The Changes of Blood Chemistry and Electrolytes on the Furosemide Administration in Thoroughbred Racing Horses

Thoroughbred 경주마에서 Furosemide 투여에 따른 혈액 및 전해질의 변화

  • Published : 2007.12.31

Abstract

Furosemide is a potent diuretic used in the horse for the prophylaxis of exercise-induced pulmonary hemorrhage(EIPH), and in a variety of clinical condition. The purpose of this study was to set up the effect of furosemide in Thoroughbred horses, and to examine the time of maximal effect of furosemide to prevent the EIPH. The animals of the experiment were 4 Thoroughbred racing horses(female, average 6 yrs, BW $507{\pm}80.2kg$) in Jeju stud farm and the experiment was cross-over design between furosemide(1 mg/kg IV) and normal saline(0.1 ml/kg, IV) administration. We investigated the changes of clinical signs(body weight, skin turgor, capillary refilling time, jugular distensibility), CBC(PCV RBC), serum chemistry(TP, AST, GGT, glucose, LDH, BUN and creatinine) and electrolytes ($Na^+,\;K^+,\;Cl^-,\;Ca^{2+}$) on 0, 30 mins, 1, 2, 4, 8 and 24 hrs in furosemide and saline administration roup, respectively. The weight decreased significantly(P<0.05) in 4 hrs after furosemide treatment, but skin turgor, CRT, jugular distensibility remained unchanged throughout the experimental period. RBC and PCV decreased after furosemide administration but soon recovered. TP increased to the highest level in 30 mins after furosemide administration and recovered in 8 hrs. Furosemide administration resulted in increases in glucose, AST, GGT, LDH, BUN, creatinine(P<0.05) and decreases in $Ca^{2+},\;Na^+,\;K^+,\;Cl^-$ (P<0.05). All of values were within normal range throughout the experimental period. There was the alteration of blood and serum chemistry after furosemide administration, all of values were within normal range. And the best time of furosemide administration will be 30 minutes before the racing in order to preventing EIPH.

Keywords

References

  1. Chay S, Woods WE, Rowse K, Nugent TE, Blake JW, Tobin T. The pharmacology of furosemide in the horse. Pharmocokinetics and blood levels of furosemide after intravenous administration. Drug Metab Dispos. 1983; 11: 226-231
  2. Dill DB, Costill DL. Calculation of percentage changes in volumes of blood, plasma and red cells in dehydration. J Appl Physiol 1974; 37: 247-248 https://doi.org/10.1152/jappl.1974.37.2.247
  3. Dominquez JH. Therapy of hypercalcemia with diuretic agent In: Puschett JB, ed. Deuretics. New York : Elsevier-Science Publishing Co. 1984: 215-221
  4. Freestone JF, Carlson GP, Harrold DR, Church G. Influence of furosemide treatment on fluid and electrolyte balance in horses. Am J Vet Res 1988; 49: 1899-1902
  5. Gabel AA, Tobin T, Ray RS. Furosemide in Horse : A review. Equine Vet J 1977; 1: 215-218
  6. Harrison MH. Effects of thermal stress and exercise on blood volume in human. Physiol Rev 1985; 65: 149-209 https://doi.org/10.1152/physrev.1985.65.1.149
  7. Hinchcliff KW, Kaneps AJ, Geor RJ. Equine Sports Medicine and Surgery. USA. Saunders. 2004: 634
  8. Hinchcliff KW, McKeever KH, Muir WW 3rd. Furosemideinduced change in plasma and blood volume of horses. J Vet Pharmacol Ther 1991; 14: 411-417 https://doi.org/10.1111/j.1365-2885.1991.tb00855.x
  9. Hinchcliff KW, Muir WW 3rd. Pharmacology of furosemide in the horse : a review. J Vet Intern Med 1991; 5: 211-218 https://doi.org/10.1111/j.1939-1676.1991.tb00951.x
  10. Hinchcliff KW, Mckeever KH, Muir WW 3rd. Furosemideinduced changes in plasma and blood volume of horses. J Vet Pharmacol Ther 1991; 14: 411-417 https://doi.org/10.1111/j.1365-2885.1991.tb00855.x
  11. Hinchcliff KW. Mckeever KH. Fluid administration attenuates the haemodynamic effect of furosemide in running horses. Equine Vet J 1998; 30: 246-250 https://doi.org/10.1111/j.2042-3306.1998.tb04495.x
  12. Hopper MK, Pieschl RL, Pelletier NG, Erickson HH. Cardiopulmonary effects of acute blood volume alteration prior to exercise. In: Equine Exercise Physiology 3rd Ed: Persson SGB, Lindholm A and Jeffcott LB. ICEEP Publications, Davis. 1991: 9-16
  13. Johansson AM, Gardner SY, Levine JF, Papich MG, Lafevers DH, Goldman RB, Sheets MK, Atkins CE. Pharmacokinetics and pharmacodynamics of furosemide after oral administration to horses. J Vet Intern Med 2004; 18: 739-743 https://doi.org/10.1892/0891-6640(2004)18<739:PAPOFA>2.0.CO;2
  14. Manohar M. Hutchens E, Coney E. Furosemide attenuates the exercise-induced rise in pulmonary capillary blood pressure in horses. Equine Vet J 1994; 26: 51-54 https://doi.org/10.1111/j.2042-3306.1994.tb04331.x
  15. McDonough P, Kindig CA, Poole DC, Rush BR, Erickson HH. Equine nasal strip reduces bleeding in racehorses. Proceedings of 18th Symposium of the Comparative Respiratory Society 2000; 30
  16. Odlind B. Relation between renal tubular secretion and effects of five loop diuretics. J Pharmacol Exp Ther 1979; 211: 238-244
  17. Olsen SC, Coyne CP, Lowe BS, Pelletier N, Raub EM, Erickson HH. Influence of furosemide on hemodynamic responses during exercise in horses. Am J Vet Res 1992; 53: 742-747
  18. Pascoe JR, Ferraro GL, Cannon JH, Arthur RM, Wheat JD. Exerciseinduced pulmonary hemorrhage in racing thoroughbreds: a preliminary study. Am J Vet Res 1981; 42: 703-707
  19. Persson SG, Ekman L, Lydin G, Tufvesson G. Circulatory effects of splenectomy in the horse. . Effect on plasma volume and total and circulating red-cell volume. Zentrabl Veterinarmed A 1973; 20: 456-468
  20. Rivas LJ, Hinchcliff KW. Effect of furosemide and subsequent intravenous fluid administration on right atrial pressure of splenectomized horses. Am J Vet Res 1997; 58: 632-635
  21. Soma LR, Korber K, Anderson T, Hopsins J. Effects of furosemide on the plasma and urinary concentrations and the excretion of fentanyl: Model for the study of drug interaction in the horse. Am J Vet Res 1984; 45: 1743-1749
  22. Soma LR, Uboh CE. Review of furosemide in horse racing : its effects and regulation. J Vet Pharmacol Ther 1998; 21: 228-240 https://doi.org/10.1046/j.1365-2885.1998.00132.x
  23. Sosa Leon LA, Hodgson DR, Carlson GP, Rose RJ. Effects of concentrated electrolytes administered via a paste on fluid, electrolyte, and acid base balance in horses. Am J Vet Res 1998; 59: 898-903
  24. Tobin T, Roberts BL, Swerczek TW. The pharmacology of furosemide in the horse. Dose and time response relationships, effects of repeated dosing, and performance effects. J Equine Med Surg 1978; 2: 216-226