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Looks like Fatass has Chornic Renal Failure
Background, 16 year cat, was my mom's until she passed away last year -
has been drinking a lot and eating litter. We went to the vet today - she is dehydrated and the blood test revelaved elevated kidney values and a high calcium level. She also has a heart murmur. (which I did not know about.) Anyway, they gave her an IV of NaCL for the dehydration, and I will do this fluid therapy at home going forward. It involves administering an IV with an 18g needle. It takes less than 10 minutes for the fluids to go in. I also picked up some Science diet k/d and IVD modified dry and canned. I guess as long as she eats, she is doing ok, but when she stops eating, there won't be much that can be done. I am also going to pick up some nutri-gel or vita-gel to supplement her nurtition. The whole deal, food, blood work, exam, and the fluid IV ran me a cool $257.25... She eats a bit, plays, purrs, and generally is her usual self - I can't beleive she only has months to live. Here is Fatty chillin' on the window sill with her cool look: http://www.freepixhosting.com/upload...ture%20306.jpg Any input from the experienced is appreciated. Bluesman |
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#3
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I have some more info from the blood test - maybe someone can comment:
BUN 129, crea 7.4, ca14.8, phos 11.2 Can someone help me out with these? Bluesman |
#4
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wrote in message oups.com... I have some more info from the blood test - maybe someone can comment: BUN 129, crea 7.4, ca14.8, phos 11.2 Can someone help me out with these? The BUN/Cr should come down some with rehydration. When a cat is dehydrated, urea diffuses back across the renal tubules and raises the BUN- so the numbers may not be a true indication of actual kidney damage. Fluid therapy should also promote diuresis which will help eliminate renal toxins and excessive electrolytes and also lower the BUN and Ca/P. Because the BUN is so high, you might want to speak to your vet about diuretics- these will stimulate urinary output and the excretion of uremic toxins and should lower the BUN a lot a quicker. I think you should also speak to your vet about a phosphate binder asap. When the calcium x phosphorus product is over 70 the cat is at risk of soft tissue calcification- which promotes renal damage. Phosphate binders can't reduce serum phosphorus alone-- so you must also feed your cat a low phosphorus diet. A low protein renal diet (k/d or g/d) will also help lower the BUN. If your cat won't eat a renal diet, choose a low-phosphorus diet --- *low phosphorus takes precedence over low protein*. Some good low-phosphorus non-prescription diets are Wysong, PetGuard and Innova Lite (in that order). Just remember treat the *cat* not the numbers. The BUN and creatinine aren't as important as the degree of improvement after the cat is rehydrated and in diuresis. Don't forget to speak to your vet about a diuretic and phosphate binder ASAP. Best of luck, Phil |
#5
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Phil P. wrote: A low protein renal diet (k/d or g/d) will also help lower the BUN. If your cat won't eat a renal diet, choose a low-phosphorus diet --- *low phosphorus takes precedence over low protein*. Some good low-phosphorus non-prescription diets are Wysong, PetGuard and Innova Lite (in that order). Phil, My look at Wysong shows the lowest phos food at 0.6% with foods up to 1.4%, Innova Lite canned is 0.636%. That's a considerable increase ~30%, from Feline k/d which ranges from 0.34 (can) to 0.49% (dry). I found no data on PetGuard on their website so have no clue. Released at ACVIM this week was the early findings of a Grade 1 clinical trial in naturally ocurring feline renal failure. The results are very clear. Even at the earliest stages of renal failure detection, feeding a renal diet with low phos levels, high Omega 3 levels, low sodium levels etc. made a significant differernce in life span, delayed onset of uremic crisis, and to the severity of uremic crisis. |
#6
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"Steve Crane" wrote in message oups.com... Phil P. wrote: A low protein renal diet (k/d or g/d) will also help lower the BUN. If your cat won't eat a renal diet, choose a low-phosphorus diet --- *low phosphorus takes precedence over low protein*. Some good low-phosphorus non-prescription diets are Wysong, PetGuard and Innova Lite (in that order). Phil, My look at Wysong shows the lowest phos food at 0.6% with foods up to 1.4%, Innova Lite canned is 0.636%. That's a considerable increase ~30%, from Feline k/d which ranges from 0.34 (can) to 0.49% (dry). Yes, I know, Steve. I recommended these diets as an alternative *only* if the cat won't eat Hill's k/d-g/d, Waltham Low Phosphorus, Purina NF, Abbott Clinicare RF and Iams Multistage Renal prescription renal diets. It doesn't matter how perfectly formulated a renal diet is if the cat won't eat it. Wysong Chicken Gourmet, Liver Gourmet and Seafood Gourmet contain 0.60% phosphorus DMB. Wysong Chicken Au Jus- at 0.20% DMB(which needs to be supplemented). I found no data on PetGuard on their website so have no clue. PetGuard Turkey & Rice P = 0.23% DMB, Rabbit P = 0.21% DMB, Venison P = 0.20 DMB contain about lowest phosphorus of *non prescription* diets, and even less phosphorus than k/d and g/d. Phil |
#7
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Phil P. wrote: "Steve Crane" wrote in message oups.com... It doesn't matter how perfectly formulated a renal diet is if the cat won't eat it. I agree with that, however it is critical and it does make a significant difference, enough that pet owners shouldn't simply give it the old thirty second try and go off with a non renal food too easily. PetGuard Turkey & Rice P = 0.23% DMB, Rabbit P = 0.21% DMB, Venison P = 0.20 DMB contain about lowest phosphorus of *non prescription* diets, and even less phosphorus than k/d and g/d. I suspect those are As Fed - even if Pet Guard tells you they are DMB's. My experience with PetGuard over the years is that the people on the phone don't know the difference. I'd want to see some lab analysis before I would buy those values. Phil |
#9
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in article ,
at wrote on 6/2/05 8:10 PM: Background, 16 year cat, was my mom's until she passed away last year - has been drinking a lot and eating litter. We went to the vet today - she is dehydrated and the blood test revelaved elevated kidney values and a high calcium level. She also has a heart murmur. (which I did not know about.) Anyway, they gave her an IV of NaCL for the dehydration, and I will do this fluid therapy at home going forward. It involves administering an IV with an 18g needle. It takes less than 10 minutes for the fluids to go in. I also picked up some Science diet k/d and IVD modified dry and canned. I guess as long as she eats, she is doing ok, but when she stops eating, there won't be much that can be done. I am also going to pick up some nutri-gel or vita-gel to supplement her nurtition. The whole deal, food, blood work, exam, and the fluid IV ran me a cool $257.25... She eats a bit, plays, purrs, and generally is her usual self - I can't beleive she only has months to live. Here is Fatty chillin' on the window sill with her cool look: http://www.freepixhosting.com/upload...ture%20306.jpg Any input from the experienced is appreciated. Bluesman What a grand dame! Hopefully she will respond to the fluid therapy. You never know how long they have with this. It could be more than months since you are doing the fluid therapy at home and if she likes the food. When she starts not wanting it, get whatever she *does* want to eat. At that point it is more important that she eats than what she eats. But hopefully, she will like the food. |
#10
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You should check out this website: felinecrf.com. Also, you should join
the yahoo group feline crf support (groups.yahoo.com). There are lots of people there dealing with the same thing you are. Lots of real good advice. My cat lived with crf for over 5 years. Good luck. Sue wrote in message oups.com... Background, 16 year cat, was my mom's until she passed away last year - has been drinking a lot and eating litter. We went to the vet today - she is dehydrated and the blood test revelaved elevated kidney values and a high calcium level. She also has a heart murmur. (which I did not know about.) Anyway, they gave her an IV of NaCL for the dehydration, and I will do this fluid therapy at home going forward. It involves administering an IV with an 18g needle. It takes less than 10 minutes for the fluids to go in. I also picked up some Science diet k/d and IVD modified dry and canned. I guess as long as she eats, she is doing ok, but when she stops eating, there won't be much that can be done. I am also going to pick up some nutri-gel or vita-gel to supplement her nurtition. The whole deal, food, blood work, exam, and the fluid IV ran me a cool $257.25... She eats a bit, plays, purrs, and generally is her usual self - I can't beleive she only has months to live. Here is Fatty chillin' on the window sill with her cool look: http://www.freepixhosting.com/upload...ture%20306.jpg Any input from the experienced is appreciated. Bluesman |
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