6/28 SHEBA AMPS 475 Back from vet. +6 117;+7 68; +8.5 65

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Bron and Sheba (GA)

Bron and Sheba (GA)

Member Since 2015
Yesterday
http://www.felinediabetes.com/FDMB/...back-from-vet-3-75-459-6-430-pmps-430.140013/

AMPS 475
Still much the same. She looked weak when she got out of bed this morning and was a bit wobbly and stumbled once. She got up for the first two little bits of food when I tested and gave insulin but won't get up now, so I am taking the food to her and holding the plate. She is eating small amounts at a time but I guess she is at least eating (anti jinx). I am not giving her her normal raw diet but some Weruva Fowl Ball with some home cooked chicken cut up in it and water added. She would consider this a real treat.
I have given her the normal dose of insulin so I am hoping she will eat all/ or most of her food eventually.

I don't like the BSLs still being so high. I think maybe we haven't sorted out her pain management properly so I think I will go back to the vet this morning if I can get in and see what I can sort out. I'm sure they will fit me in anyway because she is a diabetic. They are very good that way. Her vet is not on but the vet who is on, is very good and knows Sheba well. I know when she gets pain her BSLs go up, so maybe they are up because of pain......

I feel churned up in the stomach....I hate it when she is sick.
 
Sending vines for Sheba that she will start feeling better. I wish they could just tell you how they feel sometimes. Although Toby talks enough I just don't understand all the time.
 
You have all the right meds. Maybe Sheba will need another shot of cerenia and maybe some sub q.


Sending healing vines for Sheba. Please get better soon Sheba...momma is so worried about you.

:bighug: Hugs for you Bron..I know how upsetting it is when our little ones are not feeling well.
 
More prayers and vines. Perhaps she's nauseous due to pancreatitis? I agree with Wendy that cerenia and fluids might help. Hope so. :bighug:
 
It is SO hard when they are sick. Fluids can really help with p-titis. Our vetty has us increase Trix's fluids when she has a flare...it does seem to help. More prayers for you guys...
 
Hugs to you Bron. It is so hard and so upsetting when our little ones are not well and I send you love and understanding. More healing prayers for your Sheba and I hope she is better very soon.
 
There's nothing worse than when our furbabies are sick- Tons and tons more healing vines for Sheba and you! I know exactly how hard this is for you, Tiger doesn't want the bowl held so much as she expects to be hand fed or spoon fed when the flare ups occur, so get used to it! :oops::oops: And BTW, I had to take Tiger in to the vet today for, yes, you guessed it, a pancreatitis flare up. :rolleyes::rolleyes: guess I'm cancelling my trip tomorrow.
 
((Bron)), tons of healing vines for Sheba. :bighug: I hate the helpless feeling when our furbabies are feeling sick.

I hope you get a good result at the vet for pain management. I don't know if you've read the 2015 AAHA/AAFP Pain Management Guidelines for Cats and Dogs, but it's a good read. Page 256 of that document talks about buprenorphine (tamgesic). Following on from yesterday's conversation, giving subq is not recommended.
 
Wendy that is good to know that subcutaneous injections of temgesic and other related drugs are not recommended. The article doesn't say why though. Could a lack of efficacy be the reason or is it unsafe? This is good information because both our local vet and the dental vet advised that subcutaneous injections would be fine though the dental vet did vary the dose if given subcutaneously and I think it may have been an increased dose compared to oral administration of the drug. So maybe this might mean that it is less effective when injected subcutaneously than by oral route. Thank you for this information.
 
Back from the vets. We spent almost an hour in there and I have to say I really like this vet. We don't always see eye to eye about the insulin dosing ( that is why I usually go to the other vet) but when Sheba is sick, she is excellent.
Sheba had another injection of cerenia and 200mls subQ fluids. I also asked about the oral liquid temgesic( bupe) and have several single dose syringes of that to go on with. She had a dose while we were there.

@Voula I asked the vet about the ondansetron and she said it was not recommended for cats except for ones having chemo....????? So I didn't argue I thought I would find out more from here about it first.........Also she said she can get cerenia tablets but they are very expensive.

So when I got home I took Sheba's bsl and it was 157. I almost fell off my perch!
And Sheba got out of the carrier asking for food! So I have given her some....don't know how long it will last. The cerenia injection was more than an hour ago so is working.

Now my main worry now is.....I made a hair appt for this afternoon a week ago.....in an hours time and now Sheba has decided to dive......I love that she has come down...... but the timing Sheba...the timing!
There is no pleasing these beans!
+6 117
Thank you everyone for your support. Sorry I can't respond to all the wonderful posts at the moment, but I will as soon as I can.............I have to run now to get ready for the hair appt. I am a bit worried about going with Sheba dropping though.
 
I have just taken her bsl again and she has dropped from 117 to 94 in 15 mins and that is after quite a bit of MC.
So I have cancelled my hair appt. I just don't know where she is heading and she had that increase the other day as well.
So I have made the appt for next week . I should have cancelled early this morning ...but they were very understanding.
 
@Voula - I believe efficacy and onset. Sienne once posted this article (tried to find the post here), but I did save the article.

Sheba - time to surf young missy! Sorry about the hair appointment Bron. Greens are nice though.
 

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Bron and Sheba said:
Back from the vets. We spent almost an hour in there and I have to say I really like this vet. We don't always see eye to eye about the insulin dosing ( that is why I usually go to the other vet) but when Sheba is sick, she is excellent.
Sheba had another injection of cerenia and 200mls subQ fluids. I also asked about the oral liquid temgesic( bupe) and have several single dose syringes of that to go on with. She had a dose while we were there.

@Voula I asked the vet about the ondansetron and she said it was not recommended for cats except for ones having chemo....????? So I didn't argue I thought I would find out more from here about it first.........Also she said she can get cerenia tablets but they are very expensive.

So when I got home I took Sheba's bsl and it was 157. I almost fell off my perch!
And Sheba got out of the carrier asking for food! So I have given her some....don't know how long it will last. The cerenia injection was more than an hour ago so is working.

Now my main worry now is.....I made a hair appt for this afternoon a week ago.....in an hours time and now Sheba has decided to dive......I love that she has come down...... but the timing Sheba...the timing!
There is no pleasing these beans!
+6 117
Thank you everyone for your support. Sorry I can't respond to all the wonderful posts at the moment, but I will as soon as I can.............I have to run now to get ready for the hair appt. I am a bit worried about going with Sheba dropping though.
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Hi Bron. I am quite certain that ondansetron can be used for nausea regardless of the cause and many cats on the feline lymphoma group and IBD group were taking it and not all of them were having chemotherapy. But anyway hopefully the cerenia will work. The advantage of cerenia is that it also acts as a pain relief medication. The cerenia tablets are expensive but I used to buy the big dog dose tablets and that way I got four doses out of one tablet. The tablets cost about $50 for four 24 mg tablets. We used a high dose and half the dose could have been used. It was a once a day medication whether by tablet or injection. The ondansetron we used twice a day. Going to the vet for a daily injection of cerenia would have been more expensive. All the best with your hairdresser appointment if you decide to go.
 
Voula said:
Hi Bron. I am quite certain that ondansetron can be used for nausea regardless of the cause and many cats on the feline lymphoma group and IBD group were taking it and not all of them were having chemotherapy. But anyway hopefully the cerenia will work. The advantage of cerenia is that it also acts as a pain relief medication. The cerenia tablets are expensive but I used to buy the big dog dose tablets and that way I got four doses out of one tablet. The tablets cost about $50 for four 24 mg tablets. We used a high dose and half the dose could have been used. It was a once a day medication whether by tablet or injection. The ondansetron we used twice a day. Going to the vet for a daily injection of cerenia would have been more expensive. All the best with your hairdresser appointment if you decide to go.
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Hi Voula. I don't think the vet knew a lot about ondansetron and was probably quoting from a book or article. I know I have seen it mentioned many times on the forum. I was surprised when she said that but I decided not to take it further with her as I would not have known what I was talking about really until I find out more.
She would have got the cerenia tablets in for me if I had pushed. She said they didn't carry them because they were too expensive and people didn't buy them. It is good to know about the dog ones. I will look into it thanks for telling me.
Something has certainly worked for Sheba this morning. It is probably the combination of the fluids, temgesic and the cerenia. She is not back to her normal self....but she is better than she was for sure.
I cancelled my hair appt. Sheba is dropping fast. I don't know when she started to drop so it is hard to judge what is happening. Safer to cancel.
 
Bron and Sheba said:
Hi Voula. I don't think the vet knew a lot about ondansetron and was probably quoting from a book or article. I know I have seen it mentioned many times on the forum. I was surprised when she said that but I decided not to take it further with her as I would not have known what I was talking about really until I find out more.
She would have got the cerenia tablets in for me if I had pushed. She said they didn't carry them because they were too expensive and people didn't buy them. It is good to know about the dog ones. I will look into it thanks for telling me.
Something has certainly worked for Sheba this morning. It is probably the combination of the fluids, temgesic and the cerenia. She is not back to her normal self....but she is better than she was for sure.
I cancelled my hair appt. Sheba is dropping fast. I don't know when she started to drop so it is hard to judge what is happening. Safer to cancel.
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Hi Bron. Yes it is safer to cancel an appointment when you can't judge what is happening. Our vet always had a lot of cerenia in stock as our vet used it a lot for her cat who had a condition that required it. Our local vet didn't seem to know much about ondansetron either but our oncologists did. Ondansetron is a medicine that is probably more commonly used by people as I used to get a prescription from the vet and buy it at the chemist as it was cheaper to buy it that way. Cerenia is probably a better first choice for pancreatitis as it has a pain relieving effect too. I am happy to hear that Sheba is better today and healing prayers for her to heal completely with no more issues continue. Hugs to you too. :bighug:
 
Wendy&Neko said:
((Bron)), tons of healing vines for Sheba. :bighug: I hate the helpless feeling when our furbabies are feeling sick.

I hope you get a good result at the vet for pain management. I don't know if you've read the 2015 AAHA/AAFP Pain Management Guidelines for Cats and Dogs, but it's a good read. Page 256 of that document talks about buprenorphine (tamgesic). Following on from yesterday's conversation, giving subq is not recommended.
Click to expand...

Thanks @Wendy&Neko for the two articles on pain management and bupe. I am going to sit down now with a cup of tea and read them both as soon as I have finished here. My vet said yesterday that all the specialists here love temgesic but I know it is not a favourite of his. I might have to show him these articles....he likes getting articles to read.
+6.75 4.2 (77) I am glad I cancelled the appt.
Sheba is starting to get drowsy. I think the temgesic is really starting to kick in now. She is so sensitive to it. She is having the minimum dose.
Thank you for your support and understanding...it means a lot. One feels so helpless when the kitties are sick. I always just feel sick in the stomach and can't eat.
 
Tiger and Ruth said:
There's nothing worse than when our furbabies are sick- Tons and tons more healing vines for Sheba and you! I know exactly how hard this is for you, Tiger doesn't want the bowl held so much as she expects to be hand fed or spoon fed when the flare ups occur, so get used to it! :oops::oops: And BTW, I had to take Tiger in to the vet today for, yes, you guessed it, a pancreatitis flare up. :rolleyes::rolleyes: guess I'm cancelling my trip tomorrow.
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Thank you Ruth for your support and vines. I am soo sorry you now have to deal with it as well. It is a horrible disease and so hard to know if you are doing the right thing. Sending tons of healing vines to Tiger. I hope it is not a bad flare.:bighug::bighug::bighug:
 
Tuxedo Mom said:
You have all the right meds. Maybe Sheba will need another shot of cerenia and maybe some sub q.
Sending healing vines for Sheba. Please get better soon Sheba...momma is so worried about you.

:bighug: Hugs for you Bron..I know how upsetting it is when our little ones are not feeling well.
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Thanks Mary Ann. Got the sub Q fluids and more cerenia this morning and it is making a difference already. Thank you so much for your support and vines
 
Peg, Rhiannon, Carla, Serryn, Elise, Amy and Lori. Thank you all for your support and vines. They are so good to have when you are so worried about your precious cat. Rhiannon....I could do with some chocolates...I might go out and get some later. The suggestions of sub Q fluids and cerenia have been taken up and used thank you.
There is such a lot of knowledge here on the board...it is amazing really. And everyone understands...which is such a big thing. So thank you everyone for being there for us:bighug:
 
If I understand correctly, that's old vet school thinking about the ondansetron.
Yes that's what it was for.... but they are finding it helps cats.....
I think the experience here and with many cat people is that nausea is so much more prevalent than they think. My vet didn't even know the lip
smacking and turning away was a sign of it. She's a believer now and is giving it to her own cat.
 
rhiannon and shadow said:
If I understand correctly, that's old vet school thinking about the ondansetron.
Yes that's what it was for.... but they are finding it helps cats.....
I think the experience here and with many cat people is that nausea is so much more prevalent than they think. My vet didn't even know the lip
smacking and turning away was a sign of it. She's a believer now and is giving it to her own cat.
Click to expand...
That is very interesting. It could well be old vet school thinking. The vet admitted she knew little about it.
Do you have any documentation that says that?
 
Hi Bron, sorry I've missed all the drama earlier today, I didn't check in late last night when we got home. I am so glad to read that Sheba has improved after her vet visit and seems to be getting back to her old self. Shame about your appointment but I think you made the right call, Sheba certainly doesn't do things by halves. What an amazing amount of advice and support from everyone. Hugs and prayers to Sheba for her continued recovery and calming and anti-stress vines to you Bron, she has certainly put you through a lot of emotional trauma these last few days, isn't it just the worst feeling ever when our furbabies are sick.:bighug::bighug::bighug:
 
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suki & crystal said:
Hi Bron, sorry I've missed all the drama earlier today, I didn't check in late last night when we got home. I am so glad to read that Sheba has improved after her vet visit and seems to be getting back to her old self. Shame about your appointment but I think you made the right call, Sheba certainly doesn't do things by halves. What an amazing amount of advice and support from everyone. Hugs and prayers to Sheba for her continued recovery and calming and anti-stress vines to you Bron, she has certainly put you through a lot of emotional trauma these last few , isn't it just the worst feeling ever when our furbabies are sick.:bighug::bighug::bighug:
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Thanks @suki & crystal .
Sheba does appear to be responding to the treatment from this morning, although she has lost interest in her food again at the moment. Just when her BSL is down to 3.5 (63)! She is a bit under the influence of the bupe as well.....very sleepy and a bit dopey. But hopefully pain free. When I wake her she looks at me as if she has come from a far off place.
My hair appt wasn't important...it is so overdue now, another week won't make any difference...I just felt bad ringing up so close to the appt time but they were very understanding. Rob was going to feed her...that was the plan, but when she was dropping so low....and her appetite a bit iffy.....it wasn't fair on Rob or Sheba. And I would have been worried the whole time....
Yes, everyone is amazing here on the board.....who needs a vet when we have everyone here.
I am feeling much better about Sheba, although she has a way to go yet. Her BSLs have mysteriously come crashing down. It did coincide with the onset of the bupe so maybe that. I think the subQ fluids always make a big difference too although it was a bit too soon to have been those that influenced the BSLs.
I wish I knew what it was that triggered this pancreatitis.....it is a horrible disease.
I was thinking of you today when I heard about that awful terrorist attack on that poor man near Lyon. Just too terrible for words.
 
Hi Bron, yes the world is a very sad place at the moment. My thoughts and prayers go out to all the relatives involved in these terrible atrocities. I worked in London throughout the IRA terrorist bombings, and our office caught some of the damage, it was a horrible feeling to live under the permanent threat of terrorism but my God, things are out of control now, so much hate and intolerance abounds, so very sad for all of us.

On a much happier note I'm so pleased to hear you are feeling better, these kitties certainly know how to pull our emotional strings. Hope Sheba continues to make a good recovery:bighug:
 
{{{Bron}}} I'm so sorry Sheba is having a p-titis flare, but you are in a great place for advice and support. I would never have guessed what was up with Minka had I not read all about it here.

Back when I first asked for it, my vets all were slow to give me Ondansetron. I had to insist on it. They all seemed to think Pepcid was enough for tummy upsets, but all that does is relieve the acid. I got Cerenia originally for Sasha's motion sickness. Now I use all three, depending on what the situation is. Elise recommended injectables, and I got injectable Ondansetron from my vet. I've only had to use it once, and it worked really fast! I was delighted.

Sending lots of appy and healing vines for Sheba, and :bighug: for you!
 
Tricia & Cinco said:
{{{Bron}}} I'm so sorry Sheba is having a p-titis flare, but you are in a great place for advice and support. I would never have guessed what was up with Minka had I not read all about it here.

Back when I first asked for it, my vets all were slow to give me Ondansetron. I had to insist on it. They all seemed to think Pepcid was enough for tummy upsets, but all that does is relieve the acid. I got Cerenia originally for Sasha's motion sickness. Now I use all three, depending on what the situation is. Elise recommended injectables, and I got injectable Ondansetron from my vet. I've only had to use it once, and it worked really fast! I was delighted.

Sending lots of appy and healing vines for Sheba, and :bighug: for you!
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Thanks for the info about the meds. I am going to send the info about ondansetron to my vets. I don't think they use it at all at this point......Hopefully we can change that
 
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