Chronic Renal Failure Tx

Question 1

Proteinuria tx

Answer 1

Benazepril—ACEi

Telmisartan—ARB

Question 2

UTI tx

Answer 2

Prefer cephalosporin (excreted in urine)—culture!

NOT AMIKACIN (toxic to kidneys)

Question 3

Dehydration tx

Answer 3

Fluids…durr

Question 4

Anti-emetics

Answer 4

Maropitant—NK1 receptor antagonist
Metoclopramide—D2 receptor antagonist
Ondasetron—serotonin receptor antagonist

Question 5

Proton pump inhibitors

Answer 5

Omeprazole, pantoprazole

Question 6

H2 blockers

Answer 6

Famotidine, ranitidine, cimetidine

Question 7

Gastric mucosal protectant

Answer 7

Sucralfate

Question 8

Anorexia tx

Answer 8

Can result in hypokalemia (feeding tube?). Serotonin + histamine antagonists:
Cats—cyproheptadine
Dogs—mirtazapine

Question 9

When do we start the patient on a renal diet?

Answer 9

Cats—stage II
Dogs—stage III
Hyperphosphatemia—start immediately!

Question 10

Hypokalemia tx

Answer 10

Supplement, renal diets (max 0.5 meq/mg/hr)

If only slight and not eating, try an appetite stimulant.

Question 11

Non-regenerative anemia tx

Answer 11

EPO

ONLY if PCV <20%

Question 12

Hypertension tx

Answer 12

Dogs—benazepril (ACEi)

Cats—amlodipine #1 (ca-channel blocker), telmisartan (ARB)

Question 13

Hyperphosphatemia tx

Answer 13

Binder:
Aluminum hydroxide/carbonate
Calcium carbonate/acetate
Lanthum carbonate