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Servet Clinical Guides: Chronic Kidney Disease

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Servet Clinical Guides: Chronic Kidney Disease Pdf Download

By Carmen María Pineda Martos, Ignacio López Villalba

Servet Clinical Guides: Chronic Kidney Disease provides veterinary surgeons with the most up-to-date information on this disease to help them establish diagnosis and select the most appropriate treatment for each patient. Readers are provided with a series of guidelines, presented in a visual and dynamic manner, that will help them develop an effective relationship with the owner and explain the key aspects of their pet’s disease.

Table of Contents

Table of Contents:

1. Visit the clinic

  • What is chronic kidney disease?
  • What is the first sign that the owner observes?
  • Anamnesis to guide the diagnosis
  • Risk factors
  • Differential clinical signs
  • Clinical examination protocol
  • Points to which particular attention should be paid

2. Diagnostic protocols

  • Identifying the primary disease
  • Most common laboratory alterations
  • Haematology
  • Blood biochemical analysis
  • Urinalysis
  • Acid–base and electrolyte analyses
  • Blood pressure measurement
  • Useful diagnostic imaging tests
  • Radiography
  • Ultrasound
  • Computed tomography
  • Magnetic resonance imaging
  • Scintigraphy
  • Specialised diagnostic tests
  • Estimation of glomerular filtration rate
  • New markers of renal function
  • How to manage phosphocalcic metabolism
  • disorders
  • Renal biopsy
  • Staging and diagnostic criteria for CKD

3. Communication with the pet owner

  • How to inform the owner
  • Can an animal with CKD be cured?
  • Can disease progression be predicted?
  • CKD prognosis
  • How long can an animal live with CKD?
  • What factors influence survival time?
  • Guidelines to follow once diagnosis is established

4. Treatment protocols

  • Medical treatment of the patient
  • Dietary modification as a fundamental pillar of treatment
  • Correction of dehydration and management of acid–base and electrolyte alterations
  • Treatment of gastrointestinal signs
  • Treatment of anaemia
  • Treatment of hyperphosphataemia
  • Treatment of hypertension
  • Treatment of proteinuria
  • Other treatments
  • Calcitriol
  • Mesenchymal stem cell therapy
  • Probiotics
  • Calcimimetics
  • Control of uraemic crisis in cases of exacerbation of CKD
  • Use of replacement therapies
  • 5. Guidelines for the owner: follow-up
  • Owner involvement, a key element in the management of CKD
  • What signs should be monitored once diagnosis is established?
  • How often should periodic check-ups be performed?
  • How often should a patient with CKD visit the veterinary clinic?
  • What should we do when the disease progresses to terminal stages?

6. Appendix

  • Suggested treatment protocols according to IRIS CKD stage
  • Recommended reading

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