Q and A with steve and jane Flashcards
When is urine pH pertinent?
If we think we have a UTI or a stone
Bacteria which are urease producing breakdown urea to ammonia which can create an environment for struvite and UTIs to grow.
Ammonia makes environment more alkali.
What other options for pain relief in arthtirits in a dog with renal problems when wanting to avoid NSAIDs?
CKD in dogs outlook is poor
CKD in cats outlook is better
CKD in dogs is much less common in dogs. The worry about using NSAIDs is if they are borderline dehydrated can cause more damage so owner must not restrict fluid. And can cause GI pain exascerbating dehydration.
Second options: aren’t great things like tramadol which may or may not have much beneficial effect but can make them more subdued and pain control not sure. Tramadol can you make you completely monged. Other options exercise, acupuncture and hydrotherapy. Paracetomol is another option which is licensed.
PLN cases dont always present azotaemic on bloods may find low albumin on urine find high urea/creatine ration. These dogs will develop CKD but their initiating problem is in the glomerulus.
Two drugs for managing proteinuria are?
ACE inhibitors and telmisartan (angiotensin 2 receptor antagonist)
