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Cat Forum / Health and Behavior / June 2005

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Help from subQ experienced please!

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CatNipped - 24 Jun 2005 04:45 GMT
I just noticed a *huge* swelling around Jessie's right leg.  It's not
sensitive to the touch and it wasn't there earlier today.  Is it possible
that the subQ fluids she received at the vet's today "traveled" down to her
leg?  The vet told me to expect a lump on her back from it, but she doesn't
have one on her back, just the one on her leg.  Should I call the emergency
vet?

Back story... Jessie has been acting lethargic the last couple of days and
is eating very little and has lost some weight.  I brought her to the vet
today for labwork and the vet said because of the smell of her breath she
suspected renal problems.  She's been drinking fine, but the vet still
thought the subQ fluids were indicated.  I'll get the results of the labs
tomorrow - for now we don't know *what's* going on.

Hugs,

CatNipped
Christine Burel - 24 Jun 2005 05:22 GMT
I have had two cats that I gave sub-q fluids to for years and what you're
describing is exactly what you think it is -- fluids that travelled.  It is
not unusual to get this.  Jessie's body should have absorbed it by tomorrow
a.m.
Christine
> I just noticed a *huge* swelling around Jessie's right leg.  It's not
> sensitive to the touch and it wasn't there earlier today.  Is it possible
[quoted text clipped - 13 lines]
>
> CatNipped
Phil P. - 24 Jun 2005 10:08 GMT
> I just noticed a *huge* swelling around Jessie's right leg.  It's not
> sensitive to the touch and it wasn't there earlier today.  Is it possible
> that the subQ fluids she received at the vet's today "traveled" down to her
> leg?  The vet told me to expect a lump on her back from it, but she doesn't
> have one on her back, just the one on her leg.  Should I call the emergency
> vet?

Water pouches are not uncommon- as long as its not huge! Too much fluid can
cause heart failure due to iatrogenic volume overload.  Pouches usually form
on the belly but they can also travel down the leg before all the fluid is
absorbed.  Complete absorption can take a few hours- or even longer.

> Back story... Jessie has been acting lethargic the last couple of days and
> is eating very little and has lost some weight.  I brought her to the vet
> today for labwork and the vet said because of the smell of her breath she
> suspected renal problems.  She's been drinking fine, but the vet still
> thought the subQ fluids were indicated.  I'll get the results of the labs
> tomorrow - for now we don't know *what's* going on.

If Jessie's breath has an ammonia odor, she could be in CRF.  The ammonia
odor is caused by urea reacting with the bacteria that inhabits the mouth.

If Jesse is in CRF, she won't be able to concentrate her urine like she used
to. This means she'll be urinating more often and be at risk of dehydration.
Cats seldom drink enough to offset even normal water losses much less
increased losses.  So, she'll probably need semi-weekly or weekly fluid
therapy to replace the increased water losses.

If Jessie needs chronic fluid therapy, make sure your vet prescribes a
potassium supplement!  Fluid therapy will make her produce even more urine
more quickly; rapid urine production promotes potassium excretion so she'll
be at risk of hypokalemia and potassium depletion (not the same).

As long as she's urinating, she should probably be on a potassium supplement
even without fluid therapy. Her serum potassium levels should be kept in the
upper half of the normal range to protect her total body stores of
potassium.  Low to mid-normal potassium levels aren't good enough because
most of the body stores of potassium are contained in the tissue where they
can't be measured.  So, serum potassium levels aren't a true relfection of
total body potassium- body potassium depletion can occur well before the
onset of hypokalemia- So, keep the potassium up there in the upper half of
the normal range! ;-)

Let me know the results of her bloodwork.

Phil
Meghan Noecker - 24 Jun 2005 10:17 GMT
>I just noticed a *huge* swelling around Jessie's right leg.  It's not
>sensitive to the touch and it wasn't there earlier today.  Is it possible
>that the subQ fluids she received at the vet's today "traveled" down to her
>leg?  The vet told me to expect a lump on her back from it, but she doesn't
>have one on her back, just the one on her leg.  Should I call the emergency
>vet?

If it is a leg near when you injected it, then yes. It goes down and
takes awhile to absorb. Maynard had lumpy elbows.

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CatNipped - 24 Jun 2005 12:57 GMT
Thanks all!  Yes, it's gone this morning except for a very slight puffiness
and it was below where they had given the subQ liquids (her shoulder
blades).  She's looking perkier this morning and even ate a few bites of her
canned food.  I'll let you guys know what the vet says when she calls back
with the lab results.

Hugs,

CatNipped

> I just noticed a *huge* swelling around Jessie's right leg.  It's not
> sensitive to the touch and it wasn't there earlier today.  Is it possible
[quoted text clipped - 13 lines]
>
> CatNipped
blkcatgal - 25 Jun 2005 01:04 GMT
Yes, the fluids can run down the leg.  It happened a few times with my cat.
It will go away as the fluids are absorbed.  Hope Jessie is feeling better
soon.

S.

>I just noticed a *huge* swelling around Jessie's right leg.  It's not
> sensitive to the touch and it wasn't there earlier today.  Is it possible
[quoted text clipped - 16 lines]
>
> CatNipped
PawsForThought - 25 Jun 2005 01:44 GMT
> I just noticed a *huge* swelling around Jessie's right leg.  It's not
> sensitive to the touch and it wasn't there earlier today.  Is it possible
> that the subQ fluids she received at the vet's today "traveled" down to her
> leg?  The vet told me to expect a lump on her back from it, but she doesn't
> have one on her back, just the one on her leg.  Should I call the emergency
> vet?

Yes, it's possible it traveled to her leg area.  The subQ's
(subcataneous) go under the skin.  I remember when I gave SubQ's to my
CRF cat, that would happen to her sometimes.  But it might make you
feel better to give the vet a call.

Lauren
 
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