Supplement multiple vitamins, especially B complex vitamins, either in injectable or oral form. Take a blood pressure reading, preferably with the owner present. If the systolic blood pressure exceeds 200 mm Hg, administer a hypotensive agent. After initiating hypotensive therapy, monitor blood pressure every three days until it is normal, then every one to two months. Consider a blood transfusion.
Nonregenerative anemia is a common sequela of chronic renal failure.
Although whole blood can make a severely anemic cat feel and eat much better, most cats do not need it. A. Serum creatinine concentrations should be measured every three or four days. The average duration of therapy in the hospital is three to six days. If the cat improves, it can be discharged and put into the home maintenance program. If there is not much progress after six days, the owner must choose between further treatment, euthanasia, or taking the cat home to die.