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New here with my 11 year old BoBo

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  • cafelty77
    Hello everyone Unfortunately I am new here. I am a cat mom to multiple kitties-- I had a bleeding heart when my stray cat that I adopted Zoe, ended up having
    Message 1 of 6 , Mar 16 5:02 PM
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      Hello everyone

      Unfortunately I am new here. I am a cat mom to multiple kitties-- I had a bleeding heart when my stray cat that I adopted Zoe, ended up having babies. I kept the litter. There were 5 (4 boys, one girl) and in 2008 one boy passed away due to probable heart failure. One of the bothers is a diabetic since 2009 and another brother was just diagnosed with hyperthyroidism. My heart kitty, BoBo was was sent into the hospital when I noticed him crouching and not wanting to eat.

      When we arrived he was in CHF. He spent three days in the hospital-- on Lasix, in oxygen and rebounded quickly. His xrays the very next day were completely clear. The ultrasound confirmed HCM. He had normal BUN and creatine but while on IV lasix he went up to 42 for his BUN level. They took him off until they did the ultrasound.

      When he was discharged he still had breaths in the 36-44 at rest-- the ER vet felt that this was his normal since Oxygen had little effect on him. He said with the stress of being in ICU the Oxygen cage for 48 hours just did so little that they felt that he was not really in respiratory distress. During his recheck his breath was 70 (the vet is highly stressful for him). He also had a UTI so they had him on clavamox.

      He was discharged with 2.5mg of Enalapril 1x a day, 6.25mg of Lasix 2x a day. The clavamox we discontinued after 7 days-- it was killing his stomach and had him huddled in a box all day. On recheck his BUN was 38 (their lab range is 14-36) which they felt was due to the Lasix. The recheck was on Thursday. He had no more evidence of UTI so we felt good about not continuing the antibiotics.

      I noticed that today-- he seemed to be happy about food, but when he went into the kitchen he did his crouching again and just seemed tired. He is sleeping comfortable, and his respiration was ranging between 40-48 today--- higher when alert and when nervous (my mom who lives with me dropped some pans in the kitchen, I burned something in the oven, another kitty got into a scuffle, etc).

      Of course I am horribly paranoid-- so I called the ER Hospital-- they felt based on no open mouth breathing, his continued happiness in food that unless he went into 60-80 bpm during rest that it was not an emergency and I could wait for my specialist to return on Monday (this is a speciality clinic and my vet is an internist during the week-- she also cares for my diabetic kitty who had spent 3 weeks in the hospital in the past due to diabetic ketoacidosis). They said she will more than likely want to change his dosing on Lasix and potentially enalapril but they felt that as long as he was contiuing with his new self (i will say since the battle of CHF he is no longer bossy, he is far more sedate-- which they had told me with the enalapril could cause lethargy) to keep him home (since he gets so anxious at the vet.

      I will admit tonight, I gave him a full tab of lasix-- I feel like heart comes first and I will be up front about that with my vet.

      At the same hand, I really do not want another hospitalization. In the past 4 weeks I have had MULTIPLE vet bills $280.00 for a recheck on my diabetic kitty (we also changed his insulin), $785.00 on a emergency tooth extraction on my older kitty who come to find out will more than likely have to go to the rainbow bridge later this week since an abscess was not his issue and it looks more like a facial aggressive tumor, $585.00 emergency vet bill due to another one of my kitties who refused to eat a couple days due to anxiety (we have been using a thundershirt with her nightly that has helped immensely-- she had gotten into a fight with another and was too afraid to eat), hyperthyroid kitty who was another $380.00 and over $2600 for heart kitty. I really need a little of a break! Plus this does not count the various medications (heart kitty used to be NOT a piller cat-- but then he hated the compounded enalapril and lasix), hyperthyroid kitty is now on a transdermal, the various antibiotics for my dying kitty and heart kitty. And not to mention I know the in home euthanasia will be about $480.00 for cremation, etc.

      Also, I am rather panicked. I am supposed to go on vacation at the end of this month. My best friend is coming to town and we were going camping. My mom lives with me and can medicate diabetic kitty and pilling is a little new for her-- plus I don't know if since my heart kitty is not so stable if I just "trust" that to be 3 hours away.

      Ugh.

      :(
    • elfinmyst
      Hi I am sorry you are dealing with multiple issues. Bobo needs an increase in medication most likely, maybe the lasix, maybe the enalapril. They can certainly
      Message 2 of 6 , Mar 17 5:52 AM
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        Hi

        I am sorry you are dealing with multiple issues. Bobo needs an increase in
        medication most likely, maybe the lasix, maybe the enalapril. They can
        certainly double the dose of that, and you are right, heart failure has to be
        treated first. The vet might also add other drugs.

        Whne you count breaths, it must be at rest, when they are lightly sleeping.
        Open mouth beathing, double breaths and inpulled stomach are warning
        signs, but so is an increase in breathing rate at rest. Trust your instincts.
        Give half lasix first and see if that helps, you should see breathing better
        in an hour or so.

        Lyn

        _www.myfurkids.co.uk_ (http://www.myfurkids.co.uk/)

        [Non-text portions of this message have been removed]
      • Christina Felty
        Hi Lyn Even though the vet didnt say, the full dose of the Lasix pill (12.5mg) last night I think helped immensely. He actually came up the stairs this morning
        Message 3 of 6 , Mar 17 9:26 AM
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          Hi Lyn

          Even though the vet didnt say, the full dose of the Lasix pill (12.5mg) last night I think helped immensely. He actually came up the stairs this morning to greet me. I gave the other full pill this morning and he is finally sleeping soundly. Last night he just kept turning and changing positions.

          On the sadder part, I just called the mobile euthanasia vet and I'm trying to make an appointment for my older cat for tomorrow night. He seems so uncomfortable. After he eats he paws at his face and just gags.





          Sent from my iPhone

          On Mar 17, 2013, at 8:52 AM, elfinmyst@... wrote:

          > Hi
          >
          > I am sorry you are dealing with multiple issues. Bobo needs an increase in
          > medication most likely, maybe the lasix, maybe the enalapril. They can
          > certainly double the dose of that, and you are right, heart failure has to be
          > treated first. The vet might also add other drugs.
          >
          > Whne you count breaths, it must be at rest, when they are lightly sleeping.
          > Open mouth beathing, double breaths and inpulled stomach are warning
          > signs, but so is an increase in breathing rate at rest. Trust your instincts.
          > Give half lasix first and see if that helps, you should see breathing better
          > in an hour or so.
          >
          > Lyn
          >
          > _www.myfurkids.co.uk_ (http://www.myfurkids.co.uk/)
          >
          > [Non-text portions of this message have been removed]
          >
          >


          [Non-text portions of this message have been removed]
        • elfinmyst
          Hi Then he definitely needs more lasix to get him out of heart failure. If you need to give the full pill twice I day, it s what I would do until you can speak
          Message 4 of 6 , Mar 17 10:11 AM
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            Hi

            Then he definitely needs more lasix to get him out of heart failure. If you
            need to give the full pill twice I day, it's what I would do until you can
            speak to the cardiologist in the morning. He may need to be on this dose
            for a while or on lasix plus spironolactone. Likely they will add a new drug
            or increase the enalapril for you and when that works, you may be able to
            reduce the lasix. But you're absolutely right, the heart failure is the
            first priority.

            I am sorry you are going to lose your older cat tomorrow. My thoughts and
            prayers are with you that it is loving and peaceful as you give the final
            act of kindness.

            Lyn

            _www.myfurkids.co.uk_ (http://www.myfurkids.co.uk/)

            [Non-text portions of this message have been removed]
          • cafelty77
            Thanks again. I am going to go ahead and give him the full dose again tonight. Unfortunately the house call euthanasia vet can only come on Wednesday (she is
            Message 5 of 6 , Mar 17 12:58 PM
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              Thanks again. I am going to go ahead and give him the full dose again tonight.

              Unfortunately the house call euthanasia vet can only come on Wednesday (she is out of town), so we will hang in there until Wed at lunchtime. My boss went ahead and gave me the day off. It will also be good to be off for the full day in case my internist wants to see BoBo.

              I do have to say, I feel so paranoid these days. I am constantly checking breaths, constantly trying to see if he is using the litter box (he refuses to pee in a litter box, he goes on puppy pads with a towel over them)-- I think he is a little constipated so I gave him an 1/8 tsp this morning some psyllium and will do so tonight.

              I am terrified of leaving him too long--

              My mother (who lives with me) said that I should give him a break and stop continuously watching him--- I am just so high strung and worried.

              I think this disease just makes me feel so out of control whereas for my hyperthyroid kitty-- I know that things for the most part can be reversed. I know with my diabetic kitty that controlling his diabetes can be in control and is not terminal.

              But on the other hand-- with this-- I am petrified of just him dropping dead.

              :(

              CHristina

              --- In feline-heart@yahoogroups.com, elfinmyst@... wrote:
              >
              > Hi
              >
              > Then he definitely needs more lasix to get him out of heart failure. If you
              > need to give the full pill twice I day, it's what I would do until you can
              > speak to the cardiologist in the morning. He may need to be on this dose
              > for a while or on lasix plus spironolactone. Likely they will add a new drug
              > or increase the enalapril for you and when that works, you may be able to
              > reduce the lasix. But you're absolutely right, the heart failure is the
              > first priority.
              >
              > I am sorry you are going to lose your older cat tomorrow. My thoughts and
              > prayers are with you that it is loving and peaceful as you give the final
              > act of kindness.
              >
              > Lyn
            • Christina Felty
              Well, I think my internist was not thrilled with my adjusting the lasix this weekend. We have an appointment on Wednesday morning to take more chest x-rays. I
              Message 6 of 6 , Mar 18 8:24 AM
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                Well, I think my internist was not thrilled with my adjusting the lasix this weekend. We have an appointment on Wednesday morning to take more chest x-rays. I gave him his normal dose of 6.25mg of lasix this morning. She wants him on that until Wednesday. She and I may have to agree to disagree -- but I can say I just know he was building more fluid. And he definitely turned around in attitude from where he was Saturday morning.

                I think it will be easier to talk to her in person so she can't look at him too.

                I swear the vet tech mentioned reducing the enalapril-- that seemed weird. Why would they reduce enalapril if he seemed to be building more fluid?

                Thanks

                Christina
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