2-14 Panzer AMPS 117/118@+4Vet Appointment/85@+8/PMPS 168@12.5/91@+4.5/82@6.5/82@+7.5

Status
Not open for further replies.
Chrispooky12

Chrispooky12

Very Active Member
Panzer was acting weird last night. I got up around 3am & he was laying in the kitchen in the pain position. I took him & put him in bed with me. When I got up to test, feed, & shoot, he was still not acting right. He went pee & I put my measuring cup under him to catch some & I didn't have it in the right place because it all went in the litter box. He has a vet appointment at 3pm Indiana time unless I can catch a sample before then. Unfortunately I have to go to work so we may be going to the vet! Wish us luck! https://www.felinediabetes.com/FDMB/threads/02-12-panzer-pmps-99-81-4-86-5-86-6-93-7-93-8.259275/
 
I got some urine & tested for ketone again negative thank God. The vet wants me to just bring the urine sample in. Wanted me to bring him @+11AMPS than wanted to change appointment to +.05 PMPS. What should I do? He's acting fine peed with no abnormal meow. Do you think his +4# was due him being in bed with me right up against me. I don't know if body heat effects his BG #s? He was 117@ AMPS/118@+4. Should I refrigerate his urine sample? @FrostD @Butters & Lyla @tiffmaxee @Diane Tyler's Mom @carfurby @Katherine&Ruby @Bandit's Mom @Bron and Sheba (GA)
 
Good luck with the vet appointment. You want to refrigerate the urine sample. His numbers look good. Body heat does not affect BGs.
If they want to do a Urine culture to test for UTI, they will need a sterile sample. Did the vet say a free catch sample would do?
 
Bandit's Mom said:
Good luck with the vet appointment. You want to refrigerate the urine sample. His numbers look good. Body heat does not affect BGs.
If they want to do a Urine culture to test for UTI, they will need a sterile sample. Did the vet say a free catch sample would do?
Click to expand...
They said a free catch sample would be fine. Should I just take him in anyways? It's in the refrigerator. They are getting ready to be opened back up from lunch break.
 
Ehhhh if it were me I'd probably take him in if you have the time slot anyway, mostly because I'm not convinced this is UTI. Take the urine with you and see what they want to do
 
@tiffmaxee I just saw where you posted on someone else thread about breathing. My boy has an appointment at the vet. His breathing is odd but he's purring. I got a free catch sample of his urine to take to the vet & can
 
FrostD said:
Ehhhh if it were me I'd probably take him in if you have the time slot anyway, mostly because I'm not convinced this is UTI. Take the urine with you and see what they want to do
Click to expand...
Ok that's what I will do then. I thought he was breathing irregular but he's purring. You can't hear him purring unless you get really close & I can feel that it's purring.
 
When was blood tests last done? I would run it every 6 months over 10 years old and more often only if there’s something you are concerned about. How’s he acting now? Eating? Appear in pain? Is yes labs might be needed. See what your vet thinks. I would run a test for pancreatitis if in pain or inappetent.
 
He hasn't had blood work since 9-10-2021 He doesn't seem to be in pain but cats hide pain, he's eating fine. He's acting fairly normal. We are here at the vet now so he's scared, but he's been sitting in the pain position quite often.
tiffmaxee said:
When was blood tests last done? I would run it every 6 months over 10 years old and more often only if there’s something you are concerned about. How’s he acting now? Eating? Appear in pain? Is yes labs might be needed. See what your vet thinks. I would run a test for pancreatitis if in pain or inappetent.
Click to expand...
 
FrostD said:
Nausea is ondansetron, ask for a script to take to human pharmacy. Vomiting is Cerenia.

Has he had Convenia shot before? Some cats have problems with those
Click to expand...
Ok we are home now he was supposed to have insulin 15mins sho, he is busy bathing himself, so I will test shoot & feed 30mins late tonight. His blood panel showed that his levels are high in areas one being the pancreas. They are going to email me with them later, but I have no clue how to put them on his spreadsheet. He said he has pancreatitis too. He has had the convenia shot 2 other times in the past.
 
Ok.

Did they give you any pain medication? Pancreatitis is painful and may explain part.of his behaviors. Have you dealt with pancreatitis before? If he's eating well that's good, that's usually the biggest challenge.

I'll drop more stuff about pancreatitis later tonight when I get a minute
 
FrostD said:
Ok.

Did they give you any pain medication? Pancreatitis is painful and may explain part.of his behaviors. Have you dealt with pancreatitis before? If he's eating well that's good, that's usually the biggest challenge.

I'll drop more stuff about pancreatitis later tonight when I get a minute
Click to expand...
This is his 3rd time with Pancreitis. If AMY is the term on blood work for pancreatitis his # was 1809? He is eating well, he ate his & finished what Ellie left behind as well. Prayers it stays that way! The vet didn't give anything for pain. I didn't even think to ask. We talked about nausea & appetite. He said cerenia for nausea & Mertazapeien for appetite? You guys know more than he does though. I was really surprised at the pancreitis given his #s that's why I put that up above. I'm still waiting for them to email a copy of the blood work, I have paper copies so far. That would be great if you could put some info on here about pancreatitis. @FrostD
 
The AMY can indicate pancreatitis (or kidney issues) but as I understand is not a definitive diagnosis, you'd need a specfPl or snapfPl for that.

Yes mirtazapine for appetite. You just manage the symptoms - if he's eating fine, has the 5 Ps, he's good. If he's hanging by food and water but not eating, doing the old meatloaf position etc you'll have to start medicating. Cerenia first, you need to settle the tummy before stimulating appetite. Try just Cerenia without mirtaz, and if he eats great! If he doesn't, then half dose of mirtaz (did they give you the tube of gel? I think it's a one inch strip, I start with half). If he eats, great. If not, he may be in pain. Most vets prescribe gabapentin, but I like buprenorphine...but they can be hesitant to prescribe that. Usually I do pain med first, followed a bit later by Cerenia/ondansetron, then app stim about 45 mins later. But follow the dosing and spacing listed
 
FrostD said:
The AMY can indicate pancreatitis (or kidney issues) but as I understand is not a definitive diagnosis, you'd need a specfPl or snapfPl for that.

Yes mirtazapine for appetite. You just manage the symptoms - if he's eating fine, has the 5 Ps, he's good. If he's hanging by food and water but not eating, doing the old meatloaf position etc you'll have to start medicating. Cerenia first, you need to settle the tummy before stimulating appetite. Try just Cerenia without mirtaz, and if he eats great! If he doesn't, then half dose of mirtaz (did they give you the tube of gel? I think it's a one inch strip, I start with half). If he eats, great. If not, he may be in pain. Most vets prescribe gabapentin, but I like buprenorphine...but they can be hesitant to prescribe that. Usually I do pain med first, followed a bit later by Cerenia/ondansetron, then app stim about 45 mins later. But follow the dosing and spacing listed
Click to expand...
FrostD said:
The AMY can indicate pancreatitis (or kidney issues) but as I understand is not a definitive diagnosis, you'd need a specfPl or snapfPl for that.

Yes mirtazapine for appetite. You just manage the symptoms - if he's eating fine, has the 5 Ps, he's good. If he's hanging by food and water but not eating, doing the old meatloaf position etc you'll have to start medicating. Cerenia first, you need to settle the tummy before stimulating appetite. Try just Cerenia without mirtaz, and if he eats great! If he doesn't, then half dose of mirtaz (did they give you the tube of gel? I think it's a one inch strip, I start with half). If he eats, great. If not, he may be in pain. Most vets prescribe gabapentin, but I like buprenorphine...but they can be hesitant to prescribe that. Usually I do pain med first, followed a bit later by Cerenia/ondansetron, then app stim about 45 mins later. But follow the dosing and spacing listed
Click to expand...
He didn't give me anything yet, I'm supposed to call if he has any of those side effects. He has the 5 Ps, so hopefully he is good to go.So it's possible that he doesn't have pancreitis. I would post a pic of the paper copies on here but I tried to copy & paste the pic of his ketone results a couple of day's ago & I couldn't figure it out,that's why I sent a picture to Bron & Sheba on FB msger. He's acting fine, he was in the meatloaf position last night & at the vet but he didn't suggest anything for pain. If he needs any of that stuff I will call the vet in the morning & get it, they are closed for the night now. I need you to go to the vet with me LOL:smuggrin: @FrostD
 
Last edited:
Diane Tyler's Mom said:
Poor Panzer, I hope the vet will prescribe some buprenorphine for pain so you have it if needed. You can put some of the labs you have in the labs on your SS
I hope the bladder infection clears up soon :bighug::bighug::bighug::bighug:

Previous thread 2-13
https://www.felinediabetes.com/FDMB/threads/02-13-panzer-pmps-101-85-4-95-5-92-6-98-7.259323/

Christina if you can fit it in your signature you might want to note he had pancreatitis in the past
Click to expand...
Thank you Diane, I finally got it to save in my signature :bighug:
 
Suzanne & Darcy said:
Convenia is not the best antibiotic for a urinary tract infection. Are they going to culture his urine to see what grows out of it?

I hope he is already feeling better though.
Click to expand...
I doubt it, I don't think they are that smart. I called this morning to see if they might still have his blood to send off to the lab to test for pancreatitis. They didn't, I knew it was a long shot but worth a try, I'm sure they dispose of blood right after testing. They said I could bring him back in & they would draw more blood. Do you think it would be worth it to take more blood & test for pancreatitis? What is the best medicine for for a Urinary Tract infection? That I don't have to give orally unless I can mix it in his food? He doesn't do oral medicine well without a 2nd person to help & it's just me & my other 2 kitty's. He is definitely feeling better, no issues with appetite or vomiting. @Suzanne & Darcy
 
Chrispooky12 said:
I doubt it, I don't think they are that smart.
Click to expand...
You are on fire today :joyful:

I would not bother for a blood test for pancreatitis. If he's doing ok, I'd go off that, and treat whatever symptoms. But if you start to see signs of bigger issues - breathing, fever, BGs elevated, diarrhea/constipation then I'd reconsider - just to rule out things other than pancreatitis.

Last bout of stuff I thought was pancreatitis turned out to be massive fluid buildup in Mr Kittys chest so I'm always extra cautious
 
FrostD said:
You are on fire today :joyful:

I would not bother for a blood test for pancreatitis. If he's doing ok, I'd go off that, and treat whatever symptoms. But if you start to see signs of bigger issues - breathing, fever, BGs elevated, diarrhea/constipation then I'd reconsider - just to rule out things other than pancreatitis.

Last bout of stuff I thought was pancreatitis turned out to be massive fluid buildup in Kittys chest so I'm always extra cautious
Click to expand...
Ok good because he does not like to go to the vet at all! He's literally not scared of anything except the vet. My daughter's boyfriend has a pit bull & the first time he brought him over, he just walked right up to him & checked him out no fear at all! I will definitely be watching for any other signs of something being wrong. I put some of his labs in his spreadsheet because of course they have not emailed anything yet. They are very old school but kinda holistic which I like because before I took Panzer to the other vet because this one retired Panzer had never had any shots! The new vet told me they wouldn't take him as a patient unless he had a rabies shot so I was forced into that. My old vet came out of retirement so we are back with him again! When we were talking about nausea meds, he asked if he was a poker, I said no but he has scarfed & barfed. He cracked up laughing. I was using so many of our terms that I had to explain myself LOL.:p
 
Right now, I would give Panzer a break from vet visits, at least for a few days— unless things go really wrong and it’s obvious he needs immediate care.
Now, in the vet’s defense, if you told them that there’s no way you can pill him, of course they will immediately rush to a Convenia injection. I won’t let my cats have a Convenia injection for a lot of reasons, but I have allowed it in a few feral cats that I obviously couldn’t pill.
I have heard of people on this Board being able to give their cat Veraflox mixed into food. But, at this point I would like to know if they are culturing Panzer’s urine. Forgive me if you mentioned this already. It’s been a long day for me with my cat at the vet and also helping a bunch of different cats here and on a different (non-diabetic) group. Are they doing a culture or just hoping the UTI will go away? Since they at least looked at your urine sample from home - right? - I assume they saw cocci or rods (different types of bacteria) under the microscope at their office?
 
All the vet said was there's definitely bacteria in the culture that I gave him. I said something about giving him zeniquin that was mentioned from someone in my previous post & he said it was an oral medication. I told him Panzer is impossible to give oral medication & that's when he looked back through his chart & saw that he had,had convenia injection previously. I told him if I could put the oral medicine in his food & he said no no he will taste it, so he gave him the convenia injection. He's a pretty old guy & this was my first time being at the vet since joining the FDMB so I tried getting as much information as I could so I could be be more prepared. I got some info before going but not as much as I have after his appointment. I am taking notes on all of the great info I am getting now, but unfortunately it's too late to do anything now:arghh: If you could please have a look at his labs, when you get a chance.I posted as much as I could figure out on there with my paper copy. @Suzanne & Darcy
 
Chrispooky12 said:
All the vet said was there's definitely bacteria in the culture that I gave him. I said something about giving him zeniquin that was mentioned from someone in my previous post & he said it was an oral medication. I told him Panzer is impossible to give oral medication & that's when he looked back through his chart & saw that he had,had convenia injection previously. I told him if I could put the oral medicine in his food & he said no no he will taste it, so he gave him the convenia injection. He's a pretty old guy & this was my first time being at the vet since joining the FDMB so I tried getting as much information as I could so I could be be more prepared. I got some info before going but not as much as I have after his appointment. I am taking notes on all of the great info I am getting now, but unfortunately it's too late to do anything now:arghh: If you could please have a look at his labs, when you get a chance.I posted as much as I could figure out on there with my paper copy. @Suzanne & Darcy
Click to expand...
I just scrolled up this is my previous post.:smuggrin:
 
Okay. Yes. The labs on your labs tab on the spreadsheet I looked at earlier this evening. I didn’t see anything too dramatic. Just that I have a feeling that you should keep an eye on his kidney values by rechecking bloodwork in 3-6 months. I did wish that I could see urinalysis results like specific gravity and what they said about the presence of bacteria or protein. One positive step you could take right now to extend the life of his kidneys is tp try to find a moderate phosphorus food or to feed a homemade diet (either raw or cooked) with something like EZ complete in it. Now, you may be overwhelmed right now and don’t need to worry about that just yet.
 
And yes. I am sure it was me who recommended Zeniquin. I had no idea that you were unable to pill dear Panzer. Zeniquin is a once a day pill and not too large bit it’s a pill and that seems to be a non-starter. Sorry.
 
Suzanne & Darcy said:
Okay. Yes. The labs on your labs tab on the spreadsheet I looked at earlier this evening. I didn’t see anything too dramatic. Just that I have a feeling that you should keep an eye on his kidney values by rechecking bloodwork in 3-6 months. I did wish that I could see urinalysis results like specific gravity and what they said about the presence of bacteria or protein. One positive step you could take right now to extend the life of his kidneys is tp try to find a moderate phosphorus food or to feed a homemade diet (either raw or cooked) with something like EZ complete in it. Now, you may be overwhelmed right now and don’t need to worry about that just yet.
Click to expand...
Is there any other kind of phosphorus food I can feed besides homemade? I might check out homemade but raw kinda scares me. I also have 2 other kitty's that are on the same food as Panzer.
 
Chrispooky12 said:
Is there any other kind of phosphorus food I can feed besides homemade? I might check out homemade but raw kinda scares me. I also have 2 other kitty's that are on the same food as Panzer.
Click to expand...
Hey Christina, I am not saying that Panzer has kidney disease, but the read that you might want to feed wet food that is low in phosphorus
I would watch his kidney valves like Suzanne mentioned above

Here is a list of some of the food
As far as the food goes
For kitties with kidney disease and diabetes



. First number is carb percentage, second is mgs of phosphorus/100 cals, all less than 10% carb and less than 250 mg phos:

Weruva Truluxe Steak Frites can 6% 118
Weruva Cats in the Kitchen La Isla Bonita can 3% 166
Weruva Cats in the Kitchen Pates Meowiss Bueller pouch 7% 174
Weruva Truluxe Glam 'N Punk can 0.6% 180
Weruva Cats in the Kitchen Fowl Ball can 4% 180
Weruva Classic Pates Jeopurrdy Licious pouch 4% 187
Weruva Classic Pates Family Food pouch 0% 191
Weruva Cats in the Kitchen Pates Cattyshack pouch 9% 211
BFF PLAY Tuna & Salmon Shhh... pouch 3% 223
BFF PLAY Tuna & Turkey Totes! pouch 2% 226
BFF PLAY Tuna & Chicken Chill Out pouch 2% 226
Weruva Cats in the Kitchen Pates Cat to the Future pouch 8% 235
Weruva Cats in the Kitchen Pates The Breakfast Cat pouch 9.7% 235
Weruva Classic Pates Meal of Fortune pouch 8% 236
Weruva Cats in the Kitchen Lamburgini can 8% 236
Weruva Cats in the Kitchen Double Dip can 8% 248

YOU WANT CARBS UNDER 10% AND PHOSPHORUS IDEALLY LOW 200's OR LESS



Here is another list posted by one of our members
Weruva slide and serve pate foods Family Food (.97 phosphorus and 0 carb).

Jeopurrdy Chicken (0.97 P 6.1 carb)

What a Crock 0.71 phosphorus and 8 carb lots of gravy so she loved it.

Goody stew shoes 0.71 phosphorus, 8.5 carb. This one was a big hit

Weruva Steak Frites (0.57 phosphorus 5.5 carb although I take out any big pieces of potatoes to try to limit the carbs just a bit)

Weruva LA isla Bonita - phosphorus 0.77 carb 4.5 (used to like, not a favorite anymore)

Glam and punk 1% carb, 0.93 phosphorous.

Weruva paw lickin chicken 3.3 carb 0.82 p

Press your lunch 5.9 carb. 0.82 phosphorous

Bff play Laugh Out Loud chicken and lamb 7.7 carb, 0.82 phosphorous

BFF play destiny (chicken and duck) 0.87 phosphorus 7.7 carb

Bff play chicken cherish 0.71 phosphorus 7.6 carb

Bff play best buds chicken and beef 7.9 carb 0.9 phosphorus

Bff play chicken Checkmate. 7.7 carb 0.7 phos

On the Cat Wok 3.8 carb 0.74 phos

@Chrispooky12
 
Diane Tyler's Mom said:
Hey Christina, I am not saying that Panzer has kidney disease, but the read that you might want to feed wet food that is low in phosphorus
I would watch his kidney valves like Suzanne mentioned above

Here is a list of some of the food
As far as the food goes
For kitties with kidney disease and diabetes



. First number is carb percentage, second is mgs of phosphorus/100 cals, all less than 10% carb and less than 250 mg phos:

Weruva Truluxe Steak Frites can 6% 118
Weruva Cats in the Kitchen La Isla Bonita can 3% 166
Weruva Cats in the Kitchen Pates Meowiss Bueller pouch 7% 174
Weruva Truluxe Glam 'N Punk can 0.6% 180
Weruva Cats in the Kitchen Fowl Ball can 4% 180
Weruva Classic Pates Jeopurrdy Licious pouch 4% 187
Weruva Classic Pates Family Food pouch 0% 191
Weruva Cats in the Kitchen Pates Cattyshack pouch 9% 211
BFF PLAY Tuna & Salmon Shhh... pouch 3% 223
BFF PLAY Tuna & Turkey Totes! pouch 2% 226
BFF PLAY Tuna & Chicken Chill Out pouch 2% 226
Weruva Cats in the Kitchen Pates Cat to the Future pouch 8% 235
Weruva Cats in the Kitchen Pates The Breakfast Cat pouch 9.7% 235
Weruva Classic Pates Meal of Fortune pouch 8% 236
Weruva Cats in the Kitchen Lamburgini can 8% 236
Weruva Cats in the Kitchen Double Dip can 8% 248

YOU WANT CARBS UNDER 10% AND PHOSPHORUS IDEALLY LOW 200's OR LESS



Here is another list posted by one of our members
Weruva slide and serve pate foods Family Food (.97 phosphorus and 0 carb).

Jeopurrdy Chicken (0.97 P 6.1 carb)

What a Crock 0.71 phosphorus and 8 carb lots of gravy so she loved it.

Goody stew shoes 0.71 phosphorus, 8.5 carb. This one was a big hit

Weruva Steak Frites (0.57 phosphorus 5.5 carb although I take out any big pieces of potatoes to try to limit the carbs just a bit)

Weruva LA isla Bonita - phosphorus 0.77 carb 4.5 (used to like, not a favorite anymore)

Glam and punk 1% carb, 0.93 phosphorous.

Weruva paw lickin chicken 3.3 carb 0.82 p

Press your lunch 5.9 carb. 0.82 phosphorous

Bff play Laugh Out Loud chicken and lamb 7.7 carb, 0.82 phosphorous

BFF play destiny (chicken and duck) 0.87 phosphorus 7.7 carb

Bff play chicken cherish 0.71 phosphorus 7.6 carb

Bff play best buds chicken and beef 7.9 carb 0.9 phosphorus

Bff play chicken Checkmate. 7.7 carb 0.7 phos

On the Cat Wok 3.8 carb 0.74 phos

@Chrispooky12
Click to expand...
Ok I'm freaking out, I have been all day since I saw this on here! @Diane Tyler's Mom
 
Okay. Wait. Are you okay? What are you freaking out about? Is Panzer okay. I wasn’t on the Board almost at all yesterday due to sick cats with injuries not being unable to walk well at all and another one also sick. What’s going on. Let me check for a thread for today.
 
Status
Not open for further replies.
Back
Top