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Discussion on Hugely stocked up after 40L IV fluids- hypoproteinemia?
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New Member:
pacifecm
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Posted on Sunday, Aug 29, 2010 - 8:36 pm:
History: 12 year old dutch warmblood, upper level jumper. Monday- Horse was diagnosed with severe dehydration and possible ilium impaction following a 2,000 mile trailer ride (no poop for 12 hours, but no abnormalities felt on rectal exam). Dehydration diagnosed based on PRV result of 52%. This horse's PRV 3 weeks ago was 31%, following a very minor pulmonary bleed. Historically this horse's PRV is in the low 30's. Horse initially had minimal discomfort.
Over next 36 hours horse was given 40 liters of iv fluids w/ electrolytes which were tested 3 times and always within acceptable ranges. Was "tubed and lubed" (water, electrolytes, and laxative) once and sedated and banamined according to his pain level which peaked around 6 hours after arrival.
Question: He was slightly stocked up when we picked him up... vet said likely low levels of protein circulating in the blood caused by iv fluids or he just needs turnout.
Next day,Thursday, hind legs are HUGE. Goes down with 30 minutes of walking purposefully, but not from turn out.
Saturday, intern from the clinic is out to see a different colic, and I have her look at my horse. Says, low protein in the blood could cause that which could be caused by the iv fluids.
Sunday, we still haven't seen an improvement. Is this consistent with IV fluid caused hypoproteinemia? I would think this would balanced naturally by now. He has been eating his normal diet of 8 lbs of alfalfa and 8 lbs of timothy (no grain) since Wednesday.
He is wearing pressure wraps 12-16 hours each day and being turned out for the morning as usual.
No fever or lethargy.
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Moderator:
DrO
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Posted on Monday, Aug 30, 2010 - 9:47 pm:
Hello Kate,
No, not if the horse's kidneys are working properly, at 40 liters over 36 hours excess fluid would be passed out of the urine as it was formed.
DrO
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