Acute Renal (Kidney) Failure in Dogs

Acute kidney failure (acute renal failure or ARF) is characterized by an abrupt decline in kidney function that leads to changes in the chemistry of the body including alterations in fluid and mineral balance. The changes that arise as a result of ARF affect almost every body system.

The kidneys filter blood, remove the waste products of metabolism, and eliminate them in the urine. The kidneys also regulate the volume and composition of body fluids (including mineral concentrations and acid base balance), and produce hormones that stimulate the production of red blood cells (erythropoietin) and regulate calcium balance (calcitriol).

Acute kidney failure can be caused by toxic injury to the kidneys, decreased blood flow and oxygen delivery to the kidneys, infections, obstruction of the kidneys and prevention of urine elimination caused by a ruptured bladder.

The recent recognition of kidney failure is not necessarily the same as acute renal failure, since some animals with chronic kidney failure tolerate it for some time before symptoms are apparent.

There is no specific breed predilection but older animals are thought to be at greater risk for acute kidney failure. Acute kidney failure is more common in the fall and winter due to pet exposure to anti-freeze which contains ethylene glycol. Dogs that are allowed to roam outside without supervision and working dogs potentially have increased exposure to ethylene glycol.

The symptoms of ARF, although often severe, are not specific. Even with intensive management, ARF is a very serious disorder and often is fatal.

What to Watch For

Disorientation

Incoordination

Decreased urine production

Straining to urinate

Loss of appetite

Lethargy

Vomiting

Weakness

Changes in water consumption and urination