Cats with severe chronic kidney failure will require hospitalization so that they may be treated with intravenous fluids, nutritional support, and medications. Less severe manifestations of the disease may be managed at home with medications and dietary changes.
The veterinarian may recommend certain commercial cat foods, available only through prescription, that are reduced in protein, phosphorus and sodium -- and should therefore reduce the work load for the kidneys. Other medications are prescribed to control symptoms of kidney failure such as nausea, inappetence, mineral and electrolyte imbalances, hormone deficiencies, and high blood pressure. It is important that fresh water be available at all times to cats with the disease.
The veterinarian may instruct the owner how to administer supplemental fluids under the skin, called subcutaneous fluid therapy. This method usually is recommended for cats with moderate to severe forms of chronic kidney failure. Re-examinations to monitor the disease are recommended on a regular basis. The number of visits will depend on the severity of the cat's disease and its response to treatment.
