Fish is the food that surprises kidney-cat owners, because the advice sounds contradictory.
Your vet may well have said: "Add fish oil. The Omega-3s help."
So you feed her more fish. Sardines. Tuna. Salmon. She loves it, it's protein, it's "good fats" — surely that's what the vet meant.
It isn't.
Whole fish is flesh, bone and minerals. Fish oil is fat.
Fish flesh carries phosphorus. Fish eaten with bones — sardines, especially — carries a lot more.
Tinned, dried, smoked and salted fish add sodium on top. So the more fish you feed her to get the Omega-3s in, the more phosphorus you're adding to a kidney that can't clear it.