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Annette

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  • Annette
    Participant
    02:35 07/02/20

    Sara: just a challenge to your post: =)
    How would we know that Metabolic acidosis isn’t due to Lactic acidosis with hyperlaceramia or DKA, or toxin: Ethylene Glycol , uremic acidosis vs diarrhoea, renal tubular necrosis if we don’t have access to anion gap?

    and how do we know that the high lactate isn’t due to hypovolemia until we try to fluid resuscitate the patient and recheck? eg secondary to complicated DKA. 🙂

    Annette
    Participant
    22:11 05/02/20

    Hi Gail
    this is what i would have answered.

    Symptoms: Vomiting

    Blood gas
    venous sample:
    PH 7.23 – = Acidemia
    PCO2 30mm/Hg – low – alkalosis
    HCO3 13mmol/L – low acidosis
    lactate of 4.3mmol/L. hyperlactatemia

    Answer-
    Metabolic acidosis with a compensated respiratory alkalosis

    Significance of the Lactate level? the high lactate can either mean there is an lactic acidosis or poor tissue perfusion
    Significance of the HCO3 Levels? the significance of the HCO3 means there is a metabolic cause to the acidemia

    Annette
    Participant
    21:40 26/01/20

    Hi Scott

    thats really good, how long did your transfused blood cells last? would you base it on life span of RBC 120 Days or does this decrease with anti coagulants. would you ever do a 2nd xenotransfusion on the same patient if eg finances was an issue?

    I have performed a xenotransfusion on two kittens in the PDSA where we couldnt source cat blood. they had flea anaemia. 5ml dog blood each, one made it and one survived. i expect long enough for the flea treatment to work and it to generate its own cells.

    thanks
    Annette

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