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1 Section of Renal Diseases, Department of Medicine, The Mount Sinai Hospital, New York City
In normal anesthetized hydropenic dogs, the TcH2O-Cosm relation generated by infusing hypertonic solutions was variable. In ten dogs TcH2O rose as Cosm increased, attaining a maximum of 3.76.3 ml/min ("high curve"). In seven dogs a maximum TcH2O of only 1.42.5 ml/min was observed at low Cosm and CH2O was often generated at moderate Cosm ("low curve"). The acute reproducibility of this TcH2O-Cosm relation was examined by allowing Cosm to return to low levels and again infusing the same hypertonic solution. The TCH2O-Cosm relation was duplicated only in dogs initially exhibiting a high curve. Therefore, the effects on TcH2O of acutely reduced sodium excretion were examined only in dogs with an initial high curve relation. After the first diuresis, a phlebotomy or prolonged infusion of 10% mannitol was utilized to induce salt retention. If sodium excretion was reduced to less than 40 µEq/min at low Cosm, TcH2O was decreased during the subsequent diuresis. This impairment in TcH2O generation is attributed to decreased availability of salt for transport into the medulla.
Key Words: dog TcH2O dog urine concentration variable dog TcH2O reproducible dog TcH2O sodium excretion and TcH2O sodium excretion and urine concentration sodium depletion and urine concentration sodium depletion and TcH2O free water excretion with vasopressin solute diuresis with vasopressin
Submitted on January 25, 1963
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