Cierra/diabetics/pancreatitics

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Din

Din

Member Since 2023
Cierra


Previous post
https://felinediabetes.com/FDMB/threads/cierra-story-please-help.273538/page-2#post-3052404

Monday 6 /3/2023
5am- 1/2 can fancy feast chicken chunky
7am -1 can
9.45am- started to vomited
4 times vomited- food
Then 6 times water
4.30pm -Vet check
Full blood test
7pm - Hospitalised
Nurse has given insulin 3 units ( I’m not sure they exactly how many units they had given. Earlier said 6 units now saying 3 units)
Went close to hypo
Change fluid and hardmand 50% glucose at 7/3/2022



Tuesday 7/3/2023
Morning and evening Talked to me lot , trying to say something.

eat (according to the nurse)-5 table spoons
Cooked chicken

Glucose within range

LIPASE - from 5638 to <6000
{100-1400}

Cholesterol- from 8.43 to 9.42
{1.68-5.81}

ALP- from287 to 112 {14-111}

Urea- from 12.7 to 17.8 {5.7-12.9}

SDMA-from 17 to17 {0-14}

Wednsday 8/3/2023
Morning-Did not even getup. No energy at all. Evening- no energy/ was laying on litter box.

Glucose within range

LIPASE - from <6000 to 2176
{100-1400}

Cholesterol- from 9.42 to 8.25
{1.68-5.81}

ALP- from 112 to normal {14-111}

Urea- from 17.8 - normal

SDMA-from 17 to 15 {0-14}

GGT - from 0 to 10 {0-4}

Tummy getting bigger

X-ray done ( requested copy didn’t give yet)
Ultrasound done ( but has not removed her belly purr hair , just wondering CAN they DO ULTRASOUND without removing belly hair?????

Glucose at 7pm 9 point. And nurse has given 3 units . I ran to vet again and begged to keep eye on and check her glucose every 15 minutes ( she does have free style libre) but has not checked. Only has checked hourly her glucose went down to 6.1 and they add/ change fluid to 50% glucose.

Thursday 9/3/2023
Still not eating/ force feeding. Cierra Telling me something again….

I requested to do full blood test because I don’t want her blood taken and wasted.

Glucose 10.45

LIPASE - from <2176 to 1573
{100-1400}

Cholesterol- 8.25 to normal
{1.68-5.81}

ALP- from normal to 129 {14-111}

ALT - from normal to 233 {12-130}

Urea- from 17.8 - normal

SDMA-from 15 to 20 {0-14}

GGT - from 10 to 35 {0-4}

Please share your advice. Please







 
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HI Din,
I am very glad to hear from you. I was worried.
It does look from many of the tests that they are returning to normal or near normal. Not all of them but many.
I am sorry she is not eating yet on her own. Are they giving her any antinausea medication or pain medication?
Do you know if they did an fPL spec test for pancreatitis?
Did the vets say why they thought the tummy might be getting bigger?

Din said:
CT SCAN done ( but has not removed her belly purr hair , just wondering CAN they DO CT SCAN without removing belly hair????
Click to expand...
Yes a CT Scan can be done without shaving the fur. When a human has a scan they keep their clothes on...just have to remove zips and metal things.
How does she seem today to you?
 
Bron and Sheba (GA) said:
HI Din,
I am very glad to hear from you. I was worried.
It does look from many of the tests that they are returning to normal or near normal. Not all of them but many.
I am sorry she is not eating yet on her own. Are they giving her any antinausea medication or pain medication?
Do you know if they did an fPL spec test for pancreatitis?
Did the vets say why they thought the tummy might be getting bigger?


Yes a CT Scan can be done without shaving the fur. When a human has a scan they keep their clothes on...just have to remove zips and metal things.
How does she seem today to you?
Click to expand...
Sorry
Bron and Sheba (GA) said:
HI Din,
I am very glad to hear from you. I was worried.
It does look from many of the tests that they are returning to normal or near normal. Not all of them but many.
I am sorry she is not eating yet on her own. Are they giving her any antinausea medication or pain medication?
Do you know if they did an fPL spec test for pancreatitis?
Did the vets say why they thought the tummy might be getting bigger?


Yes a CT Scan can be done without shaving the fur. When a human has a scan they keep their clothes on...just have to remove zips and metal things.
How does she seem today to you?
Click to expand...


Sorry for late reply Bron,

yes they are giving below medication.
Noroclav 50 mg
Mirtazapine
Cerenia
B12
Coloxy 120
Hartmanns
Methadon

I did asked fpl Bron , but unfortunately they don’t do that test.
Sorry my bad, it’s not CT SCAN it’s ULTRASOUND .

vet is not in the clinic since Tuesday. There is other vets but they don’t care about other patients except their patients. Everything hadle by nurses.They contact Doctors over the phone . When they can’t contact Dr they do mistakes.

Dr said he is not sure why tummy getting bigger.
Cierra has constripation.

This morning and evening when I visit she was hitting her head on my head and face meowing . I’m sure she asking me to bring her home…..

still she is not eating nurses do force feeding..

tgank you Bron
 
Hi Din
The Noroclav is an antibiotic.
Mirtazapine is an appetite stimulant
Cerenia for nausea
Methadone is used for pain…I’ve not seen it used before for cats but I looked it up and it can be used
And she is getting fluids and B12 so it looks as if she is getting what is needed if she has pancreatitis
Yes normally they shave for an ultrasound.
Can you bring in some favourite food for her to try?
The nurses can’t make decisions without the vets permission. I hope your vet visits soon.
How do you think she is ?
 
Bron and Sheba (GA) said:
Hi Din
The Noroclav is an antibiotic.
Mirtazapine is an appetite stimulant
Cerenia for nausea
Methadone is used for pain…I’ve not seen it used before for cats but I looked it up and it can be used
And she is getting fluids and B12 so it looks as if she is getting what is needed if she has pancreatitis
Yes normally they shave for an ultrasound.
Can you bring in some favourite food for her to try?
The nurses can’t make decisions without the vets permission. I hope your vet visits soon.
How do you think she is ?
Click to expand...


This morning I couldn’t visit her Bron, me and Kiara ( new born) had to admit to ED.

I called them and they have not done any blood test today . They might do in the evening. Nurse said she is not sleeping. Because she is on theoter room. It’s too noisy and she can see when they doing operations. I did cover her cage from a cloth but they kept open it .
Yesterday I gave her favourite food fancy feast chicken gravy. But she doesn’t show interest. But smell it. Last time also she she didn’t eat while she is on the hospital but after come home slowly started to eat.

They have not shave her hair I don’t know how that Doctor did this ultrasound …..
 
Din said:
This morning I couldn’t visit her Bron, me and Kiara ( new born) had to admit to ED.

I called them and they have not done any blood test today . They might do in the evening. Nurse said she is not sleeping. Because she is on theoter room. It’s too noisy and she can see when they doing operations. I did cover her cage from a cloth but they kept open it .
Yesterday I gave her favourite food fancy feast chicken gravy. But she doesn’t show interest. But smell it. Last time also she she didn’t eat while she is on the hospital but after come home slowly started to eat.

They have not shave her hair I don’t know how that Doctor did this ultrasound …..
Click to expand...
I do hope you and your newborn baby Kiara are OK. Oh dear you do have a lot on your plate.
Hopefully she will eat when she gets home
 
Bron and Sheba (GA) said:
I do hope you and your newborn baby Kiara are OK. Oh dear you do have a lot on your plate.
Hopefully she will eat when she gets home
Click to expand...
Hi Bron ,
Thank you… just came from ED. Called to vet place and everything back to normal except SDMA - is 21 and Creatine-213
Yesterday it was 20 and 197.

Also her blood pressure is high

This numbers getting increased so fast within last 4 days. Do you know what can be the reason?

what should I do to protect Cierra from this Kidney issue.???? Please advise
 
20 to 21 and 197 to 213 is not a huge jump.
Kidney values can change depending on how hydrated or dehydrated she is. Keeping well hydrated is the best thing for improving kidney values.
It’s very good all the other values are back to normal.
What did the vet tell you?
Does he know what is the diagnosis?
Did he tell you the result of the ultrasound?
Is Cierra eating today?

How are you and you baby?
 
Bron and Sheba (GA) said:
20 to 21 and 197 to 213 is not a huge jump.
Kidney values can change depending on how hydrated or dehydrated she is. Keeping well hydrated is the best thing for improving kidney values.
It’s very good all the other values are back to normal.
What did the vet tell you?
Does he know what is the diagnosis?
Did he tell you the result of the ultrasound?
Is Cierra eating today?

How are you and you baby?
Click to expand...

The vet I consulted is not came back to vet place yet. Nurse is passing messages between us.
Vet said fluid can help reduce kidney and Creatinine numbers.
My problem is she is on fluids since Monday evening. Then y it’s going up…… vet doesn’t know what is diagnosed to cierra.

ultrasound did by another vet. …..unfortunately ciera not eating yet.

Doctor said baby is fine. But my cesarean stratuses not recovered . It’s really painful. Cannot even walk properly…
 
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Is the baby OK?
I’m sorry you are having trouble with recovering from the cesarean. Is there someone to help you at home.
I think it is just going to take time for Cierra to get better.
 
Bron and Sheba (GA) said:
Is the baby OK?
I’m sorry you are having trouble with recovering from the cesarean. Is there someone to help you at home.
I think it is just going to take time for Cierra to get better.
Click to expand...
Sorry for the typing error…. Yes Kiara doing well Bron , Thank you…. I have only my husband here.He is helping me to go through this.
 
@Bron and Sheba (GA) @Sienne and Gabby (GA) please share your thoughts…

CIERRA”s SDMA is 19
Cre- 181

GGT- 10

She is still not eating. Last time also she didn’t eat while she is at hospital. But after come home she slowly started to eat ( we did syringe feeding too) .

If I discharge and bring her home do you think am I doing something wrong to her. She is under fluids 12ml/h . ??? Please share your thoughts .
 
Din said:
@Bron and Sheba (GA) @Sienne and Gabby (GA) please share your thoughts…

CIERRA”s SDMA is 19
Cre- 181

GGT- 10

She is still not eating. Last time also she didn’t eat while she is at hospital. But after come home she slowly started to eat ( we did syringe feeding too) .

If I discharge and bring her home do you think am I doing something wrong to her. She is under fluids 12ml/h . ??? Please share your thoughts .
Click to expand...
What do the vets think about you bringing her home?
Are they doing anything for her there that you couldn't do at home?
Do you think you could manage to look after her with a new tiny baby and still recovering from a caesarean?
 
Bron and Sheba (GA) said:
What do the vets think about you bringing her home?
Are they doing anything for her there that you couldn't do at home?
Do you think you could manage to look after her with a new tiny baby and still recovering from a caesarean?
Click to expand...



I can look after her and do syringe feeding Bron. Only thing I can’t do is giving her fluids
 
Din said:
Thank you Bron…!!!!
Click to expand...
Good Morning Bron, day before yesterday night we discharged and brought back Cierra home. One of vet has consulted with IDEXX blood report specialist. He has advised right now main issue is feeding Cierra. So they want to do surgery for Cierra to fix feedings tube.

I told vet I prefer to to bring her home a
and try feed first. So she back and as soon as she come home she eat 1/5 can of fancy feast chicken gravy. ( I offer same food while she was at hospital but she didn’t eat)
At night I gave fancy feast chicken chunky.she ate 1/5 can.
Yesterday morning she didn’t eat. I force feed her 10-20mg Royal canine recovery food which is gave by vet. Plus antibiotic.

After 2/3 hours another force feed- 10 mg.
Offer4-5 Royal canine diabetes kibbles ( her favourite is kibbles).

At 7 she was liking chicken chunky. And I force feed 10 mg Royal canine recovery food plus antibotics , tablet to maintain her BLOOD PRESSURE.

Her blood pressure went hight -170 and they have given a table to maintain blood pressure. As now I’m continually giving it for lifetime.

at midnight her blood sugar went down to 5.8 and she didn’t eat wet food so I offer kibbles. And ate 10 kibbles. Blood SUGAR gradually went up through the night. This morning force feed 20 mg and antibiotics.


Now she is getting 1 unit of insulin only one time per day . At 7 pm. ( still following hospital procedure as vet said I have to bring her back if she is not eating)


Now my biggest worrier is finding food for match both Kidney and blood sugar. ….. I followed and read few articles at night. Now I have to fine less protein/ less carbs / less phrosparus . And I have to give on going home fluids to protect the kidneys Because she is not drinking water.
 
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Hi Din,
I'm very happy Cierra is home and eating a bit but I am concerned she is not eating enough.
Don't be frightened of a feeding tube. They are very easy to use and have saved many kitties lives. If she is not eating enough I would get the feeding tube put in.

Can you update the SS so we can see what the BGs are doing please?
Cierra is very early stage CRD (kidney) so you do not need low protein. Low protein is for much later in the kidney disease and is old thinking. The current thinking is to give low phosphorus.
What you need is low carb (for the diabetes) and low phosphorus (for the kidney).
I am going to send you a link to foods that show how low the phosphorus levels are.
Look for foods that have phosphorus levels of 250 or 200mg phosphorus/100kcals or lower
FOOD CHART WITH PHOSPHORUS LEVELS
you will see that Fancy Feast has too much phosphorus. Unfortunately Weruva no longer has their food for sale in Australia because they have a good range. If you cant find a suitable food you can ask the vet for a phosphorus binder to add to the food she will eat.
Please think about the feeding tube!
How are you managing with Cierra and the baby?
Bron
 
Bron and Sheba (GA) said:
Hi Din,
I'm very happy Cierra is home and eating a bit but I am concerned she is not eating enough.
Don't be frightened of a feeding tube. They are very easy to use and have saved many kitties lives. If she is not eating enough I would get the feeding tube put in.

Can you update the SS so we can see what the BGs are doing please?
Cierra is very early stage CRD (kidney) so you do not need low protein. Low protein is for much later in the kidney disease and is old thinking. The current thinking is to give low phosphorus.
What you need is low carb (for the diabetes) and low phosphorus (for the kidney).
I am going to send you a link to foods that show how low the phosphorus levels are.
Look for foods that have phosphorus levels of 250 or 200mg phosphorus/100kcals or lower
FOOD CHART WITH PHOSPHORUS LEVELS
you will see that Fancy Feast has too much phosphorus. Unfortunately Weruva no longer has their food for sale in Australia because they have a good range. If you cant find a suitable food you can ask the vet for a phosphorus binder to add to the food she will eat.
Please think about the feeding tube!
How are you managing with Cierra and the baby?
Bron
Click to expand...


I’ll do my best to feed her 1 can of recovery as vet said if not I’ll go for a feeding tube. She is liking food for 2-3 minutes. And interested to eat dry kibbles. This afternoon I gave he 15 royal canine diabetes dry kibbles , Even though I should not feed dry food. I just emailed to vet and waiting for his reply.

And I applied recovery food on her chest. She is cleaning it now . I checked the list you sent me. I have to check it thoroughly. She had a good blood sugar number while she was in hospital. But now at midnight nadir is around 5 and going up to 18.

I’ll do update SS ASAP . Now she is sleeping a lot. At hospital she stay awake. Because she was in the theoter with lots of sounds and scary things… should I stop feeding fancy feast immediately?

I try to keep Cierra out side the room but it was only for 1 hours. Then next minute she is sleeping on my pillow. So I didn’t disturb to her . Last two nights she slept on my husband’s chest. She wants stay close to us all the time. Problem is our boy Simba. He is not happy that Cierra is back. He is hizzing to all of us…it’s hard to handle three of them together.
 
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I’m sure Simba is hissing because Cierra smells different. That is common.
Feed Cierra whatever she will eat at the moment as it is really important she eats. Are you giving her antinausea medication?
 
No She doesn’t have cerenia tablets. I ask few cerenia tablets when she discharged. But they didn’t give it.
 
Din said:
No She doesn’t have cerenia tablets. I ask few cerenia tablets when she discharged. But they didn’t give it.
Click to expand...
I would ask for them again. Jump up and down and make a fuss!
The cerenia will make a difference. If she is nauseated she wont want to eat.
Just cant understand why vets cant see this
 
Bron and Sheba (GA) said:
I would ask for them again. Jump up and down and make a fuss!
The cerenia will make a difference. If she is nauseated she wont want to eat.
Just cant understand why vets cant see this
Click to expand...
Good morning Bron, yes I’m going to ask again. After Cierra this morning Cierra vomited again. ( it was a hair ball and undigest food. I can understand how important to have that tablets. Her eating pattern same as day before day . I force feed her 20 mg with antibiotics thi morning now going to give kibbles.

One of nurse has replied to my email. As he mentioned Doctor’s suggestion feed royal canine diabetes wet food, It could give moisture to kidney. I can see wants to eat but does have nausea . Still could not find the food.
 
If she is vomiting I would ask for an injection of cerenia and some tablets. She won’t eat if she is nauseated.
Have you thought any more about the feeding tube ?
 
Bron and Sheba (GA) said:
If she is vomiting I would ask for an injection of cerenia and some tablets. She won’t eat if she is nauseated.
Have you thought any more about the feeding tube ?
Click to expand...
Could not go to vet today, could not find anyone to leave the baby, ( I’m not driving) . Cierra does eating kibbles not whole lot together, now 10 kibbles after hour another 10 like that. She drank water ones today. I force feed 20 ml water. Grooming her self. So I thought no need feeding tube. But her glucose numbers are going up and she only getting 1unit per day. I’m trying to feed her more wet food ( only fancy feast I have now need to order new food) . Her food intake is less than before but she seems okay with eating. When I give medicine I force feed wet food to make sure . Going to do a blood test on Saturday.

What do you think about giving fluids at home? Is there any alternative things like fluids to give at home?
 
Din, can you update the SS so we can see what is happening with the BG please when you have time?
What are the kibbles you are feeding her?
Hills m/d GlucoSupport is probably a much lower carb than the one you are feeding now. It is 15% carbs. Still too high but lower than other dry foods in Australia. and the phosphorus is 0.8%
https://www.hillspet.com.au/cat-food/pd-md-feline-dry

Din said:
What do you think about giving fluids at home? Is there any alternative things like fluids to give at home?
Click to expand...
Do you mean SubQ fluids? I used to give Sheba subQ fluids at home. If the vet thinks it is a good idea, I would do it.
 
Bron and Sheba (GA) said:
Din, can you update the SS so we can see what is happening with the BG please when you have time?
What are the kibbles you are feeding her?
Hills m/d GlucoSupport is probably a much lower carb than the one you are feeding now. It is 15% carbs. Still too high but lower than other dry foods in Australia. and the phosphorus is 0.8%
https://www.hillspet.com.au/cat-food/pd-md-feline-dry


Do you mean SubQ fluids? I used to give Sheba subQ fluids at home. If the vet thinks it is a good idea, I would do it.
Click to expand...


I didn’t ask my vet yet. But I felt it’s good for her health. Is it hard to manage ? How often should I give it.
 
Din said:
I didn’t ask my vet yet. But I felt it’s good for her health. Is it hard to manage ? How often should I give it.
Click to expand...
No it is not hard to do. We have videos here how to do it.
You will need to ask the vet if he thinks Cierra needs to have sub Q fluids. The vet will need to listen to her heart to see there is no issue there. YOU will need to be guided by the vet.
 
I’ll ask from vet next time Bron , I’ll update SS as soon as I get a time to sit next to Laptop. Thank you so much for all help, ideas, advice you have given to me Bron
 
If you are doing TR you don’t give honey u til 50 (2.8) . It might bbe better if you do SLGS at the moment becasue she is not eating well in which case you would reduce the dose and give honey at 5 (90).
How much insulin is she on now?
It’s a bit hard to help you when the SS is not up to date.
I think you might have to think about the feeding tube Din.

This is a good site for cats with kidney issues
https://www.felinecrf.org/
 
Bron and Sheba (GA) said:
If you are doing TR you don’t give honey u til 50 (2.8) . It might bbe better if you do SLGS at the moment becasue she is not eating well in which case you would reduce the dose and give honey at 5 (90).
How much insulin is she on now?
It’s a bit hard to help you when the SS is not up to date.
I think you might have to think about the feeding tube Din.

This is a good site for cats with kidney issues
https://www.felinecrf.org/
Click to expand...


She is on SLGS at the movement. now she is getting only 1 unit at 7Pm . Yes seems like I have to do the feeding tube. Im going to update her SS now. (if baby not cry for atleast for a hour). Thank you for that web site Bron it seems really good. I'm going to read it.
 
Din said:
She is on SLGS at the movement. now she is getting only 1 unit at 7Pm . Yes seems like I have to do the feeding tube. Im going to update her SS now. (if baby not cry for atleast for a hour). Thank you for that web site Bron it seems really good. I'm going to read it.
Click to expand...
You are a wonderful cat mum, you must be so busy with a new baby and Ceirra and getting over a caesarean. You look after yourself.
I think you will find the feeding tube will make it much easier for both you and Cierra.
 
Bron, do you think when diabetics cat get kidney disease it’s not manageable? Is this make their life too short? One of vet nurse said that way. If it’s true I better let her rest of life pain less ..I mean should I give up? Is anyone here got a cat with kidney and diabetes issues?
 
Din said:
Bron, do you think when diabetics cat get kidney disease it’s not manageable? Is this make their life too short? One of vet nurse said that way. If it’s true I better let her rest of life pain less ..I mean should I give up? Is anyone here got a cat with kidney and diabetes issues?
Click to expand...
No, it is not true. Cats with diabetes and kidney disease is manageable. We have a lot of cats here that have some kidney disease as well as diabetes. My Sheba did and she does from something totally different. The vet nurse is wrong. Cierra has very early kidney disease by the look of it and should be able to be managed for years. Take no notice of the vet nurse. You just need to find a food that is low carb and lower phosphorus.
I would not give up. :bighug:
I will tag a couple of other to give their opinion.
@tiffmaxee
@Bandit's Mom
@Suzanne & Darcy
 
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Bron and Sheba (GA) said:
No, it is not true. Cats with diabetes and kidney disease is manageable. We have a lot of cats here that have some kidney disease as well as diabetes. My Sheba did and she does from something totally different. The vet nurse is wrong. Cierra has very early kidney disease by the look of it and should be able to be managed for years. Take no notice of the vet nurse. You just need to find a food that is low carb and lower phosphorus.
I would not give up. :bighug:
I will tag a couple of other to give their opinion.
@tiffmaxee
@Bandit's Mom
@Suzanne & Darcy
Click to expand...
Thank you Bron……!!!!

I missed one more … Diabetes/Kidney/ pancreatitis/ I just don’t want to give up.. I’m helpless here… last time when Cierra had pancreatitis they gave 25ml/ per hour fluids. She had kidney elevated/ Liver enzymes/ pancreatitis 5300+ . But with fluids she recovered within 4 days.they Find out she had diabetes. This time her Diabetes/kidney/liver/pancreatic number higher than last time.. but nurse only gave 12ml/hour and even though she was 7 days at hospital she didn’t recover…but I’m going to fight for Cierra. Thank you Bron…. !!!!
 
Hi Din.
I've been following your story.
I think some veterinary offices don't see as many cats and especially diabetic cats often with other issues. So don't have the experience, like we do here.
My kitty was diagnosed as a diabetic in 2005, and then had ketones and DKA and was hospitalized for 9 days. He would not eat at the hospital and came home with a feeding tube. Once home, soon he was eating by himself, and the feeding tube was removed. He had bouts of pancreatitis that we medicated him for. He had early kidney disease that never progressed. He was a hard to regulate diabetic for the last 9 years of his life and he lived happily to be 20. Thanks to this message board.

It looks like Cierra is having a nice cycle right now. Thanks for updating the spreadsheet.
 
My Sheba also used to get pancreatic flares.
It might be worth while putting your name down for the vet you say is good, even if you can’t get in for some time.
 
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Max had chronic pancreatitis which we treated with nausea medication, usually ondansetron but sometimes cerenia, sometimes fluids and cyproheptadine or zyrtec as an appetite stimulant. I thought his first episode would never end.
 
I have had several cats with kidney disease. In almost all cases I have been able to keep them happy and comfortable for a long time….. sometimes for years. It is not true that there is no hope. The one thing that troubles me is that you say that you cannot do subcutaneous fluids at home. Regular fluids can be a real life saver for cats with kidney disease. This is as long kitty’s heart is not compromised and then adjustments can be made depending on what is going on. The main at home treatments for feline kidney disease are: (1) sub-q fluids to maintain hydration; (2) low phosphorus food to ease the kidney workload; (3) nausea control medications like Cerenia (maropitant) and Zofran (Ondansetron); (4) medications to combat constipation, if present; (5) B-Complex vitamins to help combat anemia; (6) appetite stimulants if required and only after administering anti-nausea medications; (7) sometimes antacids for acid tummy. These are by no means everything that can be done, but they’re commonly used by most people with cats with kidney disease— depending upon what stage they are in.

Did the bloodwork indicate infection? They are giving an antibiotic. So hopefully it’s just a kidney infection and things will resolve after it’s gone. We can hope!! But either way, cats can live a long time with kidney disease and diabetes. As Bron said, ignore that vet nurse!
 
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