RE: [CRF] Fluids for kitties with CRF *and* HF?
- Thanks for the feedback Jim! I still have all the equipment for fluids and will discuss with her cardiologist trying small amounts on an "as needed" basis (input from my groups really helps me prepare when it comes time to suggest issues or ask questions during Vet checkups). Oh, and answers to your questions - Yes, I meant 4 month *without* fluids and Yes, in addition to the Lasix, she gets 1/2 Enalapril daily, plus Epogen, B-complex, Tumil K, Pepcid and Pettinic.
Now, if we could just lick the anemia....
Pam and Maggie
From: Jim Hayes [mailto:the_colonel@...]
Sent: Monday, September 30, 2002 6:07 PM
To: Pam Vojtas
Cc: firstname.lastname@example.org; Feline-CRF-Support@yahoogroups.com
Subject: Re: [CRF] Fluids for kitties with CRF *and* HF?
Pam Vojtas wrote:
> She has received fluids for the past 4 months.I assume from the context that you meant *hasn't* rather than *has*?
> But now, a new problem :( the last 2 weeks she has days where she looks visibly dehydrated (fur clumps, loose skin). Is this because of the anemia? Has any one given small amounts of fluids to a CRF/HF kitty. Or is the risk of heart attack or fluid retention too great?If she's dehydrate, it has to be treated or it will only get worse. It's very fortunate (and a little surprising!) that she's been able to go four months with CRF and lasix but no sub-q's!
To answer your question, yes... a number of listmates have dealt with the balancing act of CRF and CHF, and you're correct in the assumption that small doses are better... 25 ml 4 times per day (just as an example) might be tolerated where 100ml at once might cause volume overload. The aim is to *just* replace fluid losses to avoid the dehydration that could precipitate a kidney crash while keeping the kitty dry enough to avoid CHF.
There are also heart medications that would probably help, is she getting any?
It sounds like Maggie's probably doing well enough to give some leeway in treatment, hopefully you'll be able to find the balance and keep her going strong for some time!