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Hi. Welcome to Just Answer. My name is***** and I've been a veterinarian for 15 years. I'm sorry to hear about Dexter's situation. How long has he been vomiting? Have they taken x-rays on him? Did they give a diagnosis for his situation?
Did they see anything on the ultrasound that is helping guide them in their treatment? Did they have suspicion for pancreatitis? Are they worried about cancer? I'm hoping that they have him at the clinic now on IV fluids and supportive care there.
Was he a diabetic prior to all this starting up?
How long has he been at the clinic on the IV fluids? Has he started to improve on them? What prognosis has your vet given this situation?
Does your vet feel that he's started to improve since being on the IV fluids? Has the nausea stopped or has it continued? Did they feel that the kidney failure was severe?
At this point in time with kidney failure, the best thing that can be done is to continue with the IV fluids and supportive care. Watching to see how they clinically respond to this care and then checking improvement on the kindney values at 24 and 48 hours out can then be used to see what response to therapy has been achieved. I know it is hard to have him at the clinic and away from you, but being there is where he's getting the care that hopefully has the chance to get him to the point of getting home for more time with you. The one thing that must be realized is that kidney failure is a tough situation. It indicates that the kidneys aren't working as they should and therapy isn't repairing them. Therapy is trying to help stabilize the patient and to help slow down the progression of the disease.