Cat in renal failure.

Re: Cat in renal failure.

Bob Russell — Tue, 15 Nov 2011 09:23:17 GMT

Bucket loads of urine output overnight and eating surprisingly well! Will check for crystals once I get my head above 'water'. So far so good.

Re: Cat in renal failure.

Laurence Webb — Mon, 14 Nov 2011 19:49:27 GMT

[quote user="Robin Grimmer"]

I don't want to teach my grandmother to suck eggs, but if the cat is an ARF you need to be careful how much fluids you give it as you could easiy overperfuse it.

[/quote]Yes, I'd measure urine output and if it's oliguric try diuretics and/or mannitol. If that doesn't work there's little point carrying on unless you want to try peritoneal dialysis with the vanishingly small probability it improves.

Re: Cat in renal failure.

Bob Russell — Mon, 14 Nov 2011 16:21:37 GMT

I suspect that if this cat cannot cope with fairly aggressive fluid therapy it is because the kidneys are beyond salvation. The cat has eaten a little jelly from renal food and is sleeping rather than semi-comatose at the moment!

I fear the cat went into ARF several days ago and it has been presented very late in the course of the disease.

Correction - has eaten a couple of mouthfuls!

Re: Cat in renal failure.

Robin Grimmer — Mon, 14 Nov 2011 15:11:35 GMT

I don't want to teach my grandmother to suck eggs, but if the cat is an ARF you need to be careful how much fluids you give it as you could easiy overperfuse it.

Re: Cat in renal failure.

Bob Russell — Mon, 14 Nov 2011 14:33:47 GMT

[quote user="Martin Atkinson"]

You state its thin (how thin) and the WBC count is high, if it's cachectic then that and the WBC count would point to something more chronic like pyelonephritis than acute ethylene glycol surely? Antibiotics, fluids, fluids and more fluids but sounds like a lost cause whatever.

[/quote]

Thin as in not eaten for the last week thin rather than ancient chronic renal cat. Antibiotics given (Synulox). Brighter in self but I have given a very guarded prognosis.

All input gratefully received! How often do people see ethylene glycol poisoning?

Re: Cat in renal failure.

Martin Atkinson — Mon, 14 Nov 2011 13:27:43 GMT

Re: Cat in renal failure.

David Mills — Mon, 14 Nov 2011 13:27:33 GMT

Imaging, imaging, imaging. And take a cysto whilst there. Former is going to yield far far more diagnostic information at this stage.

Re: Cat in renal failure.

Laurence Webb — Mon, 14 Nov 2011 13:12:17 GMT

I think (although I am probably wrong) that if you still have crystals then there is still some ethylene glycol left in them so alcohol may be of some advantage.

Re: Cat in renal failure.

Rob Loxley — Mon, 14 Nov 2011 12:47:24 GMT

Anyone using the inhouse etylene glycol test kits (I seem to remember Woodley advertising them)?

Re: Cat in renal failure.

Bob Russell — Mon, 14 Nov 2011 12:46:20 GMT

Bladder empty at moment but will collect some ASAP. I am assuming that treatment for antifreeze toxicity at this stage would be pretty pointless due to the delay in getting treatment.

I am awaiting my first vodka responsive disorder in a pet. I don't think this is the one!

Re: Cat in renal failure.

Laurence Webb — Mon, 14 Nov 2011 12:36:45 GMT

Can you get any urine? USG, glucose, ketones etc but also check for Ca Oxalate crystals re antifreeze, pyuria.

I had an acute renal faliure I assume was due to antifreeze last week. No known exposure but oxalate crystals in its urine. Unfortunately it died before I could start any treatment (K 10.9)