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A Chem-7 is thus a vital tool when attempting to stabilize a patient. [citation needed] Calcium (Ca 2+) is often considered part of the BMP, [9] [10] though, by definition, it is not part of the CHEM-7. A basic metabolic panel including calcium is sometimes colloquially referred to as a "CHEM-8".
[7] The ratio of calcium to phosphorus is essential to bone and teeth health; if there is excessive phosphorus within a diet, it can result in resorption and reduction of the alveolar bone [7] as shown in Henrikson's studies when dogs were fed a low calcium, high phosphorus diet. [8]
During growth, young dogs are more susceptible to infection, but the addition of proper levels of vitamin E to the diet reduces free radical oxidative damage and leads to an increase in immunity. Calcium and phosphorus, in the appropriate amounts and ratio, aid in proper bone and cartilage growth and maturation.
There are numerous versions of the BCS chart available for use including 5-point and 7-point versions, however, the 9-point chart is the only version where the scores correlate with true body fat percentage measured using dual-energy X-ray absorptiometry (DEXA) scans.
They are the most common stone in male dogs. [10] Calcium oxalate stones are also common in domestic rabbits. Rabbits are prone to hypercalciuria due to intestinal absorption of calcium not being dependent on vitamin D and a high fractional urinary excretion of calcium. [9] The urine will appear thick and creamy or sometimes sandy.
The US Institute of Medicine (IOM) established Recommended Dietary Allowances (RDAs) for calcium in 1997 and updated those values in 2011. [6] See table. The European Food Safety Authority (EFSA) uses the term Population Reference Intake (PRIs) instead of RDAs and sets slightly different numbers: ages 4–10 800 mg, ages 11–17 1150 mg, ages 18–24 1000 mg, and >25 years 950 mg. [10]
The plasma total calcium concentration is in the range of 2.2–2.6 mmol/L (9–10.5 mg/dL), and the normal ionized calcium is 1.3–1.5 mmol/L (4.5–5.6 mg/dL). [4] The amount of total calcium in the blood varies with the level of plasma albumin, the most abundant protein in plasma, and therefore the main carrier of protein-bound calcium in the blood.
Pimobendan is indicated for the management of the signs of mild, moderate, or severe congestive heart failure in dogs due to clinical myxomatous mitral valve disease (MMVD) or dilated cardiomyopathy (DCM); [1] [7] and for use with concurrent therapy for congestive heart failure (e.g.,furosemide, etc.) as appropriate on a case-by-case basis. [1]