Dana, I am worried about Bumble as well. How soon will you get the results for lymphoma? I am praying for a negative result.
I understand your concern about 4 x maintenance fluids. That is a lot for a very small dog and could cause fluid backup leading to heart failure. Without that heavy fluid load, hopefully the heart issue will resolve on it's own.
Did the vet send you home with any kind of treatment plan? With a BUN and Phosphorous that high, I would be concerned about waiting until the 30th for any kind of treatment for the kidneys. Having dealt with kidney disease in my dog for the past 18 months, I am familiar with the treatment protocols. It seems that Bumble should be taking Pepcid or some kind of acid reducer, getting at least a maintenance amount (5-10 ml per pound of your dog's weight per day) of subcutaneous (under the skin) fluids, which you could administer at home, and a phosphorous binder such as aluminum hydroxide to try to bring the phosphorous down before it causes further damage to the kidneys. Diet should be very low fat (because of the pancreatitis) and low phosphorous diet.
How does Bumble's breath smell? Many dogs in kidney failure have a tinny, uremic smell to their breath, caused by the toxins building up in their system.
These are some things that it might be worthwhile to talk to your vet about while you're waiting for the appointment with the new vet.
It's fairly normal for a dog that has spent days in the hospital on fluids to come home feeling exhausted and lethargic. I would let her rest as much as she wants to right now.
Sending lots of prayers and positive thoughts for your little girl.
Diana and Scooby |