Kaos has crashed :-(((
Monday, January 28th, 2008 at
12:41 am
She was fine yesterday, taking her medicines and eating her smoothy with gusto, but around 8pm, as I went into the bedroom to go to bed, I noticed she was just lying under the chair we have in the corner.
I called Philip and we agreed she looked completely confused and out of it, plus her head was drooping and her eyes half-closed. She couldn’t walk at all and seemed to be dragging herself around.
I held her for a while, until she weakly struggled to be put down, and then I placed her back in the drawer where she sleeps.
Of course that was the end of a decent night’s sleep for me. I was up practically every half hour to check on her, terrified of finding her dead. If I thought she was stirring, I put her on the newspaper and she piddled slightly, then I put her back in her drawer.
By 2am I was surfing to find out what the symptoms were for either lack of potassium or excessive potassium in an animal. I found that she seemed to be suffering from hypokalemia – low potassium levels.
Although it was to do with cats, the symptoms seemed to be the same as what Kaos had ….
“The main effect of severe hypokalemia is generalized muscle weakness. Affected cats have difficulty in getting up and walking, and may appear almost “drunk” because of their weakness. A common and characteristic sign of the muscle weakness is the inability to raise the head into a normal position, so that the head is held down. Hypokalemia can also cause marked depression and lack of appetite.“
Of course it had to happen during a long weekend, when my vet’s surgery was shut.
Philip and I were up early trying to work out how we could fix the problem. I was in a dither because the Spirolactone was supposed to be good potassium-wise, so was terrified to treat Kaos for low potassium and find that the stuff I gave her, in fact, killed her.
There wasn’t much about symptoms for hyperkalemia – high potassium levels – for me to check.
We called several vet surgeries and they were either closed or the vet on duty wasn’t ferret knowledgeable. I then found a vet fairly close by listed in my own vet page (Duh! It took me half-an-hour to figure that one out – fool that I am!) that was open on public holidays.
We rang and thank God the vet who was listed as ferret knowledgeable was on duty. Philip spoke to him and he said he’d prepare some medication to get her potassium sorted out so Philip has driven up to Whitfords to collect it.
I hope to God that it works, just to get her back to some semblance of normality. For the first time ever she showed no interest in her Chinese medicine this morning and it was only when I smudged the pet milk on her nose that she started to lick at the dish, and she was very unimpressed when I gave her her Western medicines.
I just put her on the newspaper and she piddled a tiny amount and it was very dark. I am so worried that her kidneys are beginning to fail – she doesn’t seem to want to drink any water, even when I put it on my finger against her nose.
Hopefully the medication Philip brings back will manage to bring her out of this slump otherwise tomorrow is going to be an extremely sad day
(
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Filed under: Cardiomyopathy • Ferret Health • Ferret Illnesses
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Oh Michelle – so sorry to hear that your boy’s diuretic isn’t doing its job. I know exactly what you must be going through and feel for you … is it Shin who has cardiomyopathy?
Re the Spirolactone — have you read the article by Ron Hines – an American vet who seems to know a lot about ferrets? …
http://www.2ndchance.info/cardiomyopathyferret.htm
If you scroll down to the end, he talks about Spirolactone (Aldactone) and how, if it’s used together with Digitoxin, then the potassium levels need to be monitored.
When the Fluspex seemed to stop working, I took a copy of that article by Ron Hines to my vet and asked if we could give Kaos Spirolactone to help with the fluid retention. She said sure, and used the dosage which Ron Hines recommended.
But as Kaos was on Benazepril, I didn’t worry about checking her potassium levels then. My vet also said that Spirolactone was a “potassium friendly” diuretic, in that it didn’t leach the potassium out.
Kaos lost 200g when she was put on Spirolactone – her stomach still looked large but it wasn’t so tight and swollen, and she seemed quite perky so I was thrilled.
However I then came across a General Pet Site
http://www.vetmed.wsu.edu/ClientED/cardiacDrugs.asp
which said that if Spirolactone is used with Benazepril, then the potassium level has to be monitored! So I spoke to my vet and she said that we’d have to take 2-4ml of blood from Kaos to send off to be tested and that it’d have to be done under anesthetic.
I was worried about putting Kaos under in her condition but then my vet was on sick leave so we left it unresolved and by the time my vet got back to work, it was too late.
So – to be honest – I have no idea if the Spirolactone hastened Kaos’ death. It definitely helped with getting rid of the fluid when her diuretic stopped being effective.
Her big belly could have been the result of her organs swelling up, not just the fluid inside, and as I didn’t want to have an autopsy, I guess it’s impossible to say what caused her to go downhill.
I’m really sorry that I can’t give you a more definite answer – do you think your vet would be able to give you an idea as to whether the Spirolactone would help Shin if you show him that article by Ron Hines?
I hate to bring up memories at this sad time, but my boy with cardimyopathy (and etc.) is starting to go downhill rather fast now. He’s gotten really big and the furosemide doesn’t seem to be helping as much as it used to.
I’m not even sure we can get that Spirolactone in the USA, but in case we can… Was it definitely shown or at least “pretty certain” that the Spirolactone led to her sudden system collapse?
I’m not sure I want to risk using it if that’s the case.
Thank you.
And many thoughts to you and yours at this time.
Thank you so much for your good wishes, Tracy. I really appreciated them but sadly the old girl didn’t pull through.
At least she’s at peace now, playing with my other ferrets who’re all waiting at the Rainbow Bridge.
Hi Nona
Tracy from Sydney I really hope Kaos pulls through best wishes.
Hi Nona
Tracy from Sydney.. I really hope Kaos pulls through..best wishes
Hi Bill
Thanks for your thoughts and prayers. I really hope she’ll pull through but feel very pessimistic it will happen.
I did get your advice about banana extract, yes, but couldn’t find it anywhere here. I checked all the health food shops in the vicinity and no one heard of such a thing.
We have (I think ridiculously) hard rules about health products and so many of the things you guys can get in the US or in Europe are unavailable here in Australia.
I can’t even get pedialyte from the chemist – I have to wait till my vet opens to get a packet of electrolytes so will be sending Philip there asap tomorrow morning.
At the moment I’m syringe-feeding her and giving her 2mls of water every hour – she’s fighting that and I sometimes wonder if I should just let her be but I know I’d never forgive myself if I didn’t try to keep her going.
The Slow K from the vet will take time to work – he said he couldn’t give a quick acting potassium boost as that would kill her – so according to the vet today, it will take about a day to start working. I hope I haven’t left it too late – but she didn’t show any symptoms of being unwell until last night so there was no way I could have foreseen this crash.
It always throws me at how quickly ferrets go downhill. You think you’ve got them on the mend and then suddenly something happens and within 24 hours they’re at death’s door. I hate that – I really do.
hey nona
it’s Bill
I’M so sorry to hear about kaos
getting worse. did you ever get my email about using banana extract
a while back to help raise her potassium levels?
it’s safe and shouldn’t interfere
with the med’s she’s on. try to get her to drink some unflavored
pedialyte to get her eletrolites back in order that may help fight dehydration as well. i’ll be praying for her in hope’s that she will pull through.