Metabolic Acidosis Other common supportive medications include anticonvulsants, diuretics, H2 blockers, analgesics, antiemetics, and antidepressants. Indicate why each is needed.
Treatments even though this site is devoted to cats, most of the information also applies to dogs. I am not a veterinarian, nor do I have any formal training in any medical field. The goal is to maintain blood phosphorus levels below 4.
This can be done by restricting phosphorus in the diet, and by adding calcium to the diet at ratios as high as 3: A reduced phosphorus diet is needed when creatinine is above 2.
I would not feed a high-phosphorus diet to any dog with elevated creatinine, but you could feed a standard non-prescription commercial diet with relatively low phosphorus levels less than 1. Phosphate binders should always be given with meals, to help bind the phosphorus in each meal. Phosphate binders commonly use calcium carbonate, Pepcid case study, or acetate or aluminum hydroxide.
Calcium can be used as a phosphorus binder, but only if ionized calcium levels in the blood are normal and not elevated hypercalcemia. The most effective calcium binder is calcium acetate Phosloavailable by prescription only in the U.
More information about calcium: One large eggshell makes about one teaspoon of ground eggshell, and contains about 5, mg calcium carbonate, which yields 2, mg elemental calcium per teaspoon. You can dry eggshells after washing them out, then grind them in a coffee grinder.
Other forms of calcium are also fine to use, such as calcium lactate and calcium citrate. Animal Essentials Seaweed Calcium available at Amazon contains just 1.
It also supplies magnesium and iodine, which is good. Never use bone meal, dicalcium phosphate, or other calcium supplements that also include high amounts of phosphorus.
Do NOT use antacids that also include magnesium, such as Mylanta. If you feed a homemade diet: As you restrict the amount of phosphorus in the diet more and more as kidney disease progresses, this amount of calcium should provide a ratio that ranges between 2: When blood phosphorus levels are elevated despite dietary phosphorus restriction, additional calcium or aluminum-based binders are added.
This amount is in addition to the 1, mg of calcium per pound of food that is added to the diet for balance, if you are feeding a homemade diet.
If phosphorus values remain high when using calcium-based binders, you should switch to aluminum-based binders. Ask your vet for more information. When phosphorus levels in the blood are 8. It takes around a month for blood phosphorus levels to stabilize after you change the diet or add phosphate binders, so rechecking levels too soon may be misleading regarding the effectiveness of the treatment.
Doses of calcium salts must be decreased if hypercalcemia develops. If phosphorus levels are still above the target level after another month, increase the dosage of the binder.
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