He is a cute cat.
My Coco is only 6.4 pounds now and used to weigh over 10.
I love black cats also.
I hope he does better.
My Coco is only 6.4 pounds now and used to weigh over 10.
I love black cats also.
I hope he does better.
-
Too many ads? Join our community of cat lovers now to reduce ads by 90%! Click here to join for free!
CRF cat, near the end...?
- Thread starter jackbombay
- Start Date
What a beauty he is! The first picture you posted of the two of you melts my heart; it speaks volumes of the love you two share.
I ordered the scale from Drs. Foster and Smith. I wanted an actual scale for small animals. I think it was about $70.00, plus shipping. I have a multi-cat family so I figured the cost was worth it. After getting the news about Baby I'm now so scared I'm going to miss something critical again, so all 19 get weighed at least once a month.
Here's hoping Jack's numbers go down! We've had to give Baby fluids only once, in September, and she bounced back almost immediately.
I ordered the scale from Drs. Foster and Smith. I wanted an actual scale for small animals. I think it was about $70.00, plus shipping. I have a multi-cat family so I figured the cost was worth it. After getting the news about Baby I'm now so scared I'm going to miss something critical again, so all 19 get weighed at least once a month.
Here's hoping Jack's numbers go down! We've had to give Baby fluids only once, in September, and she bounced back almost immediately.
I'm sorry to hear about your kitty. I was wondering if you tried alternate methods of treatment. I lost my Cat to CRF about 9 months ago and was given the same treatment regemin. He got the subcutanious fluids and the k/d diet. Since then I have looked into the health of cats and what their proper nutrition is. If you look at the ingredients of the food it has corn, wheat gluten and probably a lot of rice. The first 5 ingredients in food should contain more meat than grain and corn shouldn't even be in cat or dog food. Not very digestible, even to people. Cats are hunters and should be eating meat. Their kidneys have to do more work to process the food, especially dry. A cat in CRF needs to get as much water as possible. They will get more of it through wet food. Here is a link that might explain more. http://www.shirleys-wellness-cafe.com/renalfailure.htm I found this doing research for a friend that has a dog going through it also. Another product that has a good supplement is Great Life Digestive Enzymes. It gave my friends dog a real boost. I also found a product called BioPreparation Animal Formula. I heard good things on another forum about this product. I wish I had done more research into this before instead of just doing what the vet said. Hope Jack gets better.
- Thread Starter Thread Starter
- #24
We tried to get his blood pressure a couple of times, but no dice :-/
The previously mentioned enalapril is actually to lower blood pressure, not for red blood cell production.
His eyes seem normal visually, but he has had more "tears" coming out the corner of his eyes the last couple days than he typically does.
The vet doesn't have any experience giving azodyl to cats, but has used it for dogs, she said she would talk with some other vets about its use in cats. She did also mention that with dogs the azodyl doesn't work all that well when BUN numbers are really elevated, as Jack's are.
Cyroheptadine as an appetite stimulant, she said it was very expensive and we should see how his appetite is (with his blood acidity under control) before starting appetite stimulants, and she recommended Valium as a good cost effective appetite stimulant.
At this point we'll start with 100-150 ml a day sub-q, pepcid for stomach acid, and sodium bicarbonate to keep his blood acidity down. And the possibility of azodyl based on feedback she gets from other vets.
She is a little leary of unnecessary meds as that is more work for his kidneys, which makes sense, but figuring out where the line between detriment and benefit is not an exact science obviously.
I forgot to get a copy of all the blood numbers from yesterdays test, but she will be calling this afternoon after she tests his blood again so I'll get all the numbers from both tests then.
The infection in his mouth has the side of his face swollen up more than I'd like, but she was able to get it flushed out quite well till no more puss was coming out, and he is on antibiotics now. Even with the infection he was still giving me "kisses" with that side of his face and bonking his head against mine, bunch of purring too
All in all I like this vet quite a bit more than the previous vet.
The previously mentioned enalapril is actually to lower blood pressure, not for red blood cell production.
His eyes seem normal visually, but he has had more "tears" coming out the corner of his eyes the last couple days than he typically does.
The vet doesn't have any experience giving azodyl to cats, but has used it for dogs, she said she would talk with some other vets about its use in cats. She did also mention that with dogs the azodyl doesn't work all that well when BUN numbers are really elevated, as Jack's are.
Cyroheptadine as an appetite stimulant, she said it was very expensive and we should see how his appetite is (with his blood acidity under control) before starting appetite stimulants, and she recommended Valium as a good cost effective appetite stimulant.
At this point we'll start with 100-150 ml a day sub-q, pepcid for stomach acid, and sodium bicarbonate to keep his blood acidity down. And the possibility of azodyl based on feedback she gets from other vets.
She is a little leary of unnecessary meds as that is more work for his kidneys, which makes sense, but figuring out where the line between detriment and benefit is not an exact science obviously.
I forgot to get a copy of all the blood numbers from yesterdays test, but she will be calling this afternoon after she tests his blood again so I'll get all the numbers from both tests then.
The infection in his mouth has the side of his face swollen up more than I'd like, but she was able to get it flushed out quite well till no more puss was coming out, and he is on antibiotics now. Even with the infection he was still giving me "kisses" with that side of his face and bonking his head against mine, bunch of purring too
All in all I like this vet quite a bit more than the previous vet.
- Thread Starter Thread Starter
- #25
I have heard quite a bit bout raw food diets (meat) and will look into it more. I have not looked at the ingredients of the hills KD, in the summer Jack doesn't eat a whole lot of cat food as he catches so many mice, I'm not sure if that counts as low protein low phosphorus or not
I hope you get better news later today when the vet calls.
My other crf car used to get procrit shots and winstrol shots.
Coco has never got either.
I am glad you like the vet.
My other crf car used to get procrit shots and winstrol shots.
Coco has never got either.
I am glad you like the vet.
Originally Posted by KittiesHasMe
Try to be as consistant as possible with the sub-q's. Dehydration will make him feel lousy and off his food. Feed him what he will eat. See if the vet can give him something for his appetite.
- Thread Starter Thread Starter
- #28
COpy/pasted from the yahoo group,
I have not talked to the original vet (weekend) abut why
specifically they prescribed enalapril, but it must have been
prescribed to lower blood pressure, not that they knew it was high,
but with CRF it likely is. However, without knowing the actual BP is
it still a good idea to use the enalapril? The new vet thinks so, fwiw.
At the vets this morning we tried to get his blood pressure a
couple of times, but were unsuccessful, a "doppler" machine is best
for feline blood pressure (or so I was told), but there is not one in
the valley here :-/ .
I was expecting a call back from the vet this afternoon with more
blood numbers, but have not heard from her yet. I also forgot to get
the initial blood numbers from her while there, D'oh! I will get all
the numbers tomorrow morning.
Jack was doing pretty good this AM, his blood was quite acidic
yesterday so the vet added sodium bicarbonate to the IV so while she
didn't get a whole lot of fluid through Jack overnight (500 ml) I
think just the reduction of blood acidity has made him feel a bunch
better. Plenty of purring and bonking his head against ours.
He is peeing fine/lots, but he was curled over on his front leg
overnight in such a way that the IV pumping machine would turn off
because of too much back pressure.
> The phosphorous binder is given when he eats .. what type are you using?
> You can buy aluminum hydroxide powder which is nearly tasteless from
> thrivingpets.com. I used to mix it with a bit of babyfood and
syringe it to
> my cats after they ate .. or many people mix directly into the food.
so it
> is not something you have to force down them .. there are ways to
make it
> acceptable.
It is a liquid, "Aluminum hydroxide susp" is written on the label, 1
cc a day.
As far as feeding goes, is it better to feed at specific times so you
can give the phos binder right afterwards? Or is it also fine to just
leave food out so they he can eat whenever/as much as he wants and the
phos binder in the AM will "last all day"?
> I think you need to get a routine and start consistent treatment ..
> otherwise it is hard to say why Jack is still not feeling well. I
think too
> that you might want to recheck his values .. maybe a week or two after
> you've treated him consistently .. and certainly sooner if he
continues to
> do poorly. Please do get a copy of his labs and post .. there may
be more
> things that can be worked on to help him to feel better. And if he
> continues to feel badly, I'd certainly call the vet and talk about
his meds,
> what they are for and whether you can tweak something. His numbers
dropped
> nicely w/ the IV fluids so hopefully he can start to feel better,
but you
> need to be consistent with his treatment. Sometimes it takes a
little time,
> and you need to tweak things a bit so don't give up the ship just
yet OK?
> Please keep us posted on how he is doing and if you need any help ..
just
> ask!
>
>
>
> Maureen
For now the plan is: sub-q's every day, 100-150 ML, some pepcid and
some sodium bicarbonate everyday as well.
Thoughts?
I mentioned the azodyl to her and she has used it with dogs a fair
bit, but never with cats, her experience with dogs was that it doesn't
help much with high BUN levels like Jack has. She was going to talk
with some other vets about azodyl use with cats. She is hesitant to
use drugs that will be of little benefit as it will just be more work
for his kidney's to remove the drugs.
I also asked her about cyproheptadine for appetite stimulation, she
sad it was very expensive and Valium works quite well at a far lower
cost, but she wanted to see how he does for the next few days before
deciding to use appetite stimulants. He ate some while we were there
and had the better part of can of hills K/D last night.
Depending on how much fluid she can run through Jack the next 24
hours we might leave him there another day, it all depends on the
blood numbers though.
And lastly, the infection/abscess in his mouth is doing decently, he
is on antibiotics and she was able to flush it out thoroughly till the
water came out clear, lots of puss came out and it is still swollen,
but he still gave me a few "kisses" with that side of his face, and
dozens with the other side of his face :-) .
The puss is actually coming out of a hole where he had a tooth pulled several years ago...?
But as she was able to flush it thoroughly and he is on antibiotics
she said she is not worried about it.
I have not talked to the original vet (weekend) abut why
specifically they prescribed enalapril, but it must have been
prescribed to lower blood pressure, not that they knew it was high,
but with CRF it likely is. However, without knowing the actual BP is
it still a good idea to use the enalapril? The new vet thinks so, fwiw.
At the vets this morning we tried to get his blood pressure a
couple of times, but were unsuccessful, a "doppler" machine is best
for feline blood pressure (or so I was told), but there is not one in
the valley here :-/ .
I was expecting a call back from the vet this afternoon with more
blood numbers, but have not heard from her yet. I also forgot to get
the initial blood numbers from her while there, D'oh! I will get all
the numbers tomorrow morning.
Jack was doing pretty good this AM, his blood was quite acidic
yesterday so the vet added sodium bicarbonate to the IV so while she
didn't get a whole lot of fluid through Jack overnight (500 ml) I
think just the reduction of blood acidity has made him feel a bunch
better. Plenty of purring and bonking his head against ours.
He is peeing fine/lots, but he was curled over on his front leg
overnight in such a way that the IV pumping machine would turn off
because of too much back pressure.
> The phosphorous binder is given when he eats .. what type are you using?
> You can buy aluminum hydroxide powder which is nearly tasteless from
> thrivingpets.com. I used to mix it with a bit of babyfood and
syringe it to
> my cats after they ate .. or many people mix directly into the food.
so it
> is not something you have to force down them .. there are ways to
make it
> acceptable.
It is a liquid, "Aluminum hydroxide susp" is written on the label, 1
cc a day.
As far as feeding goes, is it better to feed at specific times so you
can give the phos binder right afterwards? Or is it also fine to just
leave food out so they he can eat whenever/as much as he wants and the
phos binder in the AM will "last all day"?
> I think you need to get a routine and start consistent treatment ..
> otherwise it is hard to say why Jack is still not feeling well. I
think too
> that you might want to recheck his values .. maybe a week or two after
> you've treated him consistently .. and certainly sooner if he
continues to
> do poorly. Please do get a copy of his labs and post .. there may
be more
> things that can be worked on to help him to feel better. And if he
> continues to feel badly, I'd certainly call the vet and talk about
his meds,
> what they are for and whether you can tweak something. His numbers
dropped
> nicely w/ the IV fluids so hopefully he can start to feel better,
but you
> need to be consistent with his treatment. Sometimes it takes a
little time,
> and you need to tweak things a bit so don't give up the ship just
yet OK?
> Please keep us posted on how he is doing and if you need any help ..
just
> ask!
>
>
>
> Maureen
For now the plan is: sub-q's every day, 100-150 ML, some pepcid and
some sodium bicarbonate everyday as well.
Thoughts?
I mentioned the azodyl to her and she has used it with dogs a fair
bit, but never with cats, her experience with dogs was that it doesn't
help much with high BUN levels like Jack has. She was going to talk
with some other vets about azodyl use with cats. She is hesitant to
use drugs that will be of little benefit as it will just be more work
for his kidney's to remove the drugs.
I also asked her about cyproheptadine for appetite stimulation, she
sad it was very expensive and Valium works quite well at a far lower
cost, but she wanted to see how he does for the next few days before
deciding to use appetite stimulants. He ate some while we were there
and had the better part of can of hills K/D last night.
Depending on how much fluid she can run through Jack the next 24
hours we might leave him there another day, it all depends on the
blood numbers though.
And lastly, the infection/abscess in his mouth is doing decently, he
is on antibiotics and she was able to flush it out thoroughly till the
water came out clear, lots of puss came out and it is still swollen,
but he still gave me a few "kisses" with that side of his face, and
dozens with the other side of his face :-) .
The puss is actually coming out of a hole where he had a tooth pulled several years ago...?
But as she was able to flush it thoroughly and he is on antibiotics
she said she is not worried about it.
Maureen and Pat from the Yahoo group seem to know alot.
I am glad Maureen is helping you.
She and Pat helped me before.
I hope yor cat keeps getting better.
It will take time.
Coco has Pepcid A/C.
We have it compounded and its easy to give.
I am glad Maureen is helping you.
She and Pat helped me before.
I hope yor cat keeps getting better.
It will take time.
Coco has Pepcid A/C.
We have it compounded and its easy to give.
Seems you joined the list i was on...the long timers especially on that list are great, including Maureen, if she's the one I'm thinking of.
Just wishing you all the best...I had quite the jolt when I saw Jack's photo - minus the fact your fellow has straight ears, he reminds me of my Tyler who I lost a year ago. He's quite a handsome fellow.
Fwiw, frequent lick lipping can be a sign of nausea.
Just wishing you all the best...I had quite the jolt when I saw Jack's photo - minus the fact your fellow has straight ears, he reminds me of my Tyler who I lost a year ago. He's quite a handsome fellow.
Fwiw, frequent lick lipping can be a sign of nausea.
I'm sorry that Jack is not doing so well. We lost Duchess to CRF 3 years ago. She was 15. Tedi has had CRF close to a year now and on top of it he has a heart murmur. So I have to be careful treating his heart and kidneys.
I know what it is like to see an animal go downhill. Duchess lost so much weight and she only weighed 5 pounds to begin with. I gave her the fluids at home and she got so picky with her food. I knew when she had that glazed over look in her eyes that she was in shock and all her organs were shutting down.
I vowed with Tedi that I would do everything I could to provide him a quality of life. Another member on here told me about Calcitriol. Her cat had CRF at a very young age and the cat is now 8 years old.
I put Tedi on it and just had him tested recently. I was disappointed that his number still went up a little, but he was eating, drinking and had energy like he was a kitten! He even gained weight and the vet said he was doing very well. She said that you have to treat the cat and not the numbers.
I think with the fluids it will bring his values down now. He feels very healthy and looks so well. I don't know if it would be too late to try the calcitriol on Jack.
It is so hard to see a pet suffer. I hope that there is something that will work for Jack. The picture you posted of the two of you together shows that unique bond you have. It really is touching.
I hope the numbers will be better for Jack the next time around.
I know what it is like to see an animal go downhill. Duchess lost so much weight and she only weighed 5 pounds to begin with. I gave her the fluids at home and she got so picky with her food. I knew when she had that glazed over look in her eyes that she was in shock and all her organs were shutting down.
I vowed with Tedi that I would do everything I could to provide him a quality of life. Another member on here told me about Calcitriol. Her cat had CRF at a very young age and the cat is now 8 years old.
I put Tedi on it and just had him tested recently. I was disappointed that his number still went up a little, but he was eating, drinking and had energy like he was a kitten! He even gained weight and the vet said he was doing very well. She said that you have to treat the cat and not the numbers.
I think with the fluids it will bring his values down now. He feels very healthy and looks so well. I don't know if it would be too late to try the calcitriol on Jack.
It is so hard to see a pet suffer. I hope that there is something that will work for Jack. The picture you posted of the two of you together shows that unique bond you have. It really is touching.
I hope the numbers will be better for Jack the next time around.
- Thread Starter Thread Starter
- #32
I did get a call from the vet, but we were downstairs watching a movie so she just left a message, but left the important details, on Sunday night at 8:30, she is a hard working vet, they live behind the office actually.
Bun was at 140+ and is now 100, his blood is way less acidic than it was, and hes eating well
She did have to put another catheter in as the first one kept "blocking up" when he would lay down so hopefully that won't be an issue with the new catheter.
I'll also ask about the calcitriol tomorrow.
Bun was at 140+ and is now 100, his blood is way less acidic than it was, and hes eating well
She did have to put another catheter in as the first one kept "blocking up" when he would lay down so hopefully that won't be an issue with the new catheter.
I'll also ask about the calcitriol tomorrow.
- Joined
- Mar 26, 2005
- Messages
- 20,608
- Purraise
- 16
Sending love and healing vibes to your sweet Jack.
Here is a calming hug for you.
Here is a calming hug for you.
I saw the picture of you and Jack - he's beautiful and obviously loves you as much as you love him.
I also talked to my vet about and showed her the websites on Calcitriol. She talked to the senior vet in charge and they were all for trying it out. He is doing so well. If you need the links, PM me.
It certainly did well for our kitties...I'm convinced it is why Patrick lived/stayed so stable with his crf numbers, for his almost 4 years post diagnosis.
- Thread Starter Thread Starter
- #37
Copy pasted from the Yahoo CRF group.
Jack is home and feeling quite good, He's already chased his sister
around, used the litter box, and had a fair bit to eat! He was eating
well at the vet's too, now he's yelling at "mom" for some salmon, and
he just jumped into her arms from the ground. Good PUDDY!!!!!!
For those that asked about the antibiotic he is on for the abscess,
it is baytril, once a day, 22.7 mg, for 5 more days, a total of 7 days.
Blood numbers: The numbers in parentheses are the normal values, I
used \\/ as "less than"
1/17
glu = 114 mg/dl
BUN = 140 mg/dl (34)
Na = 140 mmol/L (\\/ 147)
K = 2.9 mmol/L
Cl = 122 mmol/L
TCO2 = 10 mmol/L (\\/ 16-25)
AnGap = 11 mmol/L
Hct = %22 PCV (\\/ 24)
hb* = 7.5 g/dL (via Hct)(\\/ 8)
pH = 7.092 (\\/ 7.25)
PCO2 = 29.7 mmHg
HCO3 = 9.1 mmol/L (\\/ 16)
BEecf = -21 mmol/L (\\/ -5)
1/18
glu = 113 mg/dl
BUN = 101 mg/dl (34)
Na = 148 mmol/L (\\/ 147)
K = 3.1 mmol/L
Cl = 127 mmol/L
TCO2 = 14 mmol/L (\\/ 16-25)
AnGap = 12 mmol/L
Hct = %17 PCV (\\/ 24)
hb* = 5.8 g/dL (via Hct)(\\/ 8)
pH = 7.200 (\\/ 7.25)
PCO2 = 32.9 mmHg
HCO3 = 12.9 mmol/L (\\/ 16)
BEecf = -15 mmol/L (\\/ -5)
1/19
glu = 101 mg/dl
BUN = 73 mg/dl (34)
Na = 154 mmol/L (\\/ 147)
K = 2.9 mmol/L
Cl = 130 mmol/L
TCO2 = 17 mmol/L (\\/ 16-25)
AnGap = 11 mmol/L
Hct = %15 PCV (\\/ 24)
hb* = 5.1 g/dL (via Hct)(\\/ 8)
pH = 7.345 (\\/ 7.25)
PCO2 = 29.3 mmHg
HCO3 = 16.0 mmol/L (\\/ 16)
BEecf = -10 mmol/L (\\/ -5)
For the 19th there is also another smaller tag of blood numbers,
here they are,
Bun = 78
Glu = 97
ALP = 14
T-Pro = 6.3
ALT = 17
Cre = 5.2
Phosphorus from his last blood test was 4.0 not high at all really.
For the first 2 blood tests she was having a hard time getting much
blood from his back leg, he was being quite fussy, so she didn't have
enough to test the createinin, for the last test she pulled blood from
his neck and he hardly minded at all.
No more enalapril.
There is a vet about 45 minutes from here with a Doppler blood
pressure tester, I plan on taking Jack back for some more blood work
next monday, and while we have him in the car we'll keep driving and
get his BP checked as well. Giving him meds for high BP without
knowing where his BP doesn't make a whole lot of sense, besides that
the enalapril is not good for the kidneys and can raise BUN Levels,
which it seems to have done with Jack (Thanks for that info Erika :-) )
As far as his daily regimen goes here is what we talked about,
She wants me to start with 200 ml every other day, but from the advice
I've gotten here I plan on 100 ml every day, if that is too many
needle pokes for him I'll back off to 200ml every other day. We plan
on doing the sub-Q's first thing in the morning.
1/4 of a 10 mg pepcid ac once a day in the am.
And to blood acidity some "poly-citri-kay" I have no idea how its
spelled, that is how its pronounced though, that also has potassium in it.
From the first vet we do also have some Epakitin which is a
reasonable phosphorus binder, not good for really high phosphorus
(above 7), but Jack's is well below that, and it should also lower BUN
some, and as we have it and its easy enough to add to food we'll start
using that again, when we were using it it seemed to put Jack off his
food a bit, but I'm not sure if that was because of the Epakitin or
because his blood was soooo bad and he felt bad.
In summary,
100ml LRS per day
1/4 pepcid per day (2.5mg)
polycitrikay (not sure on does yet, I pick it up tomorrow from the pharmacy)
Epakitin as recommended for his weight.
Jack is home and feeling quite good, He's already chased his sister
around, used the litter box, and had a fair bit to eat! He was eating
well at the vet's too, now he's yelling at "mom" for some salmon, and
he just jumped into her arms from the ground. Good PUDDY!!!!!!
For those that asked about the antibiotic he is on for the abscess,
it is baytril, once a day, 22.7 mg, for 5 more days, a total of 7 days.
Blood numbers: The numbers in parentheses are the normal values, I
used \\/ as "less than"
1/17
glu = 114 mg/dl
BUN = 140 mg/dl (34)
Na = 140 mmol/L (\\/ 147)
K = 2.9 mmol/L
Cl = 122 mmol/L
TCO2 = 10 mmol/L (\\/ 16-25)
AnGap = 11 mmol/L
Hct = %22 PCV (\\/ 24)
hb* = 7.5 g/dL (via Hct)(\\/ 8)
pH = 7.092 (\\/ 7.25)
PCO2 = 29.7 mmHg
HCO3 = 9.1 mmol/L (\\/ 16)
BEecf = -21 mmol/L (\\/ -5)
1/18
glu = 113 mg/dl
BUN = 101 mg/dl (34)
Na = 148 mmol/L (\\/ 147)
K = 3.1 mmol/L
Cl = 127 mmol/L
TCO2 = 14 mmol/L (\\/ 16-25)
AnGap = 12 mmol/L
Hct = %17 PCV (\\/ 24)
hb* = 5.8 g/dL (via Hct)(\\/ 8)
pH = 7.200 (\\/ 7.25)
PCO2 = 32.9 mmHg
HCO3 = 12.9 mmol/L (\\/ 16)
BEecf = -15 mmol/L (\\/ -5)
1/19
glu = 101 mg/dl
BUN = 73 mg/dl (34)
Na = 154 mmol/L (\\/ 147)
K = 2.9 mmol/L
Cl = 130 mmol/L
TCO2 = 17 mmol/L (\\/ 16-25)
AnGap = 11 mmol/L
Hct = %15 PCV (\\/ 24)
hb* = 5.1 g/dL (via Hct)(\\/ 8)
pH = 7.345 (\\/ 7.25)
PCO2 = 29.3 mmHg
HCO3 = 16.0 mmol/L (\\/ 16)
BEecf = -10 mmol/L (\\/ -5)
For the 19th there is also another smaller tag of blood numbers,
here they are,
Bun = 78
Glu = 97
ALP = 14
T-Pro = 6.3
ALT = 17
Cre = 5.2
Phosphorus from his last blood test was 4.0 not high at all really.
For the first 2 blood tests she was having a hard time getting much
blood from his back leg, he was being quite fussy, so she didn't have
enough to test the createinin, for the last test she pulled blood from
his neck and he hardly minded at all.
No more enalapril.
There is a vet about 45 minutes from here with a Doppler blood
pressure tester, I plan on taking Jack back for some more blood work
next monday, and while we have him in the car we'll keep driving and
get his BP checked as well. Giving him meds for high BP without
knowing where his BP doesn't make a whole lot of sense, besides that
the enalapril is not good for the kidneys and can raise BUN Levels,
which it seems to have done with Jack (Thanks for that info Erika :-) )
As far as his daily regimen goes here is what we talked about,
She wants me to start with 200 ml every other day, but from the advice
I've gotten here I plan on 100 ml every day, if that is too many
needle pokes for him I'll back off to 200ml every other day. We plan
on doing the sub-Q's first thing in the morning.
1/4 of a 10 mg pepcid ac once a day in the am.
And to blood acidity some "poly-citri-kay" I have no idea how its
spelled, that is how its pronounced though, that also has potassium in it.
From the first vet we do also have some Epakitin which is a
reasonable phosphorus binder, not good for really high phosphorus
(above 7), but Jack's is well below that, and it should also lower BUN
some, and as we have it and its easy enough to add to food we'll start
using that again, when we were using it it seemed to put Jack off his
food a bit, but I'm not sure if that was because of the Epakitin or
because his blood was soooo bad and he felt bad.
In summary,
100ml LRS per day
1/4 pepcid per day (2.5mg)
polycitrikay (not sure on does yet, I pick it up tomorrow from the pharmacy)
Epakitin as recommended for his weight.
His bun has come down alot which is good.
Pepcid will help him want to eat.
Pepcid will help him want to eat.
- Thread Starter Thread Starter
- #39
:-/ so Jack is acting odd now, hanging out in the closet for a while, then he went diarrhea in a laundry basket (1st time he has ever not gone in the litter box), and now hiding out again and some meowing that makes me think he is uncomfortable.
He seems agitated, keeps licking himself, scratching a fair bit, he was so happy and loving at the vet, he actually didn't even complain about the car ride and he HATES the car. But now this :-(
He seems agitated, keeps licking himself, scratching a fair bit, he was so happy and loving at the vet, he actually didn't even complain about the car ride and he HATES the car. But now this :-(
That isnt good.
