title: Acid-base balance of cats with chronic renal failure: effect of deterioration in renal function.
abstract: In a previous cross-sectional study of feline chronic renal failure (CRF), metabolic acidosis was identified in 52.6 per cent of animals with severe renal failure (plasma creatinine concentration >400 micromol/litre). The aim of this longitudinal study was to determine whether metabolic acidosis preceded or accompanied a deterioration in renal function in cats with CRF. Data were analysed from 55 cats with CRF that had been followed longitudinally for at least four months. Twenty-one cases showed deterioration in renal function over the period of the study, as evidenced by significant rises in their plasma creatinine concentrations and decreases in bodyweight. In five of the 21 cases, acidaemia accompanied the deterioration in renal function. Only one of these cats had evidence of metabolic acidosis before renal function deterioration. One other case developed metabolic acidosis without a rise in plasma creatinine concentration. These data suggest that biochemical evidence of metabolic acidosis does not generally occur until late in the course of feline CRF.
authors.affiliation: Royal Veterinary College, Royal College Street, London NW1 0TU.
authors.forename: J
authors.initials: J
authors.lastname: Elliott
authors.forename: H M
authors.initials: HM
authors.lastname: Syme
authors.forename: P J
authors.initials: PJ
authors.lastname: Markwell
mesh_terms: D000138:Acidosis / Q000209:etiology / Q000503:physiopathology / Q000662:veterinary*; D000818:Animals; D001639:Bicarbonates / Q000097:blood; D002371:Cat Diseases / Q000097:blood / Q000503:physiopathology* / Q000652:urine; D002415:Cats; D003404:Creatinine / Q000097:blood; D018450:Disease Progression; D006863:Hydrogen-Ion Concentration; D007676:Kidney Failure, Chronic / Q000150:complications / Q000503:physiopathology / Q000662:veterinary*; D008137:Longitudinal Studies; D012965:Sodium Chloride / Q000097:blood
chemical_list: D001639:Bicarbonates; D012965:Sodium Chloride; D003404:Creatinine