Vet Med - Czech, 2016, 61(7):399-403 | DOI: 10.17221/13/2016/VETMED

Reversal of acute kidney injury after peritoneal dialysis in a dog: a case reportCase Report

P.T.C. Guimaraes-Okamoto1, S.S. Geraldes1, J.F.A. Ribeiro1, A.N.L.S. Vieira1, L.P. Porto1, P. Barretti2, M.L.G. Lourenco1, A. Melchert1
1 School of Veterinary Medicine and Animal Science, University Estadual Paulista, Botucatu, Sao Paulo, Brazil
2 School of Medicine, University Estadual Paulista, Botucatu, Sao Paulo, Brazil

Acute kidney injury is characterised by a sudden injury to the renal parenchyma and causes defects in its excretory, metabolic and endocrine function. Dialysis therapy has been instituted in small animal clinics with the aim of removing the metabolic waste and correcting the electrolyte disturbances stemming from renal dysfunction. Peritoneal dialysis is a therapy based on the use of the peritoneum as a semipermeable membrane through which solutes and fluids are exchanged between blood from the peritoneal capillaries and the dialysis solution. This report describes a case of acute kidney injury stemming from drug therapy in a 13-year-old female mongrel canine. The patient exhibited anorexia, emesis, prostration and anuria and had a history of prolonged treatment with meloxicam. The patient also presented with azotaemia and metabolic acidosis. When anuria continued to persist after drug therapy (volume restoration, chemical and osmotic diuresis and renal vasodilation), peritoneal dialysis was instituted. Three cycles of peritoneal dialysis were performed; during the second cycle, the patient's anuria was reversed, and at the end of the third cycle she showed a significant reduction in azotaemia, hyperkalaemia and an improved metabolic acidosis. Therefore, peritoneal dialysis showed satisfactory clinical results and reversed anuria, reduced azotaemia and electrolyte disturbances, thereby providing clinical improvement.

Keywords: dialysis therapy; small animals; renal dysfunction; acute kidney injury; blood gases; electrolytes; anuria

Published: July 31, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Guimaraes-Okamoto PTC, Geraldes SS, Ribeiro JFA, Vieira ANLS, Porto LP, Barretti P, et al.. Reversal of acute kidney injury after peritoneal dialysis in a dog: a case report. Vet Med - Czech. 2016;61(7):399-403. doi: 10.17221/13/2016/VETMED.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Beckel NF, O'Toole TE, Rosanski EA, Labato MA (2005): Peritoneal dialysis in the management of acute renal failure in five dogs with leptospirosis. Journal of Veterinary Emergency and Critical Care 15, 201-205. Go to original source...
    2. Chew DJ (2005): Causes and prevention of acute intrinsic renal failure. In: Proceedings of the North American Veterinary Conference, Orlando. 523-525.
    3. Cooper RL, Labato MA (2011): Peritoneal dialysis in veterinary medicine. The Veterinary Clinics of North America, Small Animal Practice 41, 91-113. Go to original source... Go to PubMed...
    4. Cowgill LD (2012): Clinical staging of acute kidney injury. In: Proceedings of the Advanced Renal Therapies Symposium, New York. 81-84.
    5. Crisp MS, Chew DJ, Dibartola SP, Birchard SJ (1989): Peritoneal dialysis in dogs and cats: 27 cases (1976-1987). Journal of the American Veterinary Medical Association 195, 1262-1266.
    6. Davis H (2005): Nursing management of the acute renal failure patient. In: Proceedings of the North American Veterinary Conference, Orlando. 15-17.
    7. Dorval P, Boysen SR (2009): Management of acute renal failure in cats using peritoneal dialysis: a retrospective study of six cases (2003-2007). Journal of Feline Medicine and Surgery 11, 107-115. Go to original source... Go to PubMed...
    8. Dzyban LA, Labato MA, Ross LA, Murtaugh R (2000): Peritoneal dialysis: a tool in veterinary critical care. Journal of Veterinary Emergency and Critical Care 10, 91-102. Go to original source...
    9. Gabriel DP, Caramori JT, Martim LC, Barretti P, Balbi AL (2008): High volume peritoneal dialysis vs daily hemodialysis: A randomized, controlled trial in patients with acute kidney injury. Kidney International 73, 87-93. Go to original source... Go to PubMed...
    10. Gallatin LL, Couetil LL, Ash SR (2005): Use of continuousflow peritoneal dialysis for the treatment of acute renal failure in an adult horse. Journal of the American Veterinary Medical Association 226, 756-759. Go to original source... Go to PubMed...
    11. Garcia-Lacaze M, Kirby R, Rudloff E (2002): Peritoneal dialysis: not just for renal failure. Compendium on Continuing Education for the Practising 24, 758-772.
    12. Labato MA (2000): Peritoneal dialysis in emergency and critical care medicine. Clinical Techniques in Small Animal Practice 15, 126-135. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content