Registered: 1175512324 Posts: 76
My vet told me I should give my Wizzy a 1/4 tablet of Pepsid AC (or a generic version) once a day so help sooth his stomac in his last days with his kidney failure. However, my kitty isn't eating so I can't mix it with food.... I tried putting that little 1/4 piece of tablet (real tiny) in the back of his mouth behind his tounge... But, he manages to shake his head and twerl his tound around until it comes to a spot where he can spit it out.
How do I get him to take it? If he takes it and it works,it may sooth his stomach enough to make him eat. He WANTS to eat bad! But his little tummy must be so upset that he can't. So, he's just frinking some water and getting the SubQ Fluids under his skin the best he can. Another thing, cutting a little generic pepsid ac tablet is almost impossible! It turns into mostly powder or a bunch of pieces.... How do I know a 1/4 tablet at that point? I don't want to give him too much. Also, with the fluids, after the bug bump on the back of his neck (the fulids) starts to disipate, he seems to get a big, puffy leg. Is that just the fluids draining down to his legs? Is that bad? Will they still get absorbed? Thanks everyone! I LOVE my Wizard Kitty! Bob D Wizard's Dad
Registered: 1175512324 Posts: 76
I found something that Wizard would eat... today anyway... I got some huge cooked shrimp and he was so excited about that and sucked it down... So, I managed to sneak in his 1/4 tablet of Pepsid ac in the shrimp! So, that is a start!
He loved Tuna yesterday but won't touch it today... Sliced turkey the day before.... So, he's a challange, but I'm more than happy to keep looking for something he likes and then watch how excited he is about eating it! Bob Wizard's Dad
Registered: 1206414832 Posts: 196
I imagine at this point you are force feeding him -- I had to do that with my cats. You can grind the pepcid ac into a fine powder and mix it into the paste of the food in the syringe. Also, you can try giving him a little bit of water in a syringe just after placing the pill on the back of his tongue. only a little bit of water since we don't want him to gag -- just enough to wash it down.
When my cats needed to be force fed, I would make a watery paste of their canned food and some ground up dry food and feed it to them in small amounts with the syringe. Only a little at a time -- it can take a long time to get enough of the food in them so I would just pet them and take long breaks between the syringes. If the end opening of the syringe is too small (hard to find ones to do this) I would cut off the tip and make a larger hole and then use a nail file to file down the surface so it wouldn't cut the kitty's tongue and give it a good washing. very important not to have jagged edges. I only did this at the very end as it is nearly impossible to get a cat to eat in their final days and I did not want them to starve. It was so that I could say goodbye and I needed those couple of days, just like you do. I hope this is helpful. I'm so sorry you are going through this. Herbie and Belle's Mom
Registered: 1194492978 Posts: 5,102
I have find a site you should visit NOW for information about CRF in cats. It is a wonderful site that has many links including a link to how to safely administer subQ fluids and a link to a support group. The site is http://www.felinecrf.com. When you enter the site, look to the left of the screen and click on LINKS. There you will find an Index of Links. Go to "Subcutaneous Fluids", then click on an article called the "Administration of Subcutaneous Fluids" written by Dr. Wendy Brooks. She explains everything beautifully, including the "migration" of the fluids down into the legs (what you are seeing in Wizzy). That is normal, but read her article very carefully, because she has other pointers. Bob, YOU MUST READ ALL THIS VERY CAREFULLY, as I am concerned that your vet did not do more explaining before he sent you home to do this procedure (believe me, if he or she had, you would not have had this many questions). The safest place to store unused portions of fluid bags is in your refrigerator. Then, after you warm the bag in warm water, flush the tube out (drain it) to remove any cool remaining water. Never warm a bag in a microwave. Never, ever use a needle more than once, even if the needle accidentally comes out while you are giving the fluid, otherwise you risk infection. On that same site, under LINKS, also check out "Sophie gets her SubQ fluids" which tells Sophie's story and has links to a support group. This site has so many wonderful links, so I know you will feel a lot less anxious about CRF after you have checked it out. I hope this helps. Any time you have questions about a procedure you should feel comfortable calling your vet. That is what he or she is there for---to deliver the best possible care to your furbaby. Good luck. You and Wizzy are in my prayers. Melissa
Registered: 1199856214 Posts: 769
Yes sometimes the fluids will go down their legs and settle there until absorbed. How much are you supposed to be giving Wizard. What you can do to minimize this is break the amount up into 2 different sessions so to speak. Meaning lets say you are supposed to give 100mls. of fluids a day. You can try giving 50 mls. in the morning and another 50 mls. in the evening. You shouldn't give the fluids until the previous fluids have been absorbed. he should be urinating more than normal with the fluids. With most renal kitties, it seems like they are peeing water almost because it is so clear. and alot. I would not be concerned with him not urinating in 3 hours. I wouldn't get alarmed unless it had been 8 to 12 hours, that is with the fluids. It also could be that he is so dehydrated that he is useing all the fluids he is getting to try to hydrate his body. You can do a simple little skin turger test at home. Just pull up theskin above the shoulderblades and see how long it takes to snap back. If theskin stays tented up and very slowly goes back down, then he s very dehydrated. If it snaps rite back he either has not absorbed his fluids from earlier, or he is doing somewhat better maybe. you can give the fluids a little further back as well but I think it is uncomfortable for them. Is he still drinking water. Make sure he gets bottled purified water, not tap water. To much stuff in the tap water. There are 2 new products or fairly new products for renal patients called azodyl and epikitan. i have had good relusts with them. It binds to the phosphorus which can be retained in renal cats. The Pepcid is important as it is for the Uremic gastritis, hypergasterimia, and the following urimic vasculitis that can follow. So make sure you give it. You are supposed to give 1/4 of a tab, rite? Okay get a pill cutter, or a razor sharp knife wil do. Line up a pill that has not been cut for comparrison. take the odd shaped pill and cut it in half and in half again. now you will have pieces that will crumble and you will get about 2 quarters out of every pill. This is why you need one whole pill to compare.Just toss out the rest of the pill that didn't break nice. You can also get gel capsules that are empty from the pharmacy and powder the whole pill and divide it inot 4 even amounts of powder from the pepcid into the empty capsles and try to eye ball measure . When you give the pill, wait until your kitty is looking out a window or something not involving you and sneek up kind of casual and approach the cat from the back. This is so he doesnt see you and know something is up. hold the top of your cats head with your left hand abd have the pill inbetween you index and thumb use your middle finger to pull the jaw down by the little front teethe. Now throw the pill following it with yur finger, and gently push it to the back of the throught. You an also put the piece of pepcid itself into an empty gel capsule, this prevents the kitty from tasteing the pill on the way down. Good luck with this. I think that WooWooWoo is very rite that you did not have enough training on this from your vet. If she recomended a site to you I would check it out. She knows wha she says. So please research this disease so you know what your dealing with here. It can be tough, but some cats do improve and live wuality happy lives for some time. I canpost a copy of a paper I just wrote for pet owners to refer to .
Registered: 1199856214 Posts: 769
SUBCUTANEOUS FLUID ADMINISTRATION
What equipment is involved?
The equipment consists of a bag of IV fluids, an IV drip set, and a needle. The IV
drip set is simply a tube that connects the fluid bag to the needle. 1. Remove the outer, protective bag from the inner IV bag.
Remove the IV set from its packaging.
The top end of the IV set has a large, pointed end with a protective cap. Remove
this cap, but do not allow it to become contaminated.
It should not touch anything
Pull the protective covering from the exit port on the bottom end of the IV bag.
This will expose a hole that will accept the pointed end of the IV set.
Push the pointed end of the IV set into the open hole of the IV bag. It must be
seated firmly to prevent leaks.
Remove the protective cap from the lower end of the IV set, but do not discard
it. Do not allow it to become contaminated.
It should not touch anything
Close the lock in the middle of the IV tubing by moving the roller. (The lock on a
new IV set is often already in the open position.)
Gently squeeze and release the bulb at the top of the drip set until the bulb
chamber is about half full with fluid.
Open the lock (roller) on the tubing and then hold or suspend the IV bag; fluid
should flow freely.
Be sure that all air bubbles run out of the tubing.
Close the lock on the IV line by rolling the roller downward.
Remove the protective cap on the lower end of the IV set.
Break the protective covering around the needle so that the open end (not
the sharp end) is exposed. Do not allow it to become contaminated by allowing
it to touch
Remove the protective cap from the lower end of the IV set, and place the
open end of the needle on it. Seat it firmly.
How is the needle inserted?
Insert the needle just under the skin at the level of the shoulder blades, just to the right and to the left of midline.
What is the correct technique?
Choose a location where you will treat your pet.
Hang the IV bag as high as possible .
Place your pet in the treatment location. Be sure both of you are in a position
that will be comfortable for about 10-15 minutes. The end of the IV set should reach your cat.
Pick up a roll of loose skin in the above location.
Lay the point of the needle at the base of the roll of skin with the needle
horizontal and pointing away from the pet’s head. This assumes that the pet is in an
Advance the needle slightly forward while pulling the roll of skin backward. That
should place the point of the needle under the skin.
Release the roll of skin. The point of the needle should remain under the skin.
Grasp the IV set lock in one hand. Begin the flow of fluids by rolling the roller
How much fluid should I give each time?
The instructions at the end of this handout tell how much to give for your specific
When you have given the prescribed amount, complete the following steps:
1. Stop the flow of fluids by rolling the roller in the IV set lock downward firmly. If
you do not close it well and the bag is left hanging, fluid will drip out.
2. Remove the needle from the skin and replace its protective cap.
This keeps bacteria that were picked up on the old needle from . Place a new needle on the drip set as soon as you are through .
migrating into the fluids. If you wish, you may return it to our hospital for
4. Store the equipment in a safe place until the next fluid administration.
What other tips do I need to know?
Most pets tolerate fluid administration quite well. However, if the fluids are
unusually cold or hot, they may be uncomfortable. Ideally, they should be stored at
about body temperature. However, as long as they are at room temperature most
pets are fine. Some dogs and cats will do better if you warm the fluids by placing
the bag in a tub of warm water for a few minutes prior to administering. It is very
As the fluids are running, a lump will form under the skin. This pocket of fluid will be absorbed over several hours. If absorption is slow, gravity may cause the fluids to migrate downward. They could move under the skin of the front, they will still be absorbed..
What to do if the fluids stop running
This often happens when the end of the needle moves against the skin or the
underlying tissue. Do not remove the needle; rather, gently reposition it until the
fluids begin to flow again. Experiment with the needle's position until the fluids flow
freely. Twisting the needle will change the position of the bevel. This may be all
that is needed.
What to do if the fluid runs slowly on subsequent treatments
When you are finished giving fluids, you should close the lock firmly. However,
closing the lock firmly may crush the tubing so that fluid will not flow well on
subsequent use. If this happens, move the lock to another place on the IV tubing,
and open the crushed area of the tube by pinching it with your fingers.
What to do if the fluids become cloudy in appearance
If any cloudiness or discoloration occurs, do not use the bag. It usually means that
the fluids have become contaminated with bacteria. If you administer these fluids
to your pet, a serious infection may occur under the skin.
SPECIFIC INSTRUCTIONS FOR YOUR CAT
Registered: 1175512324 Posts: 76
Thank you so much Melissa! That link is going to be VERY helpful!
I appreciate everyone's well wishes and help! It sure helps! I'm dreading the day when I loose him tho.... I love my special Wizard Kitty soooo much! It's still hard to believe he's only got a few days left. Bob Wizard's Dad! Wizard Eating Grass on Friday, May 23rd
Registered: 1195951360 Posts: 124
Hi Wizard's Dad- You can check with the pharmacy's in your area to see if they do transdermal medications. Many cats can't be pilled or they sense there is something in their food no matter how small it's crushed up. With transdermal meds- they are made into a gel like substance that is then applied to the inner ear flap. The medication is absorbed and distributed through the skin. This works phenomenal and is a god-send for many cat (or dog) owners who otherwise could never give their pets medication. You can also ask your vet. There may be an appetite stimulant that could be made transdermal. Hope this helps. Best Wishes- TinysMom
Registered: 1175512324 Posts: 76
Thank You Everyone For Your Help! I'll keep you all updated.
I've got him eating a bit of Shrimp now and that means I got a little Meds into him too! So, so far, so good! I still can't believe this may be his last week though. I love him so! Thanks everyone! Bob Wizard's Dad Picture Taken Yesterday, Friday, May 23rd, 2008
Registered: 1210988801 Posts: 2
I'm not sure if this is an option for you, but it is something to ask about.
My Gus (he was a dog) needed pepcid also (or else he wouldn't eat - he had bad heartburn) - however, it was too hard to get the small dosage (like you, I needed a quarter tablet). The active ingrediant in pepcid is Famotadine ... my vet was able to get that for me in liquid format. I was then able to give him the Famotadine with a syringe in the exact dosage he needed. The vet even got it to be "cherry flavored" so Gus would like it! Like I said ... I'm not sure this will work for a cat for the reasons you need it ... but it is worth asking about. Best wishes to you ... my prayers are with you!
Registered: 1211298031 Posts: 95
Don't know if this might help, but it works for my Bennie. I roll the pill into a ball of peanut butter. Place it deep in his mouth and close it. The peanut butter sticks and keeps him from being able to spit it out. It has worked thus far.
Registered: 1205089027 Posts: 3
When my kitty Sophie was in kidney failure, I was giving her daily subcutaneous fluids. She also needed Pepcid AC. The vet gave me a prescription for injectable Pepcid AC (Famotidine, as JusMe mentioned) that could be included in the drip line with the subcutaneous fluids. The injectable Pepcid AC comes in a vial and the dose is measured out into a syringe from the vial. If you're not giving fluids at the same time, you can inject the Pepcid AC directly from the syringe. If you are giving fluids, then you can include the Pepcid AC at the same time that you administer the fluids. The IV set (the tubing that connects to the bag of fluids) probably includes at least one injection port in the drip line. The Pepcid AC syringe can be injected through this port. Before starting the fluids, measure out the Pepcid AC into the syringe and insert the needle from the Pepcid AC syringe into the injection port but do not press the plunger. Start the fluids. After you have the fluids flowing, then reach over and press the plunger on the Pepcid AC syringe so that it gets injected directly into the drip line along with the fluids. Here's a website with info on administering fluids and some good pictures. (I think this is the site that Melissa referred to - "Sophia gets her Subcutaneous Fluids". The kitty at the website is not my sweet Sophie, by the way.) It includes a picture of an IV set, and points out the injection port on the drip line, so you can see what I'm talking about. http://www.weirdstuffwemake.com/weird/stuff/pets/cats/sophia/catjuice.html If you get a prescription for injectable Pepcid AC from your vet, it would be best to have them take a few minutes and show you how to do this when you're in the office. They can show you without kitty having to go in. Others have mentioned the importance of warming the fluids. I always warmed the fluids by putting the bag in a bowl of warm water for a few minutes before using. I didn't immerse the drip line, and so the fluid in the drip line was always on the cool side. Before giving fluids to Sophie, I always tested the fluid temperature by letting it run over my wrist. This helped me to clear the cool fluid from the drip line and check that the fluid was at a nice warm and comfortable temperature before starting to give the fluids to my girl. Sending prayers and best wishes, Sophie's mama
Registered: 1157296856 Posts: 438
I always warmed Scruffys fluids with a heating pad and made our pole lamp the bag hanger. She always got a big humpback, but after that spread out, she was like a new girl for a while. I still miss her so much.
Bev Scruffys mom forever Still Greiving my Gimli boy
Registered: 1212700706 Posts: 55
I agree with the earlier post, you MUST got to http://www.felinecrf.com This is an EXCELLENT website with all kinds of information to help you. I've kept cats alive for years with CRF - you just have to try to manage it. Educate yourself and go to the CRF support group listed on the site. There are LOTS of people out there dealing with this condition in their cats and there is a lot of help you can give your kitty. SOOOOO, GO TO THAT WEBSITE AND SUPPORT GROUP NOW!!!! Sheila
Registered: 1175512324 Posts: 76
Thanks Sheila and Bev! Unfortunately, my sweet and handsome Wizard passed away on May 28th. I miss him so! Like his step brother who passed 2 years ago in April, he too was 4 months short of his 17th Birthday!
Wizard's Dad Forever! Bob