Cats are often hospitalized and treated inpatient, however, if your veterinarian is able to examine and begin treating your cat less than five hours from the time of ingestion, you may be able to avoid prolonged inpatient treatment. The treatment goal will be to prevent absorption of ethylene glycol into the body, to increase excretion or removal of the substance from the body, and to prevent the body from chemically processing the ethylene glycol into toxic compounds.
Intravenous fluids will be given to correct or prevent dehydration, increase blood flow to the tissues, and to promote elimination of urine -- increasing the possibility of eliminating the ethylene glycol from the body before it can do much damage. Treatment will be accompanied by administration of bicarbonate (given slowly intravenously) to correct metabolic acidosis (a condition in which the pH of the body is too low).
If your cat develops excess levels of urea (a waste product of urine that is normally eliminated form the body) and other nitrogenous waste products in the blood and kidney, failure of the kidney can occur. This may be characterized by production of small amounts of urine in cats, indicating that most of the ethylene glycol has been metabolized by the body. At that point there will be little benefit from treatment specifically designed for ethylene glycol poisoning. In this case, treating the symptoms becomes the goal: correcting fluid, electrolyte, and acid–base disorders; promoting elimination of urine - medications to induce production and elimination of urine may help; peritoneal dialysis may be used to hasten removal of the toxins from the body (peritoneal dialysis is a type of dialysis in which fluids are delivered to the abdomen and the lining of the abdomen acts as a filter to remove waste products from the blood; after a certain amount of time, the fluids and waste products are removed from the abdomen).
Your cat may need extended treatment over several weeks before kidney function is fully reestablished. In many cases, kidney transplantation has been successfully employed in cats with ethylene glycol–induced kidney failure.
Ethylene glycol is readily available in many brands of antifreeze and has a somewhat pleasant taste that attracts animals to quickly ingest it. Enough of the fluid can be ingested before the animal is aware of the aftertaste, at which point too much of the fluid has been taken into the body. Ethylene glycol has a small minimum lethal dose, even small amounts can be lethal to the internal organs.
As a pet owner, you should be aware of the toxicity of ethylene glycol containing antifreeze and take precautions to safeguard your pets and other animals from potential sources of ethylene glycol. As much as possible, educate your family, social contacts and community about the hazards of ethylene glycol and how to protect animals. If your cat tends to go out of doors regularly, you will want to make a habit of checking the neighborhood for spills -- such as the type that would occur in driveways or curbside when someone refills the coolant/antifreeze chamber in a car's engine. Antifreeze is recognizable by its bright green coloring. Throwing a bucket of water over the puddle should be sufficient for dispersing the liquid.
It is possible to find antifreeze products that use propylene glycol rather than ethylene glycol as the active ingredient. Propylene glycol is relatively nontoxic, but should still be kept out of way of your pets.
Living and Management
Blood work to monitor the kidneys, acid–base status, and urine output will be conducted daily for the first few days by your veterinarian. Your doctor will also monitor urine pH to determine the response to treatment and adjust the treatment accordingly. If your cat is able to be treated promptly, before excess levels of urea and other nitrogenous waste products can enter the blood, there are usually no complications and recovery will progress sufficiently.
A medical condition involving excessive thirst
The condition of being drowsy, listless, or weak
The product of protein being metabolized; can be found in blood or urine.
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
A tissue that is brighter in color and reflects more sound than the tissue around it
Eliminating or the material that has actually been eliminated
A medical condition in which an animal is unable to control the movements of their muscles; may result in collapse or stumbling.
Term used to imply that a situation or condition is more severe than usual; also used to refer to a disease having run a short course or come on suddenly.
A medical condition in which the body has lost fluid or water in excessive amounts
A procedure used to get waste out of the blood when the kidneys are unable to function
A condition of the body in which pH levels are abnormally low.
The term used to describe the movement of an animal