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Get the most value out of your
IDEXX VetLab® system Winter 2007 Issue
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NEW for the VetTest® Chemistry Analyzer—The IDEXX Diagnostic Health Profile (DHP)
Take the guesswork out of diagnosing your symptomatic patients with the new comprehensive Diagnostic Health Profile
ALB • ALKP • ALT • AMYL • BUN • CA
CREA • GLU • GGT • LIPA • TBIL • TP • GLOB
You no longer need to add lipase to your panels—we’ve done it for you—so
you can quickly test for pancreatitis in symptomatic patients. And with important tests like GGT, ALKP and ALT, you can also quickly identify liver disease in dogs and cats.
 It's convenient—Save time and money with prepackaged panels (two in each box) that quickly give you a clearer picture of your sick patients' health status.
It's comprehensive—The DHP offers you a broad testing menu to help quickly diagnose patients presenting with ambiguous symptoms. It's good medicine—The DHP complements your General Health Profile, used for non-symptomatic senior and wellness testing, as well as for baselines and preanesthetics. It's accurate—The DHP is the newest panel for the VetTest® Chemistry Analyzer, which uses dry-slide techology that filters out impurities to ensure your results are accurate, even when your samples are lipemic, icteric or hemolytic.
For more information on the new Diagnostic Health Profile for the VetTest Chemistry Analyzer, call 1-800-248-2483 or visit www.idexx.com/dhp.
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make a note
Easily evaluate chemistry levels to help monitor your patients being treated with nonsteroidal anti-inflammatory drug (NSAID) therapy so you can adjust medication as necessary and ensure their health and safety. The panel also allows you to follow current FDA recommendations regarding administering and monitoring of NSAIDs.
 More convenient—A smaller, more convenient package size so you can preserve precious freezer space and still have all the tests necessary to evaluate baseline status and monitor the effects of NSAID therapy. Each box contains four NSAID monitoring panels.
Customized—Targeted test—ALT, ALKP, BUN, CREA and AST—offer you an easy, economic solution for NSAID monitoring. Reliable—As always, rely on your VetTest® Chemistry Analyzer's proven dry-slide technology for uncompromising accuracy and confidence in your results.
For more information on the new NSAID Monitoring Panel, call
1-800-248-2483 or visit www.idexx.com/nsaid.
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Research Corner—Summary: Lactate Measurement as an Indicator of Perfusion
by Michael H. Karagiannis, DVM; Alisa N. Reniker, DVM, DACVECC; Marie E. Kerl, DVM, DACVIM, DACVECC; F.A. Mann, DVM, MS, DACVS, DACVECC
University of Missouri-Columbia
A recent article in Compendium discusses the use of plasma or blood lactate measurements as valuable diagnostic information in the treatment of critically ill patients. While there are other causes of hyperlactatemia besides tissue hypoxia (which causes anaerobic metabolism, which in turn increases lactate production), and sample collection can affect results, the authors agree that serial blood lactate measurements can guide treatment by indicating improvements in tissue oxygenation as well as provide prognostic information.
 Used in human medicine for more than 30 years, measurement of blood lactate as an indirect indicator of tissue oxygenation is relatively new in veterinary medicine. The availability of inexpensive and easy-to-use lactate measurement tools has made serial measurements in critically ill veterinary patients more common. Blood lactate measurement is a useful tool in assessing global perfusion, determining the severity of certain conditions and in helping doctors to determine treatment.
The article covers, in detail, the physiological conditions that occur through lactate production and metabolism, the effects on the body when things go wrong and the causes—such as shock—of disruption to the normal cycles. Conditions such as lactic acidosis and hyperlactatemia are also explained.
 Other indirect measurements of tissue oxygenation—such as saturated oxygen concentration, partial pressure of venous oxygen and oxygen extraction ratio, and gastric tonometry—can require time and specialized equipment and are often costly. Also, in some cases, as in the prediction of mortality, lactate measurement has been found to be more useful.
The article notes that point-of-care lactate measurement allows samples to be run within a 30-minute time frame, eliminating concern of elevated lactate concentrations due to glycolysis.
 The measurement of lactate can provide useful diagnostic and prognostic information when differentiating conditions, assessing the severity of certain conditions and determining the need for blood transfusions in anemic patients. Trending lactate measurements can be used to show response to treatment as well as success of resuscitation measures, though the article warns that for resuscitation endpoints, other perfusion parameters should be checked as well, such as heart rate, blood pressure, urine output and pulse rate.
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Meet Rick Cowell, DVM, MS, MRCVS, DACVP
Veterinary Clinical Pathologist
Dr. Cowell has been working for IDEXX for just over a year. He divides his time between reading cytology cases and working on various writing projects. He has published three books: Diagnostic Cytology and Hematology of the Dog and Cat, Diagnostic Cytology and Hematology of the Horse and Veterinary Clinical Pathology Secrets. The textbook, Veterinary Clinical Pathology Secrets, has been reprinted for distribution by IDEXX to veterinarians.
In addition, Dr. Cowell is working on a series of textbooks with Dr. Dennis DeNicola for which he will collect diagnostic material from many other IDEXX pathologists and technicians. Dr. Cowell is excited about this project, noting, “I would like to have pictures of all the people who submit material so that readers can see who we are and that at IDEXX we are the ‘can-do crew.’ It’s another way that IDEXX gives back to the veterinary community, along with sponsoring educational seminars and expert speakers, and bringing innovations to veterinary medicine. I see IDEXX moving veterinary medicine into the future.”
Dr. Cowell lives in Stillwater, Oklahoma, with his wife, Annette, a veterinarian who owns The Cat Clinic of Stillwater. Since Rick is allergic to cats, all of theirs live at the clinic. The Cowells have a daughter, Anne, who teaches sixth grade science in Texas. The canine members of the family are pugs; the doctors have one named Penny and Anne has Leila. Dr. Cowell enjoys fishing and spending time with his family.
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Announcing the IDEXX VetLab® Station with the IDEXX VetTest® Chemistry Analyzer
Advance your diagnostic capabilities and streamline workflow with the IDEXX VetLab® Station and the VetTest® Analyzer
When you connect your VetTest® Analyzer with the IDEXX VetLab® Station Laboratory Information Management System (LIMS), you can:
Reduce data entry with autofiling of client and patient information. Use parameter trending to monitor patient response to treatment over time. Easily access the data from multiple analyzers from one user interface. Integrate results from multiple IDEXX VetLab® analyzers on a single report. View a comprehensive record of each patient's diagnostic history. Simultaneously run panels and single tests to rule out specific diseases.
Don't lose another minute! Enjoy a more efficient workflow and make more informed, timely decisions using an uprecedented level of information consolidation and ease of use.
The IDEXX VetTest® and the IDEXX VetLab® Stations are integral components of the IDEXX VetLab® Suite.
For more information on the IDEXX VetLab® Station LIMS, the VetTest® Chemistry Analyzer or the IDEXX VetLab® Suite, call IDEXX at 1-800-248-2483 or visit www.idexx.com/ivls.
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We've Improved the Respiratory Cassette for the VetStat® Electrolyte and Blood Gas Analyzer
By adding the ability to measure tHb and SO, you can better assess repiratory disorders on your critical patients. Plus, with the calculation of Base Excess, you can better characterize metabolic disorders.
Great value: More capability for the same price as current cassette—a great value for you and more value for your clients Convenient size: Sold in packs of 12 cassettes Easy to run: As with the current cassettes, running the new repiratory cassette is simple Easy to store: Room temperature storage saves refrigerator space
The IDEXX VetStat® from the IDEXX VetLab® Analyzer Suite
No upgrade necessary—current software version 1.02 and past versions are ready to report additional results.
 
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IDEXX
Customer Support is available 24 hours a day,
7 days a week.
Toll-free: 1-800-248-2483
Fax: 1-800-248-3010
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