Cats, cattitude and blood pressure: One vet’s realistic approach to…

Présenté par Elizabeth Ruelle, B. Sc., D.M.V., Dipl. ABVP (pratique féline)

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Questions

1. Which of the following were identified as obstacles by veterinarians in getting accurate blood pressure in cats? *

Cost

Interpretation of results in stressed patients

Time

All were listed as challenges

2. What does TOD stand for? *

Target organ disease

True organ damage

Target organ damage

Time of damage

3. Which of the following are clinical signs of hypertension in cats? *

Vocalization

Acute blindness

Seizures

All are possible clinical signs

4. Which of the following are differentials for a cat with abnormal/changed vocalization? *

Arthritis pain

Cognitive decline

Hypertension

All are possible differentials

5. Which of the following organs are not shown to be affected by hypertension? *

Brain

Kidneys

Pancreas

Eyes

6. Which of the following are true statements about treating hypertension? *

Amlodipine and telmisartan can be combined to manage feline hypertension

Amlodipine and telmisartan cannot be combined to manage feline hypertension

Telmisartan is indicated for proteinuria in cats and but not hypertension

There is no effective treatment in cats to manage their hypertension

7. Which of the following are true statements about gabapentin use in a fractious hypertensive chronic kidney disease (CKD) cat? *

Cats with CKD may need a lower gabapentin dose due to reduced renal clearance of the drug

Gabapentin can lower a cat’s blood pressure

Gabapentin is an excellent pharmaceutical option to reduce vet visit anxiety in a fractious cat even with CKD as a co-morbidity

All are true

8. According to ISFM guidelines, how often should we check blood pressure in a healthy senior cat (7–10 years)? *

At least every 12 months

At least every 6 months

At least every 3 months

We do not have to check the blood pressure of healthy senior cats

9. Which of the following are true about telmisartan and blood pressure management in cats? *

Telmisartan is an angiotensin receptor binder (ARB)

Telmisartan is an ace inhibitor (ACEi)

When using telmisartan to manage feline hypertension, the dose is 50% lower than when dosing for proteinuria

Telmisartan acts on calcium channels to lower blood pressure

10. According to the International Renal Interest Society (IRIS), what is our goal blood pressure when treating hypertension in a cat? *

blood pressure <120 mmHg

Systolic blood pressure <140 mmHg

Systolic blood pressure <150 mmHg

Systolic blood pressure <160 mmHg