Can cats get transfusions for fluid loss after ascites drainage?

Thank you for using Petco Pet Education Center, formerly Petcoach! Your vet is correct in saying that the subcutaneous fluids given to animals are the same as those given to humans. However, due to their pH, certain fluids can burn while being given subcutaneously as they react with the normal fluids in the body. I recommend asking your vet what type of fluids they recommend, what amount your cat needs, and to show you how to administer them. I sometimes recommend a numbing cream to facilitate the administration, only if there are no underlying medical conditions. If your cat has liver issues, fluids may help correct some of the symptoms, but other issues such as adequate nutrition need to be taken into account as well. I am happy to answer any other questions you may have!

Poor Newt! Ultrasounds are wonderful tests that are non-invasive that can give you a ton of information as to what is going on internally. It may be that that is the best next step for her to figure out what is going on. I would also make sure that you have tested her for feline leukemia as well as FIV to rule those out as causes for her anemia. Transfused blood doesn't last as long in the body as the cats normal blood, so it is not uncommon to have the red cell count drop a little. Depending on how her numbers were before and where she is now, it may or may not be a significant drop in her numbers. I am more concerned that she is not feeling well again. I think more tests are warranted to figure out what is going on. However, if you are unable to afford the tests or do not want to pursue the next recommended step, I would talk to your vet about doing a trial of treatments to see if Newt improves based on what your vet thinks is going on. There are risks with this as we often are guessing as to what is going on, but sometimes it is what we have to do. Occasionally we don't get to the bottom of what the underlying cause is exactly, but supportive care can help significantly and these animals will improve. Good luck! I hope Newt starts improving soon!

A small amount of bloody water is normal if you hit a small capillary vessel with your needle. A couple drops that stops with some pressure is totally normal and not concerning at all. Fluid therapy is frequently very helpful for extended both life quantity and quality in cats, so it's probably necessary but you can talk to your vet if you want to clarify that.

Cats have a likelihood of rejecting blood if not matched and blood typed appropriately. There are precautions that need to happen before any transfusion. Each consecutive transfusion comes with a greater risk of rejection. But, it's likely that if your cat needs a transfusion due to feline leukemia it will need transfusions again and again. Feline leukemia is unfortunately non-curable so it is likely the cat will just continue to get sicker and sicker.

Goodness, I am so sorry for your loss. Based on this bloodwork and on what you’re telling me, I think that euthanasia was a very reasonable and humane decision. Not only were the red cells low, but the white blood cells and platelets as well, and there isn’t any evidence of the body trying to “regenerate” these cells on the bloodwork you’ve attached. A transfusion may have given a temporary “Bandaid” to the situation, but I’m afraid that a cure was likely impossible. I know how difficult these decisions are. Please rest assured that you did the best thing for your kitty. I’m afraid continuing to treat would likely have only prolonged your cat’s suffering. You have my sincere sympathy for your loss. Please let us know if you have any other questions we can help you with.

I'm very sorry to hear about Rugby's passing! How awful. It sounds like you did everything you could to try and help him. Without knowing more details of the situation and possibly even having an autopsy done, I'm afraid it's impossible to say whether an additional blood transfusion would have saved him. Unfortunately, it sounds like he was in very critical condition - if a cat is losing so much blood after any surgical procedure that multiple blood transfusions are needed, this is a very risky situation with a guarded prognosis regardless of what resources are available. As far as what an ER vet should always have on hand, this will vary quite a bit from place to place depending on what types of cases are common there. I would certainly expect a large referral hospital, such as the hospital at a veterinary college or something similar, to be fully equipped with everything that might be needed - just like a large human ER. Smaller emergency clinics may or may not have these supplies available due to issues with cost of keeping them stocked, available storage space, etc. - especially if the need for them is very infrequent based on the caseload they see. In the area I practice in, I can tell you that our local emergency clinics normally have access to a limited amount of whole blood for transfusions (usually taken directly from a resident donor cat), but may very well not have been equipped to do anything more in this situation either. Again, I'm very sorry for the loss of your kitty. It sounds like he was in very serious condition from his original medical problem and the surgery that he needed to remove his tumor - in situations like these, it's very possible that he may not have been able to be saved even at a very high-end specialty clinic with unlimited blood supplies and special equipment.

0.9% sodium chloride can be given IV. I am wondering if you mean that you are giving the fluids subcutaneously since this is a procedure that is often performed at home. I would recommend contacting your veterinarian before giving any fluids - there are some blood chemistry changes that might make a veterinarian choose one fluid over another so while sodium chloride can technically be given subcutaneously or intravenously it might not be ideal for Symba.