Aspirn-Aspirin effects renal blood flow and can decrease blood flow and therefore, affects glomerural filtration, and the decrease excretion of sodium and potassium. Both her sodium and potassium levels are high normal but the sodium has always been high. This could be a problem in the future as it could lead to water retention or edema which, for an HCM cat, isn't what we want.
Enalapril or ACE inhibitors-These effect renal blood flow and therfore effct the funciton of the filtration ability.
Spironolactone-a drug that retains potassium levels for the kidneys while acting as a diuretic.
Valium-She is taking Valium for anxiety and litterbox issues . It's othe only thing HCM cats can take. They can't take a psychotrophic becaause they are contraindicated with Plavix. Valiium delays the need to go and since she is excreitng less frequently, she therefore is not excreting potassium as much as she had been.
As I have said before, it's very important to understand the relationships between the different blood chemistries and to understand what is normal or not and what it all means. Check out the linked website for more information. http://www.peteducation.com/article.cfm?c=2&aid=989
The other concern is that the aspirin-and I'm not sure how-has lowered her platelet count to 135, below the low end normal that is 170. This could lead to internal or external bleeding. We need to watch her closely for bruising or marks on her that indicate internal bleeding, for edema caused by internal bleeding, and watch any external injuries that would lead to bleeding.
We will test her blood again in November before her next appointment.
|ET-left-and Myrna Loy-right-How do they sleep that way?|