Staging the Degree of Kidney Disease Chronic kidney disease is staged depending on the severity. The severity is estimated based on the level of waste products in the blood and abnormalities in the urine. The International Renal Interest Society (IRIS) developed a method to gauge the severity of the disease in four stages. Stage 1 is the least severe and Stage 4 is the most severe. Staging the disease is useful for treatment and monitoring of patients. Stage 1 is characterized by creatinine levels in the blood that are less than 1.6 milligrams per deciliter. (Creatinine is one of the things measured by a blood test.) Presence of waste products in the blood is actually unremarkable at this stage, but there can be other kidney abnormalities. For example, inadequate urine concentration on the urinalysis , or the kidneys could palpate or feel different on exam or be visibly abnormal on X-rays. Stage 2 is when creatinine levels are between 1.6 and 2.8 milligrams per deciliter. In Stage 3, creatinine levels in the blood reach 2.9 to 5 milligrams per deciliter. There is moderate renal azotemia, which is a fancy term for the accumulation of waste products in the blood (a measure called BUN, or blood urea nitrogen), and probably other symptoms are visible as well. Stage 4 is characterized by creatinine over 5 milligrams per deciliter, severe azotemia (elevated BUN), and multiple additional symptoms as well. The amount of protein passed in urine and the presence of elevated blood pressure are also factored into the staging process.
I*2
11 楼
看了这个数据,觉得以前的那个医院不告诉我数据,不做任何提醒,很过分
I*2
12 楼
给楼主参考,我还是要自己给猫做饭了,我一直不喜欢给她猫罐头吃,最近吃了一周, 以前都给她做饭+罐头混着。猫罐头里面的成分都是垃圾,都是现代工业赚钱的产物。 我明天给她做鸡肉吃,鱼要控制,鱼的磷蛋白比较高 干猫粮更是垃圾,如果看过猫粮的制作过程就明白了 Proper Nutrition for Cats with Chronic Kidney Failure A diet high in excellent quality protein and lower than normal amounts of sodium and phosphorous is recommended. Controlling phosphorous intake has proven to be very important in controlling the progression of kidney disease. Many veterinarians still insist that a renal diet should be low in protein, despite studies that show aging pets -- including those with kidney disease -- need more, not less protein. But it has to be very high quality protein. So here’s the thing. If your cat is addicted to a food with rendered ingredients, meaning if your cat is eating a poor quality food that is difficult to digest and process, I do recommend you reduce the amount of toxic protein in the diet. However, if your cat is eating human-grade protein, then protein restriction is often counterproductive and actually exacerbates problems of weight loss and cachexia (muscle wasting) -- two common health issues for cats with failing kidneys. Many veterinarians will suggest a prescription dry food diet for kidney disease, but I absolutely recommend against this as well. Unless a prescription dry food is the only food your cat will consume, I don’t recommend you feed prescription dry kidney diets. Cats with renal disease do best eating high-quality human grade canned food or a fresh, balanced homemade diet. Cats with the disease still eating kibble should be transitioned if at all possible to a diet that provides much more moisture to help nourish the kidneys. Most importantly, cats with kidney disease must continue to eat. Unlimited access to fresh water should always be provided.
【在 I****2 的大作中提到】 : 给楼主参考,我还是要自己给猫做饭了,我一直不喜欢给她猫罐头吃,最近吃了一周, : 以前都给她做饭+罐头混着。猫罐头里面的成分都是垃圾,都是现代工业赚钱的产物。 : 我明天给她做鸡肉吃,鱼要控制,鱼的磷蛋白比较高 : 干猫粮更是垃圾,如果看过猫粮的制作过程就明白了 : Proper Nutrition for Cats with Chronic Kidney Failure : A diet high in excellent quality protein and lower than normal amounts : of sodium and phosphorous is recommended. Controlling phosphorous intake : has proven to be very important in controlling the progression of kidney : disease. : Many veterinarians still insist that a renal diet should be low in
Albumin is a small protein produced by the liver. Albumin acts as a sponge to hold water in the blood vessels. When blood albumin is decreased, the pressure created by the heart forcing blood through the blood vessels causes fluid to leak out of the blood vessels and accumulate in body cavities such as the abdominal cavity or in tissues as edema. Albumin is decreased if the liver is damaged and cannot produce an adequate amount of albumin or if albumin is lost through damaged intestine or in the urine due to kidney disease. The only cause of increased albumin is dehydration. 我在给猫皮下输液,但是量没打够,她就挣扎着把针头自己拔出来了,我太衰了,不忍 心一晚上戳她2次,这包打完再说
http://www.vetmed.wsu.edu/ClientED/ckd.aspx "Egg and meat contain higher quality protein; cereal grain protein is of lower quality which leads to more wastes for the kidneys to eliminate. " 这个LINK没问题吧
【在 I****2 的大作中提到】 : http://www.vetmed.wsu.edu/ClientED/ckd.aspx : "Egg and meat contain higher quality protein; cereal grain protein is of : lower quality which leads to more wastes for the kidneys to eliminate. " : 这个LINK没问题吧
不是的,这个是急诊,她那天尿路感染发炎了,估计是膀胱炎症,堵尿带去的。打了抗 生素就好了。下次带去血检,先饿她12小时。 2月份的数据,也不是禁食做的,没人通知我要禁食。我欠考虑了,知道给人验血要禁食 Bun 63 Crea 3.1
【在 c*******u 的大作中提到】 : 血检是在前一个晚上禁食的条件下做的吗?
c*u
35 楼
stage 2以上就要吃低磷低蛋白的处方粮了,下次血检如果Cr还是stage2或者以上,跟 你的兽医确认一下开的处方粮确实是低磷低蛋白的,因为有些粮是给早期肾病猫吃的, 蛋白restriction的程度没有那么高。让生病老猫吃新粮确实是个挑战,以下的方法可 以试试,和处方罐头混着: “Palatability enhancers such as homemade, low sodium meat broths, fish oil and animal fats can be used to encourage intake. Clinicare RF may be palatable to some cats and can be used to supplement their food consumption. ”clinical RF是Abbott产的一种液体粮。有研究说能保证营养摄入的肾病猫的诊断后 生存时间是不能保证营养摄入猫的两倍。
【在 c*******u 的大作中提到】 : stage 2以上就要吃低磷低蛋白的处方粮了,下次血检如果Cr还是stage2或者以上,跟 : 你的兽医确认一下开的处方粮确实是低磷低蛋白的,因为有些粮是给早期肾病猫吃的, : 蛋白restriction的程度没有那么高。让生病老猫吃新粮确实是个挑战,以下的方法可 : 以试试,和处方罐头混着: : “Palatability enhancers such as homemade, low sodium meat broths, fish oil : and animal fats can be used to encourage intake. Clinicare RF may be : palatable to some cats and can be used to supplement their food consumption. : ”clinical RF是Abbott产的一种液体粮。有研究说能保证营养摄入的肾病猫的诊断后 : 生存时间是不能保证营养摄入猫的两倍。 :
c*u
38 楼
如果猫死活就是不肯吃的话,还有个办法是Esophagostomy tube,可以直接把罐头打到 猫的胃里,能显著提高猫的quality of life
Did you warm up the fluids before injection? I usually feed the cat before injection, too. It shouldn't be painful for the cat, the discomfort is mainly due to the cold fluid. My cat is eating normally right now, although not too much.