10/18 Basic skipped pm dose BG only 100, not eating again

[Basic's Mom]

https://felinediabetes.com/FDMB/threads/10-17-basic-amps-298-2-25-392.282630/#post-3115001

His BG was extremely high this morning. He is not eating again. Hasn't eaten all day except for treats that i guce when checking his BG. Was able to pill him. He has had his anti-nausea for a couple hours now. Appetite stimulant applied an hour ago. I asked the question how long does it take for the anti-nausea to go away. I didn't get an answer. Is this just his new life? His BG is the lowest it had been in 13 days, but I can't celebrate. It is that low because he hasnt eaten all day.

 

[Basic's Mom]

https://felinediabetes.com/FDMB/threads/10-17-basic-amps-298-2-25-392.282630/#post-3115001

His BG was extremely high this morning. He is not eating again. Hasn't eaten all day except for treats that i guce when checking his BG. Was able to pill him. He has had his anti-nausea for a couple hours now. Appetite stimulant applied an hour ago. I asked the question how long does it take for the anti-nausea to go away. I didn't get an answer. Is this just his new life? His BG is the lowest it had been in 13 days, but I can't celebrate. It is that low because he hasnt eaten all day.

Basic has only eaten maybe 3 oz of wet and a little less than a 1/4 a cup of high carb kibble today. His BG is 100 and it is time for PM shot. I read of it is below 150 to skip, but when I did that before I was told I shouldnt have because he had ketones present at diagnosis.

Is this correct or do I give him his PM shot. I have already offered more food. He isn't eating it. His next anti nausea will be given at 8pm.

 

[Basic's Mom]

Basic has only eaten maybe 3 oz of wet and a little less than a 1/4 a cup of high carb kibble today. His BG is 100 and it is time for PM shot. I read of it is below 150 to skip, but when I did that before I was told I shouldnt have because he had ketones present at diagnosis.

Is this correct or do I give him his PM shot. I have already offered more food. He isn't eating it. His next anti nausea will be given at 8pm.

Skipped. SS reflects this

 

[Hendrick Cuddleclaw]

Basic has only eaten maybe 3 oz of wet and a little less than a 1/4 a cup of high carb kibble today. His BG is 100 and it is time for PM shot. I read of it is below 150 to skip, but when I did that before I was told I shouldnt have because he had ketones present at diagnosis.

Is this correct or do I give him his PM shot. I have already offered more food. He isn't eating it. His next anti nausea will be given at 8pm.

I'm sorry nobody has responded. I hope Basic feels better soon! He is a sweet looking kitty and I know you love him tons.

I do believe the experts say to give at least some insulin, not skip entirely, if ketones or DKA is in the picture. In the future, to have a better chance of someone seeing your post and helping you, try putting a ? in the title and also tagging some of the guru senior members like @tiffmaxee @Suzanne & Darcy @Wendy&Neko or @Bandit's Mom

 

[tiffmaxee]

Sorry nobody was around. He’s high enough that you could shoot if you can be off schedule. It’s suggested you stall and rest again in 30 minutes but looks like you didn’t do that. With ketone history even a token dose is better than skipping.

What are you giving for nausea? Some cats need support with ondansetron or cerenia indefinitely. Every cat is different. If he will eat at least half his normal amount that would be good.

 

[Basic's Mom]

Sorry nobody was around. He’s high enough that you could shoot if you can be off schedule. It’s suggested you stall and rest again in 30 minutes but looks like you didn’t do that. With ketone history even a token dose is better than skipping.

What are you giving for nausea? Some cats need support with ondansetron or cerenia indefinitely. Every cat is different. If he will eat at least half his normal amount that would be good.

I definitely stalled 30 mins. No one responded. I changed my post and removed the question mark. I don't know how much "some" is. I couldn't find that searching info either.

I'm giving him ondansetron. Cerenia did nothing for him. I have also searched for information about how long recovery takes from hepatic lipidosis and haven't found that answer. No one has told me he could be nausea indefinitely. Thanks for the heads up.

He hasn't eaten half of his daily meals today either. He has had 2 doses of ondansetron and I applied mirataz a couple hours after his first dose of ondansetron.

I'm searching for answers before asking questions on the forum.

His dose is at 7 am/pm typically. It is 3.25 hours late and I have to be out of town tomorrow. I can't switch his dose to 10 because I'm leaving at 7:30am.

 

[Basic's Mom]

I'm sorry nobody has responded. I hope Basic feels better soon! He is a sweet looking kitty and I know you love him tons.

I do believe the experts say to give at least some insulin, not skip entirely, if ketones or DKA is in the picture. In the future, to have a better chance of someone seeing your post and helping you, try putting a ? in the title and also tagging some of the guru senior members like @tiffmaxee @Suzanne & Darcy @Wendy&Neko or @Bandit's Mom

I definitely included the question mark and my question in the subject line. I removed when no one respond.

Thanks

 

[tiffmaxee]

Ondansetron can be given every 8 hours and even every 6 hours. One of my cats was nauseous recently and we are trying to figure out a diagnosis. She needed it 3 times a day before she would eat even with an appetite stimulant.

Can you syringe feed Basic? I tried with Chai but she hated it and everything she ate came out the other end. Have you tried all protein, no garlic or onion baby food? Chai ate that when she turned down everything else. It’s so hard when they are nit well since they can’t talk.

 

[Basic's Mom]

Ondansetron can be given every 8 hours and even every 6 hours. One of my cats was nauseous recently and we are trying to figure out a diagnosis. She needed it 3 times a day before she would eat even with an appetite stimulant.

Can you syringe feed Basic? I tried with Chai but she hated it and everything she ate came out the other end. Have you tried all protein, no garlic or onion baby food? Chai ate that when she turned down everything else. It’s so hard when they are nit well since they can’t talk.

I will give him another at 2 am and before I leave in the morning. I will have to apply the Mirataz at the same time instead of a couple hours later. I'm sure the appt stim helps him, but nothing has helped him like the odan. I will just continue to give it to him with no breaks. I stopped it because he was eating all of his meals and looking for more. Assumed he was no longer nauseated.

No, I wouldn't even attempt it. He isn't a cat that likes to be bothered like that. He reacts terribly and I'm afraid he would aspirate. I'm just now able to pill him without a horrible react.

No, he wouldn't touch the baby food. Had 5 jars of it.

I keep asking him what is wrong, what I can do for him, if he still wants to be here. So far, I don't have any answers from him. This is the absolute worst.

Thanks

 

[Basic's Mom]

Ondansetron can be given every 8 hours and even every 6 hours. One of my cats was nauseous recently and we are trying to figure out a diagnosis. She needed it 3 times a day before she would eat even with an appetite stimulant.

Can you syringe feed Basic? I tried with Chai but she hated it and everything she ate came out the other end. Have you tried all protein, no garlic or onion baby food? Chai ate that when she turned down everything else. It’s so hard when they are nit well since they can’t talk.

I saw him in his room. I checked his bowl and his food was gone. If he eats what I just put in his bowl, he will have consumed half of his calories today.

He ate a tiny piece of tuna and he also is still eating his Temptations that I give for checking his BG. I'm still trying to find a treat that isn't horrible for him. When he stopped eating before, he wouldn't even eat his Temptations. I'm hopeful he continues to improve with each odan I give him every 8 hours (6 if needed) and his app stim. (I obviously didn't try to include these calories. I have no clue what their nutritional value is).

I wouldn't have ever stopped this medication had I known he would still be nausea. I probably also would've left the e tube in also, but it was bothering him and he seemed all better.

I think it was you that sent me links for that vcheck fpl test. If not, disregard. I was thinking about it today. If that test didn't pick up the info needed, and he did have pancreatitis, do he receive enough antibiotics to heal that? I can't find this answer either and it has been on my mind. Unless what is happening with him is just common or has been seen in other cats that went through what he did. I just don't have enough knowledge to know any answers to my questions.

Thanks for helping out. I appreciate you.

 

[Wendy&Neko]

I'm glad he ate tonight.

The oral version of ondansetron can be given up to 4 times per day. I would very slowly remove the antinausea meds, maybe reduce the frequency or size of dose instead of a complete stop.

Antibiotics are not used to heal pancreatitis. You give supportive care. More info here: A Primer On Pancreatitis. The spreadsheet said you are giving an antibiotic. Which one? Some of them really do a number on the good flora in the tummy, meaning a probiotic should be given to help. Give the probiotic a couple hours apart from the antibiotic.

don't know how much "some" is. I couldn't find that searching info either.

Typically you can give at least 1/4 to 1/2 dose. Even cats who cannot have food because they are getting anaesthesia are typically prescribed a half dose by the vet.

 

[Basic's Mom]

The oral version of ondansetron can be given up to 4 times per day. I would very slowly remove the antinausea meds, maybe reduce the frequency or size of dose instead of a complete stop.

I didn't know any of this nor have I read this anywhere. Thank you. I won't be attempting to remove them anytime soon again. When I do so, I will did it gradually.

Antibiotics are not used to heal pancreatitis. You give supportive care. More info here: A Primer On Pancreatitis. The spreadsheet said you are giving an antibiotic. Which one? Some of them really do a number on the good flora in the tummy, meaning a probiotic should be given to help. Give the probiotic a couple hours apart from the antibiotic.

He had a quantitative test done, but it isn't one that most are familiar with. His levels were in normal range. I was forwarded articles saying that test may miss some things. Everything I've read talks about antibiotics, pain meds, anti nausea, and subq fluids for that. He received all of those because of his other issues. I was asking if that test had missed something and he actually had pancreatitis, could he need more of these meds.

He was on 2. All his meds were listed in his signature, but I moved them to my profile, once he finished them. I keep a log almost daily there. Clavamox was one. Metro was the other. Yes, clavamox destroyed his belly. I've never had to bath my cat until now. I gave him tons of kpec in his tube and some probiotics (until the tube was removed). He would never eat his food with probiotics sprinkled on it. I was very thankful for the tube, not just for nourishment, but i was able to give him meds without having to fight him. He is finally having more solid poops.

Typically you can give at least 1/4 to 1/2 dose. Even cats who cannot have food because they are getting anaesthesia are typically prescribed a half dose by the vet.

Thank you for specific amounts. I really don't want to try and guess with things like this. If I'm in doubt, I will probably do a ¼. I'm sure as time goes on this will all be very natural for me and won't feel so helpless. I try to be proactive, but I feel I'm simply reactive right now with all of this.

Thanks for your time. It is appreciated.

 

[Basic's Mom]

Antibiotics are not used to heal pancreatitis. You give supportive care. More info here: A Primer On Pancreatitis.

I was reading this again. I hadn't read this since his initial diagnosis and I could've sworn this is what was going on with him. I also see where it says antibiotics aren't really given for this. I thought for sure I read that were given with all the other things. Now, I'm wondering if he should still be on pain meds. And if so, I need to try to get oral because the liquid is $80 for only a couple days worth.

I'm not really sure what to do regarding this though. His vet seemed offended that I was suggesting that the test may have some issues. I don't want to have to take him to another vet. Maybe I'll ask for those 2 levels to be checked (can't remember their names) and go from there. I really don't know what to do.