Ezmeralda, my 13 year old cat has renal failure.(she weighs 13.3 lbs)
I have been giving Sub Q fluids at home and supplements, (vet is aware), of probiotics(for about 3 weeks), b complex(past 2 weeks) and unscented fish oil(just started in past three days).
Her vet suggested Epogen injections but also said she was not at a crucial stage (HCT is 26.7) but will probably get there fairly soon.
I asked about iron supplementation but was told it probably would not help as the problem is with the kidneys not being able to release hormones.
Does anyone have any knowledge on cats with Anemia and interpreting bloodwork ?
These are my concerns:
RBC 5.19, normal low at this point, normal range 5.00-10.00
HCT 26.7, low, normal range 30.0-50.0
HGB 11.4, normal , normal range 9.0-15.1
MCV, 51.5, normal, normal range 41.0-58.0
MCH 22.0, high, normal range 12.0-20.0
MCHC, "MCHC out of reportable range", normal range 29.0-37.5
RDW 18.9, normal, normal range 17.3-22.0
WBC 12.62, normal, normal range 5.50-19.50
NEU 8.23, normal, normal range 2.50-12.50
LYM 2.13, normal, 0.40-6.80
MONO 1.37, normal high, normal range 0.15-1.70
EOS 0.86, high, normal range 0.10-0.79
PLT 618, high, normal range 175-600
BUN 50(was60 3 months ago), high, normal range 16-36
CREA 2.8, high (same as 3 months ago) normal range 0.80-2.4
NA 162, normal high, normal range 150-165
K (potassium) 3.5, normal low, normal range 3.5-5.8
CI 126, normal high , normal range 112-129
3 months ago she had these tests preformed and all were negative:
Feces culture for parasites, etc..
UA(no bacteria was grown in culture)
I know she has some seasonal allergies, past problems with constipation(probably due to dehydration kidney failure)
I am getting a second opinion on this Saturday
Her appetite is good
Vomiting on rare occasions (usually always when she eats some grass in our fenced in back yard grass is untreated)
She is an inside cat and only goes out with my supervision and does not wander out into the yard very far
She gets high quality, no grain, low carb, low phosphorus, low sodium canned food only, she will not eat prescription kidney diet food.
She drinks quite a bit of water (probably due to renal problems)
She gets Sub Q fluids 100 ml every 3-4 days at home.
I am concerned about high and low levels and also the normal highs on her blood work and also concerned that perhaps potassium supplementation should be started and that she could be developing Hypertension(I don't believe she has ever had her BP checked), and of course there is the high and low levels on her HCT, MCH, MCHC.(non regenerative Anemia?).
Any opinions, suggestions, knowledge would be most appreciated..