Isotonic hyponatremia Isotonic hyponatremia Isotonic hyponatremia is a form of hyponatremia with mOsm measured between 280 and 295. It can be associated with pseudohyponatremia, or with isotonic infusion of glucose or mannitol. Certain conditions, such as extraordinarily high blood levels of lipid (hyperlipidemia/hypertriglyceridemia) or protein (hyperparaproteinemia), magnify the electrolyte exclusion effect. This interferes with the measurement of serum sodium concentration by certain methods, leading to an erroneously low "measurement" of sodium, or pseudohyponatremia. The methods affected are the flame-photometric and indirect (but not direct) ion-selective electrode assays. This is distinct from a true dilutional hyponatremia that can be caused by an osmotic
Blood type (non-human) Ideally, cross-matching should be performed prior to transfusion, or a universal donor may be used. The ideal universal whole blood donor is a non-thoroughbred gelding that is Aa, Ca, and Qa negative. If this is not available, a gelding, preferably of the same breed as the patient, may be used as a donor, and cross-matching may be crudely accessed by mixing donor serum with patient blood. If the mixture agglutinates, the donor blood contains antibodies against the blood of the patient, and should not be used. The polymorphic systems in cattle include the A, B, C, F, J, L, M,