Indication & Doses: Hypoalbuminemia: Goal to raise albumin to 2.0 2.5 g/dL Albumin deficit (g) = 0.3 x BW (kg) x 10 (albumin desired – current albumin) If euvolemic, administer 5% solution 5% = add 100 mL diluent Volume of 5% albumin = BW (kg) x 90 mL/kg x (2 g/dL – patient albumin) x […]
Amikacin
Indications & Dose: Antimicrobial: 15 – 30 mg/kg IM, IV, SC q24h Gram-negative aerobic bacilli, E. coli, Klebsiella, Proteus, Pseudomonas, Salmonella, Enterobacter, Serratia, and Shigella, Mycoplasma, and Staphylococcus Preparation: Dilute 1:1 over 20 min Adverse effects: Ototoxicity Nephrotoxicity Monitor for urinary glucose and casts
Aminocaproic Acid
Indications & Dose: Trauma/hyperfibrinolysis: Dogs: Acute bleeding: 150 mg/kg IV over 10 min & 15 mg/kg CRI Greyhound surgical prophylaxis: 15 mg/kg PO q8h x 5 days (ref) Acute bleeding in Greyhounds: 50 mg/kg over 1 hour then 15 mg/kg/hr for 5-8 hr Possible indications: thrombocytopenia, TBI, GI bleeding, bleeding splenic mass Mechanism of Action: […]
Amiodarone
Indications & Dose: Ventricular arrhythmias, SVT, atrial flutter: 2 mg/kg IV over 10 min, followed by 0.8 mg/kg/h for 6h, then 0.4 mg/kg/h for remainder (ref) Study used Nexterone (premixed solution); appears safer Ventricular fibrillation, pulseless ventricular tachycardia unresponsive to defibrillation (class IIb evidence only): 5 mg/kg IV Mechanism of action: blocks multiple K+ channels, […]
Barium
Indications & Dose: GI ulceration: 1 mL/kg PO q8h (anecdotal) Contrast: 6-10 mL/kg PO