? 4/9/17 Sprocket AMPS 417, 3.25u, +2.5/301, +7/209.PMPS/247, +2/316.Ketones, UTI, ear infection

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Try to get some extra water into him as well, and (of course) a ketone test asap.

Glad the insulin got in him for sure this morning! Now we just have to let it do its work.
 
Ya but now we may end up at ER. Just gave liquid cyproheptadine (appetite stim) & syringed famotidine.
5 mins later he vomited
Last couple of hours he drank alot and bowl was moved around like last time he had ketones.
 
I won't lie, I'm worried about the signs so far, but let's give him a chance until you can get a ketone test.

Can you syringe a bit more food, with some extra water into him? Just a little bit, since he might vomit.
 
OK, now we know what we are dealing with. Trace isn't too bad, but we need to get it moving in the opposite direction.

On the positive: he was eating well until 3am, so he's got some food on board from that, and he now has insulin on board. We may be able to nip it in the bud without another ER trip with food and fluids-- when was the last subQ fluids he had?
 
Does he usually get fluids every other day or every day? Does he have any heart conditions that you know about?

If your regular vet is open this morning, best thing is to call for advice when they open. I think, if he's at trace and now has insulin plus at least a little food, some subQ fluids might be enough to flush out anything developing and get him back on track, but if he's normally on a less-than-daily schedule I am unwilling to suggest it at the moment because I know Sprocket has a mix of health conditions. Others here may be more familiar with Sprocket's case and/or have enough experience with ketone management to advise differently.

Other than that, just keep trying to get some more food into him and cross fingers while we wait for the insulin to onset.
 
I would leave a message for your vet, then. Tell all that he has vomited and has trace ketones and you want to know about fluids, and can they work him in today.

Is he eating this morning? I would only feed him in extra small meals, and let him rest in between to digest and hopefully not throw up.

It is probably a good idea to look into getting a blood ketone meter.
 
I meant, with ketones, you still want him to eat lots of food, just with the vomiting to break the meals into smaller portions and then feed them more frequently.
 
He had few bites of wet food. He looked nauseous.
Then we did shot n gave meds. Then he vomited.
I have fluids at home but will he need more to go to vet?
I usually give 100ml a day. Yesterday he got 70ml
 
Thanks for stepping in, Dyana! From what Darnell has said, Sprocket ate well up until 3am last night, but has been nauseated this morning, so it's pretty recent.

Darnell, I think you can take the 911 down for the time being. Plain fact is, there aren't that many people online at the moment, so it's not gathering any extra eyes, plus I think you'll want to save it for a really time-sensitive crisis. We're not quite there yet-- we're working hard to stop the crisis in its tracks!
 
Do you have some Ondansetron for the nausea? Or any Cerenia for the vomiting?

Also, when you get a chance, can you change the Subject Line on your other post this morning to "DUPLICATE" and the Moderators will delete it, then you won't run the risk of having two confusing posts running at once.
 
Have you fed him since he threw up, and did it look like he threw up food, and was it all of his food?
 
I think we're at +2 right now, or pretty close. Although we're all laser-focused on ketones right now, it'd be great if you could get a BG test in to see how he's doing with that (and update the spreadsheet when you get a chance :)).
 
I think that's 'cause I was suggesting trying a little syringe feeding to try to get a little more food in him and get ahead of the vicious circle of inappetance-ketones. But if Sprocket really hates it, probably better to hold off until he's truly not eating at all on his own!
 
I notice that you had his calories eaten in the Remarks section on his spreadsheet for the past couple days, but not yesterday. Did he eat his normal 500+ calories yesterday?
 
He needs to eat to keep the ketones at bay. I would try to feed him a few teaspoons of food, every half hour and see if he keeps it down.
 
I agree with Dyana, the biggest need now is to get him eating. If you are going to this vet, have them administer some good anti-nausea meds like ondansetron to get him going. Unless his ketone readings have spiked up from "trace", I don't think he's going to need full hospitalization at this point, we just need to get him over this little blip-- get him eating, maybe get some more fluids into him to make him feel a little better and help flush out the ketones.
 
UPDATE. Darnell is with Sprocket at vet. He has a UTI and ear infection. He has been on antibiotics for a long time so I question if it's contributing to infections like this needing good flori. He has a high white blood cell count too. The vet is giving fluids, convenia and cernia. The vet said to offer food when he gets home. The vet said at PMPS if he is above 260 give insulin and if below DON'T give insulin. She will check back soon. BG is 150 at + 3.
 
Not enough food + not enough insulin + an infection is what causes DKA. What is the vet saying about the ketones?
 
Holly and Fudge said:
UPDATE. Darnell is with Sprocket at vet. He has a UTI and ear infection. He has been on antibiotics for a long time so I question if it's contributing to infections like this needing good flori. He has a high white blood cell count too. The vet is giving fluids, convenia and cernia.
Click to expand...

Someone (@rhiannon and shadow (GA) , I think) was speculating on an earlier thread that the type of antibiotics being used may not have been properly targeted on the underlying infection, and that was the reason for the repeated DKAs in a short span of time.
 
Nan & Amber said:
Someone (@rhiannon and shadow (GA) , I think) was speculating on an earlier thread that the type of antibiotics being used may not have been properly targeted on the underlying infection, and that was the reason for the repeated DKAs in a short span of time.
Click to expand...

I am agreeing here but more than one vet said ok for antibiotic. Gave convenia for uti.
Antibiotic causes diarrhea which is causing UTI.
Not helping as much as I think they are.
 
Some probiotics to put the good bacteria back in the system, given a few hours after the antibiotics (which kill both the good and the bad bacteria) might help her gut and the diarrhea.
 
Right, but I think the issue was the type of antibiotic being used-- some are good for UTIs, some are good for ear infections, some are good for wound infections, etc. etc. The "wrong" antibiotic for the job is better than nothing, but might not be able to completely clear an infection, which could explain the cycle Sprocket has been in.
 
Here are blood tests and notes from vet
 

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