1)     RECOMMENDATIONS

a)      General Approach

i)        Stabilize this disease before proceeding with anesthetic events

ii)       Accommodate animals decreased ability to respond to stress

iii)     Confirm serum electrolyte values prior to induction

b)      Pre-anesthetic Medications

i)        These patients should receive additional glucocorticoids the morning of the procedure

(1)   Prednisolone acetate should be administered at 0.25 mg/lb IM at admission

ii)       Follow routine pre-anesthetic medications guidelines based upon patient assessment and categorization

c)      Induction

i)        Follow routine induction guidelines based upon patient assessment and categorization

d)      Maintenance

i)        Follow routine maintenance guidelines based upon patient assessment and categorization

e)      Support

i)        0.9% Saline would be indicated for fluid support

(1)   Replacement fluids, such as lactated ringer’s solution, are not ideal due to their potassium content

2)     PRECAUTIONS

a)      Pre-anesthetic Medications

i)        Nothing specific

b)      Induction

i)        Nothing specific

c)      Maintenance

i)        Nothing specific

d)      Support

i)        Use potassium containing fluids with caution (both maintenance and replacement fluids contain potassium)

(1)   Maintenance fluids contain higher potassium levels compared to replacement fluids

(2)   0.9% Saline would be indicated for fluid support