Uremia is very much related to kidney failure. Basically, cats with uremia have problems with their kidneys, so it is said that uremia is a syndrome of autointoxication caused by the inability to excrete metabolites and toxic substances from the body in the late stage of kidney failure. So what to do if a cat has uremia, let’s have a description. The etiology of various causes of renal failure, bladder rupture and complete obstruction of the ureter or urethra. In addition to symptoms of acute or chronic renal failure, such as oliguria or anuria, imbalance of water and electrolyte balance, azotemia, etc., signs of systemic dysfunction may also occur, such as sleepiness, coma, paroxysmal excitement; loss of appetite, vomiting, diarrhea; Chen Schoel’s respiration or macrosomia; hypertension, heart failure, cardiac arrest; anemia, bleeding tendency; excessive sweating, itching. Treatment promptly replenish fluids, rapidly correct imbalance of water and electrolyte balance, correct acidosis, promote toxic substances excretion, prevent shock and dehydration, and carry out symptomatic therapy according to the specific situation.1. Use fluid therapy to prevent dehydration of the organism. The amount of rehydration fluid (ml) is equal to the product of the percentage of dehydration and body weight (g). The percentage of dehydration can be determined according to clinical manifestations: when the dehydration rate is 5%, the skin elasticity is mildly reduced; when it is 7%, the eye sockets are mildly sunken, the skin folds are tent-like stagnant, the capillary refill time is prolonged, the oral mucosa is dry, and shock symptoms may appear; when it is 12% to 15%, shock symptoms such as accelerated heart rate, weak pulse, and terminal syncope cold appear. 2. After the dehydration is corrected 3. For dogs and cats with oliguric or anuric renal failure, the beta-adrenergic agonist dopamine can be used, which has the effect of increasing renal blood flow and glomerular filtration, and is administered intravenously at a rate of 2 to 4 micrograms per minute per kilogram of body weight, and if the heart rate If the heart rate increases significantly, the dose should be reduced. 4. When there is still no improvement in renal function 48 to 72 hours after the infusion, abdominal dialysis therapy should be performed quickly. A certain concentration of dialysis fluid is injected into the abdominal cavity according to the intraperitoneal injection method (in the left crutch), and after 30-60 minutes, the wastes in the blood are permeated into the abdominal cavity through the peritoneum, while the highly concentrated substances in the dialysis fluid can be permeated into the blood to achieve the purpose of eliminating wastes and maintaining electrolyte balance in the blood. The dialysis fluid is released according to the abdominal puncture method (the needle is inserted at the lowest point in front of the inferior umbilical orifice). 5. In cases of bladder rupture or urethral obstruction, immediate surgery must be performed to repair the bladder or remove foreign bodies in the urethra (such as urethral stones). Note that cats suffering from uremia should actively treat the primary disease, pay attention to diet, reduce the intake of protein and amino acids in cat food, and supplement vitamins to reduce the burden on the kidneys.
