09/05 Fistuk AMPS 347, +3 382

Fistuk & Shelly

Fistuk & Shelly

Member Since 2023
https://www.felinediabetes.com/FDMB/threads/09-04-fistuk-coming-home.281187/#post-3101033

Good morning

It's nice to have Fistuk back home!

He hasn't eaten much during the night. His BG is quite flat after the raise to 4.25 last night.

What if he doesn't eat at BF or takes in just a tsp - do I give him the insulin?

I gave him some anti nausea medication last night. Thought it might help. Didn^t seem to make a difference.

Ketones test last night (at +5) came negative. At least that.
 
Was it the same food he was eating at the hospital? If so, maybe he has developed an aversion to the food due to association with his stay at the hospital?
 
Bandit's Mom said:
Was it the same food he was eating at the hospital? If so, maybe he has developed an aversion to the food due to association with his stay at the hospital?
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It was. If he has I’m in trouble bc I don’t have the car until my husband comes back afternoon and I can’t get to the pet shop without a car. Def not in time for BF and shot time
 
shellys said:
So I’m giving him no matter if he’s eater or not ?
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Yes. If his numbers drop, you can always feed higher carb food or honey. But insulin is essential.

shellys said:
It was. If he has I’m in trouble bc I don’t have the car until my husband comes back afternoon and I can’t get to the pet shop without a car. Def not in time for BF and shot time
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Do you know what is the % of the higher carb food you have?
 
shellys said:
It says 16mg on the wrap. So I gave him 2mg which is quarter of a tablet. So I guess I can give home twice a day
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16 mg per tablet?

If you gave him 1/4 of a 16mg tablet then that's 4 mg.

From what @@Wendy&Neko is suggesting in yesterday's post (tagging her to confirm) is he should have 8mg, or 1/2 tablet (16mg tablet), I think that's in one go and I'm not sure how many times a day you can give.
@Bandit's Mom do you know about dosing with cerenia?
 
Gill & George said:
From what @@Wendy&Neko is suggesting in yesterday's post (tagging her to confirm) is he should have 8mg, or 1/2 tablet (16mg tablet), I think that's in one go and I'm not sure how many times a day you can give.
@Bandit's Mom do you know about dosing with cerenia?
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I don't have experience with Cerenia. Only Ondansetron. But like Wendy said, the dose seems to be 1-2mg per kg. From Tanya's website:
http://www.felinecrf.org/appetite_loss_nausea_vomiting.htm#maropitant_dosage
 
Bandit's Mom said:
I don't have experience with Cerenia. Only Ondansetron. But like Wendy said, the dose seems to be 1-2mg per kg. From Tanya's website:
http://www.felinecrf.org/appetite_loss_nausea_vomiting.htm#maropitant_dosage
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I have him another quarter. But I now called the vet and the assistant said not to give him more :( I hope I haven't overdosed him.
The assistant will inform the vet and she'll call me back, perhaps they'll give me some other medication. I asked for appetite stimulators as well.

It's really tough this on going stress. Not sure I've done the right thing, Done enough... o_O
 
shellys said:
@Bandit's Mom , looks like another flat cycle or do you think it's bc he's not eating?
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Yes. Looks like he might stay flat and high. So you can take a break from tests till PMPS.

shellys said:
It's really tough this on going stress. Not sure I've done the right thing, Done enough... o_O
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shellys said:
I syringe feed him otherwise he doesn't eat. I'm grateful he's eating the food from the syringe
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It is indeed stressful when they don't eat. You are doing everything you can :bighug:
It's good you are syringe feeding and he is eating when syringe fed. Just keep at it for now. And of course, keep up the SQ fluids.

When you are able to, you could try to get new LC food, in case he doesn't want to eat the same food he ate at the hospital.
 
Bandit's Mom said:
So you can take a break from tests till PMPS.
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OK!

Bandit's Mom said:
in case he doesn't want to eat the same food he ate at the hospital.
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I will. I found one chicken pate he didn't have at the hospital so I gave that. I don't think it's the association, it looks like he just doesn't have appetite. The only thing he still goes crazy about is the liver pate tube. I'm always a bit suspicious when there's food that gets them crazy... I double and tripled check to see it's LC. It^s 2%
 
Fistuk seems to be very pleased eating with a syringe, I'd say bit too pleased :woot:

Vet called and said his sleepiness could be from the stress. I can resonate with that. Earlier he seemed to revive a bit. So I'll just keep an eye on him.

She's giving him something like Marzipan for appetite stimulant (I'll pick it up later so I can write the name properly but that's how it sounded to me). It's a cream to rub inside the ear. Something like that.
 
shellys said:
She's giving him something like Marzipan for appetite stimulant
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Marzipan would get my appetite going! Especially the Swiss one. :woot: He's probably getting Mirataz, or mirtazapine. Mirataz is an appetite stimulant that is rubbed in their ear. Much better than the mirtazapine pills, if they give you an option. Mirataz is absorbed more slowly, avoids the meowzapine side effects of mirtazapine pills. It does have some mild nausea effects too.

I would push really hard for a good dose of Cerenia, or even better ondansetron. You don't want to give appetite stimulant to a cat without dealing with nausea first. Otherwise you are likely to get food aversion developing. A published source for Cerenia (maropitant) and ondansetron dosing is in this paper: (2016) ISFM Consensus Guidelines: Diagnosis & Management of Feline Chronic Kidney Disease. See the table on the top of page 232.
 
Wendy&Neko said:
mirtazapine
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that's what he got. I gave him some now before supper. I don't know how long it takes to take effect but it didn't so far make a difference.
I gave him 8mg total on Cerenia so I'll have to wait till tomorrow to give again.

I've been feeding him all day with a syringe. He really like it. In fact quite crazy about it. He wouldn't eat from the plate or from a spoon which normally he like. So it makes me think perhaps he's deterred by the smell, bc of the nausea?
I need to find a better system bc I'm using a small 3 ml syringe and it's a pain in the b*t to refill it every second.
 
shellys said:
I've been feeding him all day with a syringe. He really like it. In fact quite crazy about it. He wouldn't eat from the plate or from a spoon which normally he like. So it makes me think perhaps he's deterred by the smell, bc of the nausea?
I need to find a better system bc I'm using a small 3 ml syringe and it's a pain in the b*t to refill it every second.
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It's good he is eating when syringe-fed! Maybe he likes you fussing over him :kiss:

Here is more info on syringe-feeding from (where else but) Tanya's website:
https://www.felinecrf.org/persuading_cat_to_eat.htm#syringe_feeding

shellys said:
PMPS 369
we've had a rather flat day
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Better than reds! :-)
 
Bandit's Mom said:
Maybe he likes you fussing over him :kiss:
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That's for sure :p
But I di suspect that the smell puts him off seeing now how he ate with such appetite from the syringe. It goes directly in and he doesn't need to face the smell so much

Bandit's Mom said:
Here is more info on syringe-feeding from (where else but) Tanya's website:
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Thank you :)

Bandit's Mom said:
Better than reds! :)
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Absolutely!!
So I'll check +3 and see whether to go to sleep or not?

What about feeding during the night? If he doesn't eat by himself shall I wake up to feed him?
 
shellys said:
So I'll check +3 and see whether to go to sleep or not?
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Yes.

shellys said:
What about feeding during the night? If he doesn't eat by himself shall I wake up to feed him?
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From a BG point of view, you need to worry about feeding later in the cycle if he is having an active cycle (a +3 should tell you). If he continues to stay flat and high, you don't have to wake up to feed the curve, but you do need to get a certain amount of calories into him in a day. If you have managed to do so between the day feeds and the feeds till +3, then you're good for the night. After all, you need rest too - to be able to keep up this level of care of him. :bighug:
 
Bandit's Mom said:
you need rest too
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Yes, I really do need it. Unfortnaly I managed to give him something like 190gr today which should work out at about 150cal. I think he'll need something like 100 more at least. When I gave him supper with the syringe he ate quite a lot but he then had a hiccup. I think I should be careful not to give him too much in one go.
 
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