acute renal failure--prognosis of recovery?

Last Thursday, after he had been vomiting for five days, they finally did bloodwork on Henry, who is 6 years old, and discovered he was in acute renal failure. He was admitted to the hospital and given intensive IV treatment. By Saturday afternoon, his BUN and phosphorous levels had (miraculously) dropped to normal. I am thrilled, but I'm now worried about the potential for lasting kidney damage. They still can't determine the reason for the kidney "insult." We go back Friday to recheck his levels, but I want to make sure he's doing OK this week. He's not vomiting, but since I brought him home yesterday, he's been very lethargic and sleeping constantly, which is very unlike him. I would have thought, after being in a cage and sleeping for four days, getting IV fluids constantly, that he'd be full of energy when he got home. Should I be concerned?

Asked by Member 744856 on Oct 1st 2008 in Health & Wellness
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As usual Izzie has almost covered every aspect in his response.These types of disorders can be managed as long as the underlying medical condition is being addressed.You have mentioned that they still cant determine the reason.Follow up with the Vet to identify the cause.Acute kidney disorders can occur if a cat ingests a poison, such as antifreeze, or if the cat has suffered from kidney trauma due to an injury or accident.Does Henry go out or is he an indoor cat? Preventative Care:Avoid exposure to ethylene glycol (anti-freeze), especially as winter approaches people use this a lot so avoid him going outside(if at all he does) and avoid exposure to drugs known to be toxic to the kidney (e.g. aminoglycoside antibiotics and non-steroidal anti-inflammatory drugs).You should not allow him to roam outside unattended.If he doesnt do this now,then you just need to watch out for the toxic drugs.Good luck. Headbonks and kisses to Henry from Tabby,Cherry & their Mom.Please Pawmail his prognosis

Tabby answered on Oct 1st.

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Izadore (Izzie)

You probably already know that acute renal failute (ARF) is a very serious, life-threatening disorder in cats. It affects all the systems adversely. Lethargy is one of the signs of ARF, as are vomiting, straining to pee, etc. It's good that Henry's levels are normal, and that certainly improves his prognosis. He will need to be VERY closely monitored by both you and his docs for the rest of his life, and all medications prescribed must be given. Even though he was in a cage for four days, it was an alien atmosphere for him and he was very ill. He's probably just so glad to be home with his familiar sounds and smells and people that he's just chilling out. He knows that his body needs to rest to recover. Give him many ear skritches and kisses for all of us.

Izadore (Izzie) answered on 10/1/08. Helpful? Yes/Helpful: No 1 Report this answer