title: [Life threatening metabolic disorders after application of a sodium phosphate containing enema in the dog and cat].
abstract: Application of a sodium phosphate containing enema caused life-threatening metabolic disorders in a Dachshund and two cats. Clinical signs were characterised by dehydration and various neurological deficits including seizures. Most striking laboratory abnormalities were hypernatremia, hypocalcemia, hyperphosphatemia, and polycythemia. Despite intensive treatment the dog died, whereas the cats recovered completely. In face of possible severe and potentially fatal metabolic abnormalities sodium phosphate enemas, such as Practo-Clyss, should be used with caution or not at all in cats and small dogs.
authors.affiliation: Klinik für Kleintiermedizin, Universität Zürich. ktomsa@vetklinik.unizh.ch
authors.forename: K
authors.initials: K
authors.lastname: Tomsa
authors.forename: F
authors.initials: F
authors.lastname: Steffen
authors.forename: T
authors.initials: T
authors.lastname: Glaus
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000097:blood / Q000139:chemically induced*; D002400:Cathartics / Q000009:adverse effects*; D002415:Cats; D003681:Dehydration / Q000662:veterinary; D004283:Dog Diseases / Q000097:blood / Q000139:chemically induced*; D004285:Dogs; D004733:Enema / Q000662:veterinary*; D008297:Male; D008659:Metabolic Diseases / Q000097:blood / Q000139:chemically induced / Q000662:veterinary*; D010710:Phosphates / Q000009:adverse effects*; D012640:Seizures / Q000662:veterinary
chemical_list: D002400:Cathartics; D010710:Phosphates; C018279:sodium phosphate