Originally Posted by Violet
Sally, I fully realize that, since I'm not a raw feeder, I should not be here in this thread. But...........I'm concerned, so, please, try to forgive the input.
I would be concerned even if a cat with these numbers weighed 20 pounds. With a tiny little thing weighing only 6.6 pounds I feel there is reason to be frantic. Something is not right. I'm tempted to say something is terribly wrong. But, I believe, it's not too late to take several steps now to correct the situation and bring the numbers back to normal.
Going by my own experiences, in a situation like this, it can be very helpful to hospitalize a kitty with such numbers on IV fluids for a day or two to help the kidneys and bring down these numbers. After that, sub-q fluids as needed might also be very helpful. (No problem for any cat that doesn't have heart disease.)
If I were you, I would get a copy of the blood work results ((hopefully your vet did a complete chem profile and not just a partial one) and go over all the values with a fine tooth comb. Again, just going by my own experiences, there should be some other values also with some clues in there.
Anyway......about a year or so ago I found some information from a holistic vet with some details I had not seen anywhere else. Not sure how much of that information would be helpful to you but I would like to share it with you just the same. Not all the information will apply, so just take what does and.........
Again, please try to forgive the intrusion.
Violet, any thoughts are always welcome! That being said, she is current NOT dehydrated, so doesn't really need the IV fluids yet (but if she ever needs sub-qs, we're prepared, because we lost our Sven to CRF just last year . We still lots of Terumo needles, IV set-ups, even lactated ringers, although they may have expired by now). Per that website, we are obviously feeding her a high quality protein (raw), and on those occasions when we DO feed canned, we feed Weruva, so we're covered there. I think I WILL check into those herbs, though. Luckily we're in a large metropolitan area, so we do have a few holistic Vets here.
We did get a full chem panel done,and everything else was in the normal range.
Originally Posted by Ritz
What a cat eats before blood work can alter results; I agree with LDG, next time you take her have the blood work done on a fasting level--or right after she's eaten. So you can compare apples to apples (chicken breast to chicken breast).
chicken breast to chicken breast...cute ! Yes, I completely agree. But in the meantime, think I'll call a Vet who is familiar with raw and just run it by them, if they let me. Hopefully they'll lelt me ask the question without having to bring her in.
Originally Posted by LDG
Sally, I'm sure you've seen this page before, but now might be a good time to review it.
This popped out at me:
Creatinine and BUN are the two most important elements of the blood test for cats with CRF. When these are elevated and the urine is dilute, there is a very real possibility that the cat is in CRF. When the creatinine and BUN are elevated, it is likely that approximately 70% of kidney function is already gone. Since low normal potassium levels, dental disease and high blood pressure are now suspected to be linked to the development of CRF, it is advisable to have these conditions checked, too.
Oh - and this:
While lab results are certainly indicative of the progression of CRF, it must be remembered that there can be variations on blood tests - different labs can produce somewhat different results from the same samples because of standards and testing methodology. The manner in which the blood was taken may affect the results of blood work testing. How gentle the technician is, from what vein the blood is taken and what size the needle is can all have an effect on test results. Whether or not the animal is severely stressed can affect the results as can when and what the cat ate and when the cat was last hydrated. In some cases, drugs given to a cat within proximity of taking blood can affect results. What is normal for one cat may not be normal for another. You look for trends and then at the long-term trend. We have found, after becoming frantic over lab results, that how the cat is acting is equally important. A friend of ours, who took care of a CRF cat for several years, gave us this valuable advice - "Treat the cat, not the lab work". Blood tests are just one piece (albeit a very valuable one) of the diagnostic puzzle.
I have been scouring the felinecrf.org website ever since we got the lab results. She had the urine specific gravity test done in August when her creatinine was high, and it came back perfectly normal, not dilute. So...at that time the conclusion was it was her diet. Now I'm really thinking it's because she had just eaten . However, I'm still going to make some changes, just because. For instance, I read that bone is higher in phosphorus than calcium carbonate, so think I may start substituting that. I need to read more on that, though, because I just read a snipit about that this morning on the PHX BARF page because a dog there has kidney disease. And did you realize that of the raw meats, chicken apparently has the highest phos content? Figures, since that's all she likes right now. And she loves the Wholelife chicken too. Beef has the lowest. Red meats are the lowest. Turkey is better than chicken in that arena, and she currently despises turkey. Wonder if she would like Wholelife beef? (wonder if they even MAKE it) OK, my mind is wandering now...time to go