Re: [FH] Digest Number 4021 - thanks from Hobo
- Hi Lisa,
In a message dated 6/29/08 8:48:16 AM, lisa17jason@... writes:
> In terms of food, I am alternating between California Natural Chicken &Ok. I'm glad they're eating higher-quality meat-based food. Not tickled about
> Rice and Evo Venison (both canned foods). My other cat loves chicken, and Hobo
> likes Venison, so switching it up usually works ok.
the rice in the California Natural...which contributes about 14% of calories
from carbohydrate (the evolutionary diet contains about 5% and desirable is
under 10%). But up to you.
> I have started to add water to the food this week. I am also givingThere may be some concern about the cat kidney's ability to get rid of
> pepcid (famotidine) once or twice a day to help with the tummy.
famotidine over time. So if slippery elm works, that might be a lower-risk choice.
> I have slippery elm bark but it's kind of old (>1 year at least) so IIt's inexpensive...like $5 per bottle and even less if you buy in bulk...so
> don't know if I should buy a fresh batch.
it might be worthwhile getting fresh.
> am trying to put out small portions of food several times per day so thatGood.
> he always has something available.
> I don't have all the details from his latest bloodwork, but here's what IThis is getting up there, certainly...so subQ fluids or increased hydration
> do have:
> in 8/07, his BUN was 38 and creatinine 3.9
> in 1/08 his BUN was 38 and creatinine 3.4
> in 6/08 his BUN was 75 and creatinine 6.1 (so it doubled in 6 months!)
might be a good idea.
> vet said his phosphate and everything else from bloodwork was withinThis is what I'm concerned about. The typical ref range for phosphorus is
> normal limits
2.4-8.2mg/dL...but the desirable range is around 4.0 mg/dL. So a cat's phos.
value can be "within normal limits" and still be not optimal. So it might be a
good idea to get a copy of the results from the vet...and double check the phos.
There's information about phos. and the use of phos. binders at
http://members.verizon.net/%7Evze2r6qt/supplies/binders.htm. One excerpt:
"Dr. Nagode recommends treating animals with phosphorus values over 6 with
aluminum hydroxide binders....Please note that a phosphorus value of 6 is within
the "normal range" of many veterinary laboratories for cats -- Dr. Nagode
advises that those "normal ranges" average the ranges for both kittens and cats
and that adult cats should be treated for values of 6 or over."
> we'll be doing a urine culture next weekGreat. Cultures looks for bacteria. Another value that's very important with
kidney issues is urine specific gravity. Protein, too.
>There's two approaches to this: bigger volume less often and lower volume
> Right now the vet is suggesting just 100ml twice per week, then gradually
> increasing it if needed as he tolerates it.
more often. With a cardiac cat (and just in general), the latter makes more
sense. Vets sometimes recommend the former b/c it's easier for the caregiver and
theoretically less stress for the cat, tho we can do a lot to make subQs a
> So we're back to me having to give him the pills one by one by mouth.Are you giving him a little food treat or syringe of water afterward so that
the pill moves down the esophagus?? Some quality treats are 100% dehydrated
meats (eg Halo Liv-A-Littles or Whole Life Pet)...and many cats go for those. Or
even a little blob of cat food works...with a tiny amt of the treat sprinkled
on top if the cat likes it. // Rosemary
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