NeylasMom Posted September 2, 2016 Share Posted September 2, 2016 Just wanted to get some input on some blood work values we got today. We know Zuri's kidney values have been slowly creeping up over the past few months. So today it was no surprise that his BUN & creatinine were up again (62 & 2.8 respectively). Those numbers I'm not so concerned about. What I'm wondering about are two things: First, the vet feels he's anemic, but she didn't have his previous records in front of her. His platelets and reticulocytes are definitely low. They were low once before and the oncologist seemed unconcerned, but they also bounced back up and are now even lower than they were. Here's some values over time: Platelets: 116K in 2014, 109K in 2015, and then this year: 106K in May, 88K in July, they were up in early Aug but I don't have the values in front of me and today he's at 78K. She was pretty sure there was no clumping and this is an accurate reading. Reticulocytes seem to hover around 24 for him, but sometimes are in the high teens. Today they were at 6.7, outside the normal range (low end is 10). I know anemia can accompany CKD and these values do seem low for him - thoughts on whether you would consider him anemic? He is on several things that can have blood thinning effects (NSAID, Curcumin, high amt of fish oil), but she was skeptical that could be the cause. If he is, anything I should be doing? Second question - his Calcium & Potassium seem fine. His Phosphorus is within the normal range, but a bit higher than it's been historically. It's almost always right at 3.5 (normal range is 2.5-6.8). Today it was at 4.4. I remember when Cisco had CKD that the thinking was that in a CKD animal even the higher end of normal for Phosphorus is probably abnormal. Obviously he's hovering right in the middle, but at what point do you think Phosphorous levels become concerning and might warrant use of a Phosphorous binder in an animal that you know has kidney disease? Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
tbhounds Posted September 2, 2016 Share Posted September 2, 2016 What was his hct (pvc%) and rbc? Quote Link to comment Share on other sites More sharing options...
NeylasMom Posted September 2, 2016 Author Share Posted September 2, 2016 What was his hct (pvc%) and rbc?Those were within normal range. You could argue they are on the lower end for a GH, but I think given his age that's normal. I can post the actual values shortly. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
NeylasMom Posted September 2, 2016 Author Share Posted September 2, 2016 Okay, here they are: RBC: 9.12 in 2014, 8.42 in 2015, 7.64 in May, 8.02 in July, & 7.39 today HCT: 62.1% in '14, 58.4% in '15, 49.9% in May, 54.6% in July, 50.4% today HGB: 21.6 in '14, 19.6 in '15, 18 in May, 18.8 in July, 17.4 today Basically, they all seem to be trending down, but possibly with age though these latest are the lowest in almost all cases. From what I looked up a month or two ago, he's at or just outside the low end of normal for a greyhound for all of these things. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
tbhounds Posted September 2, 2016 Share Posted September 2, 2016 I feel he's borderline. The retic count is most likely related to the cancer. Quote Link to comment Share on other sites More sharing options...
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