Azotemia in the Cardiac Patient PCP
Finding a way out of the quandary.
Dogs and cats with heart disease often have biochemical abnormalities that indicate prerenal or renal abnormalities.
This situation presents a quandry because increasing intravascular volume (such as with parenteral fluids) increases the risk of congestive heart failure, whereas decreasing intravascular volume (such as with diuretics) can worsen kidney function. This presentation presents specific strategies for making the most of this difficult situation, including methods for early identification of imminent congestive heart failure, appropriate use of parenteral fluid therapy, recognition of acute versus chronic processes, and common mistakes to avoid.
A veterinarian who engages with this presentation should leave with a broader understanding of the range of options available to make the most of this common medical dilemma.