From:
d6n6b6@yahoo.co.uk
Date: 2005-09-11 09:02:19 UTC
Subject: Re:RE adrenal and renal cyst
To: ferrethealth@smartgroups.com
Message-ID: <8300434.1126429339569.JavaMail.root@thallium.smartgroups.com>
Thanks for your advice Dr. Murray!
I don't think they currently have Sevoflurane at my university, but if not, they will definitely use Iso. I do think the induction will be with domitor. I hope this isn't a problem?
They were already talking about giving her dextrose IV during the operation (and with any surgery there's always placed a catheter routinely), so this won't pose a problem too.
What else could cause the high BUN? since creatinin was normal...?
We have a new food supplement here, it's called Ipakitin/epakitin and is produced by vetoquinol. It contains calcium carbonate to bind phosphorus, and chitosan to absorb uremic toxins (urea, creatinin, indoxylsulphate) and phosphorus in the GI tract. Maybe this could be helpful also?
(the surgery has been scheduled for Tuesday morning btw)
Thanks again,
Wendy
Author wrote:
> Hi Wendy,
> As far as surgery goes, I would recommend using
> just a gas for anesthesia (ie Iso or preferably SEVO)
> instead of the injectables (domitor+ketamine, etc).
> Removing the left adrenal gland is usually easy to do,
> so that part of the surgery should go just fine.
> The elevated BUN is also a concern. I would recommend
> slow drip IV fluids (LRS,.NACL, or Normosol) during the
> surgery. It may be a good thing to add Dextrose to the IV
> fluids also. Cysts on the kidneys do not usually cause
> kidney failure (CRF), so removing the kidney may not
> help with the BUN/kidney problem. Draining the cyst may
> be an option also. After the surgery reducing the protein
> level of the diet may help, adding omega-3 oils (ie fish oil),
> reducing the phosphorous level and adding potassium citrate
> may also help the kidney problem. Using Hill's feline K/D or
> Eukanuba feline renal diet mixed 50/50 with Totally Ferrets
> Senior food or Marshall's senior food would be my suggestion.
> Hope that helps and everything goes well,
> Jerry Murray, DVM