KNAPSACK replied: "Dialysis can be a lifesaving treatment. But sometimes the burden of dialysis becomes too great — especially if complications develop or health deteriorates. Complications vary, Anemia, Fluid overload, High potassium levels, and Infection. Coping with depression can also be a challenge. But, effective treatment is available that can minimize symptoms and improves a person's ability to function. I hope the included link helps answer some of your questions."
Tim P replied: "Unfortunately, no one of sound mind can have treatment forced upon them, and some people choose not to pursue or continue with dialysis, if they feel that they have already lived a long and fulfilled life. However, this decision should be a well informed decision made by your father in consultation with his family and renal health care team. Palliative care would be available to ease the pain, if he chose not to pursue dialysis. Usually renal replacement therapy (dialysis or transplantation), is started once kidney function drops to 15%, which is based upon how well metabolic wastes are removed from the blood. A person with renal failure (eng-stage renal disease) can pass in as little as a week or two without dialysis. It is hard to be specific, as each individuals case would be different, so a nephrologist would have all the information available to best make such a determination.
Your father should have a renal social worker available. You may want to talk to that person and/or have them talk to your father.
For dialysis, one really has to be a willing participant. As a patient is there on their own choosing, willing to make a commitment with lifestyle changes. If your Father has put on 30 lbs of water weight that can be removed through successive treatments, but he is going to have to limit his fluid intake. Removing lots of fluid at each dialysis session can be quite painful/uncomfortable for some people."
How to know when it's time for euthanasia? I've had my cat for 12 years, she's 14. She's my baby, which makes this even harder for me. About 5 days ago, she started losing weight, so I made an appointment for the vet. The appointment was yesterday and I didn't get the best of news. She has fluid in her lungs, as well as in her abdomen. Her liver is enlarged, which is causing her to have jaundice. He said to try a few different medications first (steroids for her breathing, lasix for the fluid retention, and antibiotics to reduce the size of her liver) since she's still eating, but they're not working (I've given them to her twice a day, as directed). Sadly, if they haven't worked yet, they're most likely not going to work. She's some-what lucid; she struggles to walk, but she meows and purrs at me when I pet her. Whats making this even harder is that she still knows who I am, she's happy when I'm near her and she still looks up at me when I shake her treat jar. Her breathing is rapidly decreasing though; her respiration rate is 51 as of now, and the average for a cat is 28. My family thinks I'm cruel for letting her suffer, but I still have hope that the meds might work, even if it's false hope. I have another appointment at 12:30pm today, so I'll find out if there's anything more that they can do. But most likely, euthanasia will be suggested. This kills me, since this cat means more to me than anything. I just don't know what to do, any help?
Angelic Vampiress replied: "You know your kitty better than anyone else. If you feel that she is uncomfortable, in pain, or that her quality of life isn't where it should be, then it may be time to consider euthanasia. The greatest kindness we can do as pet owners is to end our friend's suffering. They give us so much over the years in love and friendship. It sounds like your kitty has had a long, happy life and I'm sure she is very grateful for that."
Jenner replied: "in the past i have found that i always knew when it was time to let my pets go and i think you will too. it is good that you are doing what u can to try to make her better but if the vet tells you that he doesnt think her outlook is good then its best to let her go so she wont suffer anymore. spend some time with her saying goodbye and take comfort in the fact that you are ending all of her pain. i think its the greatest gift we can give our pets to let go and end their pain even though it causes us such heartache. its such a selfless act. you know in your heart that she has had a happy life and you will know you have done the right thing by her."
Orlee replied: "Since I have been through this similiar situation more than once , I know the pain you too are struggling with right now. The most recent time was about 11 months ago. I was getting ready to move and I kept hoping she would hang in there at least until I could get into my new place. She was 11 years old so I knew her health issues weren't gonna get better. Finally, a few days before I moved , I came to realize that the move itself would probably kill her. I couldn't let my Michaela suffer anymore, so I had her put down. I still cry for her once in a while, but I take comfort knowing that I didn't let my darling suffer through anymore pain. Animals aren't able to let us know how much they actually hurt, we have to use common sense. I could give other examples of very difficult decisions I have had to make with pets over the last 5 years. It's heartbreaking every time, but it has to be done - I have dearly loved every elderly cat I have had to put down, but I loved each one too much not to do what is right . I will pray that you will get the courage needed to do the right thing for your darling. It's what a good "mommy" would do."
Has anyone had experience with medications treating canine congestive heart failure? My nine-year-old pomeranian is on a combination of the medications Enalapril, Lasix, and Terbutaline. She is receiving top veterinary care, but I am interested to know of any personal experiences with these specific meds for congestive heart failure in their dog. My pom has been on the meds for approximately four months. Her initial symptom was an alarming cough and panting which prompted me to bring her in. They subsequently detected a heart murmur. After an ultrasound and chest x-rays the enlarged heart and fluid in her lungs revealed the cause; congestive heart failure.
Thank you for the info on Pimobendan Nandina. My dog is already in the treatment of a veterinary cardiologist in the best veterinary hospital in the USA. We are increasing her Lasix for these next two weeks, but if there is not enough improvement, she will begin a new med. I believe that her doctor did say it will be Pimobendan. I am worried to the point of having my own heart attack over her condition, so any info helps.
I have to watch her like a hawk when I give her her pills. She is a tricky little one. Unfortunately she does not know how vital her meds are for her.
Rachel I am so sorry about your little cat. My son's math tutor fosters kittens for the our local Animal Care and Control. She is keeping one because he has a bad heart murmur and when she brought him in when he was ready to be adopted they were going to put him down if she didn't take him. This is a no-kill shelter as well!!! I hope your kitty gets better.
Nandina (Bunny Slipper Goddess) replied: "Talk to your vet about Pimobendan (Vetmedin).
My dog started out on Enalapril and Lasix, but when the vet added the Pimobendan, it made a HUGE difference. It was approved for use in the US last May, so your vet may or may not have experience with it yet.
I highly recommend checking it out.
(from 2006 - it has been approved in the US since this article was published)"
Rachel M replied: "My 7 month old cat has a Very bad heart murmur as bad as it gets.She might be in heart failure also.She did not grow right she is 7 months old 3.8!!She is on Lasix she takes 1/4th of a pill twice a day.I love this cat and it is so hard too see her like this!! I mean she is only 7 months old and came from a bad home!!She was so bad before the Lasix that she had a VERY hard time breathing she would make noise when she breathed but after the meds she can breath alot better!! I hope your dog is ok!!
Good luck,
Rachel"
Help me with my Dog!? My 10 year old Staffordshire Bull Terrier has been coughing really bad. I thought she was getting old and had fluid on her lungs, but now I think she may have aspirated water. She likes to attack moving streams of water. She has been on several medications including lasix. But her doctor is telling me a specialist may be needed.
any ideas how to help her?
sillygoose replied: "get her the specialist? stop letting her chace water?"
tlctreecare replied: "It sounds like your dog has some serious problems.
Why is she on Lasix? Does she have cadio myothopy?
She could also have heart worm. There are dozens of things that could be wrong and if your vet says she needs specialist he must want her to have help from some who knows more about something specific than he does.
GOod luck with her."
jon_and animal_lover replied: "if you keep her in a kennel and she does not have her kennel shots (very cheap) then she might have kennel cough. you need to get a secialist right away do not wait. but if he or she cannot help and says the dog is suffering then you have to make the hard choice of putting her down. please do not make her suffer any longer there might be a cure but catch it while you can"
kkgirl03 replied: "my boxer does the same thing, attacks the hose, but she has never coughed for more then a couple minutes. If her cough has lasted for a while then you should take her in to the specialist. I hope she gets better."
romance_german_shepherds replied: "have your vet check her for congenital heart disease before calling in a specialist"
Mommy Pit replied: "I would get her to the specialist."
whofan1992 replied: "Mabye put the old dog down,or just pay for the meds some other way."
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