4/2 Monty CKD / hypertension

[Tom & Monty]

Previous: https://www.felinediabetes.com/FDMB/threads/1-28-monty-ckd-diagnosis.273546/#post-3041134

Monty had his return visit to the vet to confirm hypertension.

His blood pressure was 180 last week during his vet stay. It was 170 today with me there during the reading. Vet tells me it's not organ damage high but let's bring it down to prevent that.

My vet tells me also his SDMA of 20 last week isn't good enough to diagnose CKD on its own, SDMA needs to be consistently high so we'll measure again in 3 weeks after blood pressure is down.

His protein and urea are high, but that's not unexpected for a cat on a high protein diet like Monty.

It's entirely possible that once we treat hypertension, his SDMA goes down to grade 1 or even safe levels.

I'm starting him on phosphate binders today. Calcium based for a few weeks until my aluminium hydroxide arrives in 3 weeks.

Vet has him on a low dose of an aggressive blood pressure med to lower it fast, and we're switching to a softer med (Semintra) once it's lower.

 

[Larry and Kitties]

His protein and urea are high, but that's not unexpected for a cat on a high protein diet like Monty.

Just what do you mean by "protein"
There is blood value for total protein (TP). A high TP typically means dehydration.
Do you have a value for urine specific gravity? That is usually a good indicator of kidney function.

 

[Bandit's Mom]

Hi Tom, good to hear from you. Sorry that Monty has been diagnosed with CKD and hypertension.

Have you looked at Tanya's website for CKD? It has a wealth of information. Here is the page on hypertension:
http://felinecrf.org/hypertension.htm

I'm not sure if 170 is very high given "white-coat syndrome". I believe that BP like BG can also be elevated at the vet's thanks to stress. Which BP med is he on?


Do you have the latest copies of his labs? What where his phosphorus levels? Here are the pages related to phosphorus and binders:
http://felinecrf.org/phosphorus.htm
http://felinecrf.org/phosphorus_binders.htm

You don't want to give calcium-based binders for cats with high calcium levels though.

 

[Larry and Kitties]

His blood pressure was 180 last week during his vet stay. It was 170 today with me there during the reading. Vet tells me it's not organ damage high but let's bring it down to prevent that.

My vet want to keep BG below 160. As you probably know, frequently BG taken at vet is higher than when at home due to stress.