Sistemik yangısal yanıt sendromlu bir köpekte %7.2’lik hipertonik salin solüsyonunun ekokardiyografik parametreler üzerine etkisi

Öz

Biz bu olgu sunumuyla sistemik inflamatuar yanıt sendromu (SIRS) gelişmiş 5 aylık, erkek, Kangal Çoban melezi bir köpekte %7.2 hipertonik salin infüzyonunun ekokardiyografik parametreler üzerine etkisinin değerlendirilmesi amaçladık. Bu kapsamda olgu kliniğe ilk başvurduğunda SIRS klinik ve laboratuvar bulguları ile tanımlandı. Sıvı replasmanı için %7.2 hipertonik salin, 4 ml/kg dozda (1.6 ml/kg/dak) intravenöz yolla uygulandı. Ekokardiyografi sıvı infüzyonundan önce (t=0. dk), ve sonra (t=5., 15. dk) gerçekleştirildi. Köpekte %7.2'lik hipertonik salin uygulaması sonrasında sistolik fonksiyonda, kardiyak kontraktilitede ve sol ventrikül ön yükünde artış belirlendi. Bu olgu dikkate alındığında 4 ml/kg %7.2 hipertonik salin solüsyonu infüzyonun sistolik disfonksiyonu düzenlediği belirlendi.

Anahtar Kelimeler

• Hipertonik salin solusyonu
• sol ventrikül fonksiyonu
• M-mod ekokardiyografi
• sistemik inflamatuar yanıt sendromu

The Efficiency of 7.2% Hypertonic Saline Solution on Echocardiographic Parameters in a Dog with Systemic Inflammatory Response Syndrome

Öz

We were aimed with this case report that evaluate the efficiency of 7.2% hypertonic saline infusion on echocardiographic parameters in a 5-months-old male Kangal Shepherd crossbreed dog with the systemic inflammatory response syndrome (SIRS). For this propose on initial referral to the clinic, SIRS was defined with clinical and laboratory finding. Hypertonic saline (7.2%) was administered at intravenously of 4 ml.kg-1 (1.6 ml.kg-1.min-1) for fluid replacement. Echocardiography was performed at before (t=0 min), and after (t=5, t=15 min) fluid infusion. An increase in systolic function, cardiac contractility and left ventricular preload in the dog were determineted with the administration of 7.2% hypertonic saline. Considering this case, systolic dysfunction was improved by infusion of 4 ml.kg-1 7.2% hypertonic saline solution.

Anahtar Kelimeler

• Hypertonic saline solution
• left ventricular function
• M-mode echocardiography
• systemic inflammatory response syndrome

Kaynakça

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