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Feline Acute Kidney Injury: 1. Pathophysiology, Etiology and Etiology-specific Management Considerations

Overview
Date 2012 Oct 23
PMID 23087003
Citations 9
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Abstract

Practical Relevance: Acute kidney injury (AKI) is a frequently recognized disease process in cats that requires immediate and aggressive intervention. A thorough understanding of the pathophysiologic processes underlying AKI and familiarity with the most common etiologies are essential for providing the most effective and timely therapy. Possessing this knowledge will also allow a more accurate prognosis to be given, and afford the best chance of a favorable outcome.

Clinical Challenges: Feline patients often present with vague signs of AKI, which may delay treatment and adversely affect the prognosis. Their response to injury and treatment is often different to that of other species.

Audience: This two-part review article is directed at small animal practitioners as well as specialists. Part 1 reviews mechanisms underlying AKI in the cat, as well as etiologies and treatments related to some specific causes of AKI.

Evidence Base: The veterinary literature is limited with regards to the pathophysiology of AKI unique to the cat. However, there are numerous feline studies evaluating causes of AKI.

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References
1.
Gookin J, Riviere J, Gilger B, Papich M . Acute renal failure in four cats treated with paromomycin. J Am Vet Med Assoc. 1999; 215(12):1821-3, 1806. View

2.
Bertino Jr J, Booker L, Franck P, Jenkins P, Franck K, Nafziger A . Incidence of and significant risk factors for aminoglycoside-associated nephrotoxicity in patients dosed by using individualized pharmacokinetic monitoring. J Infect Dis. 1993; 167(1):173-9. DOI: 10.1093/infdis/167.1.173. View

3.
Goodman L, Brown S, Torres B, Reynolds L, Budsberg S . Effects of meloxicam on plasma iohexol clearance as a marker of glomerular filtration rate in conscious healthy cats. Am J Vet Res. 2009; 70(7):826-30. DOI: 10.2460/ajvr.70.7.826. View

4.
Henry C, Turnquist S, Smith A, GRAHAM J, Thamm D, OBrien M . Primary renal tumours in cats: 19 cases (1992-1998). J Feline Med Surg. 2002; 1(3):165-70. PMC: 10832804. DOI: 10.1016/S1098-612X(99)90205-X. View

5.
Bagshaw S, George C, Bellomo R . A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients. Nephrol Dial Transplant. 2008; 23(5):1569-74. DOI: 10.1093/ndt/gfn009. View