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Re: Heart Disease & sub-Q fluids

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  • elevine41
    ... has ... against ... into ... balancing act but it can be ... treated with proper ... put on Diltiazem. ... 6 months. ... early signs of fluid ... hips as
    Message 1 of 10 , Jan 1, 2002
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      --- 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
      has
      > > CRF & is giving sub-Q fluids? Blue Boy has the decks stacked
      against
      > > 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
      into
      > > 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
      that.
      >
      > 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

      Anyes,

      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.

      Eve
    • elevine41
      ... Valerie, You definetly know what I m going through! Blue is only 11, will be 12 in April, if I can get him there... He was diagnosed with the CRF & HCM in
      Message 2 of 10 , Jan 1, 2002
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        --- In feline-heart@y..., "pfeifferv2001" <valeriepfeiffer@h...>
        wrote:
        > Dear Eve,
        >
        > Roscoe is diabetic, severe HCM and CRF.
        >
        > A month ago he had blood clot in his leg and was unable to walk.
        > was 10% dehydrated and ultrasound showed a little fluid around his
        > heart. - A mess! Heart problems were not diagnosed prior to this.
        >
        > He is now on 30 mg. diltiazem per day and vet thought he could
        > tolerate 60 cc. sub-Q per day.
        >
        > He has definitely improved. Clot has dissipated,he can walk around
        > the garden quite easily (sometimes a bit shakily) He is very alert
        > with a good appetite and his coat has improved tremendously.
        >
        > I am not monitoring as closely as Anyes, but will go for another
        > ultrasound tomorrow. That will show how he is handling the fluids.
        >
        > I'll post results. ( He is also quite old - almost 19)
        >
        > Hope this helps, Valerie and Roscoe

        Valerie,

        You definetly know what I'm going through! Blue is only 11, will be
        12 in April, if I can get him there... He was diagnosed with the CRF
        & HCM in June of this last year. He takes 1 5mg of Lotensin a day,
        along with Pepcid AC, Cyproheptadine, & Pet-Tinic, as his last blood
        work showed that he was slightly anemic. His neuropathy from the
        diabetes is quite bad, he can barely walk...it hurts me so bad to see
        him like this, but he still comes to me to "talk" & to get his daily
        brushing, & likes to watch the birds outside, so I don't feel like
        he's given up yet...now if I can just come up with a way to make him
        feel a little "perkier", I would be happy.

        Eve
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