6/23 Cookie ProZinc AMPS 550, +2 344 / +3 219

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pstanfield

pstanfield

Member Since 2021
Cookie is definitely coming out of the black, in yellow now. Going to test hourly and see where we are. Here are the links to her other threads for history/background/progression.

Her appetite is still off, and she is hanging over her bowl. Going to give SQ fluids and Vit B12 around same time as yesterday, and looks like some syringe feeding today.

Thread 1: 6/17 - 6/19 Thread
Thread 2: 6/19 - 6/21 Thread
Thread 3: 6/21 - 6/22 Thread
 
pstanfield said:
Cookie is definitely coming out of the black, in yellow now. Going to test hourly and see where we are. Here are the links to her other threads for history/background/progression.

Her appetite is still off, and she is hanging over her bowl. Going to give SQ fluids and Vit B12 around same time as yesterday, and looks like some syringe feeding today.

Thread 1: 6/17 - 6/19 Thread
Thread 2: 6/19 - 6/21 Thread
Thread 3: 6/21 - 6/22 Thread
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That yellow is so nice to see!! Maybe the infection is clearing.
 
I am so glad to see she's eating, and blues!

As for the blood ketones, anecdotally most of us find the baseline for cats in decent numbers to be around 0.2-0.3. when they have infections and/or higher numbers, 0.4 to 0.8. Above 1 generally means trouble is brewing and to keep an eye on things. A research paper done showed that ketones above 2.4 is almost surefire DKA (but it can of course occur at lower numbers).
 
FrostD said:
I am so glad to see she's eating, and blues!

As for the blood ketones, anecdotally most of us find the baseline for cats in decent numbers to be around 0.2-0.3. when they have infections and/or higher numbers, 0.4 to 0.8. Above 1 generally means trouble is brewing and to keep an eye on things. A research paper done showed that ketones above 2.4 is almost surefire DKA (but it can of course occur at lower numbers).
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So her 0.6 seems to be consistent with both fighting off infection and higher numbers. Something to keep an eye on! I’ll check again this evening or in PM; if her numbers stay lower, and also after her fluids, I would hope to see a reduction in that.
 
@FrostD
Hi Melissa looking at the Prozinc sticky shouldn't she reduce the next shot

Reducing the Dose:
  • Anytime the BG drops below 90 mg/dL, reduce the dose by 0.25u at the next shot.
Lather, Rinse, and Repeat!
 
Kids will be getting up from nap soon so I might be delayed:

- If she goes up more than 10 points, leave her be, but test again in 20 mins
- If she's flat after HC, give another tsp HC and test again in 20
- If she goes down but still in 40s, another tsp HC with a bit of honey mixed in.
- Down but into 30s, 2 tsp HC and honey on gums. Test again in 20.

Looks like antibiotics and fluids finally kicked in. To @Diane Tyler's Mom 's point, we don't want to do 1.5U tonight. We'll have to think about it, I'm leaning towards 1U/fat 1U depending on rest of cycle and preshot. The standard dosing protocols don't apply here because she's in a unique situation right now.
 
FrostD said:
Kids will be getting up from nap soon so I might be delayed:

- If she goes up more than 10 points, leave her be, but test again in 20 mins
- If she's flat after HC, give another tsp HC and test again in 20
- If she goes down but still in 40s, another tsp HC with a bit of honey mixed in.
- Down but into 30s, 2 tsp HC and honey on gums. Test again in 20.

Looks like antibiotics and fluids finally kicked in. To @Diane Tyler's Mom 's point, we don't want to do 1.5U tonight. We'll have to think about it, I'm leaning towards 1U/fat 1U depending on rest of cycle and preshot. The standard dosing protocols don't apply here because she's in a unique situation right now.
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Keep in mind this is an alpha track. We need that number up to 68
 
Now that this high streak is over and the meds have kicked in go back to 1 unit. It's time for another test
 
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Signature said both, but I just took of the Alpha part and now just says ReliOn for less confusion! Lots of changes going on here.
 
She'll probably bounce pretty good from this, and know that the swings in BG don't make them feel all that great either. But the important thing is warding off DKA, because I'm not sure the poor thing could handle that on top of everything else. I'm hoping she's flat pink at preshot time.
 
It dropped. I'd do a tiny bit of honey and some hc gravy food. Test again 20 min after she eats. Don't panic. It's low but you'll get her up. This number on a relion isn't as scary as on an alpha.

Is she eating ok?
 
JanetNJ said:
It dropped. I'd do a tiny bit of honey and some hc gravy food. Test again 20 min after she eats. Don't panic. It's low but you'll get her up. This number on a relion isn't as scary as on an alpha.

Is she eating ok?
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She was eating ok, but didn't want any of the HC foods, so I used the syringe. Going to do that again.
 
pstanfield said:
She was eating ok, but didn't want any of the HC foods, so I used the syringe. Going to do that again.
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She's still safe and you're doing great. I'll set a time and check in in 20 min. You can just sqeeze the gravy out of the hc food and see if she will pick that. The gravy is where most of the carbs are.
 
JanetNJ said:
She's still safe and you're doing great. I'll set a time and check in in 20 min. You can just sqeeze the gravy out of the hc food and see if she will pick that. The gravy is where most of the carbs are.
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What would you consider to be a good HC food? Sending my daughter to the store while I continue with what I have.
 
Ok I'll bow out here. I'm not sure I'll be around tonight for shot time. Given how much work it took to bring her up at 1.5U, I'm sort of thinking fat 0.75U tonight if she's pink for a little more breathing room. Last time we tried 0.75U it didn't work because abx wore off.

If she's red or black 1U probably good.
 
We are back up to 51. (SIGH) So leave her be and test again in 20? I was supposed to do fluids, is it ok to still do that, or wait a bit until she is more steady?
 
pstanfield said:
What would you consider to be a good HC food? Sending my daughter to the store while I continue with what I have.
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I use the Meow Mix seafood variety pack in gravy. They're smaller cups so you don't waste as much, and most cats don't refuse seafood (though you're not supposed to feed it often or long term). Plus WalMart pretty much always has it. They range from 20-24%.

Here's a food chart, want carbs around 20-24% roughly.
 
pstanfield said:
We are back up to 51. (SIGH) So leave her be and test again in 20? I was supposed to do fluids, is it ok to still do that, or wait a bit until she is more steady?
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That's a good bump. Yes, leave her be and test in 20. If you want, a tsp of MC or your Purina for a little extra boost. She's hopefully flat/on her way back up. You're a good cat mama!
 
*when she's at the store, tell her to hone in on anything that says "gravy", then cross check against that link. That's easiest way to do it. Smaller cans are better so you don't waste it.
 
pstanfield said:
What would you consider to be a good HC food? Sending my daughter to the store while I continue with what I have.
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Ff medleys are all over 20 carb. Ff gravy lovers beef is 20. Ff delights with cheddar chicken, tuna or whitefish flavors are all over 20. Don't forget to update the ss
 
FrostD said:
Kids will be getting up from nap soon so I might be delayed:

- If she goes up more than 10 points, leave her be, but test again in 20 mins
- If she's flat after HC, give another tsp HC and test again in 20
- If she goes down but still in 40s, another tsp HC with a bit of honey mixed in.
- Down but into 30s, 2 tsp HC and honey on gums. Test again in 20.

Looks like antibiotics and fluids finally kicked in. To @Diane Tyler's Mom 's point, we don't want to do 1.5U tonight. We'll have to think about it, I'm leaning towards 1U/fat 1U depending on rest of cycle and preshot. The standard dosing protocols don't apply here because she's in a unique situation right now.
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OK I didn't know about her unique situation , makes sense :cat:
I'm glad she heading up,so sorry
 
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FrostD said:
How long is she on the clavamox for?
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Was only supposed to be until 6/19, so Friday was her last day originally, (10 days), but since we restarted that on Monday 6/21/21, it is uncertain. She is on a newer bottle, so it is still fresh, but that will expire on Friday. I will be talking to the vet tomorrow on when to stop, etc.
 
pstanfield said:
So do I go back to offering her the usual LC food, what's the "after-hypo" protocol?

And THANK YOU for sticking with me through this. I've got the notes, but your mind goes into ultra panic mode. Well, mine does....:confused:
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Yep! Normally we wouldn't feed much after nadir but little lady needs to gain some weight, so let her have whatever she wants.

I hear you. It's much easier to handle when it's not your cat lol I can advise you calmly, but when it's my cat there's always the "omg omg omg omg". Today was a calculated risk of "will the antibiotics kick in or no, and when?" aaaand now we have the answer.

I'm hoping this round of stuff heals her, and you're going to find she'll be beautiful to manage because she's doing GREAT with insulin and BG despite all the other stuff.

Was she on steroids at all before diagnosis?
 
pstanfield said:
So she dropped to 62 from 77. What do i do with that?
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Nothing just yet. Check her again as soon as you see this since it's been about half an hour. Did you by chance give fluids?

She's not making this easy on you o_O I'm not sure it's an award you want, but she gets the award for biggest drop I've ever seen in a single cycle
 
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FrostD said:
Nothing just yet. Check her again as soon as you see this since it's been about half an hour. Did you by chance give fluids?

She's not making this easy on you o_O I'm not sure it's an award you want, but she gets the award for biggest drop I've ever seen in a single cycle
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We are at 43 now. Did not give fluids, since she was going through all that, was going to give tonight after she went up some more.
 
pstanfield said:
We are at 43 now. Did not give fluids, since she was going through all that, was going to give tonight after she went up some more.
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This is most unusual. Give her 1 tbsp HC and honey on gums

Sometimes ProZinc gives extra duration or a late nadir, I'm thinking you hit the "jackpot" of both, all the work earlier just propped her up. ProZinc rarely lasts more than 14 hrs total so I'm hoping she comes up. At this rate may have to skip tonight's shot.
 
O
pstanfield said:
She is ravenously hungry now, so she is eating the HC food. Should I give her more if she wants more than 1 TBS?
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Oh that is good! Let her have maybe 2 tbsp HC total just to be safe, 1 tbsp MC too if she'll eat it. If.you don't have MC, mix your LC and HC together.

Edit: I'd still keep her a little hungry just in case she drops a little more, but I'd expect all this to get her to the end of the cycle in safe numbers
 
FrostD said:
O

Oh that is good! Let her have maybe 2 tbsp HC total just to be safe, 1 tbsp MC too if she'll eat it. If.you don't have MC, mix your LC and HC together.

Edit: I'd still keep her a little hungry just in case she drops a little more, but I'd expect all this to get her to the end of the cycle in safe numbers
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Ok, going up again, 64.
 
FrostD said:
This was after honey and HC? How long ago? It's probably just a bump from honey, but that will wear off. The HC should keep her going though
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I don't know what to make of the numbers. I actually gave the HC right away, and she acted like she was starving, so gave her 2 TBS, didn't give the honey, and now she is reading at 89. She is all over the place with ups and downs, although the only real symptom I saw at all was the hunger.
 
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