Her Creat, BUN, and SDMA climbed even higher so I took her off Rehm 8 and YGJ and tried Rehm 6 only to have her values climb yet again and her weight drop again!!! Her tongue is so hard to see (she is very tiny and only 2kg) but I think I see moist crimped sides, looks pretty pink, maybe a little reddish? Pulses are hard to feed on her as she's very wiggly, her medial right saphenous is usually the best veins to take blood on as it stands out, so I assume her right sided pulses are the best?
He owners are really stressed by her climbing kidney values, as am I. Last bloodwork yesterday also had her T4 elevated at 70 (older clients, may not be getting her meds regularly), Creat 526, BUN 48, SDMA 32! She is still eating decently but will skip the occasional meal now too. She vomits pretty regularly, not huge amounts. She is still BAR and lively at home. I put her back on Rehm 8 and YGJ, but I think I am missing something. With that Damp looking tongue should I be switching the YGJ for San Ten Tang??