Hypocalcemia of Critical Illness in Dogs and Cats

被引:21
|
作者
Holowaychuk, Marie K. [1 ]
机构
[1] Univ Guelph, Ontario Vet Coll, Dept Clin Studies, Guelph, ON N1G 2W1, Canada
关键词
Ionized calcium; Parathyroid hormone; Vitamin D; Calcitriol; Magnesium; IONIZED CALCIUM-CONCENTRATION; TUMOR LYSIS SYNDROME; PARATHYROID-HORMONE SECRETION; ILL SURGICAL-PATIENTS; VITAMIN-D DEFICIENCY; ACUTE-PANCREATITIS; ACID-BASE; PRIMARY HYPERPARATHYROIDISM; PRIMARY HYPOPARATHYROIDISM; ELECTROLYTE ABNORMALITIES;
D O I
10.1016/j.cvsm.2013.07.008
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Hypocalcemia occurs in critically ill dogs and cats and is associated with medications, treatments, and underlying diseases such as acute kidney disease, pancreatitis, parathyroid disease, sepsis, and trauma. Possible underlying mechanisms include hypovitaminosis D, acquired or relative hypoparathyroidism, hypomagnesemia, and alterations in the ionized fraction of calcium caused by changes in chelated or protein-bound calcium. If severe or acute, hypocalcemia can cause obvious clinical signs related to muscle or neurologic hyperexcitability or more subtle signs of cardiovascular dysfunction. Emergency treatment with calcium gluconate administration is recommended when clinical signs are present or if there is moderate to severe ionized hypocalcemia.
引用
收藏
页码:1299 / +
页数:21
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