CRF cat vomiting after fluids

Ah, the joys of managing a CRF cat

Ginger is on 100 cc's of Normosol-R sub-q twice a week. Approximately 10
minutes after fluids she vomits bile or a small amount of food and bile, 3
or 4 times.

I am experienced in administering fluids to felines--worked for a vet for
several years. I'm using a 20g 3/4" needle, and running the fluids over ~5
minutes.

A run-down of her history from a previous post follows this post.

Anyone else experience this? Anything in particular I should ask my vet?

This page: http://www.felinecrf.org/fluid_therapy.htm#normosol says vomiting
after normosol-r is not unusual.

Thanks,

Corey

She's an 8 year old DSH that, I believe, is highly inbred. I got her
from my hay guy, and she has several issues: missing teeth, poor
vision, oddly shaped legs and head, and her kidneys are about half
normal size.

Her creatinine is 3.1, down from 3.7, which is down from 3.9. Her
phosphorus levels are low; her calcium levels are slightly elevated.
The creatinine labs are at roughly two week intervals. Initial labs
were drawn prior to a tooth extraction (one dead tooth in a mouthful
of nice healthy ones.) Urine was pulled at the time of the tooth
extraction and she was found to have a raging kidney infection, and
we put her on 2 weeks of Clavimox. Urine collected after the
antibiotics showed nothing abnormal.

Two weeks ago, we switched Ginger from Innova dry food to Royal Canin
Mature 27, and started with 100cc's sub-q twice a week. She's now
eating RC Renal LP.

I plan on pulling another set of labs in about a month, to see what
direction we're heading. She's acting more like a normal kitty since
we resolved the kidney infection and added the fluids. I'm not sure
how the food is affecting her, but figure it must be helping her
kidneys.

She's in good weight--certainly not overweight, but not thin, either.

"Corey Kaye" wrote in message
. ..
Ah, the joys of managing a CRF cat

Ginger is on 100 cc's of Normosol-R sub-q twice a week. Approximately 10
minutes after fluids she vomits bile or a small amount of food and bile, 3
or 4 times.

I am experienced in administering fluids to felines--worked for a vet for
several years. I'm using a 20g 3/4" needle, and running the fluids over
~5
minutes.

A run-down of her history from a previous post follows this post.

Anyone else experience this? Anything in particular I should ask my vet?

Try warming up the fluid to body temp. Put the bag in a sink of hot water
for about 15 mins.while your getting the venoset ready- don't use a
microwave. Also, you might want to try slowing the infusion rate or
splitting the 100 ml into two treatments.

Normosol-R contains magnesium- did your vet specifically prescribe
Normosol-R?

Phil P. wrote:

Try warming up the fluid to body temp. Put the bag in a sink of hot
water for about 15 mins.while your getting the venoset ready- don't

Yup, already doing this.

use a microwave. Also, you might want to try slowing the infusion
rate or splitting the 100 ml into two treatments.

I'll try slowing the infusion rate and see if that helps. I'd like to avoid
poking her twice, poor kitty, but will if I need to.

Normosol-R contains magnesium- did your vet specifically prescribe
Normosol-R?

Yup, picked it up directly from the vet.

Thanks,

Corey