another civie dental question- fluids?

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Snoops mom

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My 12 yr old civie is having a dental on Thursday with probably a couple of extractions (estimate is for 2 or 3)

her bloodwork is great however she will have fasted for over 12 hrs and for as long as 17hrs, and I am wondering if I should request that they give her some (say 75 to 100ccs?) sub Q fluids?

My girl Raven got subQ fluids after her dental but I wasn't told why she was and they've not given subQ fluids to any of my other cats- she is presumed to be the oldest (at approx 14yrs old) but we don't actually know her age, and Nell is right up at 12, so.....

I just worry about this causing stress on her kidneys, isn't there decreased blood flow to the kidneys during a dental? is that because of the anesthesia, or the fasting, or both?

My cats RARELY drink water, so although they now allow them to have water available, it really doesn't make much of a difference, she won't drink it.

what are your thoughts on this?
does your vet give your cat(s) fluids before, during or after a dental?

I would think it would make more sense to have them during the dental but I don't know if that throws off their blood pressure or messes with the anesthesia or something else......

any input greatly appreciated!!
thanks
althea
 
I'm in the midwestern US, and my vet offered fluids (via IV, not sub-Q) during Leo's dental in October as if it was a matter of course. I declined them because he seemed to be doing OK at the time, but considering how many of his lab numbers went kaflooie after the dental, I wish I had paid the extra money (only $35) and had them. Along with low WBC and high BUN (but not creatinine, which is the smoking gun for CRF), he started showing diabetes symptoms right after the dental, and three months later here we are on insulin.

When Leo's diabetes symptoms first presented, my vet wasn't sure whether it was diabetes, kidney failure, or pancreatitis, and I would have felt terrible if a lack of fluids for the dental had triggered renal failure. It turned out his kidneys are OK, but he had severe gingivitis, and I think some fluids might have helped his body cope with the infection and antibiotics. I still don't know whether he got steroids during the surgery (it's on my list of things to ask my vet); that can trigger diabetes in some cats.

Given your cat's age, the fact that she won't drink water, and possible gingivitis since she needs extractions, I would go with an IV fluid drip if I were in your position. I'd like to see what other, more experienced members have to say about it, though. Dentals can be tricky, especially with older cats, but they're necessary. For timing, my vet seemed to favor giving fluids during the surgery, but my memory is fuzzy.

Edit: this is quoted from Tanya's feline CRF site, which is a credible resource: http://www.felinecrf.org/related_diseases.htm#Dental1
It is advisable to place any cat on IV fluids during and after any dental procedures in order to avoid falls in blood pressure during the procedure; such falls in blood pressure can reduce blood flow to the kidneys, which may lead to the kidneys failing a few days later. CRF cats should be placed on IV fluids before any dental procedures, as well as during and after them.
 
All animals getting anesthesia such as during a dental should be getting IV fluids. The anesthesia tends to lower blood pressure which if it goes low enough, can damage the kidneys. The IV also provides direct venous access for drugs in case they are needed. Depending upon the condition of the animal, IV fluids are sometimes started before anesthesia and continued after the the anima is awake.
 
Larry and Kitties said:
All animals getting anesthesia such as during a dental should be getting IV fluids. The anesthesia tends to lower blood pressure which if it goes low enough, can damage the kidneys. The IV also provides direct venous access for drugs in case they are needed. Depending upon the condition of the animal, IV fluids are sometimes started before anesthesia and continued after the the anima is awake.


A big "ditto" to the above.
 
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