Using replacement solutions for short-term maintenance fluid therapy typically does not alter electrolyte balance; however, electrolyte imbalances can occur in patients with renal disease or in those receiving long-term administration of replacement solutions for maintenance. Now available: Step-by-Step Anesthetic Safety. Emergency Ready All staff to have received CPR training, and CPR simulations to be practiced in house every 6 months. 2019 Zoonoses. For a printable PDF, click here. 2020. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz��������������������������������������������������������������������������� Stone, A.E.S. Formula: 132 x body weight (kg) 0.75. We checked the impact of the SMART and SALT-ED trials on this guideline in June 2020. AAHA teamed up with the American Association of Feline Practitioners (AAFP) to release the AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats on May 1. patient’s hydration status. Rule of thumb: 2–3 mL/kg/hr. The American Animal Hospital Association (AAHA) and the American Association of Feline Practitioners (AAFP) released the 2020 AAHA/AAFP Feline Vaccination Guidelines to the veterinary community, which are published in the Journal of Feline Medicine and Surgery. /BitsPerComponent 8 The AAHA/AAFP guidelines suggest maintenance fluid rates of 2-3 ml/kg/h in cats and 2-6 ml/kg/h in dogs. /Type /XObject 2019 Zoonoses. The guidelines … The release defines distinct feline life stages and provides a framework for individualized healthcare plans. This review may occur as part of annual review (as required by the Animal Welfare Act regulations), continuing review at least once every 3 years (as required by PHS … 2013 Environmental Needs. Released May 1, 2013, the guidelines provide … Bʤ� ��c�,� u�x�ϧ_�'�W�����s��ÆGs`Nf�^�doǡ��G�*OJč1po��g�������]J���;($��tϧ���@�T�I-�8����K� T{_����sI�âii��ʬ����O���u�B|����N-���y^��Z�� E���rOA銌H�a$}޼���ڂ������|2Hgӕ�|��z���O�� ƛΖY� b�BG9;���|�$*��|���ӿ�� �1�OT9=r}���������Zr��7�%����eEr�L�2q�8�K���],��q!a����]j�l���1�"���� U8 /Creator (�� w k h t m l t o p d f 0 . Another option for a maintenance fluid solution is to use 0.45% sodium chloride with 13–20 mmol/L KCl added.5 Click here for additional resources. P. 16. The 2020 ISH Global Hypertension Practice Guidelines were developed by the ISH Hypertension Guidelines Committee based on evidence criteria, (1) to be used globally; (2) to be fit for application in low and high resource settings by advising on essential and optimal standards; and (3) to be concise, simplified, and easy to use. © 2021 American Animal Hospital Association. All rights reserved. Guideline development process. >> Format: Book. The AAHA and AAFP convened a Task Force of experts in feline clinical medicine to update the 2010 Feline Life Stage Guidelines. Product Recalls; Brexit; PharmaVan II; Fuel Surcharge; Service Updates; PPE Information; Covid-19; Follow us. 2018 Anesthesia. 44 Hypoglycemia Initial therapy for hypoglycemia is based on severity of clini-cal signs more than on laboratory findings. 2013 Environmental Needs. We will not update the guideline at this time. Provide the maintenance rate plus any necessary replacement rate at < 10ml/kg/hr. Cats. 2016 Hyperthyroidism. Risk for complications and even death is inherent to anesthesia. endobj Find out this May at Connexity, Determining Route of Fluid Administration, General Principles and Patient Assessment. 2019 Zoonoses. More Information: AAHA Fluid therapy guidelines. Mefenoxam, Itraconazole, and Terbinafine Combination Therapy for Management of Pythiosis in Dogs (Six Cases) Guidelines Developed by experts in the profession, AAHA guidelines provide cutting-edge information and frequent updates that help veterinary professionals face the demands of a continually shifting industry to ensure pets receive the best possible care. 2016 Hyperthyroidism. 2018 Anesthesia. These are unprecedented times calling for resilience and creative adaptation. /Title (�� A a h a f l u i d t h e r a p y g u i d e l i n e s 2 0 2 0) 6 0 obj North Am Vet Conf, 2007. Click here to access the guidelines. This guideline was previously called intravenous fluid therapy in adults in hospital. We at the EAU are aware that priorities lie elsewhere at the moment, but this is precisely the moment that we want to be at your side. nccn explicitly disclaims the appropriateness or applicability of the nccn content, the nccn guidelines, and any derivative resources, or the use or application of the nccn content, the nccn guidelines or any such derivative resources, to any specific patient's care or treatment. J Am Anim Hosp Assoc 2013; 49:149-159. Stay at or below the 0.2 mL/kg volume. Introduction Justine A. Lee, DVM, DACVECC, DABT CEO, VetGirl justine@vetgirlontherun.com . 2014 Antimicrobials. Page 24 - 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats P. 24 This implementation toolkit was developed by the American Animal About AAHA— Hospital Association (AAHA) to provide information for practitioners The American regarding fluid therapy for dogs and cats. This guideline includes recommendations on: 1 2 . 2013 AAHA-AAFP Fluid Therapy Guidelines.pdf. 2021 AAHA/AVMA Telehealth Guidelines for Small-Animal Practice. AAFP/AAHA 2013 Fluid Therapy Guidelines. 2020 Retrovirus. My Dashboard; PRINCIPLES OF ANESTHESIA (VMC_768_001_S2016) Files; 2013 AAHA-AAFP Fluid Therapy Guidelines.pdf; Spring 2016. Page 4 of 9. ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual 2020 Retrovirus. 2009 … 2015 Pain Management. P. 17. To provide guidance for veterinary practitioners, the American Association of Feline Practitioners (AAFP) and American Animal Hospital Association (AAHA) have released the AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats for use by veterinary professionals. How we develop NICE guidelines . (2020) 2020 AAHA/AAFP Feline Vaccination Guidelines. AAHA Dental Care Guidelines for Dogs and Cats. The Fluid Therapy Guidelines for Dogs and Cats ensure that pets get the best possible care. Login Dashboard. /Height 155 2011 Handling. monitoring. EAU Guidelines 2020 now available online 25 March 2020. /SMask /None>> Today, we publish the new EAU Guidelines which are now available online. 2015 Pain Management. It aims to help prescribers understand the optimal amount and composition of IV fluids to be administered and the best rate at which to give them, to improve fluid prescribing and outcomes among people in hospital. Stakeholders commented that use of balanced crystalloids is increasingly common in children in the UK, but large RCTs in children are lacking, so evidence in adults should be considered. The guidelines are an update of the 2013 AAHA Dental Care Guidelines for Dogs and Cats. The Guidelines were written by an international panel of experts and included not only retrovirus researchers, but veterinarians working in private practice and in shelters. 2018 AAHA Infection Control, Prevention, and Biosecurity Guidelines 2010 NSAIDs. 813-830. All patients to have an IV access during anaesthesia via a IV catheter. 2019 Canine Life Stage Guidelines. The American Animal Hospital Association (AAHA) and the American Association of Feline Practitioners (AAFP) released the 2020 AAHA/AAFP Feline Vaccination Guidelines to the veterinary community, which are published in the Journal of Feline Medicine and Surgery.. For your convenience, guidelines are offered in both full and summary formats. 2011 Handling. /Type /ExtGState 2013 Environmental Needs. 2019 AAHA Dental Care Guidelines for Dogs and Cats. 2014 Antimicrobials. >> /Producer (�� Q t 4 . 8 . The AAHA/AAFP fluid therapy guidelines thoroughly prepare animal hospitals to best administer these life-saving fluids and customize treatment to the needs of each individual dog or cat. 2013 Fluid Therapy. 2013 Environmental Needs. 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats. Patients are given fluids for many reasons, and the number of available fluids is growing. Dogs. This guideline represents a major opportunity to improve patient safety for children and young people having IV fluid therapy in hospital. This guideline covers the general principles for managing intravenous (IV) fluid therapy in hospital inpatients aged 16 and over with a range of conditions. Recommendations for Anesthetic Fluid Rates. �8nc�M̧. Lakewood, 2013 Fluid Therapy. �� C�� �q" �� This version supersedes previous editions and has been peer reviewed by independent experts. endobj 4 0 obj 2020 AAHA/AAFP Feline Vaccination Guidelines. A����� ��v�QmZO]>~�ן��� ¢�� ���>U� ,.��8+�7��1J~xz9 2011 Handling. Treatment options include oral glucose solutions, IV dextrose-containing fluids, or food (if not contraindicated). 5) COVID-19 Update: AAHA staff is currently working remotely and will support our members virtually. September 2005 ; Journal of the American Animal Hospital Association 41(5):277-83; DOI: 10.5326/0410277. << Therapy must be individualized, tailored to each patient, and constantly re-evaluated and reformulated according to changes in status. /ColorSpace /DeviceRGB CONSIDERATIONS:(1)Pelviclimbmotorfunctionisnotblockedunlessthevolumeoflocalanestheticislarge,causingcranialspreadtothemotor nerves of the pelvic limbs. Registered in England and Wales: AAH Pharmaceuticals Ltd – 0123458. • Maintenance fluid rate for puppy or kitten may be estimated as 3-4mL/kg/hr • More detailed guidelines are available in the ‘2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats’ Fluid deficit: • If present, the fluid deficit needs to be calculated and this can be done by estimating the percentage dehydration: • e.g. Page 17 - 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats. Here are the top five things to know: Lift your pets lip and run your fingers along his gums. For your convenience, guidelines are offered in both full and summary formats. presented at the American Heartworm Society’s Triennial Symposium, new research, and additional clinical experience. 2011 Handling. 2020 exceptional surveillance of intravenous fluid therapy in adults in hospital (NICE guideline CG174) © NICE 2020. 2014 Antimicrobials. /ca 1.0 Fluid Therapy Services . Adjust amount and type of fluids based on patient assessment and. d����o���n?����i\�h��v��=���|8�>��!�K������ 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Published: October 21, 2020 The 2020 AHA Guidelines for CPR and ECC reflect the latest global resuscitation science and treatment recommendations derived from the 2020 International Consensus on CPR and ECC with Treatment Recommendations (CoSTR). In June 2020, we amended a recommendation to clarify the use of isotonic crystalloids for routine maintenance in term neonates. Calendar Inbox History Help Close. (2) If tail/anus relaxation does not occur within 5 min (within 8 –10 min with bupivacaine or ropivacaine), the injection mayhavebeenmadesubcutaneously. ����!�� mk 5ѹ�����n��@H$�ߎG�kO�s�! Skip To Content. After October 1, 2020, as a previously approved protocol is reviewed, the protocol's compliance with the 2020 Guidelines should be considered by the IACUC and any necessary amendments should be requested. AAHA is closely following COVID-19 developments. 2018 Anesthesia. Urine production constitutes the majority of fluid loss in healthy patients.2,3 Maintenance fluid therapy is indicated for patients that are not eating or drinking, but do not have volume depletion, hypotension, or ongoing losses. A typical guideline would be to reduce the anesthetic fluid rate by 25% q hr until maintenance rates are reached, provided the patient remains stable Rule of thumb for cats for initial rate: 3 mL/kg/hr Donohoe C. The technician's role in fluid therapy-from catheters to colloids, Part 2, in Proceedings. << sources of fluid and electrolytes (oral, enteral and drug prescriptions) Monitor and reassess fluid and biochemical status by clinical and laboratory monitoring No No Algorithms for IV fluid therapy in adults ‘Intravenous fluid therapy in adults in hospital’, NICE clinical guideline … Strategies for bringing back clients, finances, and production postpandemic, Practices Celebrating Accreditation Anniversaries, AAHA Board of Directors notice of position vacancies, Notice of AAHA Board of Directors slate of nominations, AAHA Are you smarter than a specialist? endobj Page 18 - 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats 3 0 obj We stand with the veterinary profession and encourage you to reach out virtually to us and the rest of the AAHA community so we can continue to share practical resources and relevant updates as they become available. Fluid selection is dictated by the patient's needs, including volume, … The SMART and SALT-ED studies were highlighted to us during consultation of the 2020 surveillance review of the NICE guideline on intravenous fluid therapy in children and young people in hospital. Administering replacement solutions such as LRS for maintenance predisposes the patient to hypernatremia and hypokalemia because these solutions contain more sodium (Na) and less potassium (K) than the patient normally loses.Well-hydrated patients with normal renal function are typically able to excrete excess Na and thus do not develop hypernatremia. 2020 Feline Vaccination. 2020 Feline Vaccination. Replacement fluids (e.g., LRS) are intended to replace lost body fluids and electrolytes. /Filter /DCTDecode /Length 7 0 R Careful administration using calibrated administration equipment and continued monitoring will minimise risks of … ��r?��B��J Therapy must be individualized, tailored to each patient, and constantly re-evaluated and reformulated according to changes in status. Recommended maintenance fluid rates (mL/kg/hr), Whether administered either during anesthesia or to a sick patient, fluid therapy often begins with the. Data Tables: Fluids Setup Data Tables: Fluid Therapy . COUPON (0 seconds ago) The Task Force recommends vaccines for FHV-1, FCV, FPV, rabies, and FeLV (cats younger than 1 year old) as core vaccines for pet and shelter cats. PROMOTE YOUR VIRTUAL APPOINTMENTS AND MORE! Recommendations are given for general anesthesia, pain management, facilities, and equipment necessary for safe and effective delivery of care. COVID-19 Update: AAHA staff is currently working remotely and will support our members virtually. Needs may vary according to the existence of either acute or chronic conditions, patient pathology … Inside This Toolkit Why Guidelines Matter .....3 Understand the Guidelines’ Key Points .....4 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats .....5 Improve Your Practice with a Model Protocol .....16 Make Uniform Decisions with a Model Algorithm .....17 Clarify Staff Roles and Responsibilities .....19 Answer 5 Common Client Questions .....20 Educate Clients with a Simple … NICE's surveillance team checked whether recommendations in the NICE guideline on intravenous (IV) fluid therapy in children and young people in hospital remain up to date. 2012 Nursing Care. 12575 W. Bayaud Ave., 2019 Zoonoses. Infection Control, Prevention, and Biosecurity, Distance Education Veterinary Technology Program (DEVTP). Dashboard. 3. 2012 Nursing Care. All Rights Reserved. 2014 House Soiling. Patients are given fluids for many reasons and the number of fluids available is increasing. The 2020 AHA Guidelines for CPR and ECC reflect the latest global resuscitation science and treatment recommendations derived from the 2020 International Consensus on CPR and ECC with Treatment Recommendations (CoSTR). Recommendations. Fluid therapy is important for many medical conditions in veterinary patients. 2014 Antimicrobials. 11. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of-rights). Dr. Lee’s financial disclosure . /Width 625 Maintenance fluid therapy is indicated for patients that are not eating or drinking, but do not have volume depletion, hypotension, or ongoing losses. /SM 0.02 ... AAHA Guidelines arrow_drop_down. �� � } !1AQa"q2���#B��R��$3br� , which is the amount of fluid estimated to maintain normal patient fluid balance (Table 3). 2009 … 2020 Retrovirus. Isotonic polyionic replacement crystalloids such as LRS may be used as either replacement or as maintenance fluids. /CA 1.0 NICE guideline on IV fluid therapy in adults in hospital. Add to cart favorite Add to wishlist Description; TOC; Targeted data is the foundation of a solid pricing ... 10. appendix A. Overview of 2020 surveillance methods . Rule of thumb: 2–3 mL/kg/hr. "The 2020 Feline Retrovirus Testing and Management Guidelines contain much new information about feline leukemia and feline immunodeficiency virus infections. Fluid therapy in real-life practice: All you need to know! 2010 NSAIDs. /SA true 2020 AAHA/AAFP Feline Vaccination Guidelines. Davis H, Jensen T, Johnson A, et al. See the AAHA Diabetes Management Guidelines for details on managing hyperglycemia. Optional … If he is well-hydrated, his gums will be slippery and moist to the touch. These guidelines should be used as recommendations and each practitioner must decide on their own about the treatment protocols based on their professional judgment and an individual case basis for each patient. 2015 Pain Management. 2016 Hyperthyroidism. To provide guidance for veterinary practitioners, the American Association of Feline Practitioners (AAFP) and American Animal Hospital Association (AAHA) have released the AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats for use by veterinary professionals. The following are key perspectives from the 2020 American Heart Association/American College of Cardiology (AHA/ACC) guideline for the management of patients with hypertrophic cardiomyopathy (HCM): Shared decision making is recommended for all aspects of HCM care including genetic testing, activity, lifestyle, and therapy choices. Maintenance crystalloid solutions are commercially available. A photographically illustrated, 12-step protocol describes the essential steps in an oral health assessment, dental cleaning, and periodontal therapy. ����?Z� Source; … /CreationDate (D:20210324054947+02'00') Guidelines for the Diagnosis, Prevention, and Management of Heartworm (Dirofilaria immitis) Infection in Dogs and Cats. Fluid therapy is one of the most common therapies provided in small animal medicine. %PDF-1.4 2016 Hyperthyroidism. 2. Whether administered either during anesthesia or to a sick patient, fluid therapy often begins with the maintenance rate, which is the amount of fluid estimated to maintain normal patient fluid balance (Table 3). We are facing challenging times where healthcare professionals are on the front line of a health crisis. 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats. Journal of Feline Medicine and Surgery, 22 (9), pp. $4�%�&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz�������������������������������������������������������������������������� ? Alternatively, fluid made up of equal volumes of replacement solution and D5W supplemented with K (i.e., potassium chloride [KCl], 13–20 mmol/L, which is equivalent to 13–20 mEq/L) would be ideal for replacing normal ongoing losses because of the lower Na and higher K concentration. << Knowing why fluids are ordered, the goals and limitations of fluid therapy, and how fluids are … Administration of fluid therapy has advantages for all anaesthetised patients. 2018. Consideration should be given to type and dose or whether it is appropriate to withhold. Guideline Development Process. 2020. CO 80228. Fluid selection is dictated by the patient’s needs, including volume, rate, fluid composition required, and location the fluid is needed (e.g., interstitial versus intravascular). 2013 Fluid Therapy. 2014 House Soiling. 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats Fluid distribution abnormalities include edema (pulmonary, General Guidelines for IV Fluid Administration peripheral, interstitial) and effusions (pleural, abdominal, through y Use a new IV line and bag for … Journal of Feline Medicine and Surgery (2020) 22, 813–830 2020 AAHA/AAFP Feline Vaccination Guidelines Abstract: The guidelines are a consensus report on current recommendations for vaccination of cats of any origin, authored by a Task Force of experts. People who receive IV fluid therapy in hospital and their families and carers; Is this guideline up to date? Available from the International Veterinary Information Service (www.ivis.org). The assessment of patient history, chief complaint, physical exam findings, and indicated additional testing will determine the need for fluid therapy. A photographically illustrated, 12-step protocol describes the essential steps in an oral health assessment, dental cleaning, and periodontal therapy. 2009 … Non-core vaccines are optional vaccines that should be considered in the light of exposure risk; that is, based on geographic distribution and the lifestyle of the cat. [/Pattern /DeviceRGB] The guidelines are an update of the 2013 AAHA Dental Care Guidelines for Dogs and Cats. 2009 … Understanding a cat’s life stage and lifestyle greatly impacts healthcare strategies. Sponsorship Thanks to Abbott Animal Health for sponsoring tonight’s VetGirl webinar! Model Algorithm Approach to Using the 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats Healthy, normal patient? Dimensions: 8.5'' x 11'' Publisher: AAHA Press. 2021 Feline Life Stage; 2020 Feline Vaccination 2020 Feline Retrovirus Management; 2019 Zoonoses; 2018 Feline Anesthesia 2015 Pain Management. Sponsorship Thanks to Abbott Animal Health for sponsoring tonight’s VetGirl webinar! Modern Slavery Act Statement 2020; PV Adverse Event Reporting; Gender Pay Gap Figures; GDPR; Careers; Manufacturers; News. Recommended maintenance fluid rates (mL/kg/hr)49. Aaha fluid therapy guidelines 2020 Download - Fluid Therapy Guidelines Download - Implementation Toolkit Fluid therapy is important for many medical conditions in dogs and cats. This RACE-approved web conference based on the 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats covers the continuum of anesthetic care, with a focus on staff training. 1 0 obj COVID-19 Update: AAHA staff is currently working remotely and will support our members virtually. Abstract . ���� JFIF K K �� C This AHA Guideline is considered the gold standard with regard to clinical recommendations in the practice of resuscitation science not only in North America, but … Share this article Share with email Share with twitter Share with linkedin Share with facebook. Needs may vary according to the existence of either acute or chronic conditions, patient pathology … Guidelines for the Diagnosis, Prevention, and Management of Heartworm (Dirofilaria immitis) Infection in Dogs and Cats. [:g�[;Vy:���=�q�K�?�H�b�@��Ďx���t�c,Gn�ݒ����빓QMǯ��և2�|9�r�����*�s�x�$��9*2f��tF�� ]t�91���a������ ���!aC:�UrC�~x� =(H�v]Q�E���h#_��%x��2)^q�����T^0�� g�n#͗�������Ҹe����m����:���J���͓�P � 2020 Retrovirus. Whether administered either during anesthesia or to a sick patient, fluid therapy often begins with the maintenance rate, which is the amount of fluid estimated to maintain normal patient fluid balance (Table 3). Page 16 - 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats. The rate is lower in cats than in dogs, and lower … The AAHA and AAFP convened a panel of experts to update the 2013 AAFP Feline … 2018 Anesthesia. 2014 House Soiling. Hospital Association (AAHA) have released the AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats for use by veterinary professionals. Guidelines on the management of ascites in cirrhosis Guruprasad P Aithal , 1,2 Naaventhan Palaniyappan, 1,2 Louise China, 3 Suvi Härmälä, 4 Lucia Macken , … Fluid selection is dictated by the patient's needs, including volume, rate, fluid composition required, and location the fluid is needed (e.g., interstitial versus intravascular). et al. Sponsorship Thanks to Abbott Animal Health for sponsoring tonight’s VetGirl webinar! /AIS false stream 2012 Nursing Care. Formula: 80 x body weight (kg) 0.75. … These guidelines are a living document and are revised periodically based on information . /Subtype /Image 2014 House Soiling. Fluid therapy is important for many medical conditions in dogs and cats. 2012 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats. 2020 Feline Vaccination. 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Aaha fluid therapy guidelines potassium Fluid therapy is one of the most common treatments in small animal medicine. 2010 NSAIDs. 2012 Nursing Care. The Fluid Therapy Guidelines for Dogs and Cats ensure that pets get the best possible care. J Am Coll Cardiol 2020;Dec 17:[Epub ahead of print]. 7) The surveillance process consisted of: • Feedback from topic experts via a questionnaire. ��R��Y1�=�{�O��J|۸�‚���'1'�� ��4��[�n% u�7'��v�K� 2013 Fluid Therapy. �� � w !1AQaq"2�B���� #3R�br� If using a replacement crystalloid solution for maintenance therapy, monitor serum electrolytes periodically (e.g., q 24 hr). 2010 NSAIDs. Fluid therapy is important for many medical conditions in veterinary patients. Rule of thumb: 2–6 mL/kg/hr. Coronavirus: ... , 01 Mar 2020, 56(2): 59-82 DOI: 10.5326/jaaha-ms-7055 PMID: 32078360 . Urine production constitutes the majority of fluid loss in healthy patients. 2020 Feline Vaccination. All orders are currently shipping as normal. AND GUIDELINES Otto et al 2020 ACC/AHA Guideline for the Management of Valvular Heart Disease: Executive Summary AIM: This executive summary of the valvular heart disease guideline provides recommendations for clinicians to diagnose and manage valvular heart disease as well as supporting documentation to encourage their use. 2019. 4. Hypokalemia may develop in patients that receive replacement solutions for maintenance fluid therapy if they are either anorexic or have vomiting or diarrhea because the kidneys do not conserve K very well.4.