Did my Vet take my dog of the IV fluids to soon?

[Seanbean89]

I have a 6 year old Black lab. He dog was diagnosed with Kidney failure as a result of lymes diease. The initial blood work was BUN 68 and CREA 3.0. The vet put him on the KD diet and fluids twice a week. We went back in two weeks for blood work and the BUN was 7 and CREA 1.6. He then said to take him of the fluids and come back in two weeks. We did this and the results were BUN 7 and CREA 1.6. He then said to take him off the Kidney food and come back in 3 months. About a month and half after we noticed he was't himself he had diarrhea vomiting and lethargic. They did blood work again and the results were BUN 58 and CREA 2.9. This time the vet I normally deal with was not there that day it was his partner and he said he would have never taken him off the KD diet to begin with. They started him back on KD diet and fluids every other day along with heart medications. They said to go back in a week to retest blood. Went back and his BUN was 32 and CREA went up to 3.6. He said to back down fluids to every 3 days and to come back in 4 weeks! His BUN is coming down but the CREA is going up. my question is why would you back down on the fluids and wait 4 weeks to recheck the blood work when its gone up that much in a week. Any thoughts? I plan to call another vet I was referred to by many people and make an appointment to get another opinion. Thank you for any input!

[tonyb286]

Hi. IV Fluids take a shorter time than SubQ fluids to have an effect. So, retesting (if it were me) should be done every 2 weeks, to see what changes if any have been made. The dosage of fluids is entirely dependant on the amount of creatinine, so ... get bloods done, assess suitable fluids dose, start the treatment ... then repeat this process every 2 weeks to see what changes have been made, and what changes to fluid dosing might be required.

Good luck with your new vet.

Tony

[Seanbean89]

I stand corrected he's on cerenia for vommiting, metronidazole and famotidine.