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More Jazz veterinary news - mixed. - Paint It Black — LiveJournal
Living the American dream one heartbreaking piece at a time
More Jazz veterinary news - mixed.
We're back from the emergency vet visit this morning. Curmudgeon summed up everything for the most part with this afternoon's post. Jazz has been diagnosed with CRF (Chronic Renal Failure) and, consequently, anemia as well. There's an astoundingly complete website on feline CRF that I did a lot of reading from yesterday as I built up my list of questions to ask the vet. If you're curious what all this means and how cat kidneys work, go read that.

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.

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imandunewen From: imandunewen Date: March 16th, 2009 07:08 pm (UTC) (Link)
good luck with everything... she's so lucky to have people that will care for her like you do.
madmravyn From: madmravyn Date: March 16th, 2009 09:14 pm (UTC) (Link)
I am a pal of ladycurmudgeon, just wanted to let you know I've been through the same thing recently with a kitty (bad tooth made her stop eating). Everything you described is what they had me do with Mimi, down to the same food. One thing I want to suggest with the IV fluids, move the needle to different places so she doesn't get sore with the multiple pokings and be prepared to hang out for 5-10 minutes so she can get her fluids. Also, the vet tech suggested pulling the skin onto the needle, less painful to kitty, it seems. Hopefully you won't have to force-feed. I like to give a half can of food, 3x a day, slightly warmed (10 seconds in microwave, 15 if refrigerated leftovers).

Mimi is recovered nicely and slowly putting weight back on. Hopefully Jazz will be recovered soon too.
rustitobuck From: rustitobuck Date: March 17th, 2009 05:13 am (UTC) (Link)
I'm really sorry to hear this. I hope Jazz tolerates the subQ fluids well. My grandfather's schnauzer was so patient at getting her insulin shots; hope Jazz becomes comfortable and patient with the needle.
akkasha From: akkasha Date: March 17th, 2009 03:36 pm (UTC) (Link)
Points pointed me in your direction. I have a cat names Calliope who is having renal trouble. So I can understand what you are going through. I hope Jazz improves with the drugs & fluid treatments.
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