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When is it time to increase furosemide?

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  • missmeow63
    Dear Group I m after a bit of advice, Saphie was diagnosed with RCM in July 13, she takes furosemide 10mg in morning and 5 mg at night , Fortoker and vetmedin
    Message 1 of 6 , Feb 6, 2014
      Dear Group I'm after a bit of advice, Saphie was diagnosed with RCM in July 13, she takes furosemide 10mg in morning and 5 mg at night , Fortoker and vetmedin . She has remained stable since being diagnosed , but the last few days I've noticed a slight increase in her breathing rate, she's usually about 18- 20 a min but now 22-24, should I up her dose? Really don't want to stress her with a vet visit, she's fine in herself and eating as normal.

      Thank you
      Mandy & Saphie 
    • Elfinmyst
      Hi Mandy It s good you noticed this. I wouldn t be too worried unless she had other symptoms like more laboured breathing or up to about 30 bpm. I d keep a
      Message 2 of 6 , Feb 6, 2014
        Hi Mandy

        It's good you noticed this. I wouldn't be too worried unless she had other symptoms like more laboured breathing or up to about 30 bpm.  I'd keep a close eye out though, sometimes a temperature or a sore tummy can do this. If it isn't improved soon, I`d ring the cardiologist for advice. She may be ready for a med update.

        Lyn
      • Mary Sue Rubin
        Hi Mandy, I can tell you my experience with a similar situation. First, make sure to check with the cardiologist before you make changes. Esther, who was
        Message 3 of 6 , Feb 6, 2014

          Hi Mandy,

           

          I can tell you my experience with a similar situation. First, make sure to check with the cardiologist before you make changes.

           

          Esther, who was diagnosed with restrictive like CM and CHF on February 5, 2013 (she was given no more than 6 months to live – she will be 19 in 3 weeks) had a normal rate of 16-18. When it increased to 20, the vet increased her Lasix from 5 mg per day to alternating 5mg and 10 mg (alternating days). He said if her rate got to 25 I could do 10 mg/day and to call him. So far, for the last few months, her rate has been around18. She also takes Vetmedin, benazepril, and aspirin (twice a week).

           

          Mary Sue

           

          From: feline-heart@yahoogroups.com [mailto:feline-heart@yahoogroups.com] On Behalf Of missmeow63@...
          Sent: Thursday, February 06, 2014 5:32 PM
          To: feline-heart@yahoogroups.com
          Subject: [FH] When is it time to increase furosemide?

           

          She has remained stable since being diagnosed , but the last few days I've noticed a slight increase in her breathing rate, she's usually about 18- 20 a min but now 22-24, should I up her dose?

           

          Thank you

          Mandy & Saphie 

          _._,___

        • Emily Valentin
          Well I don t want to scare y all but my Tiger breathing is 38 and his vet is not worried. His breathing has always been 30+ . The vet said to watch for trends
          Message 4 of 6 , Feb 6, 2014
            Well I don't want to scare y'all but my Tiger breathing is 38 and his vet is not worried. His breathing has always been 30+  . The vet said to watch for trends over time. I chart Tiger's breathing daily on an Excel chart I made. She said that if I start to see a steady increase in breathing then add and extra dose. With Tiger I watch for 2 days the  I add. I also look for signs of distress, eating etc. this morning he was 42. A lot of you guys will say that's an emergency but Tiger hits 42 daily at some point of the day and again vet said that for his condition and how advanced it is that is expected... 34 to 40 is what she expects for  well controlled heart disease kitty. 

            Emily Valentin-Baker, SSP
            Licensed Specialist in School Psychology 
            Nationally Certified School Psychologist 

            "Winners never quit. Quitters never win" ~ Mom  
          • missmeow63
            Thank you all for your advice regarding Saphie, I ve been intouch with her cardiologist this morning and he s advised to up her evening furosemide dose to 10
            Message 5 of 6 , Feb 7, 2014

              Thank you all for your advice regarding Saphie, I've been intouch with her cardiologist this morning and he's advised to up her evening furosemide dose to 10 mg and see how she goes from there, did notice her rate differed depending on her sleeping position. So he thinks possible fluid retention.


              Mandy & Saphie 

            • missmeow63
              Hi, just wondering how soon we could be seeing an improvement In Saphies breathing, we increased her evening dose of furosemide last night from 5 mg to 10 mg,
              Message 6 of 6 , Feb 8, 2014

                Hi, just wondering how soon we could be seeing an improvement In Saphies breathing, we increased her evening dose of furosemide last night from 5 mg to 10 mg, she's no worse this morning but no improvement either? 


                Mandy & Saphie 

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