Topic:Metabolic Acidosis
Metabolic acidosis in horses is a condition characterized by an imbalance in the body's acid-base status, resulting in a lower than normal blood pH. This condition arises when there is an accumulation of acid or a significant loss of bicarbonate in the body, which can occur due to various factors such as intense exercise, gastrointestinal disturbances, or renal dysfunction. In horses, metabolic acidosis can affect cellular function and overall metabolic processes. The condition is typically assessed through blood gas analysis, measuring parameters such as blood pH, bicarbonate levels, and carbon dioxide concentration. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, physiological impacts, and management strategies of metabolic acidosis in equine health.
Type II renal tubular acidosis in a mare. Persistent, severe metabolic acidosis complicated the operative and postoperative period in a 4-year-old mare with colic. On the basis of clinical and laboratory findings, a renal tubular disorder was diagnosed. Renal tubular acidosis is rare in horses. In the only report found on the subject, type I renal tubular acidosis was described in 2 horses. Bicarbonate titration studies in our case helped document type II renal tubular acidosis in this mare.
Intravenous acid infusion without lowering arterial pH stimulates breathing. The aim of this study was to determine whether increases in ventilation would occur during intravenous acid infusion even if systemic arterial pH was held constant. In six awake ponies, HCl (500 ml, approximately 0.312 M) was infused into the right atrium at a total dose of 1.0 meq/kg over 18 min while an equivalent dose of NaOH was infused into the left heart to restore systemic arterial pH to normal. Total ventilation increased at the onset of the infusion and remained elevated although systemic arterial pH was normal to slightly alkaline. The increase in ventilation during the initial 2 min...
Independence of exercise hyperpnea and acidosis during high-intensity exercise in ponies. We investigated arterial PCO2 (PaCO2) and pH (pHa) responses in ponies during 6-min periods of high-intensity treadmill exercise. Seven normal, seven carotid body-denervated (2 wk-4 yr) (CBD), and five chronic (1-2 yr) lung (hilar nerve)-denervated (HND) ponies were studied during three levels of constant load exercise (7 mph-11%, 7 mph-16%, and 7 mph-22% grade). Mean pHa for each group of ponies became alkaline in the first 60 s (between 7.45 and 7.52) (P less than 0.05) at all work loads. At 6 min pHa was at or above rest at 7 mph-11%, moderately acidic at 7 mph-16% (7.32-7.35), and markedly...
[Effect of carbostimulin on acid-base equilibrium of the blood of racing horses during exertion]. The paper deals with possibility to regulate in a proper direction the acid-base state in race horse blood administering carbostimulin at rest and under physical exercises. The preparation is shown to favour an increase in alkaline blood reserves in race hours at rest and to prevent acidotic changes caused by physical exercises. The results obtained show a promising use of carbostimulin for the directed correction of the acid-base state of blood in race horses aimed at increasing the efficiency of the training process.
The organism as bioreactor. Interpretation of the reduction law of metabolism in terms of heterogeneous catalysis and fractal structure. Organisms and bioreactors are open, dissipative systems in steady state. They are functionally equivalent with respect to turnover and kinetics, and structurally analogous with respect to fractal organization and self-similar scaling. As heterogeneous catalytic systems both are governed by interaction of mass transport and reaction. The structural equivalent to turbulence in the reactor, yielding high efficiency, is the fractal folding and branching of the transport systems of the organism. Dimensionally and in terms of fractals, organisms and reactors are therefore area-volume hybrids. The ph...
Effect of endotoxin administration on body fluid compartments in the horse. Plasma volume, extracellular fluid volume (ECFV), and total body water (TBW) were measured before and after endotoxin (Escherichia coli) administration in 6 conscious adult horses. Evan's blue dye, sodium thiocyanate, and antipyrine were the test substances used to estimate plasma volume, ECFV, and TBW, respectively. Pharmacokinetic analysis of plasma concentration vs time was used to determine changes in body fluid compartments. The pathophysiologic effects of endotoxin were monitored by clinical evaluation, blood chemical changes, and blood gas determinations. All horses became dyspneic with...
Endotoxin-induced hematologic and blood chemical changes in ponies: effects of flunixin meglumine, dexamethasone, and prednisolone. To evaluate the effect of certain drugs on hematologic changes, blood chemical values, and survival in endotoxin shock, anesthetized ponies were given (IV) endotoxin (Escherichia coli O55:B5) and then treated as follows: Group A ponies--given a saline infusion at 5 minutes and at 3 hours after they were given endotoxin; group B ponies--given flunixin meglumine at 5 minutes and at 3, 6, 9, and 24 hours after they were given endotoxin; group C ponies--treated with dexamethasone; and group D ponies--treated with prednisolone at 5 minutes and at 3, 9, and 24 hours after they were given endotoxin. ...
Arterial blood gas tension and acid base balance during exercise in horses with pharyngeal lymphoid hyperplasia. Arterial blood gas and acid-base values during maximal exercise over a 1.2 km distance were recorded in four Thoroughbred horses before and after the chemical induction of pharyngeal lymphoid hyperplasia (PLH). Samples were collected after galloping 0.8 km and 1.2 km, immediately upon stopping and 5 mins after exercising. In only one horse was any difference noted in the pre and post PLH induction results. The horse was more hypercapnoeic at the 1.2 km mark and also took much longer to complete the gallop when it had PLH. However, it also had signs of lower respiratory disease. In the other ho...
Blood-gas tensions and acid-base status in ponies during treadmill exercise. Blood-gas tensions and acid-base status were examined in 8 healthy grade ponies at rest (heart rate = 55 +/- 3 beats/min) and during moderate (fast trot; heart rate = 155 +/- 3 beats/min) and severe (gallop; heart rate = 218 +/- 7 beats/min) exercise performed on a treadmill. Arterial oxygen tension and hemoglobin-oxygen saturation of exercising ponies did not change from the resting values. Arterial oxygen content increased markedly during exercise, as a consequence of increased hemoglobin concentration. The total oxygen content, as well as the saturation of hemoglobin with oxygen in the mixe...
Succinylcholine infusion associated with hyperthermia in ponies anesthetized with halothane. Succinylcholine was administered by infusion to halothane-anesthetized ponies to determine dosage requirements for surgical relaxation up to 3 hours' duration. This was not possible to do, since 4 of 6 ponies studied developed severe reactions characterized by prolonged muscle fasciculations after the initial succinylcholine dose, muscle rigidity, hyperthermia, hypercapnia, tachycardia, increasing pulse pressure, and metabolic acidosis. The reactions resembled those associated with malignant hyperthermia, a disease recognized in persons and swine. Two ponies showed signs of the phase II or des...
Severe metabolic acidosis manifested as failure to adapt in a newborn Thoroughbred foal. The research paper discusses the case of a newborn Thoroughbred foal suffering from severe metabolic acidosis, which showed up as an inability to adapt, often referred by the term neonatal […]
[Experimental reproduction of lactic acidosis in the pony]. One pony has been subjected to the intravenous injections of L-lactic acid. Two other ponies have been trained to intracaecal administration of L-lactic acid or sucrose. The obtained results show that: Intravenous injection of lactic acid increases the concentration of histamin and lactic acid, decreases the level of magnesium and reduces the pressure of carbon dioxide in the blood (the control animals and the treated animals) without the clinical symptoms of lactic acidosis. Intracaecal administration of lactic acid induces a high liberation of histamin in the caecum (the control animals and ...
The anion gap as a prognostic indicator in horses with abdominal pain. The anion gap was calculated for each of 90 horses with signs of abdominal pain, using laboratory data obtained shortly after admission. The anion gap was defined as the difference between the sodium concentration (mEq/L) and the sum of the chloride and bicarbonate concentrations. To evaluate the use of the anion gap as a prognostic indicator, the survival rates were calculated for horses whose anion gap concentrations were within various ranges. It was found that the probability of survival decreased as the anion gap progressively increased about 20 mEq/L. The survival rates for increasing ra...
Changes in certain metabolic parameters in horses associated with food deprivation and endurance exercise. Total and individual non-esterified fatty acids (NEFA), pyruvate, lactate, alpha ketoglutarate, acetoacetate, beta hydroxybutyrate, glucose and insulin were measured in horses during an 80 km endurance ride and during four days of food deprivation. In the latter group venous blood-gas and acid-base parameters, and plasma cortisol concentrations were also measured. During exercise and food deprivation the NEFA became considerably elevated, the predominant of which were oleic (35 per cent), palmitic (24 per cent), linoleic (19 per cent) and linolenic (10 per cent). By one hour after feeding tota...
Acid-base and electrolyte alterations in horses with exertional rhabdomyolysis. In examination of the acid-base and electrolyte status of 7 horses with acute exertional rhabdomyolysis, the most consistent abnormality was hypochloremia. Metabolic acidosis was not evident in any of the horses. Therefore, the use of sodium bicarbonate in treatment of such disorders may not be indicated in all cases.
Blood gas and acid–base status in spontaneously delivered, term-induced and induced premature foals. Six spontaneously delivered foals, 8 Thoroughbred foals induced at term with fluprostenol and 17 Pony foals induced prematurely with fluprostenol and oxytocin at a gestational age of 270 to 330 days were studied to determine PO2, PCO2, pH, base excess and HCO3 values in arterial blood between birth and 7 days of age. The Pony foals were subdivided into those that survived greater than 24 h (N = 9) and less than 9 h (N = 8). Blood gas and acid base values in the term-induced foals were similar to those in spontaneously delivered foals. The induced premature foals surviving greater than 24 h had...
Endotoxin-induced change in hemograms, plasma enzymes, and blood chemical values in anesthetized ponies: effects of flunixin meglumine. A study was made of flunixin meglumine (FM), an analgesic agent with antiprostaglandin activity, in the management of endotoxin-induced changes in ponies. Three groups of 5 ponies each were used: A--controls, B--nontreated ponies with endotoxin-induced shock, and C--ponies with endotoxin-induced shock treated with FM. Shock was induced in anesthetized ponies with IV injections of Escherichia coli endotoxin. Disruption of glucose homeostasis, insulin levels, hemograms, aerobic metabolism, and cell damage as indicated by plasma enzymes were observed. Treatment with FM (5 minutes) after shock was...
Studies on the physiopathology of chronic obstructive pulmonary disease in the horse. V. Blood gas and acid-base values during exercise. The haemoglobin concentration, the partial pressures of oxygen and carbon dioxide, the oxygen content and the pH were determined in the arterial and mixed venous blood of 5 normal and 3 horses with chronic obstructive pulmonary disease (COPD) at 3 stages of an exercise distance of 1200 m. Arterial and mixed venous samples were collected simultaneously by means of an automatic technique during the walk, trot and gallop at 0-100 m, at 500-600 m and at 1100-1200 m. The standard bicarbonate and the lactic and pyruvic acid concentrations were also determined in arterial and mixed venous blood. High...
Acid-base and electrolyte alterations associated with salivary loss in the pony. Esophageal fistulas were made in 6 ponies to evaluate whole blood acid-base values and serum and salivary electrolyte alterations associated with salivary depletion. Acid-base and electrolyte values remained within normal ranges for 15 days in 3 control ponies fed a pelleted diet through nasogastric tubes. In 6 ponies with esophageal fistulas that were fed the same diet through esophagostomy tubes, hypochloremia and hyponatremia developed during the same period. Serum K concentrations were only marginally depleted, probably because of dietary replacement. Salivary depletion resulted in transie...
Poisoning in animals due to oral application of iron. With description of a case in a horse. Peroral application of iron salts in various types of anemia was previously considered atoxic. The increased use of iron has, however, led to an increasing number of poisoning in children, taking iron tablets for candy. There have only been reported a few number of spontaneous intoxications in animals, but experimentally it has been possible to produce fatal intoxications in various kinds of animal species. The clinical findings are quite similar in the various animals, starting with vomiting, bloody diarrhoea and metabolic acidosis. If the intoxication is severe, shock and coma may develop, a...
A physiological approach to fluid and electrolyte therapy in the horse. In this article a physiological approach to fluid therapy is discussed, commencing with examination of fluid distribution in the normal horse. The functions of individual plasma electrolyte concentrations are considered and practical causes of acid-base disturbances discussed. When fluid administration is necessary, selection of the route for fluid administration as well as the type of fluid are important considerations and these must be adjusted to the needs of the individual case. Balanced polyionic solutions appear to be most suitable for general use because normal saline can produce hypoka...
Lactic acidosis and arterial hypoxemia during sublethal endotoxemia in conscious ponies. Effects of a sublethal IV dose (10 micrograms/kg of body weight) of Escherichia coli endotoxin were studied in 7 conscious ponies. Arterial blood gases and plasma lactic acid were determined periodically throughout the 180 minutes of the study. Arterial hypoxemia occurred within 5 minutes despite intense hyperventilation. Colic and diarrhea occurred in all ponies within 30 minutes after endotoxin administration. Metabolic acidosis developed within 30 minutes and persisted throughout the study, indicating widespread reduced tissue perfusion.
Changes in blood gas, acid-base and metabolic parameters in horses during three-day event competition. Sixteen horses competing in a three-day event had venous blood samples collected during the speed and endurance test (day 2) to examine changes in blood gas ands acid-base balance, and the concentrations of lactate, pyruvate, beta-hydroxybutyrate, acetoacetate, alpha-ketoglutarate and cortisol. Following the roads and tracks and steeplechase phases there was a significant metabolic and respiratory alkalosis despite a rise in lactate. After completion of the cross country section, although there was a significant decrease in total base, there was no significant change in pH from pre-event value...
Simulated small intestinal volvulus in the anesthetized horse. Experimental closed loop small intestinal volvulus was studied in the anesthetized horse. Volvulus was simulated by ligation of the mesenterial veins to a segment of small intestine. Physical signs and hemodynamic, hematologic, clinical chemical, bacteriologic and peritoneal fluid values were examined. Compared to conscious horses anesthesia highly delayed and modified the clinical signs of shock (changes in mucosal colour, dehydration, decreased skin temperature, elevated pulse rate, low blood pressures) and of small intestinal volvulus (altered peristalsis, gastric dilation). Plasma glucose ...
Blood-gas, acid-base and haematological values in horses during an endurance ride. The effects of prolonged strenuous exercise on arterial and venous oxygen tension, carbon dioxide tension, pH, bicarbonate, standard bicarbonate, base excess, haemoglobin, packed cell volume and total plasma protein were studied in 36 horses during a 100 km endurance ride. There were significant changes in many parameters when pre-ride values were compared with both mid-ride and end of ride values. The prominent changes were the development of dehydration and a metabolic alkalosis. At the mid-ride sampling time those horses with higher heart rates had a greater degree of metabolic alkalosis th...
Acid-base status of equine blood during storage. The changes in pH, pCO2, pO2, BE, SBC, and lactic during storage of equine venous and arterial blood in 24 hours at different temperatures were measured (tables I, II), and illustrated (fig, 1, 2, 3). Correction tables (tables VI, VII) for determination of the initial acid-base data are constructed based on regression equations (tables IV, V) of the in vitro changes of the blood. The changes in the acid-base values of equine blood differ from that of bovine and canine blood (table III).
Cardiovascular, acid-base, electrolyte, and plasma volume changes in ponies developing alimentary laminitis. Twelve Shetland ponies were fed a high-starch ration. Seven ponies which had a transitory metabolic acidosis developed laminitis 56 hours (+/- 3.5, SEM) after overfeeding. These ponies also developed persistent hypokalemia, hyperthermia, and increased heart rate 24 hours before the onset of lameness. Serum sodium, serum chloride, hematocrit, plasma volume, and blood volume were unchanged. At the onset of clinical signs of laminitis, cardiac output and blood pressure increased, but total peripheral resistance was unchanged. None of the measured or calculated values predicted the onset of lamini...