Jazz's BUN and creatinine levels are dangerously high, and her hematocrit levels are low. This indicates her kidneys are functioning poorly and she's going anemic, a symptom common with CRF. The vet's approach at this time, since we don't know what caused her kidneys to suddenly start failing after a perfectly OK blood work up in August, is three-pronged. 1) In case something bacterial is causing her kidneys to fail, we're giving her 1 mL of antibiotic orally per day for the next two weeks. 2) We're hydrating in an attempt to stabilize her and ease her kidney's load. To that end we're administering 175-220mL of potassium-supplemented Lactated Ringer's solution subcutaneously every day for the next two weeks. 3) We're changing her diet, putting her on Hill's Prescription Diet "k/d." Fortunately she's shown signs of loving the wet food, which will make things easier.
While at the vet's office getting her first subQ treatment, Jazz also received three shots: a shot of potassium, a shot of antibiotic and a shot of vitamin B12 as well. This will hopefully aid in stabilizing her.
The goal is two weeks of the subQ and antibiotics, then go in for another blood work up and see how her levels have adjusted. We may be able to go some time without additional subQ fluids if she responds well, maintaining things with the diet change until she gets older. Or this may become part of my daily routine. Time will tell. I'm not intimidated by this, Ra was taking daily meds for a very long time and Diva will be taking daily medication for the rest of her life, so special-needs cats don't worry me at all. In fact, as of today, we're a 100% special need household as far as our cats are concerned.
I know this condition is, ultimately, terminal. How long she has left with us is a function of how she responds to protocol and how closely we monitor her. Right now I just want to get her better for the moment and we'll figure out everything else going forward.