Hypernatraemia and Hyperkalaemia in a cat

RE: Hypernatraemia and Hyperkalaemia in a cat

Anthony Dennison — Thu, 15 Oct 2015 09:06:40 GMT

Nothing on the notes as far as I can see, but was told bloods were all ok and the vet wasn't worried anymore, which makes me suspect the cat is now fine.

RE: Hypernatraemia and Hyperkalaemia in a cat

Anthony Todd — Wed, 14 Oct 2015 18:58:53 GMT

So what happened to the cat? It hadn't eaten for 4 days etc. etc.

Was it eating elsewhere or what?

RE: Hypernatraemia and Hyperkalaemia in a cat

Anthony Dennison — Wed, 14 Oct 2015 08:56:42 GMT

Was a lab error. Panic over.

RE: Hypernatraemia and Hyperkalaemia in a cat

Glen McIntosh — Mon, 12 Oct 2015 23:29:24 GMT

I've seen a number of cats with K or Na values that high, and a few of them have even survived to leave hospital. But I can't remember seeing both values that high at the same time.

They were all very very sick cats, however, with absolutely no interest in eating snacks.

I think this is a lab error too, I would repeat electrolytes FOC.

RE: Hypernatraemia and Hyperkalaemia in a cat

nikki — Mon, 12 Oct 2015 21:00:20 GMT

Either the machine is wonky or someone stuck the end of the syringe in the EDTA before filling the hep tube! Those results aren't compatable with life!

RE: Hypernatraemia and Hyperkalaemia in a cat

Anthony Todd — Mon, 12 Oct 2015 20:15:34 GMT

[quote user="Anthony Dennison"]13 year old DLH, not been eating for 4 days, but otherwise fine. Clinical exam unremarkable, did eat some treats during the consult.[/quote]

and

[quote user="Anthony Dennison"]Cat is BAR and no change in mentation.[/quote]

I'd tell the owner to keep it in and report back. Why bloods with BAR cat that eats in the consult room?

Crikey, it's eating better food next door I'd say.....

RE: Hypernatraemia and Hyperkalaemia in a cat

Rob Loxley — Mon, 12 Oct 2015 19:42:01 GMT

Check its calcium, as that is usually low if potassium edta has got in

RE: Hypernatraemia and Hyperkalaemia in a cat

Utlendigur — Mon, 12 Oct 2015 18:05:13 GMT

[quote user="Robin Grimmer"]

[quote user="Kate Richardson"]

First thing I would do is repeat the test and see if it is true or an error either in sample handling or the test itself. Can't believe the cat can be BAR with a result like that!

[/quote]

I was thinking the same!

[/quote]

Ditto. Any change the biochem sample could have been contaminated with K+ from EDTA tube? Or haemolysed sample?

RE: Hypernatraemia and Hyperkalaemia in a cat

Robin Grimmer — Mon, 12 Oct 2015 17:57:12 GMT

[quote user="Kate Richardson"]

First thing I would do is repeat the test and see if it is true or an error either in sample handling or the test itself. Can't believe the cat can be BAR with a result like that!

[/quote]

I was thinking the same!

RE: Hypernatraemia and Hyperkalaemia in a cat

Kate Richardson — Mon, 12 Oct 2015 17:53:24 GMT

First thing I would do is repeat the test and see if it is true or an error either in sample handling or the test itself. Can't believe the cat can be BAR with a result like that!