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Exam Number : QQ0-401
Exam Name : SDI-Service Desk Foundation Qualification
Vendor Name : HDI
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HDI Foundation Test Prep

Intermittent Hemodialysis in a Dog with continual Kidney disorder: Electrocardiographic features | QQ0-401 Cheatsheet and test Questions

Intermittent Hemodialysis in a Dog with continual Kidney ailment: Electrocardiographic facets

J.F.A. Ribeiro; M.L.G. Lourenço; A. Melchert; S.S. Geraldes; P.T.C. Guimarães-Okamoto

Veterinary clinical branch, college of Veterinary medication and Animal Science, Veterinary State university of São Paulo (UNESP), Botucatu, Brazil

Introduction

Intermittent hemodialysis (IHD) is used in dogs with persistent kidney sickness (CKD) for reduction of persistent progressive azotemia, hyperkalemia, and fluid overload.

ambitions

comparison electrocardiographic in canines with CKD subjected to IHD and clinical management.

methods

the primary dog become submitted to intravenous fluid with Ringer's lactate twice every week at a rate of 5 ml/kg/h, and the different to IHD twice every week, three h/session, blood circulate of 5 ml/kg/min, dialysate circulate expense of 500 ml/min, ultrafiltration 5 ml/kg/h and 50 IU/kg/h of heparin.

consequences

The dog submitted to fluid, regardless of electrolyte abnormalities having a normal ECG, with ST-segment melancholy (0.11 ± 0.078 mV) and T-wave amplitude of 0.6 ± 0.39 mV. After fluid, there was a discount of ionized calcium (from 0.95 ± 0.16 to 0.73 ± 0.12 mmol/L) and phosphorus (6.38 ± 1.21 to five.ninety five ± 0.12 mg/dl) and a raise of potassium (three.78 ± 0.61 to three.ninety one ± 0.45 mEq/L) and sodium (136.eight ± 9.7 to 137.4 ± 9.17 mEq/L). There changed into a coronary heart cost (HR) normal increase (159.9 ± 18.05 to 171.7 ± 14.89 bpm) and a lower of T-wave amplitude (0.5 ± 0.24 mV), ST-section melancholy (0.10 ± 0.07 mV) and QT interval (0.18 ± 0.02 to 0.17 ± 0.03 s). The dog submitted to IHD had hyperphosphatemia (13.35 ± 2.sixty two mEq/L), hyperkalemia (6.05 ± 0.07 mEq/L) and hypocalcemia (1.00 ± 0.12 mmol/L), normal ST-segment and T-wave amplitude of 0.17 ± 0.05 mV. With the reduce of phosphorus (7.9 ± 2.97 mEq/L) and potassium (3.forty five ± 0.07 mEq/L) after IHD, it become accompanied a rise in HR ordinary (138.5 ± 4.95 for 168.5 ± 12.02 bpm), diminished QT interval (0.2 ± 0 to 0.18 ± 0.02 s) and T-wave amplitude (0.14 ± 0.05 mV).

Conclusions

These findings suggest the HDI in DRC trigger electrocardiographic adjustments such as HR improved and T-wave amplitude reduced because of electrolyte disturbances. grant: FAPESP: 2013/02932-eight.

  




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