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→Treatment
If this treatment is not sufficient to maintain the animal then a method of '''dialysis''' may be considered.
If this treatment is not sufficient to maintain the animal then a method of '''dialysis''' may be considered.
:'''Peritoneal Dialysis:''' This technique uses the omentum within the peritoneum as a filter to remove uraemic toxins. It is used in specialist referral centres when it is considered likely that the cat may recover from ARF. The technique is labour intensive but well tolerated by the animal.
:'''Peritoneal Dialysis:''' This technique uses the omentum within the peritoneum as a filter to remove uraemic toxins. It is used in specialist referral centres when it is considered likely that the cat may recover from ARF. The technique is labour intensive but well tolerated by the animal.
:'''Hemodialysis:''' This is rarely performed due to the high cost of equipment and ethical questions surrounding longterm treatment. It is only available at a limited number of specialist hospitals.
:'''Hemodialysis:''' This is rarely performed due to the high cost of equipment and ethical questions surrounding longterm treatment. It is only available at a limited number of specialist hospitals.
The technical advances and increased experience with the clinical applications of hemodialysis is changing the face of therapeutic options available for acute renal failure patients worldwide. If applied early in the course of acute renal insult, hemodialysis can significantly reduce mortality and/or progression towards chronic renal parenchymal changes.
==Prognosis==
==Prognosis==
Prognosis is entirely dependant on whether the animal can be supported whilst the tubules repair. Often intensive care for prolonged peroids (up to eight weeks) is required to achieve this. Generally, animals presenting with '''oliguria''', particularly with a history of toxin ingestion have a '''grave prognosis'''. Renal biopsy may give an indication of the reversibility of the condition (if the basement membrane is intact) and therefore prognosis - it should be considered prior to starting dialysis. If urine production is not restored following treatment, prognosis is very poor and euthanasia may be the only appropriate option.
Prognosis is entirely dependant on whether the animal can be supported whilst the tubules repair. Often intensive care for prolonged peroids (up to eight weeks) is required to achieve this. Generally, animals presenting with '''oliguria''', particularly with a history of toxin ingestion have a '''grave prognosis'''. Renal biopsy may give an indication of the reversibility of the condition (if the basement membrane is intact) and therefore prognosis - it should be considered prior to starting dialysis. If urine production is not restored following treatment, prognosis is very poor and euthanasia may be the only appropriate option.