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美托咪定对犬血清渗透压、尿量、尿渗透压和pH值、自由水清除率以及钠、氯、钾和葡萄糖分数清除率的影响。

Effects of medetomidine on serum osmolality; urine volume, osmolality and pH; free water clearance; and fractional clearance of sodium, chloride, potassium, and glucose in dogs.

作者信息

Burton S, Lemke K A, Ihle S L, Mackenzie A L

机构信息

Department of Pathology and Microbiology, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Canada.

出版信息

Am J Vet Res. 1998 Jun;59(6):756-61.

PMID:9622747
Abstract

OBJECTIVE

To determine effects of i.v. medetomidine administration on selected clinicopathologic variables in dogs.

ANIMALS

6 healthy adult Beagles.

PROCEDURE

Dogs were randomly assigned to each of 3 treatments in a crossover study design. Serum osmolality, urine osmolality, urine pH, and fractional clearances of sodium, chloride, potassium, and glucose were determined before and 20, 40, 60, 120, 180, 240, 300, 360, 420, and 480 minutes after i.v. administration of 0.9% NaCl (saline) solution (control) or medetomidine (10 or 20 micrograms/kg of body weight). The urinary bladder was emptied prior to saline or medetomidine administration, and urine volume was determined at the same posttreatment times as those described previously. Free water clearance was calculated for all posttreatment times.

RESULTS

After medetomidine administration, serum osmolality, urine volume, free water clearance, and fractional clearance of potassium and glucose increased; urine osmolality decreased. Initially, urine pH and fractional clearance of chloride decreased, then subsequently increased. Fractional clearance of sodium did not change.

CONCLUSIONS AND CLINICAL RELEVANCE

Because i.v. administration of medetomidine to dogs at dosages of 10 and 20 micrograms/kg induces a diuretic effect that lasts up to 4 hours, the drug should be used with discretion in hypovolemic or dehydrated dogs, and its use should be avoided in those with urinary tract obstruction.

摘要

目的

确定静脉注射美托咪定对犬选定临床病理变量的影响。

动物

6只健康成年比格犬。

方法

在交叉研究设计中,将犬随机分配至3种治疗中的每一种。在静脉注射0.9%氯化钠(生理盐水)溶液(对照)或美托咪定(10或20微克/千克体重)之前以及之后20、40、60、120、180、240、300、360、420和480分钟,测定血清渗透压、尿渗透压、尿pH值以及钠、氯、钾和葡萄糖的分数清除率。在注射生理盐水或美托咪定之前排空膀胱,并在与上述相同的治疗后时间测定尿量。计算所有治疗后时间的自由水清除率。

结果

注射美托咪定后,血清渗透压、尿量、自由水清除率以及钾和葡萄糖的分数清除率增加;尿渗透压降低。最初,尿pH值和氯的分数清除率降低,随后升高。钠的分数清除率未改变。

结论及临床意义

由于以10和20微克/千克的剂量给犬静脉注射美托咪定可诱导持续长达4小时的利尿作用,因此在低血容量或脱水的犬中应谨慎使用该药物,并且在尿路梗阻的犬中应避免使用。

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