11/08/2026
Fluid Therapy
The need for fluid therapy in the physiologically compromised
patient is well recognized. The horse undergoingexploratory
laparotomy for acute abdominal crisis is oftenin a state of
shock. Similarly, the bovine patient withabomasal torsion
often has major fluid volume and electrolyte defcits.
In the majority of the procedures described in thistext-
book,the patients are systemically healthy and do nothave
fluid imbalances prior to surgery; however, suchanimals do
need attention with respect to intravenousfluid therapy
while they are under anesthesia. The purposes of fluid the-
rapy for a normal animal during anesthesia are to provide
fluids for the patient’s maintenancerequirements, maintain
adequate organ perfusion, maintain normal acid-base balance,
and maintain an intravenous route for emergency medication
if needed.35
Two basic approaches are available in fluid management
of the surgical patient. The frst approach is to adopta standard
protocol devised to meet likely or anticipateddefcits; the
second approach is to acquire clinical andlaboratory data
on an individual patient and to administer the appropriate
fluids to meet the patient’s specifcrequirements. The frst
approach is simple and particularly convenient for the practi-
tioner in the feld, where itis not possible to obtain laboratory
data instantly. In addition, this approach is satisfactory for fluid
administrationduring routine elective surgery. For the pat-
ient with asystemic illness, however, such as an acute abd-
ominalcrisis, it is desirable to obtain as accurate an asses-
smentof the patient’s fluid volume, acid-base balance, and
electrolyte status as possible.
Vet diseases and treatment