The new CKD-treatment plan for Pole

There’s a small change to Pole’s treatment plan for her progressing CKD (chronic kidney disease).

Since I’ve already been doing subcut three times a week for her, doing it on alternate days isn’t much different from three times a week.

So I discussed this with the vet and the vet advised that for this one week, I should do Pole’s 150ml subcut on a daily basis. Hopefully, with this daily subcut for one week and the high blood medication (Amlodipine), her kidney readings would come down. The vet is confident it would.

I also asked if Pole’s high blood condition is due to her hyperthyroidism. The answer to this is yes or no. Hyperthyroidism can cause high blood, but so can CKD. So, one of the result of CKD is high blood pressure.

From the internet:

Hypertension, or high blood pressure, usually occurs in cats secondary to other diseases. The most common diseases to cause high blood pressure in cats are chronic renal failure (kidney disease), hyperthyroidism and anemia. … The other common symptom of untreated high blood pressure is bleeding into the brain.

From this link: https://www.petmd.com/cat/conditions/cardiovascular/c_ct_systemic_hypertension

The cause of primary hypertension in cats is not known. However, it may have a genetic component. So how prevalent is this form of hypertension? Studies have varied, but one study found that 65 percent of cats with chronic renal failure and 87 percent of cats with hyperthyroidism had mild high blood pressure. Ages of cats with hypertension ranged 4 to 20 years old.

Secondary hypertension, which accounts for 80 percent of all hypertension cases, may be due to a variety of factors, including renal disease, hormonal fluctuation, and hyperthyroidism.

Diabetes may also be a cause for hypertension, although it is uncommon in cats. If you suspect that your cat is suffering from hypertension, bring it in so that your veterinarian may provide a proper diagnosis.

Further:

The standards for cat blood pressure are:

  • 150/95 – at this reading or below, there is minimal risk and treatment is not recommended
  • 150/99 to 159/95 — intervention is rotuinely not recommended at these readings
  • 160/119 to 179/100 — treatment should be sought to limit the risk of organ damage
  • 180/120 — immediate treatment should be sought to limit the degree of other more severe complications

Pole’s reading was 165 on Tuesday. So, the vet started her on Amlodipine. It is a tiny piece of the tablet, given once a day. So far, I’ve had no problems hiding it in a small lump of AD for Pole.

Thank goodness I am able to do subcut on Pole all by myself. She is very cooperative, unlike the tigress.

Cleo: Who are you calling a tigress? 

I make chicken soup (meat broth), but only Indy and Bunny drink it. Pole doesn’t.

I read that bone broth might have too much minerals and is therefore not suitable for CKD cats, so I make meat broth.

Anyway, I have ordered the cat fountain, let’s hope it arrives soon.

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