UPDATES ON TREATMENT OF CHRONIC RENAL FAILURE: DIAGNOSIS INITIAL MANAGEMENT

摘要

Nature of Progression - CRF is clinically characterized in dogs and cats by the development of variably progressive irreversible intrarenal lesions and loss of renal functions. Progressive loss of various renal functions seems inevitable in most patients with advanced stages of chronic renal disease. Progression will occur if the underlying renal insult cannot be treated (e.g., glomerulonephritis due to an unidentified antigen, amyloidosis) but can also progress at times when the cause of the initialinjury has been removed. The "inexorable progression of chronic renal failure" only occurs, however, after substantial loss of renal mass has already occurred, regardless of the original inciting injury. A variety of interventions (diet and drugs) can slow the progression of the renal disease, improve the quality of life for the patient, and/or extend the quantity of life.