12-19 Small Kitty - amps 139 pmps 439 +2 401 - Dental planning

[Photorecon]

Good morning all,

Happy surprise this morning, has I had predicted , Small Kitty is in the
blue this morning. Strangely enough, he wasn't in a food madness after
a quarter small can bonus to his regular small can meal... Smoking gun
in here ??? Maybe, was told my, I think, Bobbie that hungry cats can bring
high GL... Or it might just be that Small Kitty is more comfortable flying
at 100-200 altitude level.

Now I've another file need to put my attention on. After work I'm going,
with my father, bringing Small Kitty to the Vet office for full dental work
after the office. The plan is to feed and shoot Small Kitty, bring him to the
vet office where he will sleep. The surgery will be made in the evening
or the next morning so I pick him up either during the day (I'll call sick)
or after work. I called the office and they told me there will be no shot
at the morning as they don't have Lantus and the office won't be open
for feed and shoot.

My father says not to call sick that we'll pick him up after work before feed
and shoot (he'll spent the day the the vet office) or I call sick to pick him
during the day.

So what do you think about that ? Is a post dental needs extensive follow-up ?
(he'll be high because of the NS morning). Also, what's the name of the pain
medication to avoid and the recommended ones not to kill GL for days ?
Any thing you can think about ? Dosing, feeding.... ?

Thanks for the expert, never rememer how to flag the best in the
business with the @name. If someone remembers, could you call
Bobbie, Toxedo Mum or any other members with experience.
Don't want anything to turn wrong.

Thanks everyone !

Sébastien
Yesterday

 

[Bobbie And Bubba]

Good morning Sebastien, and so glad that SK is going to the vet for the dental. It is going to be so interesting to see how his numbers do after that.

The meds you want to NOT have them give SK are : Metcam pain and anti-inflammatory and NO Covenia ( a injectable antibiotic)

Instead have them give Buprenorphine for pain ( they usually give it in syringes without a needle that you squirt into the cheek the mucous membranes is the best way for it to be absorbed)

And for an antibiotic something like Clavamox is given frequently after the procedure.

The tag someone hit @ and then start typing the avatar name ie: Tuxedo Mom, that name will drop down from a window and you click on it and then it makes it into a blue link which flags that person.

The best of luck to SK and please keep us posted.

As far as the food and the higher BG, the higher numbers usually make them hungrier so today's better lower numbers are probably why he wasn't as hungry.

The best of luck to SK and please keep us posted.

 

[Bobbie And Bubba]

PS : Since SK is going to be staying over at the vets and there through tomorrow, it would be a good idea for you to take his food so they don't give him higher carb food especially tomorrow after the dental and no insulin on board.

 

[LizzieInTexas]

take his food so they don't give him higher carb food

I do that for Gizmo. He has his own insulated lunch box that I put everything in and then print out two copies of his feeding/med instructions. One stays with the lunch box/food and one goes in his chart. That hasn't been for overnight (yay) as he hasn't had to stay overnight since being on insulin.

I will be watching for updates. Gizmo was to have teeth cleaning done in September but had the pancreatitis flare in August and was still not doing well through September. I want to get the cleaning done so more serious problems don't arise. Very anxious about sedation with my Gizmo .

Hope all goes well with Small Kitty. If it were me I would want to him pick up and get him back home asap to decrease stress but Gizmo is a BIG stresser when it comes to the vets - might not be as big an issue for Small Kitty.

 

[Photorecon]

Gizmo is a BIG stresser when it comes to the vets

Strangely enough, last time I brought to the vet office, (where they decided that all organs were
in good shape to proceed with dental, Small Kitty WENT DOWN !!! As if a full night ''in jail'' without
evening shot would do the same I'm not sure. But, we know Small Kitty is ''used'' to high GL and can
go over it quite quickly. Only thing is jail time with other cats and dogs around, he'll freak out !
.

 

[Doodles & Karen]

Doodles bg's at times goes down during a vetty visit too. Anesthesia can also have a bg lowering affect. For after care I've read here to feed very small meals for the first 12 hours or so afterwards. Doodles hasn't had dental since FD but hopefully others will comment on the after care part. BTW, I'd double check on giving insulin the morning of the procedure too. Some have given none and others have given a reduced dose.

 

[Photorecon]

@Tuxedo Mom

Doodles bg's at times goes down during a vetty visit too. Anesthesia can also have a bg lowering affect. For after care I've read here to feed very small meals for the first 12 hours or so afterwards. Doodles hasn't had dental since FD but hopefully others will comment on the after care part. BTW, I'd double check on giving insulin the morning of the procedure too. Some have given none and others have given a reduced dose.

Thanks Karen, that's exactly the kind of information and precaution I need. Was about to
give full scale dose and meal in apprehension of a NS at pmps (the surgery is evening or next day).
Dont want to end up in hypo or black lasting a week.
.

 

[Doodles & Karen]

Was about to
give full scale dose and meal in apprehension of a NS at pmps (the surgery is evening or next day

Ahh, seeing that it's later in the evening or next morning it's probably fine to give the full dose as long as they will feed/ monitor him and he'll eat a bit. However, I'm not a good person to really give advise in this situation.

 

[Tuxedo Mom]

Sorry I wasn't on earlier. You have got a lot of good advice already. I guess you are already at work. Did you leave out some MC food in the feeder for his +4 feeding? With a lower preshot a little extra carbs while you are gone might have been an idea.

Usually a vet will suggest a no shot or a 1/2 dose before surgery, since some kitties will drop with the anesthetic. If they are not going to be monitoring him in the evening or during the surgery, then skipping would be the best solution. SK will most likely run in higher numbers from 2 skipped shots (PM tonight and AM in the morning) so you could ask them to check his ketone levels while he is there. It is too bad you don't know whether it would be an evening or morning surgery so you would know if you could gibe a full or partial shot. But again if they are not monitoring him like you do at home then it could be worrisome if he decides to drop.

As Bobbie said "The meds you want to NOT have them give SK are : Metcam pain and anti-inflammatory and NO Covenia ( a injectable antibiotic)". You can ask for buprenorphine pre-filled syringes if the mouth if very sore or the liquid if you will be able to squirt it into the side of the mouth. As was also suggested take some of your own food, otherwise they may end up giving a higher carb food. Ask them to document what food was given, times and how much SK ate.

Make sure that there is nothing SK can hurt himself on when he gets home. The anesthetic and bupe can make them groggy, so you don't want him to be able to get onto any heights that he could fall from.

 

[Photorecon]

Did you leave out some MC food in the feeder for his +4 feeding

He's on the rise I'm sure so :

- I gave him some extra food this morming
- Shot in the neck for slower release
- More LC food for +4 for longer surf

He'll be alright.
.

 

[Photorecon]

The meds you want to NOT have them give SK are : Metcam pain and anti-inflammatory and NO Covenia ( a injectable antibiotic)". You can ask for buprenorphine pre-filled syringes if the mouth if very sore or the liquid if you will be able to squirt it into the side of the mouth. As was also suggested take some of your own food, otherwise they may end up giving a higher carb food. Ask them to document what food was given, times and how much SK ate.

I'll bring my carry-on kit with test meter, strips, serynge and might bring Lantus stick in a bottle surrounded by towel and crushed ice around it. If it end up scrap that's going to be it, only 1/8th of it's content is left in it. Will put the
food and instruction to liquefy it before serve.

Hope they will take the med request seriously and not see me has someone who knows everything
and want to impress. Think I'll tell them that from the previous vet who made this imperative.
I'm all messed up in regard of food or not, shot or not.. Will call them to know when the surgery
will be made but there will be monitoring by a vet there on purpose, doing just that plus wathcing
the technician specialized in that kind of thing.

Will call them to know when the surgery will be made..
.

 

[Osha]

You have gotten a lot of good advice, so I just want to send my good vetty dental vines to Small Kitty.

 

[Tuxedo Mom]

If you tell them to put on SK's chart that you DO NOT want Metacam or Convenia then they have to follow your wishes.

If they are definitely not doing the surgery until the morning then you could give what ever would be an appropriate shot for tonight and feed as usual...as long as they will be monitoring him. If they are using the AT2 meter you could take some AT2 strips in so they don't charge you for using theirs. The one and only curve I had done (which did not work) they were charging me for using their strips. If there is a chance that they will do the dental tonight then skipping might be the best option. Are they open 24 hours...is there someone there the whole time?

Make sure they have written instructions for how much and when you feed SK if you are able to give the shot tonight.

 

[Photorecon]

Just called them and they say I should bring him with full food and full dose given so everything
is gone by midnight (food). Surgery will be for tomorrow with NS o food as well. After there will be food, I guess) might depends on the shape of the mouth ??? I think I have the option of
having him piped (solute) for quick of shot of whatever during the operation. They take
medication request seriously, I'll right it down in bold.

As for tomorrow it's going to be a sick day. Strangely enough I've my dental as well in
the afternoon We might be 2 with busted mouth . My of appointment is just for
cleaning, should not be intensive.
.

 

[Photorecon]

Are they open 24 hours...is there someone there the whole time?

Small Kitty will be on it's own during the night I'll ask them to curve before the surgery with
my kit with meter and strips + bottom GL and what to do if below. LC food will be in the case
as well. Won't put HC in the case, they may mess up and give HC with NS . They must know
how to address hypo...
.

 

[Tuxedo Mom]

Just called them and they say I should bring him with full food and full dose given so everything
is gone by midnight (food). Surgery will be for tomorrow with NS at the morning. Might be
no food as well ?? might depends on the shape of the mouth ??? I think I have the option of
having him piped (solute) for quick of shot of whatever during the operation. They take
medication request seriously, I'll right it down in bold.

As for tomorrow it's going to be a sick day. Strangely enough I've my dental as well in
the afternoon We might be 2 with busted mouth . My of appointment is just for
cleaning, should not be intensive.
.

Good to have the actual time. For tonight you can give the regular shot and feedings as if he were at home. Make sure they know when each feeding after the shot is for tonight and what times to test his glucose levels. Remember you know more about SK and how he reacts to his shots better than they do. There will be no problem with him eating after midnight since you don't feed him at that time. You can take whatever food he needs for tonight and some for after the surgery if he is feeling up to eating. Both of mine ate very soon after waking up from the dental, even Maxie with 8 extractions , so it would be good to have some of your own food on hand for tomorrow until you can pick him up.

I'm not sure what "piped" is. Usually they will have an IV in place and if anything extra is required during the procedure they can add it to the IV line.

I hope SK's dental goes well as well as your dental. You are taking the sharing experiences with SK a bit too far. With any luck SK will just need a good cleaning with no extra work and he will snap back from that quickly.

 

[Tuxedo Mom]

Small Kitty will be on it's own during the night I'll ask them to curve before the surgery with
my kit with meter and strips + bottom GL and what to do if below.

How late is there someone there to monitor SK after you take him in. Since SK has sometimes been known to do drops at the most inopportune time it would be good if there was someone to monitor until his +5 time.


ETA A lot is going to depend on what SK does for his PMPS reading. If it is on the lower end you might want to do a smaller dose if he can't be monitored closely. So maybe you can post before the PM shot and see what others have to say.

 

[Photorecon]

How late is there someone there to monitor SK after you take him in. Since SK has sometimes been known to do drops at the most inopportune time it would be good if there was someone to monitor until his +5 time.


ETA A lot is going to depend on what SK does for his PMPS reading. If it is on the lower end you might want to do a smaller dose if he can't be monitored closely. So maybe you can post before the PM shot and see what others have to say.

Humm.. good point. Place is closing at 8 (+2). Maybe a reduced shot could be advisable..
Last vet visit he dropped down quite a bit (on the 2nd of december)

December 2nd
PMPS 545 +7 +9 +11 pmps +2 +4 +5

That's for tomorrow, he'll be on his own with 2U in the body

 

[Tuxedo Mom]

Humm.. good point. Place is closing at 8 (+2). Maybe a reduced shot could be advisable..
Last vet visit he dropped down quite a bit (on the 2nd of december)

December 2nd
PMPS 545 +7 +9 +11 pmps +2 +4 +5
View attachment 24938
That's for tomorrow, he'll be on his own with 2U in the body

Is there no way you can get your Dad to take you in the morning, rather than leaving SK overnite? If you are going to be off work for your own dental then you are missing work anyway.

If not then you will have to see what SK does at PMPS and maybe post back here and see what opinions everyone has.

 

[Photorecon]

 

[Wendy&Neko]

You can ask for buprenorphine pre-filled syringes if the mouth if very sore or the liquid if you will be able to squirt it into the side of the mouth.

According to the 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats, buprenorphine is not as effective given by syringe, unless done into the muscle.

in cats, the subcutaneous (SC) route of opioid administration is not recommended. intramuscular (iM) and intravenous (iV) routes are preferred both pre- andpostoperatively. The oral transmucosal or buccal route of administration for buprenorphine may have clinical efficacy as well.

The vet will likely give a buprenorphine shot either before or after the operations and hopefully send you home with enough prefilled syringes for three days. It may depend on how many extractions are done. One antibiotic commonly given after a dental is clindamycin which can be either in liquid or pill form. I found the liquid form easiest to give, but it does taste horrible. Since antibiotics can be hard on the stomach, you might want to get some probiotics to give SK.

When you get SK home after his operation, test him. Then test again at PMPS time to see if he's dropping. Not all anesthetic drugs lower the BG's. In fact, one of the inductions drugs commonly used in Canada does not. But you may still want to be conservative with his dose the night after his dental. I've seen too many cats go low and not want to eat because their mouth is sore. SK will get over the skipped shots and best be safe.

Sending good dental vines for both you and SK.

 

[carfurby (GA)]

I see you've received a lot of good advice. I hope everything goes well for you both tomorrow. Some cats don't want to eat much at first because of the effects of the anesthesia. I bought meat only baby food to give to Furball when she had her dental until she felt like eating her normal food. She only ate little bits at first.

 

[LizzieInTexas]

Prayers for you and SK tomorrow. Please keep us updated.

 

[Photorecon]

Is there no way you can get your Dad to take you in the morning

This was the plan..
Until I realized a guy in close touch with the manager eared me talk to the vet on
hypos and stuff... He seemed to be interested but just at the wrong time. If I had called
sick tomorrow my epilepsy cover up would have been blown up... Had to think fast
on what to do.

As soon that I realized that Small Kitty was back up from another bounce give food
and shot and withdraw. Verified on the Uber app (''cheap'' cabs) and there was guys
around. Took a peice of hard paper with very large and bold pen and wrote down the
name of the medication that were no go. Wrote down medications, doses, food, GL test...
Put everything with meter pack, food and instruction and threw everything in a flexible
lunch box and made my back pack ready to go. Small Kitty must have smell his carry
on sport bag as he ran away scraping the floor and hide. Told him I'm sorry and put
him on the towel at the bottom and there we went direction vet office.

I've taken with good consideration when I explained the way I would like Small Kitty
te be treated. While at it I asked the regular vaccine be administered and a microchip
be installed (required on cats in Montreal for tracking purpose). They wrote down
everything. The only thing I did not remember was the name of the pain med
When I told the technician it was ''injectable'' she was confused. This was not what
I wanted to say, was looking on how to explain the pen spitting liquid but could not
find the word. She wrote down ''injection'', guess they will find something.

Wont see a big difference tonight, for quite some time Small Kitty is doing his
own business and do not jump on the bed as he used to do, Big Brother does it.
Hope everything will go smoothly with as little teeth removed as possible.

@Wendy&Neko , @Tuxedo Mom , @Doodles & Karen , @LizzieInTexas
@Bobbie And Bubba , @carfurby , @Osha , @LizzieInTexas

Thanks for helping in making sure everything was to go well !!!

Time to go sleep now