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4510Re: Heart Disease & sub-Q fluids

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  • elevine41
    Jan 1, 2002
      --- In feline-heart@y..., Anyes Moscrip <anyes@i...> wrote:
      > elevine41 wrote:
      > > Hi Everyone,
      > >
      > > I was just wondering if anyone on this list has a cat that also
      > > CRF & is giving sub-Q fluids? Blue Boy has the decks stacked
      > > him, with Diabetes, CRF & HCM, & I would so like to improve his
      > > quality of life for whatever amount of time he has left, but I am
      > > terribly afraid to start him on fluids, for fear of sending him
      > > Congestive heart failure, & hastening his departure from me...
      > Yes, we managed CRF, HCM, and high blood pressure. It is a
      balancing act but it can be
      > done.
      > The first thing is to make sure that the heart condition is being
      treated with proper
      > medication. My kitty could not handle -any- subq's prior to being
      put on Diltiazem.
      > While on Diltiazem, she could process 80 to 120cc of fluids/day for
      6 months.
      > We also made sure to withhold fluids for 24hrs anytime she showed
      early signs of fluid
      > build up. These included deliberate, slower breaths using lower
      hips as bellows,
      > decrease in appetite with gain weight, more lethargic behaviour,
      lower body
      > temperature. The changes were very subtle. We administered
      Dandelion extract twice a
      > day for prevention of fluid build up, 4 times a day to stop early
      build up. We were
      > able to avoid ER trips for those 6 months. Stress is not good for
      heart patients, and
      > invariably Lucie would go into full congestive heart failure if we
      had to go to the
      > ER. So it is important to try to manage this at home before you
      get to a crisis
      > point. I recommend you get a stethoscope and learn what your
      cat's normal heart beat
      > sounds like, so that when the heartbeat becomes muffled you know
      the difference.
      > The treatment was easier to manage once we realized we had a heart
      patient with kidney
      > problems, not the other way around. After all, it is really a moot
      point how good the
      > kidney values are if the heart stops beating. This is one where
      the heart takes
      > precedence over all else and our decisions day to day were based on
      > Finally, you have to be flexible with your treatment and take it
      day by day. You know
      > your cat better than anyone else and you learn to read his body
      language on a daily
      > basis so that you can evaluate how much fluid to give. Our vet and
      IM specialist told
      > us to use our best judgment as they realized that we always knew
      what Lucie could
      > handle on any given day, better than they could. It was a team
      effort. They trusted
      > us and we trusted them. It is important that you find vets who
      will work with you.
      > I hope this helps,
      > Anyes and the girls


      Yes, very informative....however makes me even more fearful, as I
      live in a small town, my regular vet is not that knowledgeable about
      Blue's conditions, & the specialist is 2 1/2 hours away from me, a
      very stressful trip for Blue...so I guess I'm better off using my
      best judgement & taking him as far as I can on my own, & by email
      back & forth with the specialist... Thanks for the info.

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