Effect of Intravenous Infusion of a 7.2% Hypertonic Saline Solution on Serum Electrolytes and Osmotic Pressure in Healthy Beagles

Tadaharu AJITO, Kazuyuki SUZUKI, Shigehiro IWABUCHI
1999 Journal of Veterinary Medical Science  
The effect of an intravenous (IV) infusion of hypertonic saline solution (HSS; 7.2%, 2,400 mOsmol/kg·H 2 O) was evaluated by serum electrolyte concentrations and osmotic pressure in the anesthetized beagles. Sixteen beagles were assigned to 3 experimental groups (2.5, 5 or 15 ml/kg of HSS IV infusion) or a control group (5 ml/kg of isotonic saline solution (ISS) IV infusion) and were monitored for 120 min after the initiation of fluid infusion. The relative plasma volume (rPV) in the 5 ml/kg
more » ... 15 ml/kg HSS groups progressively expanded to 143.1 ± 7.4% at 3 min and 156.4 ± 5.9% at 5 min after the initiation of the fluid infusion, respectively. Significant increases were not produced by ISS and 2.5 ml/kg HSS infusion. The serum sodium and chloride concentrations in the ISS group were not altered. The 5 ml/kg HSS infusion induced transient high osmotic and sodium levels, and the serum sodium concentration remained under the 160 mM/l after the completion of the HSS infusion. However, the 15 ml/kg HSS infusion induced a constant high osmotic level (340.5-352.8 mOsmol/kg·H 2 O) and hypernatremia (161.4-174.5 mM/l) from 10 to 90 min after the initiation of the fluid infusion. The 15 ml/kg HSS infusion induced significant decreases in the partial pressure of oxygen (PaO 2 ), reaching 63.7 ± 8.0 mmHg at 120 min after the initiation of the fluid infusion compared with an immediately before fluid infusion value. On the basis of these findings, 5 ml/kg HSS infusion can be safely administered to healthy beagles for expanding the plasma volume without inducing hypernatremia. A 5 ml/kg HSS infusion is thus recommended for the initial field resuscitation of dogs.-KEY WORDS: arterial blood pressure, canine (beagle), hypernatremia, hypertonic saline solution, plasma volume.
doi:10.1292/jvms.61.637 pmid:10423685 fatcat:3nmr7ivbzracdirujo4u2snl4u