Well that’s not good. With intravenous fluids reduced to 1.5x maintenance levels for two days, Artemis’ blood test results headed in the wrong direction. We now need to discover if there’s some reason for the kidneys not working other than, well, failed kidneys.
Creatin levels climbed back to 690. Urea was back up to 22.7, although that’s not the worst it’s been. Red blood cell count is still low, in the mid-20s instead of the 30+ it should be in a cat — although that’s possibly just a symptom of the high fluid levels. Electrolytes are still a bit whacky.
So Artemis goes back on the 2x maintenance levels of intravenous fluids — the poor man’s dialysis — until we figure out what’s going on.
And yet, Artemis has reportedly been “even more feisty” than she was on Sunday. She’s been eating overnight, she’s interacting with staff, and she’s showing all the signs of simply being frustrated with having to be in a cage.
After consultations with a specialist at the University of Sydney, a plan has been agreed upon. Ultrasound, X-rays and attempts to culture potential infectious agents to see if there’s some treatable cause of the kidneys not working. That’ll begin tomorrow and we’ll have news of the ultrasound and X-rays around 24 hours from now.
If none of those procedures reveal anything treatable, then we’re looking at untreatable kidney failure. It may not be that. But it’s a distinct possibility, despite Artemis’ apparent external health.
As for exploring the options, there is a veterinary surgeon in Melbourne who does kidney transplants. Enquiries have been made, and we’ll see what the requirements are, but… you know… We’ll see.