Feline kidney formula

EmerAid® Intensive Care™ HDN™ Kidney Feline

or “Highly Digestible Nutrition” is a semi-elemental therapeutic diet scientifically designed to meet the needs of the feline with Chronic Kidney Disease. Developed by veterinarians and nutritionists, this formula provides controlled levels of phosphorous and low sodium, easily absorbable amino acids, increased potassium, l-carnitine, and omega-3 fatty acids. Intensive Care HDN Kidney Feline is designed to control clinical signs of uremia and minimize progression of kidney disease while sustaining lean muscle mass.

  • Highest kcal/ml for feline kidney disease: 1.45 kcal/ml
  • Highly digestible essential amino acids like L-carnitine to support lean muscle mass and combat cachexia
  • Controlled phosphorous levels help delay the progression of CKD
  • Omega 3 fatty acids – EPA & DHA – aid in slowing CKD progression Antioxidants to minimize oxidative stress
  • Semi-elemental diet = Fastest nutrient absorption
  • Easy to administer through a tube as small as 5Fr.
  • 30-day shelf life after opening
  • Available in 100-gram and 400-gram pouches

Indications & Contraindications

Use EmerAid® Intensive Care HDN™ Feline for nutritional support during:

  • Critical Illness
  • Post-operative period in debilitated patients
  • Malabsorption/maldigestion
  • Poor weight gain
  • Cachexia
  • Anorexia, inappetance
  • Acute kidney disease
  • Hepatic lipidosis
  • Infectious disease
  • Autoimmune disease
  • Peritonitis
  • Anemia
  • Convalescence


  • Hepatic encephalopathy

Features & Benefits

  • High energy (1.45-2.81 kcal/ml ME)
  • 1 month shelf life after opening
  • Goes through tubes as small as 5 Fr without clogging
  • Excellent for bolus tube feeding or syringe feeding
  • Controlled phosphorous levels help delay the progression of CKD
  • High quality, highly digestible essential amino acids like L-carnitine to support lean muscle mass and combat cachexia
  • Purified fiber sources to maintain intestinal motility and commensal microflora
  • Cellulose serves as a source of insoluble fiber and acts as a prebiotic
  • Essential amino acids to meet the needs of the metabolically stressed patient
  • Enriched in branched chain amino acids to benefit muscle synthesis and repair
  • Hydrolyzed soy protein minimizes gastrointestinal hypersensitivity. These highly digestible macronutrients prevent and manage osmotic diarrhea, as is associated with completely elemental diets
  • Glutamine and arginine support immunity and antioxidant systems
  • Enterocyte health maintained and supported allowing for the maximum absorbable nutrition in the gastrointestinal tract
  • Omega 3 fatty acids – EPA & DHA – aid in slowing CKD progression, modulate the inflammatory response and aid in tissue synthesis
  • Synergistic antioxidants vitamin E, vitamin C, zinc and taurine to defend against oxidative stress
  • A-casozepine or dehydrated casein supports digestion of fats and tissue synthesis while providing anxiolytic properties
  • L-tryptophan, a precursor for the synthesis of serotonin to reduce stress
  • Dietary nucleotides provide RNA and DNA precursors to support the immune system, nourish the gastrointestinal tract, and assist in weight gain
  • Corn syrup solids essential for acute carbohydrate needs associated with debilitation. Partially hydrolyzed starch supplies glucose, disaccharides, and oligosaccharides, which avoids the osmotic problems associated with feeding only glucose
  • Balanced electrolytes
  • Stabilized vitamins and chelated minerals
  • Neutral pH
  • Free of artificial colors and preservatives
  • Naturally preserved with mixed tocopherols and citric acid

Storage, Handling & Expiration Date

Store in a cool, dry space. Refrigerate after opening, and use within 1 month of opening. The shelf life of an unopened bag is indicated by the “Best Before” date, which is 18 months from the manufacturing date.

***WARNING*** This has been scientifically designed to be highly digestible. Avoid contamination by handling the product carefully. Keep the powder dry until ready to mix with water, and use a clean, dry scoop. Do not cross-contaminate with scoops using non-EmerAid foods as contamination can cause harmful bacterial growth.

Ingredients & Nutrient Profile

Hydrolyzed Soy Protein, Canola Oil, Dried Hydrolyzed Casein, Corn Oil, Dried Whole Egg, Dried Chicken Liver, Cooked Chicken, Corn Starch, Beet Pulp, Inulin, Wheat Flour, Cellulose, Glucose Syrup Solids, Potassium Citrate, Defatted Wheat Germ, Tocopherols, Ground Limestone, Choline Chloride, Taurine, Salmon Oil, Magnesium Sulfate, Citric Acid, Iodized Salt, L-Carnitine, Thiamine Hydrochloride, Copper Methionine Chelate, L-Lysine, Zinc Oxide, Dicalcium Phosphate, Manganous Oxide.

NutrientDry Matter/units
ME4145.0 kcal/kg
Protein (min)30.25%
Fat (min)23.17%
Fiber (max)12.90%
Omega-3 fatty acids1.32%
Vitamin E114 mg/kg
Vitamin C117 mg/kg

Mixing Directions

Standard Mixing Directions: Measure out EmerAid according to the proportions needed. Mix EmerAid using the scoop provided. Mix with hot water measuring 122°F (50°C). Mix well. Use a syringe to draw up the mixture. When finished, flush and clean the feeding syringe. Make fresh for each feeding. Discard remaining food after each feeding.

Feeding frequency and volume should be adjusted based upon patient response and under the supervision of a veterinarian.

Blue scoop in package = 1 Tablespoon = 9g Intensive Care HDN Kidney =37.3 kcal/scoop

EmerAid powder (parts)Water (parts)*Feeding RouteKcal/ml**
115Fr - 8Fr Tube1.45
1.5110Fr and Larger Tube1.81
31HDN Bites 2.81

*Mix with hot water measuring 122°F (50°C). **Metabolizable energy when made as directed.

How many kcal per scoop of EmerAid HDN Kidney Feline?
1 scoop*= 41.454.14537.3
9 gramskcal/kgkcal/g x 9gkcal/scoop
*1 scoop = 1 TBSP

Feeding Recommendations

Download Feeding Recommendations (PDF)

Begin with 25% to 33% of resting energy requirements and gradually increase the volume and number of feedings based on patient condition. A volume of 5-10 ml/kg/feeding is generally well tolerated via esophagostomy or gastric tube. Resting energy requirements can be calculated using the following equation in most cats: [BW(kg) x 30] + 70. For cats weighing <2 kg, use [70 x BW(kg)0.75].

This product is to be used only under the supervision of a veterinarian. EmerAid Intensive Care HDN Kidney Feline is intended for intermittent or supplemental use only.

Feline70 x BW(kg)0.751.45 kcal/ml
5Fr - 8fr Tube
1.81 kcal/ml
8Fr - Larger Tube
2.23 cal/ml
Weight KGWeight LBRER (kcal/day)Total ml/dayTIDQIDTotal ml/dayTIDQIDTotal ml/dayTIDQID