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14 Δεκ 2021 · The therapeutic objective in treating chronic hypernatremia is to raise the serum [Na] no more than 8 to 12 mm/L during the first 24 hours and then continue with slow correction with close monitoring over the next 24 to 48 hours. See FIGURE 2 for an algorithm of the management of the hypernatremic patient.
Treatment of the hypernatremia patient in veterinary medicine can be challenging, and appropriate fluid therapy and careful monitoring is imperative. The speed of correction of hypernatremia will depend on the speed of onset of hypernatremia in the patient. Normal body sodium in both the dog and cat is approximately 140 mEq/L.
How To Treat Salt Poisoning In Dogs At Home. Salt poisoning in dogs can be a serious and potentially life-threatening condition that requires prompt treatment. Salt poisoning, also known as hypernatremia, occurs when a dog ingests a large amount of salt, either through eating salty foods or drinking saltwater.
When evaluating hypernatraemia, it is vitally important to assess a patient’s volume status on physical examination (heart rate, pulse quality, mucous membrane colour, capillary refill time) to compose a differential diagnoses list and instigate effective treatment.
Hypernatremia is defined as a plasma or serum [Na] above the reference range and reflects the loss of water in excess of sodium, or the addition of sodium in excess of water. In healthy animals, central osmoreceptors will detect the associated increase in osmolarity and trigger water-seeking behaviors and antidiuretic hormone release.
Hypernatraemia is a serious electrolyte disturbance that can arise from a number of different conditions. Returning of sodium concentrations to the normal range is crucial in patient management – and needs to be carried out in a careful manner, to avoid decreasing serum osmolality too rapidly.
Anorexia, lethargy, vomiting, muscular weakness, behavioral changes, disorientation, ataxia, seizures, coma, and death have been identified in dogs and cats with hypernatremia and hypertonicity. Because hypernatremia develops primarily with decreased ICF, signs of ECF loss (ie, isotonic dehydration) and hypovolemia may be minimal.
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