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3 CE CREDITS CE Article Perfusion Versus Hydration: Impact on the Fluid Therapy Plan aroline C. Tonozzi, DVM, C DACVECC VCA Aurora Animal Hospital Aurora, Illinois lke Rudloff, DVM, DACVECCa E ebecca.

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The simplest approach is to replace dehydration losses with 0.9% saline. This ensures that the administered fluid remains in the extracellular (intravascular) compartment, where it will do the most good to support blood pressure and peripheral perfusion.

IV fluid resuscitation can increase ventricular preload, cardiac output, and oxygen delivery, restoring hemodynamic stability and tissue perfusion.

Therefore, recognizing whether a fluid deficit is affecting transport of blood to the tissues (perfusion), tissue support and intracellular processes (hydration), or both is critical to implementing an effective fluid therapy plan for the patient.

Perfusion is the passage of fluid through the circulatory system or lymphatic system to an organ or a tissue, usually referring to the delivery of blood to a capillary bed in tissue.

The primary role of fluid resuscitation is to maintain organ perfusion (hemodynamics) and substrate (oxygen, electrolytes, among others) delivery through the administration of fluid and electrolytes.

Fluids can increase perfusion pressure, but this effect is rather indirect, as it is mediated by an increase in cardiac output and requires that vascular tone is not too low (Fig. 1).

improves capillary perfusion, regardless of the macro-hemodynamic parameters. The reduction in lactate levels correlates with improved microcirculation, regardless of cardiac index. However, lactate is not a marker of microcirculation resuscitation.

Intestinal fluid loss in the absence of replacement therapy gives rise to dehydration and acidosis secondary to electrolyte imbalances. Dehydration also causes hypovolemia and hemoconcentration with inadequate tissue perfusion. Energy generation shifts to anaerobic glycolysis leading to hypoglycemia and ketoacidosis.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232