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Amy Breton
The Veterinary Nurse, Vol. 3, Iss. 10, 17 Dec 2012, pp 600 - 607

Kidneys are responsible for the regulation of the body's water, electrolyte and acid-base balance as well as excretion of metabolic waste products and foreign chemicals, glucose synthesis and erythropoietin production. Although kidney failure is a common disease affecting feline patients, an increased understanding of the disease and advances in treatment mean that cats are living longer after diagnosis. Renal disease can be acute or chronic, and is hallmarked by an elevated blood urea nitrogen and serum creatinine (azotaemia). It is important that cats with kidney failure receive a complete diagnostic work-up in order to determine the underlying cause; tailored treatment includes fluid therapy, correcting acid-base and electrolyte abnormalities, treating hypertension and anaemia, renal transplantation, intermittent haemodialysis and continuous renal replacement therapy.

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