Difference between revisions of "Small Animal Emergency and Critical Care Medicine: Self-Assessment Color Review, Second Edition, Q&A 08"

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Revision as of 16:12, 7 November 2018


CRC Press logo This question was provided by CRC Press. See more case-based flashcards




Student tip template.png Student tip: This case is a well-illustrated example of an ultrasound scan.




Small Animal Emergency and Critical Care Medicine Q8.png


A 1.5-year-old male neutered cat presents for vomiting and inappetence of 2 days’ duration. Blood work done 2 months ago was normal. T = 36.7°C (98°F); HR = 180 bpm; RR = 20 bpm; CRT = 2 sec; MM gray, dry; palpable femoral pulses; perfusion – concern for early decompensatory shock; 6–8% dehydrated (dry MM, corneas). Both kidneys are enlarged and painful. Urinary bladder feels empty. CBC = neutrophilic left shift; BUN = 53.5 mmol/l (150 mg/dl); creatinine = 442 μmol/l (5.0 mg/dl); K+ = 6.5 mEq/l; PO4 = 1.3 mmol/l (4.0 mg/dl). Venous blood gas: pH = 7.32; HCO3 = 13 mEq/l; PvCO2 = 29 mmHg..

Question Answer Article
Provide three categories for initiating mechanisms of AKI in the cat or dog. List potential metabolic consequences. Link to Article
Abdominal ultrasound demonstrated moderately enlarged kidneys, with a thickened cortex and a bright corticomedullary line (50), no free abdominal fluid, and a small bladder. How does this information contribute to the diagnosis? Link to Article
What additional diagnostics should be considered for this cat? Link to Article
Describe initial treatment plans for this cat and outline how to monitor the fluid balance. Link to Article
Name the mechanism of action of each of the following medications/techniques when utilized in a patient with AKI: (a) mannitol; (b) furosemide; (c) dialysis; (d) dopamine; (e) diltiazem; (f) fenoldopam. Link to Article


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