Protocol Followed for Management of Hypernatremia in a White–tailed Deer Fawn (Odocoileus virginianus)

Authors

  • Nichole Rosenhagen DVM University of Illinois College of Veterinary Medicine
  • Julia Whittington DVM University of Illinois, Department of Veterinary Clinical Medicine

DOI:

https://doi.org/10.53607/wrb.v32.24

Keywords:

Hypernatremia, white-tailed deer, Odocotleus virginianus, fluid therapy, electrolyte

Abstract

A white‒tailed deer fawn with suspected trauma presented to a wildlife medical facility in central Illinois. Initial triage revealed clinical signs highly indicative of head trauma and shock, including ataxia, disorientation, and tachycardia. The fawn was administered subcutaneous isotonic fluids and oral meloxicam. The following day, hematologic evaluation revealed profound hypernatremia and azotemia. Meloxicam was discontinued and treatment with slow intravenous administration of 5 percent dextrose in water (D5W) was initiated to correct the hypovolemia and hypernatremia. Within three days, the fawn was able to suckle and ambulate normally. Chemistry values returned to normal within one week of admission. Electrolyte disturbances are common in orphaned neonatal animals suffering from starvation, dehydration, and shock, and inappropriate fluid therapy in the face of these disturbances may further compromise an animal’s condition. Thus, the fluid composition, rate, and route of administration are critical for care of these patients.

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Author Biographies

Nichole Rosenhagen DVM, University of Illinois College of Veterinary Medicine

Nichole Rosenhagen is a fourth year veterinary student at the University of Illinois College of Veterinary Medicine and student manager of the Wildlife Medical Clinic.

Julia Whittington DVM, University of Illinois, Department of Veterinary Clinical Medicine

Julia Whittington, DVM, is a clinical associate professor of zoological medicine in the Department of Veterinary Clinical Medicine at the University of Illinois, College of Veterinary Medicine. She is the director of the University of Illinois Wildlife Medical Clinic.

References

Bohn, A. A. 2012. Laboratory Evaluation of Electrolytes. Veterinary Hematology and Clinical Chemistry, 2nd edition (M. A. Thrall, G. Weiser, R. W. Allison, and T. W. Campbell, editors). Wiley‒Blackwell: Ames, IA. Pp. 378‒392.

Devey, J. J. 2009. What’s All the Salt About? Understanding Sodium, Chloride and Potassium. Proceedings of the American Board of Veterinary Practitioners: Austin, TX.

DiBartola, S. P. 2003. Disorders of Sodium: Hypernatremia and Hyponatremia. Proceedings of the Atlantic Coast Veterinary Conference: Columbus, OH.

DiBartola, S. P. 2012. Disorders of Sodium. Proceedings of the Atlantic Coast Veterinary Conference: Columbus, OH.

Smith, B. P. 2002. Chapter 17: Initial Management and Physical Examination of the Neonate. Large Animal Internal Medicine. St. Louis, MO.

Spromberg, L. 2009. Electrolyte Imbalances: Warning Signs and Fluid Choices. Proceedings of the International Veterinary Emergency and Critical Care Symposium: Seattle, WA.

Wellman, M. L., C. W. Kohn and S. P. DiBartola. 2012. Chapter 1: Applied Physiology of Body Fluids in Dogs and Cats. Fluid, Electrolyte, and Acid–base Disorders in Small Animal Practice. St. Louis, MO.

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Published

2014-06-30

How to Cite

Rosenhagen, N., & Whittington, J. (2014). Protocol Followed for Management of Hypernatremia in a White–tailed Deer Fawn (Odocoileus virginianus). Wildlife Rehabilitation Bulletin, 32(1), 18–22. https://doi.org/10.53607/wrb.v32.24

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