Technique of Hemodialysis in Acute Uremia Dog with Complications

Abstract

An 8 year-old, 20 kg, mixed breed dog presented with anemic condition, respiratory distress condition and severe uremia (BUN = 250 mg/dL, creatinine = 18.4 mg/dL) including anuria for 3 days. Hemodialysis treatments were performed 3 times at Hemodialysis unit, Kasetsart University Veterinary Teaching Hospital (KUVTH). The dialysis machine setting values including blood flow rate was set at 5 ml/kg/min, 5 ml/kg/min and 6 ml/kg/min, respectively. The dialysate flow rate was set at 500 ml/min in every session. The time was set at 90 minutes, 90 minutes and 150 minutes in each session, respectively. The urea reduction ratios were 0.48, 0.45 and 0.52, respectively. At the end of the treatment, the patient’s azotemia level was on stage III of chronic renal disease (BUN = 37 mg/dL, creatinine = 3.17 mg/dL) with normal clinical signs. The time of hospital stay was 14 days. The patient could spend her life almost normally at home and lived 120 days. This case report had described details in the procedure of hemodialysis.