RBR Updates October 23, 2019

This week we discussed the similarities and differences between DI, SIADH, DM, DKA, and HHS.

We created the chart below which everyone is going to take home, go through to clean it up, and make any additions or corrections that are needed. We will discuss updates and upload the completed chart next week.

The chart can be downloaded here:
Download

We also discussed resuscitation of a patient with hemoabdomen. Bridget emailed out the case information. Before next week everyone is supposed to review the case and decide how they would handle this case if it presented again. Everyone should come prepared to talk about changes you would make, if any. Consider how to stabilize patient, initial diagnostics, treatments, monitoring plans, etc. Basically start to finish, what would you do?

Then we will move on to the next set of questions which can be downloaded here:
Download

Questions to review prior to the next session:
1. Reviewed the physiology of the renin, angiotensin, aldosterone system. Include triggers/stimuli, inhibitors, effects on various body systems.
2. Causes of secondary diabetes insipidus
3. Why does positive pressure ventilation cause a decrease in ANP, and what is the overall effect of this?
4. What are the the different blood components available for transfusion, describe the characteristics & indications for each product

A few good references for these questions are: (textbooks are in the DVM office)

  1. The Association of Veterinary Hematology and Transfusion Medicine’s website (avhtm.org)
  2. Animal Blood Resources International’s FAQ page
  3. Manual of Veterinary Transfusion Medicine and Blood Banking
  4. Practical Transfusion Medicine for the Small Animal Practitioner (MADE EASY SERIES)
  5. Chapter 1 of Canine and Feline Endocrinology as well as the information on this website.
  6. Pillai BP, Unnikrishnan AG, Pavithran PV. Syndrome of inappropriate antidiuretic hormone secretion: Revisiting a classical endocrine disorder. Indian J Endocrinol Metab. 2011 Sep;15 Suppl 3(Suppl3):S208-15. doi: 10.4103/2230-8210.84870. PMID: 22029026; PMCID: PMC3183532.
  7. Ames MK, Atkins CE, Pitt B. The renin-angiotensin-aldosterone system and its suppression. J Vet Intern Med. 2019 Mar;33(2):363-382. doi: 10.1111/jvim.15454. Epub 2019 Feb 26. Erratum in: J Vet Intern Med. 2019 Sep;33(5):2551. PMID: 30806496; PMCID: PMC6430926.
  8. Ranieri M, Di Mise A, Tamma G, Valenti G. Vasopressin-aquaporin-2 pathway: recent advances in understanding water balance disorders. F1000Res. 2019 Feb 4;8:F1000 Faculty Rev-149. doi: 10.12688/f1000research.16654.1. PMID: 30800291; PMCID: PMC6364380.