title: Fluid Therapy in Lung Disease.
abstract: Fluid therapy is the cornerstone of supportive care in veterinary medicine. In dogs and cats with preexisting confirmed or suspected pulmonary disease, concerns may exist that the fluid therapy may impair gas exchange, either through increases in hydrostatic pressures or extravasation. Colloidal therapy is more likely to magnify lung injury compared with isotonic crystalloids. Radiographic evidence of fluid overload is a late-stage finding, whereas point-of-care ultrasound may provide earlier information that can also be assessed periodically at the patient side. Cases should be evaluated individually, but generally a conservative fluid therapy plan is preferred with close monitoring of its tolerance.
authors.affiliation: Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, 55 Willard Street, North Grafton, MA 01536, USA. Electronic address: Elizabeth.rozanski@tufts.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Rozanski
authors.affiliation: Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 Southwest 16th Avenue, Gainesville, FL 32608, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Lynch
mesh_terms: D000818:Animals; D015415:Biomarkers; D002371:Cat Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002415:Cats; D003102:Colloids / Q000627:therapeutic use; D004283:Dog Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D004285:Dogs; D005440:Fluid Therapy / Q000379:methods / Q000662:veterinary*; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000628:therapy / Q000662:veterinary*
chemical_list: D015415:Biomarkers; D003102:Colloids
keywords: Crystalloids; Extravascular lung water; Pneumonia; Pulmonary contusion; Pulmonary edema