Medicina Veterinária
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Monografia Acesso fechado Dosagem dos níveis séricos de lactato e glicose correlacionados com o prognóstico de caninos atendidos no HVU em estado de urgência e emergência(2017) Amaral, Carolina da Silveira doThe urgency and emergency system stands out as a particularly important and complex service that needs a quick and accurate approach. The measurement of lactate and serum glucose in these patients becomes extremely important, since their increased and decreased levels, respectively, may be related to a higher mortality rate due to metabolic changes. As in human medicine lactate is already used as a way of differentiating the severity of certain pathological conditions, the realization of several lactate measurements can assist the veterinarian in the screening of this patient as well as contribute to the prognosis. The present study measured the serum lactate and glucose concentrations of canine patients who arrived in a state of emergency and emergency at Unisul Veterinary Hospital, obtaining subsidies for the prognostic aid of these animals. Four collections were performed, the first one after stabilization of the patient the second six hours after this stabilization, the third twelve hours after and the fourth 24 hours after stabilization. A total of 19 canines were divided into two groups: group 1 (adults) aged up to eight years, 42.10% (8/19) and group 2 (elderly) aged over eight years, 57, 89% (11/19). The behavior of serum lactate concentrations in group 1 (adults) in relation to group 2 (elderly) showed that lactate is a good prognostic marker because in 100% of the animals there was survival within 24 hours, but its interpretation should not be done in isolation, but in conjunction with the clinical parameters (heart rate, respiratory rate, capillary fill time, rectal temperature and mucosal staining).