ABSTRACT. Previous studies show an inability of the species in that they have a high intracellular sodium concentraskeletal muscle cell and red blood cell to maintain sodium, tion and lack a classical sodium-potassium pump (10, 11). Nupotassium, and calcium homeostasis during hemorrhagic merous studies by Parker showed that the dog red blood cell shock in adults. However, there is no information on the regulates internal volume by accumulating or extruding sodium. cellular effects of shock in the neonate. This study exam-The outward sodium transport occurs against an electrical grained the effects of hemorrhagic shock on red cell membrane dient and requires external calcium. Much evidence supports the function in a newborn canine model. Changes in sodium, presence of a red blood cell ATP-dependent calcium extrusion potassium, calcium, and magnesium concentrations in red pump. Despite the differences between canine somatic and red blood cells and plasma were correlated with changes in blood cells, both require high energy phosphate stores (ATP) to intracellular and plasma ATP levels. Newborn dogs (n = maintain electrolyte homeostasis and intracellular volume (8-36), 10 to 14 days of age and weighing 501 to 707 g, were 18). studied. After baseline studies (blood pressure, heart rate,The purpose of the present study was to examine the effects temperature), electrolyte and ATP concentrations in red of acute blood loss on red blood cell sodium, potassium, and blood cells and plasma were measured. The dogs were then calcium concentration in a newborn canine hemorrhagic shock bled 40% of their estimated blood volumes. All parameters model and to correlate electrolyte shifts with the concentration were measured after 1 h of shock. This shock model of intracellular ATP. We hypothesized that shock-induced depleproduced hypotension, bradycardia, and acidosis. The red tion of intracellular ATP would impair the active calcium extrublood cell sodium, calcium, water, and ATP content in-sion pump, resulting in progressive calcium accumulation by the creased in shock, whereas intracellular magnesium fell. dog red blood cell. In addition, shock was expected to alter Red blood cell potassium levels, plasma sodium, and cal-volume regulation of the newborn canine erythrocyte. cium concentrations were not significantly altered in shock, although plasma potassium and magnesium levels rose. Our data show that shock in the newborn disrupts cell MATERIALS AND METHODS membrane integrity. Intracellular accumulation of sodium A total of 36 newborn dogs, 10-14 days of age and weighing and despite ATP uptake, sug-between 501 and 707 g were anesthesized with pentobarbital (1 5 gesting that high energy deficits are not the primary mech-mg/kg). Each dog was restrained and a warming blanket was anism contributing to electrolyte imbalance in newborn used to maintain a body temperature of 37.5" C. Respiration was shock. (Pediatr Res 24: 438-441,1988) spontaneous. Cannulae were placed in the femoral arteries for continous blood pressure monitoring...