4510Re: Heart Disease & sub-Q fluids
- 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 stackedagainst
> > him, with Diabetes, CRF & HCM, & I would so like to improve hisinto
> > 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...balancing act but it can be
> Yes, we managed CRF, HCM, and high blood pressure. It is a
> done.treated with proper
> The first thing is to make sure that the heart condition is being
> medication. My kitty could not handle -any- subq's prior to beingput on Diltiazem.
> While on Diltiazem, she could process 80 to 120cc of fluids/day for6 months.
> We also made sure to withhold fluids for 24hrs anytime she showedearly signs of fluid
> build up. These included deliberate, slower breaths using lowerhips as bellows,
> decrease in appetite with gain weight, more lethargic behaviour,lower body
> temperature. The changes were very subtle. We administeredDandelion extract twice a
> day for prevention of fluid build up, 4 times a day to stop earlybuild up. We were
> able to avoid ER trips for those 6 months. Stress is not good forheart patients, and
> invariably Lucie would go into full congestive heart failure if wehad to go to the
> ER. So it is important to try to manage this at home before youget to a crisis
> point. I recommend you get a stethoscope and learn what yourcat's normal heart beat
> sounds like, so that when the heartbeat becomes muffled you knowthe difference.
>patient with kidney
> The treatment was easier to manage once we realized we had a heart
> problems, not the other way around. After all, it is really a mootpoint how good the
> kidney values are if the heart stops beating. This is one wherethe heart takes
> precedence over all else and our decisions day to day were based onthat.
>day by day. You know
> Finally, you have to be flexible with your treatment and take it
> your cat better than anyone else and you learn to read his bodylanguage on a daily
> basis so that you can evaluate how much fluid to give. Our vet andIM specialist told
> us to use our best judgment as they realized that we always knewwhat Lucie could
> handle on any given day, better than they could. It was a teameffort. They trusted
> us and we trusted them. It is important that you find vets whowill 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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