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Cat Forum / Health and Behavior / November 2003

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Phil...ARF Kitty's Latest Bloodwork

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Mavalon - 04 Nov 2003 22:43 GMT
Hi Phil,

Just wanted to send another update on #1 and get your opinion.  His
latest numbers are a little disappointing, but I am very grateful that
he's still here with us. I guess I was hoping for a miracle and that
his numbers would go back to normal, but it looks like he's got some
permanent kidney damage. Here's the history again:

Sept 10/03
BUN 115 CREA 8.02 PHOS 7.73

Sept 13/03 (after 3 days IV)
BUN 133 CREA 10.48 PHOS 9.56

Oct 12/03
BUN 59.94 CREA 2.57 PHOS 3.28

Nov 2/03
BUN 57.7 CREA 3.5 PHOS 3.77

After the Oct12 bloodwork, we reduced his fluids from 100 ml daily to
50 - 100 ml every other day. His vet is happy that he has stabilized
and thought the increase in CREA was minor. She recommends keeping him
on fluids at least 3X per week, famotidine every other day, and at
this point trying a little harder to get #1 on renal diet. I agree
with all her advice, but I guess I'm a little concerned about the jump
in CREA. Should I be? Which, if any, treatable symptoms are directly
linked to CREA levels?

What do you think in general about his numbers and treatment plan? Is
his life expectancy going to be reduced because he's living with
higher than normal levels of toxins in his blood?

Is my #1 at greater risk for developing CRF, or does he bascially have
CRF with this permanent damage?

He's doing fine - he's very active and he's become a little more vocal
and clingy after all this attention (as if he didn't get enough before
this crisis ;-)), but we don't mind in the least. His appetite is ok.
He's not gaining weight though and in fact, he's lost a little, but it
was very minor and could be as a result of hydration level. He's
slightly below his weight of 5.2 KG when he was initially diagnosed. I
do notice him getting a little dehydrated at times and we'll give him
a bit extra on the fluids.

As always, I appreciate your time and look forward to hearing your
thoughts.
Phil P. - 06 Nov 2003 03:23 GMT
> Hi Phil,
>
[quoted text clipped - 43 lines]
> As always, I appreciate your time and look forward to hearing your
> thoughts.

Hi Mavalon,

Thanks for the update!  When I don't see updates I tend to fear the worst.

Back in Sept his BUN was over 130 mg/dl and Cr was over 10 mg/dl... and now
his BUN is 57 mg/dl and Cr is 3.5.  The *dramatic* improvement in his renal
function, especially after a *reduction* in fluid therapy, leaves no doubt
in my mind that he's in the recovery phase of ARF.... and that he's
recovering *rapidly*.

The recovery phase can last from weeks to several months in some cats...
depending on the extent of renal tissue damage -- so be patient and keep the
faith!

Please keep me updated.

Phil
 
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