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Kidney Failure and Excess Urea in the Urine in Cats



If the uremia is due to toxic poisoning, the first step will be to eliminate the toxins from the body. This may be done through gastric lavage, where the stomach is cleansed, or by administering activated charcoal to neutralize the toxin. Specific antidotes may also be administered if the toxic agent can be identified.


Care is also aimed at re-establishing fluid balance, blood circulation, and in establishing the balance of chemicals in the blood. Strictly monitoring fluid intake, food consumption, and nutrition is very important while treatment is underway.


Some medications that may be prescribed are:


  • Diuretics
  • Antiemetics
  • Dopamine derivatives
  • Mucosal protectants to counteract acidity
  • Bicarbonates to re-establish chemical balance in the body


Based on your cat's response to these drugs, your veterinarian might also recommend dialysis or surgery.


Living and Management


Generally, this condition has a poor prognosis for recovery. Some potential complications include seizures, coma, high blood pressure, pneumonia, bleeding in the digestive tract, cardiac arrest, fluid overload, widespread infection in the blood, and multiple organ failure.


The cost involved of treating an animal with acute uremia may also very high. Sometimes, dialysis can be used until the cat is stable enough to tolerate surgery.


After the procedures are complete, it is important to monitor daily fluid levels, mineral levels, body weight, urine output, and general physical status. The entire process of recovery depends on various factors, such as the extent of organ or system damage, the origin of the disease, and the existence of other pathological conditions or diseased organs.

Image: VGstockstudio via Shutterstock


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