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18 Month Old Cat with Acute Renal Failure (possible lily poisoning)

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ozonepark - 29 Aug 2005 20:48 GMT
Our 18 month old female cat (kitten) was hospitalized with renal
failure 17 days ago.  We suspect lily toxic poisoning but we are not
positive, however, her symptoms appeared 24-hours after a lily plant
arrived and she had pollen all over her face.  She was fine before
this.

Her BUN and Creatinine where 150 and 10.4 respectively when she was
hospitalized.  All other blood values where in the normal range.  She
was not anemic which the internist said would go more with chronic or
congenital kidney failure.

She was in ICU for 12 days ( a long time) with IV fluids.  She also had
an esophageal feeding tube and a urine catheter to measure urine
output.  Her urine output started a 2ml/kg/hr and went up to 10ml/kg/hr
which was encouraging according her internist.  When she was discharged
after 12 days her BUN and Creatinine fell to 37 and 3.0, respectively.
She was also given an ultrasound that showed normal looking kidneys.
Unfortunately, during her stay she developed a urinary infection
(likely cause was the catheter) that is being treated with Baytril.

We took her home a few days ago and are administering fluids and food
supplements via her esophageal tube.  She is not very active and does
not want to eat much on her own.

Does anyone out there have any experience in this area that they can
share?   If she is doing better shouldn't she be more active and
interested in food?  I understand that we are supplementing her normal
eating with the esophageal tube but even after 8-hours between feeding
you would think she would have more interest in food.
Wayne Boatwright - 29 Aug 2005 21:47 GMT
> Our 18 month old female cat (kitten) was hospitalized with renal
> failure 17 days ago.  We suspect lily toxic poisoning but we are not
[quoted text clipped - 25 lines]
> eating with the esophageal tube but even after 8-hours between feeding
> you would think she would have more interest in food.

I'm afraid I have nothing to offer but my sympathy for your situation and
my good wishes for your cat's full recovery.  

I do hope all goes well, and do keep us posted.

Warm regards...

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Wayne Boatwright *¿*
____________________________________________

Give me a smart idiot over a stupid genius any day.
Sam Goldwyn, 1882-1974

kate - 30 Aug 2005 12:06 GMT
Like Wayne I'm afraid I don't have much more to offer than sympathy and
very best wishes for your little one's future. As it's only been a few
days I would think her appetite may still take awhile to improve after
being so sick for so long. She may also be reluctant if she finds the
tube uncomofortable and may be associatind discomfort with eating. I
wouldn't be *too* concernd yet if she is eating something and getting
enough fluids. I don't know what feeding regime your vet advised but I
suggest my human patients are offered and eat little and often from
foods they enjoy. Perhaps you could try that if it fits with what your
vet advised. I've also seen people here post that their cats prefer
warmed food so that may help too.

As far as her activity levels that will take awhile as she is probably
quite weak from inactivity. Humans begin to lose muscle mass after only
48hrs of inactivity so after 17 days in ICU I would expect one of my
human pts to be weak and tire easily. Maybe you could help her build up
her strength with some games she can play lying down - paper or toy on
a string she can bat while you dangle it for her, or a gentle wrestle
with your arm etc - at times when she seems most alert and active.

These are not based on experience with sick cats, only sick humans. I
hope you are all doing ok. Keep us informed.

Kate

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