What is Insufficient Urine Production in Cats?
Healthy cats typically produce approximately one to two grams of urine for every kilogram of their body weight per hour. Oliguria and anuria are the medical terms that are used to describe insufficient urine production in cats. Oliguria refers to a small amount of urine production. Cats with oliguria typically produce less than 0.25 milliliters of urine per kilogram per hour. Anuria refers to a medical condition where essentially no urine is being produced by the body. Cats with anuria produce urine at a rate of less than 0.08 milliliters of urine per kilogram per hour.
Oliguria and anuria are both indicative of dehydration and/or severe kidney problems. Differentiating between insufficient urine
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The primary cause of the oliguria or anuria must be addressed in order to increase urine production. The following may be recommended by the veterinarian to treat the cat.
Fluid Therapy
If the cat is extremely dehydrated, intravenous fluid therapy will be administered. The cat's weight will be taken prior to the fluid therapy beginning and a catheter will be inserted. Urinary output, total weight and bloodwork will be continually monitored to ensure that the cat's organs are responding appropriately to the fluids.
Medications
There are a variety of medications that the veterinarian may prescribe to stimulate urine production. Mannitol works by increasing blood flow to the kidneys, which may help the kidneys to function better. This drug is administered intravenously and typically works within 15 to 30 minutes. Furosemide is a medication that may also be prescribed alters the electrolyte balance in the blood, which can stimulate urine production. If other medications aren't successful, the veterinarian may prescribe dopamine. Dopamine works by dilating the blood vessels.
Only when it is absolutely necessary should a catheter be inserted into a patient. Every patient is assessed for the need for a Foley catheter. If the Foley is inserted, assessments are also then done daily to see if the need is still valid. If the reason is not justifiable the catheter must be removed from the patient (Joint Commission releases new NPSG for CAUTI, 2011). Nurses must follow guidelines while inserting indwelling catheters as well. Aseptic technique is critical to maintain during this process. The use of sterile equipment and a sterile procedure helps to reduce the risk of CAUTI. If in any way the catheter becomes contaminated during the process of insertion, the nurse should discard of the entire catheter and start with a new, sterile kit. Proper hand hygiene is very important before and after contact with indwelling catheters to decrease risk of infection. Maintenance of a close drainage is system is also important that way bacteria are not able to get in and cause infection (Revello & Gallo, 2013). Decreasing the number of times Foleys are inserted and how long they stay in for can help reduce the risk of CAUTI since the longer a Foley stays in, the higher the risk of infection becomes. Nurses must keep the catheter line patent, with no kinks to allow urine to flow freely through into the collection bag. When a urine sample must be obtained it must be done in a sterile
Desmopressin decreases the urine volume excreted. Desmopressin is a synthetic substitute for anti-diuretic hormone (ADH). ADH
Treatment can be done at home through bladder testing, urinary infection testing, home cystitis testing. Other approaches to treatments include remedies such as: apis homeopathic, berbersis, natrum, arsenicum homeopathic remedies. Some medications may include prednisone, cyclophosphamide, rayos, penicillin, labetalol, but it depends on type and symptoms.
What should the nurse suspect when hourly assessment of urine output on a postcraniotomy patient exhibits a urine output from a catheter of 1,500 mL for 2 consecutive hours?
Acute renal failure occurs quickly over a period of days or weeks with a reduction in GFR and elevation of BUN, plasma creatinine and crystatin C levels. Oliguria (urine output of < 30ml/hr or < 400 ml/day) is usually associated with ARF, although urine output may be normal or increased as well. Fluid is still filtered at the glomerulus but there is an alteration in tubular secretion or reabsorption. Most types of ARF are reversible if diagnosed and treated early (Perrin, 2009).
and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral meds, the
Your vet should send you home with pain medication for you cat. Make sure you follow the directions on the bottle exactly as they are written. Do not give your cat more pain medication than your vet recommended; this could cause your cat to become extremely drowse.
Surgery may be performed to correct an ectopic ureter, such as an artificial urethral valve may be implanted by a surgeon. According to the American Animal Hospital Association, Treatment options for USMI include medications, such as adrenergic agents and estrogen products, minimally-invasive urethral bulking procedures, surgical procedures, or combination therapy. For hormone-responsive incontinence, two different medication options can be given. Replacement hormone medication, such as Diethylstilbestrol (DES) for females and testosterone injections for males are used to control this incontinence problem. Also, certain medications may be given to increase the tone and strengthen the urethral sphincter. Phenylpropanolamine (PPA) is a common drug prescribed for aging dogs experiencing this issue. Although this is a treatable condition, it is not always possible to prevent urinary incontinence and it is generally only preventable to the extent that its causes are
Well, according to Dr.Ananya Mandal of the News Medical, “dehydration is a condition that results when the body loses more water than it takes in. This imbalance disrupts the usual levels of salts and sugars present in the blood, which can interfere with the way the body functions”. The main reasons for dehydration are the lost of too much fluid in our body when we work and the second is by disease like diabetes. For an instance, work, diseases and prescription are also the cause for the dehydration. You just need to work a little while and you are already on the way to the dehydration. When you have diabetes, you will have high blood sugar level, urination and fluid loss will lead to it as well. Simple as that, fluid lost inside, diseases, prescription are mainly the cause for the
normal flow of urine out of both kidneys from a blockage caused by kidney stones, a tumor,
* Polyuria - excretion of very large quantities of urine. Urine output can range from 2.5 liters per day to 15 liters per day, compared to about 1.5 to 2.5 liters per day in other adults without the condition.
Weighing of the patient daily at the same time with the same clothing and on the same scale preferably in the morning time after urination in order to monitor fluid overload level for 2-to-3 pounds gain in a day or five pounds in a week
Consider a fluid restriction to prevent possible fluid overloading due to his decreased renal function (Vera, 2011).
CAUSES OF ALBUMINURIA High blood pressure, Congestive heart failure Metabolic syndrome, or kidney damage from nephrotic syndrome ALBUMINURIA is seen in all forms of acute and chronic renal diseases GLUCOSE Glucose is found in the blood and is the main sugar that the body manufactures Glucosuria- The presence of glucose or blood sugar in urine is. It may indicate that the person has diabetes. Diabetes Mellitus - condition in which the pancreas no longer produces enough insulin or cells stop responding to the insulin that is produced, so that glucose in the blood cannot be absorbed int o the cells of the body. SYMPTOMS OF DIABETES MELLITUS frequent urination increased thirst increased hunger The treatment includes changes in diet, oral medications, and in some cases, daily injecti ons of insulin.
As soon as (GRF) becomes less than 15 %, the symptoms of kidney failure clearly