Published in Scientific Works. Series C. Veterinary Medicine, Vol. LXII, Issue 1
Written by Bogdan Alexandru VIȚĂLARU, Vasilica-Flory PETRESCU
An 11 years old, castrated, male cat, mixed breed was referred to the Clinic of the Faculty of Veterinary Medicine Bucharest for vomiting, loss of appetite, anorexia, faintness, sharp breath, inability to exercise, oliguria and lethargy. Results from a complete blood (cell) count (CBC), serum chemical profile, and urinalysis submitted at that time were abnormal. The patient had chronic renal failure (Creatinine 10.9 mg/dL - reference range 0.8-2.4 mg/dL, BUN 124 mg/dL - reference range 16-36 mg/dL). The rectal temperature was 36.5ºC, the patient presented anemic mucous membranes, mild dehydration (persistent skin fold thickness for 2-3 seconds) and slight sensitivity to palpation in the renal lanyard. Abdominal ultrasound showed that kidney presented uncharacteristic drawing, irregular outline, abundant microlithiasis, and following examination of urine was found massive proteinuria, absent bacteriuria, minimal hematuria (50), pH 6.2, abundant FAM. Urinary density was 1.025. The patient was presented at Hemodialivet Clinic with the following renal parameters (Creatinine 9.9 mg/dL-reference range 0.8-2.4 mg/dL, BUN 107 mg/dLreference range 16-36 mg/dL). The established treatment consisted in peritoneal dialysis, rehydration and electrolyte balance, parenteral nutrition. We used PD4 peritoneal dialysis Dianeal PD4 1.25. The patient was submitted to intravenous fluidotherapy with 5% Glucose, Sodium Chloride 0.9 %, B12 vitamin, Arnetin, Emeset CRI. Recommendation for oral treatment: Ipakitine bid, Azodyl bid and kidney diet food. Continuous evaluation of hematological and biochemical blood parameters is vital for the establishment of appropriate therapies in renal patients. Hydroelectrolytic rebalancing associated with continuous peritoneal dialysis, erythropoietin therapy and using appropriate renal diet are the key to success in intensive care of renal patients.
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