10/13 Milo turning around +5 67

Sam&Milo(GA)&Singha

Sam&Milo(GA)&Singha

Member Since 2020
https://felinediabetes.com/FDMB/threads/10-12-tricky-milo-amps-126.236755/#post-2655790

Good morning. I finally posted the labs. They were just done in-house and I'm not sure I did all of them right. I'm assuming TP is total proteins???? There were a bunch that weren't listed on the labs that I added under the urinalysis. If things should be moved around because I didn't understand what they were, just let me know. I certainly don't understand them at all. The dr says chronic pancreatitis and the July bloodwork also noted signs of it. I don't remember which one he said this time pointed to the diagnosis.

No eating last night after I went to bed. He's still acting like he's in pain so I'll ask for pain and anti-nausea meds today. Refused to eat this morning so I didn't mess around and syringe-fed him then shot. I'll have to run home on my break(s) and try to get more into him.

Have a great day, everyone.
 
I'm sorry to hear Milo isn't feeling well! I hope you can get the meds for him that will help!

Poor thing...take care. :bighug:
 
Poor Milo. I'm glad you're getting him what he needs. It's so stressful when they are unwell. Sending lots of healing vines to him. I hope he starts eating again soon. :bighug:
 
It really helps if you have the reference figures on the labs page too, so we can see what range is good. It's a bit of work the first time, but should be good for a while unless you change labs. You can "borrow" the column from some of us other Canadians. I have first reference ranges for Idexx, then True North labs. They'd need to be checked against what your lab results says as labs values can change over time.

As for the orphan values ALP = Alk Phosphatase, MPV = mean platelet volume and you can just add another row after the MCx values and put it there. You can tuck the PDW ones in there too. The remaining ones it's best to have after the blood tests, instead of after the urine tests.

Overall Milo's b/w looks like it's improving, except for that darn pancreatitis. :mad:
 
The link will tell you everything you need to have on hand for Milo, especially since it's a bit of a drive to the vet who is not there part of the week.
Anti-nausea, appetite stimulant, pain meds plus possibly fluids. A/D for syringe feeding if necessary.
Sorry both you and Sam are going through this. :bighug:
 
Soooo.....
The vet isn't quite on the same page as me. He thinks Milo should come off of insulin (because he's not eating ???) I politely declined. The labs clearly show that I've got his levels ok. He says he just need fluids and even though he acknowledges that pancreatitis is causing pain, he wasn't really going for giving me a pain med (and the cat wasn't with me). He also wasn't convinced he needs an anti-nausea because he's not throwing up. In the end, he gave me 4 Cerenia tablets and Onsior for pain (Robenacoxib). I'm nervous about this because I haven't read anyone giving this. I gave the half tab of Cerenia and 1/4 tab Mirtazapine. I requested the subQ to give at home and its a HUGE needle 50 ml. I'm not completely comfortable giving this but I'm prepared to watch videos and learn. I did watch my friend the lab tech do it the other day. Milo goes in for a check-up on Thursday (vet doesn't work Wednesday).
Advice re: pain meds and subQ please???
 
Update: he ate about 2-3T LC and MC over the course of the day.
AMPS 130
+1.25 169
+10.5 139
PMPS 144
Shot 1u @ 6:30pm. Peed at 7:15pm in litter box. Up on his counter eating a bit more LC. Ignored the raw and stopped eating LC that was close to it so I removed raw completely. He's eating a bit more. Sometimes lately he wanted the raw.... Hard to know.
 
Onsior is and NSAID (not great for cats) but some vets will give for after surgery pain. According to the manufacturers website, not be be given more than 3 days. In other words, not a long term solution. Buprenorphine is better. Maybe print off some of the papers referred to in the Primer Kel linked for you, and give those to the vet.

Can you ask the vet if they have smaller needles for the subq? It'll take longer to go in, but the Terumo thin wall are pretty good and faster. My vet had 20 gauge of those around that I got from her until I got a better supply.
 
He's going to give the subQ if he needs it again, I think. He said he didn't have any buprenorphine in tablet form but would have given the injection if the cat had been there. I couldn't get him between work ending and their closing time of 4pm. So, I'm doing it at home. I think the Onsior is just a short-term solution until he can go on Thursday.
 
I take it as a good sign that he's up and wandering around and looking for his food. I don't think the tablets could have kicked in (only 1.5 hours ago administered) nearly that fast and he did eat today during the day. Perhaps on an up-swing?? Could the visit to the vet and dental have kicked the pancreatitis into high gear due to stress? He seemed to do a nosedive afterwards, though he was showing signs of pain beforehand, now that I know what to look for. He definitely has been sitting in the hunched position and eyes semi-closed, ears have been back and spread apart. He also has had the wrinkle in the forehead.
 
Sam&Milo&Singha said:
He said he didn't have any buprenorphine in tablet form
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It comes in liquid form - you apply it to the inner cheek or under the tongue in the mouth.
Sam&Milo&Singha said:
ould the visit to the vet and dental have kicked the pancreatitis into high gear due to stress?
Click to expand...
Absolutely, I remember Amy with her Trixie, she dreaded taking her in for blood work, cause it often kicked off a p'titis flair.
 
Thanks. That helps. I just watched the video on how to give subq fluids. Even though it’s a needle and not a line, it’s pretty much what I thought but I’ll need my son to hold him. We’ll be trying shortly. There’s been more eating of the LC! He’s rejected this since last week. I hope going back to the vet on Thursday doesn’t prevent his recovery from continuing. I’m kind of dreading it. It’s a whole day affair because the have to keep him while I work for the day.
 
Ummmm... how quickly does the Cerenia and Mirtazapine work?! He’s literally trying to climb onto my plate to eat turkey AND he’s eaten a full can of FF LC! He hasn’t eaten like this in such a long time. 3 hours ago he sniffed food and walked away like he had been doing for days.
Let’s hope this continues.
 
@Wendy&Neko
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Is it normal that all the subq fluids are already gone? Does this mean he was super dehydrated? And how fast do Cerenia and Mirtazapine work? He went from refusing dinner to eating a whole can of FF to trying to climb onto my dinner plate to steal the turkey in just a matter of hours. He’s been back to his bowl all evening and eating like crazy. I’ve given the Mirtazapine before but stopped because we thought he might be suffering from nausea and it wasn’t helping him at all anyhow. The turn-around tonight started before the subq but his demeanour has also completely changed. Zero signs of pain: relaxed body and face, open eyes, no wrinkled brow. He’s been sitting on me and purring away. A totally different cat in a matter of hours. Is this typical??? I wish I knew exactly what has caused it. I almost didn’t give the pain med because he was seeming so much better. In the end I gave it just after 9pm to be on the safe side.
 
How much subq fluids did you give?

I found Cerenia worked in 30-40 minutes, never used mirtazapine so can't say on it. Sounds like a great update on Milo. :) You do want to stay ahead of pain, so good to give it.
 
1.69 fluid ounces (50ml). There was the bolus under the skin but lasted maybe less than an hour.
Would you keep giving the pain med tomorrow even if he seems ok? And the BG drop: because of a reduction in pain? Or increased fluids making him feel better??
 
Sam&Milo&Singha said:
Would you keep giving the pain med tomorrow even if he seems ok? And the BG drop: because of a reduction in pain? Or increased fluids making him feel better??
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I might do pain med again, don't want to stop too early. As for BG drop, could be either of what you said. Some people notice a BG drop because of fluids, especially if it's given near the location of the insulin shot or around the same time. I had to shoot side insulin if doing fluids in the scruff.
 
Oh shoot. Yes, it was given in the same spot as the insulin. I didn’t know. I guess the insulin be administered next shot in a different spot. The vet may want to give another round of fluids tomorrow. How long does it generally last under the skin? It was gone really fast, which surprised me.
 
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