Feline Acute Renal Failure Onset?I just got back from the vet who diagnosed my cat with acute renal failure. He recommends subQ fluids for 10 days, 1 mg of antibiotics per day, and 5 mg of pepcid acid for the nausea. This is a very serious condition and I am scared for him. At the office they gave him a shot of antibiotics, famotidine, and took blood to assess kidney values. Despite the famotidine, he vomited hours later. Is this normal?
Looks like we caught the disease within 4 days of its onset... however, I am worried that this is still too long and that he will suffer permanent kidney damage if he survives. Has anyone gone through this and how likely are his chances of survival if we caught it within 4 days? Thanks.
Posted by Julissa - Being Stalked
CRF is a terminal disease. The only questions are how long and how well the patient will live until the end. With proper treatment, the cat may have from months to years of relatively high-quality life. As the cat's caregiver(s), it is up to you to determine when the quality of life has decreased to a point at which prolonging life no longer has value.
As CRF progresses and toxin levels rise, cats become more uncomfortable with an overall sensation of feeling unwell. Human patients with a similar condition don't report "pain" but describe their condition as feeling poorly. Dehydration, in particular, can make the patient very uncomfortable. Aggressively treating CRF, especially with subcutaneous fluid therapy, should not be thought of as "prolonging the agony" as there is no significant pain associated with kidney failure until the end-stage. Even then, unless the patient convulses, the chief symptoms will be malaise, weakness, nausea and discomfort.
Posted by Connie S
I understand that this is overwhelming, but it will bring you much closer to your kitty in the end. Giving subq fluids is not much fun for either you or the cat. It helps if the fluids are warmer, you might want to google around about giving fluids (that is if you have decided to do it yourself)
You do not say WHY your cat has renal failure. you don't say what your vet thought the prognosis is. Can your cat survive, I would say yes, or your vet would have told you that it would be better to put the cat down now.
I wouldn't worry about the vomiting after the famotidine. Yes, we would prefer the kitty not vomit, but sometimes it is in the cat's best interest. Hopefully it won't happen again.
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