W, Sams R A, Chew D J
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210-1089, USA.
Am J Vet Res. 1997 Jun;58(6):658-63.
To describe changes in blood constituents of horses after oral and i.v. administration of sodium bicarbonate (NaHCO3), and to determine whether the changes are dose dependent.
6 adult Standardbred mares.
3 oral doses (1,500, 1,000, and 250 mg/kg of body weight) or 1 intravenous dose (250 mg/kg, 5% solution) of NaHCO3 in 3 L of water, or water (3 L orally), were given to the mares; then changes in blood constituents were measured. Access to food and water was denied during the experiment. Blood samples were collected immediately before treatment and at hourly intervals for 12 hours after treatment, and were analyzed for blood gas tensions; serum osmolality; serum sodium, potassium, chloride, and creatinine concentrations; PCV; and total solids concentration in plasma.
All NaHCO3 treatments induced significant (P < 0.05) metabolic alkalosis, hypernatremia, hypokalemia, and hyperosmolality for at least 8 hours. In mares given the 1,500- and 1,000-mg doses of NaHCO3 orally, hypercapnia persisted for at least 12 hours, whereas hypercapnia lasted 2 hours in mares given the 250-mg dose orally or i.v. (P < 0.05). A tendency for reduction in PCV, proteins in plasma concentration, and serum concentration of chloride was observed 1 hour after i.v. administered doses of NaHCO3.
Oral or i.v. administration of NaHCO3 (> or = 250 mg/kg) to resting horses without ad libitum access to water induces significant and persistent acid-base and electrolyte changes.
描述马匹经口服和静脉注射碳酸氢钠(NaHCO₃)后血液成分的变化,并确定这些变化是否具有剂量依赖性。
6匹成年标准bred母马。
给母马口服3种剂量(1500、1000和250毫克/千克体重)的NaHCO₃,或静脉注射1种剂量(250毫克/千克,5%溶液)的NaHCO₃,均溶于3升水中,或口服3升水;然后测量血液成分的变化。实验期间不给食物和水。在治疗前即刻以及治疗后12小时内每小时采集血样,分析血气张力、血清渗透压、血清钠、钾、氯和肌酐浓度、红细胞压积以及血浆总固体浓度。
所有NaHCO₃治疗均至少在8小时内引起显著(P < 0.05)的代谢性碱中毒、高钠血症、低钾血症和高渗血症。口服1500毫克和1000毫克剂量NaHCO₃的母马,高碳酸血症持续至少12小时,而口服或静脉注射250毫克剂量的母马,高碳酸血症持续2小时(P < 0.05)。静脉注射NaHCO₃剂量后1小时,观察到红细胞压积、血浆蛋白浓度和血清氯浓度有降低趋势。
对无法随意饮水的静息马匹口服或静脉注射NaHCO₃(≥250毫克/千克)会引起显著且持续的酸碱和电解质变化。