Pain Management For Dogs With Kidney Disease
9 the first step of pharmacologic intervention for mild pain usually employs the use of non opioid analgesics such as acetaminophen or non steroidal anti inflammatory drugs nsaids.
Pain management for dogs with kidney disease. Veterinarians also often use nsaids to manage pain after surgery in both dogs and cats. Chronic kidney disease ckd affects an estimated 1 to 3 of all cats and 0 5 to 1 5 of all dogs. Pain management is central to veterinary practice alleviating pain improving patient outcomes and enhancing both quality of life and the veterinarian clientpatient relationship. Depending on the severity of your dog s kidney disease it might be wise to stay on the low end of the dose range for tramadol and especially amantadine both of which are excreted at least to a degree through the kidneys.
Most commonly a veterinarian will start by recommending carprofen which has been around a long time is highly effective more affordable in the generic formulation and tolerated well by most dogs. To prevent kidney problems due to poisoning make sure your dog does not have access to potentially dangerous substances and that she is supervised at all times when outside. This rubbing can permanently damage the joint and cause pain inflammation and lameness. For moderate levels of pain the second step includes the addition of schedule ii opioids such as codeine and hydrocodone.
This can be achieved by increasing the water content of a pet s diet e g feeding canned food only and through intermittent subcutaneous fluid treatment giving boluses of sterile fluid under the skin. Do not give your dog. Appropriate treatment for chronic kidney failure depends on the specific symptoms and biochemical abnormalities that a dog has. We ll also discuss pain management strategies and medicines people with kidney disease can safely use to reduce pain.
Many patients require fluid therapy to combat dehydration. Chronic kidney disease nsaids can be nephrotoxic and in general the renal damage is dose dependent. As with humans one size does not fit all when it comes to nsaids. This webinar will discuss why people with kidney disease may feel more pain than others and the common sources of pain including gout frequent needle sticking bone disease and other complications.
When managing chronic pain in dogs with ckd we have transitioned from use of classic nsaids to administration of non acidic nsaids such as acetaminophen. The management of pain requires a continuum of care that includes anticipation early intervention and evaluation of response on an individual patient basis.