A case study on the treatment of feline urinary tract infection syndrome

Nov 28,2023
5Min

Case information

Breed: British Shorthair Age: 11 months old

Gender: Male Sterilized or not: No

Heart rate: 150 beats/min Body temperature: 38.2

Immune or not: Yes, mental state is acceptable

Diagnosis

Based on the life history and symptoms of the affected cat, the initial diagnosis was anuria, and the cause is still unclear

Treatment

Since the cat’s mental state was acceptable and the bladder was overfilled, emergency catheterization was required.

Approximately 60ml of urine was discharged, which was turbid and light red with a large amount of silt-like material

Oral anti-inflammatory drugs and urolithiasis

The second day of treatment

There was no follow-up visit, but a follow-up visit revealed that she was in good mental condition, eating normally, and having difficulty urinating.

It is recommended to continue anti-inflammation and eat sterilization prescription food. If difficulty in urination persists or the episode is stubborn, urethrostomy surgery is required

Summary Thoughts

1. Feline lower urinary tract syndrome, this syndrome is referred to as FLUTD. Clinically, it is common to have difficulty urinating due to urethral obstruction caused by stones, urinary crystals or urinary casts. Affected cats will suffer from frequent urination, difficulty urinating, hematuria, etc. When the urethra is completely blocked and anuria occurs. A bladder filled with urine is palpable on palpation. If severe cases are not treated in time, bladder rupture, peritonitis, kidney failure and even death may occur. If the urethral obstruction is not resolved within 36-48 hours, typical post-renal azotemia may occur, including anorexia, vomiting, dehydration, weakness, and even coma. Acidosis, tachypnea or bradycardia may also occur. Sudden death is possible.

2. Causing factors include genetics, food, physical constitution, environment, drinking water, disease, infection, etc.

Male cat urinary catheterization

1. Prepare items: sterile gloves; sterile lubricant; sterile saline; suitable urinary catheter (male cat urinary catheter with open end, usually polypropylene catheter)

2. Operation method: The cat lies on its side or supine in Baoding (if necessary, sedate the cat → push the penis back, and at the same time pinch the foreskin and push it headward to make the penis protrude. → Keep the protruding state and pinch the base of the penis tightly Hold the foreskin and control the penis. → Gently rinse the glans penis with antibacterial solution, and then rinse away the antibacterial solution with saline. → Pull the penis back straight so that the urethra of the penis isThe long axis is parallel to the spine to reduce the natural curvature of the urethra and facilitate urinary catheter insertion. → Lubricate the catheter head with lubricant → Gently insert the head of the urinary catheter into the urethra orifice and continue to advance into the bladder cavity → If resistance is encountered, you can flush the urinary catheter with sterile saline (note: it will change the urine test results). If the orifice is severely blocked and cannot be inserted normally with a urethral catheter, you can use a 5ml syringe filled with saline and connected to the indwelling needle hose for flushing. The method of pumping water is: inject, in, inject, in, inject, and withdraw to flush the urethral orifice obstruction. After unobstructed

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