Today's Veterinary Practice

SEP-OCT 2015

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Today's VeTerinary PracTice | september/october 2015 | tvpjournal.com canine PediaTrics: The VomiTing PuPPy Peer reviewed 34 Table 2. Clinicopathologic Results 2-5 vaRiaBLE RESULT aDULT REFERENCE iNTERvaL PEDiaTRiC (6–8 wEEkS oF aGE) iNTERvaL Complete Blood Count Red blood cell count (× 10 6 /L) 5.06 5.34–8.5 4.3–5.1 Hemoglobin (g/dL) 13 12.3–19.7 8.5–11.3 Hematocrit (%) 40 37–57 26.5–35.5 Mean corpuscular volume (fL) 60 59–76 63.2–74.3 a Mean corpuscular hemoglobin (pg) 23 20.7–25.6 23–25.5 a Mean corpuscular hemoglobin concentration (g/dL) 33.2 32–36.4 31.4–35 Platelet count (× 10 3 /L) 136,000 200–500 > 150,000 White blood cell count (× 10 3 /L) 2.6 4.53–14.99 12.6–26.7 Segmented neutrophils (× 10 3 /L) 1.82 2.27–10.14 4.2–17.6 Band neutrophils (× 10 3 /L) 0.26 0–0.26 0–0.3 Lymphocytes (× 10 3 /L) 0.52 0.76–4.23 2.8–16.6 Monocytes (× 10 3 /L) 0.15 0.15–1.35 0.5–2.7 Eosinophils (× 10 3 /L) 0 0.08–1.1 0.1–1.9 Basophils (× 10 3 /L) 0 0–0.15 0 Reticulocytes (%) 0.4 n/a 2.6–6.2 Serum Biochemical Profle Glucose (mg/dL) 86 b 81–133 134–272 Blood urea nitrogen (mg/dL) 33 8–28 14–15.5 Creatinine (mg/dL) 1 0.6–1.6 0.6–1.6 Sodium (mEq/L) 136 143–152 143–152 Potassium (mEq/L) 3.1 3.4–4.9 3.4–4.9 Chloride (mEq/L) 106 108–117 108–117 Bicarbonate (mEq/L) 18 18–26 18–26 Anion gap (mEq/L) 3 13–22 n/a c Albumin (g/dL) 1.9 2.9–4 2.1–2.7 Plasma protein (g/dL) 4.8 6–8 6–8 Total protein (g/dL) 3.2 5.2–7.4 3.9–4.8 Calcium (mg/dL) 8 9.2–11.3 9.2–11.3 Phosphorus (mg/dL) 5.7 2–5 8.7–11.5 Cholesterol (mg/dL) 137 133–338 111–258 Total bilirubin (mg/dL) 0.4 0.1–0.4 0.1–0.2 Alanine aminotransferase (U/L) 48 9–58 9–24 Alkaline phosphatase (U/L) 178 5–129 144–177 Gamma-glutamyltransferase (U/L) < 3 0–5 0–7 Creatine kinase (U/L) 267 10–274 10–274 Colloid osmotic pressure (mm Hg) 12 21–25 < 18 a. Values are for 4-week-old puppies rather than 6- to 8-week-old puppies b. After glucose bolus upon admission c. No published data available on reference interval for this variable in pediatric patients Should Oxygen be Given During Initial Resuscitation? While JP was tachypneic—likely secondary to hypovolemia—he was not dyspneic and his lung sounds were clear. therefore, supplemental oxygen was probably not necessary but could have been provided until normoxemia was confrmed. However, for a neonate (< 2 weeks of age), oxygen therapy would be recommended.

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