carolynandlatte
Very Active Member
Last Night:
PMPS-496(increase from f1.0 to 1.5 :shock: )
+3.5- 398
+6- 301
AMPS- 332
+1- 357
+2-320
+4.5-335
Yesterday:
viewtopic.php?f=9&t=16856
Im so sorry its taken so long to get on this a.m. Puter problems, in addition to a cat taking over my seat at the computer! :lol: She used to be the biggest seat thief in the world. She has not done it once since we moved into this place three years ago...until this a.m. Intentional or not, it made me smile so much...especially bringing back memories of her younger years.
Latte did not eat much at all on last nights cycle, so I gave an appy stim with shot this a.m. Even that didnt work great. :YMSIGH: She has eaten some - both wet and kibble, just not a lot. But since she is surfing the 300's Im not going to be super worried. Im home to intervene in case she wanted to do something spectacularly stupid (like drop 250pts). I just got off the phone with the U and considering she has a MASSIVE infection, they encouraged me to be easy on her with the eating. She is high enough, with not enough insulin for her to go too low even w/0 eating (so they say).
Lab Summary:
I dont have all the numbers in front of me yet. They just went over them on the phone. Kidney values keep sneaking up very, very slowly. Still good. However, its becoming a trend that we knew one day would happen. Creatinine is now 2.8 ( in the last year its gone 2.2, 2.3, 2.5, 2.7, now 2.8). BUN is in the high 60's (can cause nausea at this point), potassium a little low, and calcium a tad high. The overall assessment on their end, is that she is remaining remarkably stable with the kidney disease, even if things are slowly trending upward. Im okay with this. Sad, but 3.5yrs after the renal failure and being told to pts many times...this is amazing!
Showing signs of mild regenerative anemia. I would almost consider it borderline, but they know best. I was told her body was compensating well. Just something to watch for. And yet another thing that can cause nausea/innappetance.
pH 7.282...about the same as last time, I think??? I would have to look. Again, they said her body is compensating well (when looking at the overall picture) and the lower pH is almost becoming more of a new 'normal' for her, rather than just getting worse and throwing many other things off. Low pH can affect appetite and cause lethargy. Its really not a swell thing (at least from what I have read in humans). I believe this also means the metabolic acidosis is staying steady at a mild/moderate state despite NOT treating it. The MA can speed up the kidney disease as it gets worse. all things considered she is doing pretty good with this!
T4 is not back yet. (is that for hypo/hyper thyroid???)
She has a MASSIVE (thats what the student vet called it :lol: ) UTI. Too many bacteria floating around to even count. :? THIS would absolutely explain her lack of appy, more vomiting despite pred, increase of drinking, peeing so much and outside box, etc. I will start her on the orbax I have at home until the culture/sensitivity come back...which may not be until early next week. They felt it was important to start SOMETHING in hopes it will help. They expect to keep her on which ever a/b for probably a month at least and are looking into compound versions because pilling is so hard, and Im already having to do so with her pred. *fingers crossed* Of course this infection is a sure reason for her high numbers, in addition to many other things. They told me it could also be an answer as to why she was taking such big swings up and down.
Glucose was 382. I think I got a reading of 388 or 390something, when I came home. Its interesting...she seems to drop when she goes to her regular vet. At the U, Ive always come home with little to no drop, as well as a similar reading to what they have. Hmmmmm :roll: No ketones and no glucose in urine. The no glucose in urine was something that surprised them, I guess.
The student and resident looked over MORE of her ss last night and w/o the dr (who they thought would agree) really wanted to AGAIN encourage me NOT to use karo (aka hc/mc) when she is dropping UNTIL she gets into a 70-90 range. They really feel its setting her body up for not learning how to take care of itself and perpetuating the swings.
I think that is all for now. Im going to post a seperate (but in this condo) response regarding my thoughts on feeding tubes for Latte. This one has just gotten too long!
Again, sorry for the delayed post today for anyone that was anxiously awaiting to see what this huge increase did. So many technical problems, thunderstorms, seat theives, etc.
PMPS-496(increase from f1.0 to 1.5 :shock: )
+3.5- 398
+6- 301
AMPS- 332
+1- 357
+2-320
+4.5-335
Yesterday:
viewtopic.php?f=9&t=16856
Im so sorry its taken so long to get on this a.m. Puter problems, in addition to a cat taking over my seat at the computer! :lol: She used to be the biggest seat thief in the world. She has not done it once since we moved into this place three years ago...until this a.m. Intentional or not, it made me smile so much...especially bringing back memories of her younger years.
Latte did not eat much at all on last nights cycle, so I gave an appy stim with shot this a.m. Even that didnt work great. :YMSIGH: She has eaten some - both wet and kibble, just not a lot. But since she is surfing the 300's Im not going to be super worried. Im home to intervene in case she wanted to do something spectacularly stupid (like drop 250pts). I just got off the phone with the U and considering she has a MASSIVE infection, they encouraged me to be easy on her with the eating. She is high enough, with not enough insulin for her to go too low even w/0 eating (so they say).
Lab Summary:
I dont have all the numbers in front of me yet. They just went over them on the phone. Kidney values keep sneaking up very, very slowly. Still good. However, its becoming a trend that we knew one day would happen. Creatinine is now 2.8 ( in the last year its gone 2.2, 2.3, 2.5, 2.7, now 2.8). BUN is in the high 60's (can cause nausea at this point), potassium a little low, and calcium a tad high. The overall assessment on their end, is that she is remaining remarkably stable with the kidney disease, even if things are slowly trending upward. Im okay with this. Sad, but 3.5yrs after the renal failure and being told to pts many times...this is amazing!
Showing signs of mild regenerative anemia. I would almost consider it borderline, but they know best. I was told her body was compensating well. Just something to watch for. And yet another thing that can cause nausea/innappetance.
pH 7.282...about the same as last time, I think??? I would have to look. Again, they said her body is compensating well (when looking at the overall picture) and the lower pH is almost becoming more of a new 'normal' for her, rather than just getting worse and throwing many other things off. Low pH can affect appetite and cause lethargy. Its really not a swell thing (at least from what I have read in humans). I believe this also means the metabolic acidosis is staying steady at a mild/moderate state despite NOT treating it. The MA can speed up the kidney disease as it gets worse. all things considered she is doing pretty good with this!
T4 is not back yet. (is that for hypo/hyper thyroid???)
She has a MASSIVE (thats what the student vet called it :lol: ) UTI. Too many bacteria floating around to even count. :? THIS would absolutely explain her lack of appy, more vomiting despite pred, increase of drinking, peeing so much and outside box, etc. I will start her on the orbax I have at home until the culture/sensitivity come back...which may not be until early next week. They felt it was important to start SOMETHING in hopes it will help. They expect to keep her on which ever a/b for probably a month at least and are looking into compound versions because pilling is so hard, and Im already having to do so with her pred. *fingers crossed* Of course this infection is a sure reason for her high numbers, in addition to many other things. They told me it could also be an answer as to why she was taking such big swings up and down.
Glucose was 382. I think I got a reading of 388 or 390something, when I came home. Its interesting...she seems to drop when she goes to her regular vet. At the U, Ive always come home with little to no drop, as well as a similar reading to what they have. Hmmmmm :roll: No ketones and no glucose in urine. The no glucose in urine was something that surprised them, I guess.
The student and resident looked over MORE of her ss last night and w/o the dr (who they thought would agree) really wanted to AGAIN encourage me NOT to use karo (aka hc/mc) when she is dropping UNTIL she gets into a 70-90 range. They really feel its setting her body up for not learning how to take care of itself and perpetuating the swings.
I think that is all for now. Im going to post a seperate (but in this condo) response regarding my thoughts on feeding tubes for Latte. This one has just gotten too long!
Again, sorry for the delayed post today for anyone that was anxiously awaiting to see what this huge increase did. So many technical problems, thunderstorms, seat theives, etc.
