EN
The effects of iv infusion of 7.2% NaCl (HSS, 4 ml/kg; n=6) or 7.2% NaCl in 6% dextran 70 (HSD, 4 ml/kg; n=6) followed by administration of 0.9% NaCl (ISS, 32 ml/kg) on sodium (Na), chloride (Cl), potassium (K) serum concentrations, osmolality (Osm), total protein content (TP), packed cell volume (PCV), haemoglobin concentration (Hb) and red blood cell count (RBC) were evaluated in twelve healthy sheep for 360 min. The changes in blood parametres after infusion of hypertonic and isotonic solutions were not significantly different between HSS and HSD groups. In these groups the increase in Na, Cl and Osm accompanied by the decrease in K, TP, PCV, Hb and RBC were observed at 5 min after administration of hypertonic solutions. Infusion of ISS 60 min after administration of HSS or HSD did not produce a further increase in Na, Cl and Osm, whereas K, TP, PCV, Hb and RBC decreased to the lowest values at 90 min. These results indicate that the initial bolus dose of HSS or HSD produces a rapid recruitment of extravascular fluids into the vascular compartment, whereas subsequent large volume infusion of ISS maintains intravascular blood volume expansion and does not create a risk of hypernatremia.