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Journal January 2012 (Vol 34, No 1)

NOTE: You have already passed this course.
NOTE: This course is no longer valid for accreditation purposes.

Interpreting Lactate Measurement in Critically Ill Horses: Diagnosis, Treatment, and Prognosis by Brett S. Tennent-Brown , BVSc, MS, DACVIM, DACVECC

1. In adult horses, increases in blood lactate concentration are most often due to
2. The measurement of blood lactate concentrations has been suggested as a resuscitation end point. Which of the following statements is incorrect regarding the suitability of lactate as a guide for resuscitation?
3. Hemoglobin concentrations form the basis of most recommendations for blood transfusions in human medicine; in horses, blood lactate concentration
4. The measurement of lactate concentration has been suggested for rapidly characterizing the nature of synovial fluid, particularly when the findings of other tests are equivocal or delayed. Which of the following statements is accurate regarding the measurement of lactate concentration in experimental septic arthritis in horses?
5. In human medicine, the measurement of CSF lactate concentration has been suggested for differentiating bacterial from viral meningitis. In equine medicine, CSF lactate concentration
6. The measurement of peritoneal lactate concentration has some use in horses with colic. Peritoneal lactate concentration
7. Admission blood lactate concentrations in hospitalized foals are
8. Regarding serial blood lactate measurement in critically ill foals, mean lactate concentrations are
9. Regarding serial blood lactate measurement in adult horses assessed on an emergent basis, mean lactate concentrations are higher in nonsurvivors at admission and then
10. In a study that serially measured lactate concentrations in adult horses after hospital admission, blood lactate concentrations increased between 24 and 72 hours in nonsurvivors. What was the mechanism for this increase?
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