2/18 Gus Vet Makes Housecall/ Lantus ?

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bev5477

bev5477

Member Since 2011
Gus just vomitted again and has liqui-poo. I have Pepcid but don't what dose to use. He weighs 14 lbs. I also have Fort-Flora. Can I give this too or would that be just too much? I'm thinking that the ABs could be adding to the nausea and his watery stools. I don't suppose that there's anyone awake at this hour except me. I'll check back here often.
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Hi Bev. The kitty Pepcid dose is 2.5 mg, a quarter of a 10 mg tablet. I think it would be fine to give the Fortiflora too, you might wait 1/2 hour to see if he keeps the Pepcid down. Poor Gus, I hope he starts feeling better soon. cat_pet_icon
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Bev...what did he throw up....clear foamy liquid or food? Clear foamy is acid and Pepcid is what you need just as Melissa described. Did you get ondansetron? If it wasn't clear foamy, you might give the ondansetron. Fortiflora should help the liquipoo.

I'm so sorry...poor Gus.
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Pepcid is such a great help to kitties here--Hope that Gus is feeling better by now--The Fortiflora is fine to give, many cats like the taste & it does help liquipoo..I know how you feel when your kitty is sick like this, just had this with Moonie few weeks ago..Pepcid is 1/4 of a 10 mg tablet--
I put it into a Greenie Pill Pocket which Moonie will eat No matter What--she loves them & they are great for giving meds--
Hope He is better this morning--Healing Vines for Dear Gus!!
 
Re: 2/18 Gus Vomitting Again ??Pepcid

The antibiotics are likely to be the culprit. Try giving Pepsid at least 30 min. before a meal. You can give it twice a day. I would Google Pepsid and whatever antibiotic you're giving. You may need to separate the Pepsid from the AB by more than 30 min. Some ABs need the acid environment of the stomach to start working.

FortiFlora will not hurt anything. I'd definitely be starting it if Gus is having lower GI issues due to the AB.
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Feel better, Gus! Hang in there, Bev!

Sending vines, lots of vines--a bouquet of vines,

:YMHUG: :YMHUG: :YMHUG:

Ella & Rusty
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Pepcid will not help nausea unless its due to stomach acid - foamy or clear vomits - no food. It can't hurt. I gave it to Maverick an hour before feeding on an empty stomach. Did he vomit food? If so how long after eating?
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Remember to chase pepcid with water or even tuna juice. Pepcid that gets stuck in the throat or esophagus can cause lots of problems.
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Oh poor Gus, I hope he is doing a little better today. I turned my computer off at about 2:00AM, or else I would have been awake, sorry, so glad you found people up that late.
Sending vines and white light to Gus :YMHUG: :YMHUG:
 
Re: 2/18 Gus Vomitting Again ??Pepcid

Healing vines to Gus! We had to stop the Clavamox when Tarragon had pancreatitis because it made him throw up. Hope he feels better soon!! ((((Bev))))
 
Re: 2/18 Gus Vet Makes Housecall

So upset that I called the vet's office (knowing they were closed today) and left a message describing the sad state of affairs Gus was in. Not too long after, our vet called and told me he was on his way over to help Gus. He brought saline and gave 100 subcu, an injection of Reglan, and a shot of AB. He left syringes for me to give more fluids with and another pre loaded syringe of Reglan. Gus does not appear to be doing very well. He continues to vomit bile even with the anti-emetic on board. He is resting now, but looks awful. I gave another 100 of saline and hope that starts to help him. I made sure to ask if I could give "too much" saline. Thankfully, no. I am coming to terms with the worst case scenario, but continue to hope for the best. In my heart, I know that I am doing all that I am able.
 
Re: 2/18 Gus Vet Makes Housecall

The vet still thinks that Gus can improve with enough fluids and a bit of food. He says that the ABs were what threw him into the downward spiral. He was doing so good yesterday.
 
Re: 2/18 Gus Vet Makes Housecall

we is watching you, gus.

LastHope010410c.jpg
 
OK, my brain is mush. Gus' BG is "HI" . He isn't eating anything on his own and vomits his own spit. Do I give him any Lantus? His usual dose is 6.5U.
 
Oh ((((Bev)))), I can't answer your question, but I would think that if you can syringe feed him something (baby food?), you could at least get a token dose of Lantus into him. I hope someone with experience will be along soon.
Thinking of you and praying that Gus will begin to feel better,

Ella
 
I would try to get some insulin into him. Sorry, I haven't read the whole condo yet but will do that now... Is he keeping anything down at all? Have you tried plain baby food or plain chicken?
 
Thanks for coming online when you did. He hasn't been able to keep anything down so far today. Vomits biley green liquid. has Reglan aboard. I could give the 2nd dose of Pepcid AC and see what that does.
 
I wish I was more knowledgable about vomiting and nausea meds... When was the last dose of pepcid? Did the vet say you should keep using it? How long ago were the fluids given? In some cats, fluids can help drop BGs too. And has Gus ever had ketones, that you know of? Sorry for all the questions, I'm trying to get caught up.
 
Oh Bev, I wish I was one of the experts on here. Its breaking my heart to hear you tell about Gus. The only thing I can think of is, do you have a teaching hospital near you? I have the University of Pennsylvania Veternary Hospital and they do a great job…. I didn't read what part of country you are. I'll look now. Hang in there Bev :YMHUG: :YMHUG:
 
ok, I read the condo quickly and the advice you were given this morning. I don't think the pepcid will hurt, and it might help. I agree that it's likely that the antibiotics are upsetting his tummy. Cats are so sensitive to that stuff.
 
The Pepcid was given earlier this AM. I need to know about giving Lantus. His BG is "HI" and I am torn as to what to do. My husband and I are about to give another 100cc of saline. Gus has gotten 100cc total today. Last being given at about 3:30. I offered boiled chicken and tuna water He's not interested. He is vomitting bile, so he doesn't have any interest in food in any way, shape or form. What about the Lantus? I'm going to go and give him more fluids. I'll check back in a bit. My instincts tell me to give a token dose of 3U and watch. I could always use Karo, although I don't think he'd go low enough to need it. I just don't think he should be allowed to go so HI and HI and HI. Please advise.
 
what do you think about maybe 1/2 dose, just to get some insulin in? He should be fine if he is starting from HI. If he does drop, you would have to rub karo on his gums since you can't count on him to keep anything down. That means you'll want to test early in the cycle, so if he does start to drop you can catch it before the numbers get too low.
 
I just took a quick peek and saw what you answered. I guess I must have had some very good teachers here. Will follow thru on your advice and my "gut". Love you, Libby. Will have the Karo ready and will test early. I will update when it's a good time to.
 
(((Bev)))
I'm not sure that the Reglan is going to do the job. It's a drug that is meant to address nausea and/or vomiting due to the stomach not emptying. It's not an anti-emetic (anti-vomiting agent). Either Cerenia (maropitant) or Zofran (ondansetron) would be better for vomiting.

Is there any way to get in touch with your vet again? Vomiting bile is not a good thing and it sounds like Gus has been vomiting repeatedly. Even if he could call in a prescription for one of the above meds it might help. I really think that if the vomiting persists, it is a trip to the ER.
 
Bev: I'm so sorry that Gus is worse today. I agree with Sienne that if he is still vomiting, he needs to go to the ER.

One thing that concerns me is that your vet stated you couldn't give him too much fluids. This is simply not true. You can overhydrate a cat. Are you giving Lactated Ringers Solution or Normosol? Typically LRS is better for this. The purpose of the fluids is to keep Gus hydrated since he is vomiting and not drinking on his own. You can check for dehydration by rubbing your finger on his gums if he will allow you to do so....they should be slick and not tacky. Also, you can pick up his scruff fur gently....if he is well hydrated, it should go right smack into place. If it does not, then he is definitely dehydrated. But the fluids will also just give him support through this crisis and it's a very good thing for a pancreatitis kitty.

Colorado State University College of Veterinary Medicine states "no more than 5 to 10 ml/lb should be given at each injection site" so giving 100ml in one place should not be a problem for a 10lb cat. With extremely ill CRF cats, you might see the caregiver giving "maybe" 300 mls/day but never all at once so I'm glad you are giving him 100 mls at a time. What you also need to make sure of is that all of the fluid is absorbed before you give him more. It can take approximately 6-8 hours for a kitty to absorb 100 mls of fluid. If you the pocket of fluid or feel it somewhere (and it might be behind a front paw or even down a front paw), then don't give more fluids. You want him to absorb it all before you give more. In the past, when one of my cats felt "squishy" but I couldn't exactly find the pocket, I would weigh them but I always keep a monthly weight on them anyway so I know what they should weigh. If they weighed Gus in the vet's office the other day and if you weigh him at home and he weighs MORE, then it's fluid and I would be cautious about giving him more. Having said that, he should easily be able to handle 100 mls bid.

The advantage of taking him to the ER is they can hook him up to IV fluids which is best. They can also give him cerenia which should help the vomiting. I know it's hard to do that....you want him home with you. But I think aggressive treatment is in order. JMHO.

Hugs....sending prayers for Gus.
 
just for what it's worth - cerenia can be given in an injection and i want to say it lasts 24 hrs. you can also give pills, but of course if he's vomiting that's not helpful.
 
Bev,
I am so sorry that Gus is doing poorly today. I would tend to agree with Sienne and Marjorie. If he is still vomiting frequently, he may need to be in the hospital where they can monitor him, get him on IV fluids, and aggressively manage his pain and nausea. My kitty, Teddy, was a chronic pancreatitis kitty, and during one very bad episode he was in shock with very low body temperature by the time I got him to the ER. A sick kitty can go critical quite quickly if he is fighting pain, nausea, inflammation, and likely infection. Electrolytes can get out of balance in a vomiting kitty. I agree that Cerenia would be better in this case than Reglan. Maybe the new antibiotic the vet gave (did you get the name of it) will kick in, but Gus may need a bit of extra support to get him over the hump. You have done a fantastic job of caring for him. I know it is very stressful to be caring for a very sick kitty. My prayers are going out to you and Gus.
 
(((((Bev and Gus)))))

Reglan will do nothing for vomiting in a cat. Here is a technical article you can print for your vet - written by a vet:
http://veterinarycalendar.dvm360.com/avhc/content/printContentPopup.jsp?id=676860

Chlorpromazine, dolasetron, ondansetron, or maropitant should be used as a first or second choice to control acute frequent vomiting in cats.
Click to expand...

For acute vomiting he needs cerenia which is also an injectible. He needs to be able to keep food and fluids down. Cerenia will not do general nausea well and I really think Gus will need both cerenia for vomiting and ondansetron or dolasetron for nausea. Please call your vet up and ask him to humour you. You have nothing to lose. It is critical.

Stay strong. Don't worry about annoying the vet or being too demanding. Stay strong.
 
Thinking of you both this morning and continuing to send prayers, positive thoughts, and healing vines.
And lots of strength and courage, too.

Hugs,

Ella & Rusty
 
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