? 3/17 Mr Kitty AMPS 347 Pancreatitis Questions

FrostD

FrostD

Very Active Member
Yesterday

Two more questions-

How do I know when a flare is "over"? Do I stop app stim first to see if he still eats? Then stop anti nausea? Or stop both at same time? Then if he won't eat, give them again? How do I know when to start/stop subQ fluids?

Is it best to hold the dose during a flare, since the eating is hit or miss? I was tempted to raise the dose again this morning since he's been eating, but was hesitant since that could change. He's still high so I have wiggle room, but at lower numbers I might not.

Thanks!
 
Hi. Good questions. The only way I know to figure out if a flare is over is to watch the symptoms. When he acts normal with whatever medications he’s getting for several days I would remove or reduce one thing at a time and see how Max did. Definitely start with the appetite stimulant. If giving once a day skip a day and see how it goes for after several days without it. If the appetite is good then start reducing but not cold turkey the nausea medication. Used ondansetron so would go from twice a day to once and see how he did. If you change more than one thing and he’s not doing well you won’t know which one you need to add back. I hope this helps.
 
FrostD said:
Is it best to hold the dose during a flare, since the eating is hit or miss? I was tempted to raise the dose again this morning since he's been eating, but was hesitant since that could change. He's still high so I have wiggle room, but at lower numbers I might not.
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Higher numbers are one thing to make him feel unwell. I always increased if something was making Neko feel off and raise her numbers. But I could always assist feed to make sure she got at least 2/3 of the calories she needed. If you don't increase, make sure you test ketones regularly. Not enough insulin, plus inappetance, plus inflammation/infection are a bad combo.

The +3 looks promising.
 
tiffmaxee said:
Hi. Good questions. The only way I know to figure out if a flare is over is to watch the symptoms. When he acts normal with whatever medications he’s getting for several days I would remove or reduce one thing at a time and see how Max did. Definitely start with the appetite stimulant. If giving once a day skip a day and see how it goes for after several days without it. If the appetite is good then start reducing but not cold turkey the nausea medication. Used ondansetron so would go from twice a day to once and see how he did. If you change more than one thing and he’s not doing well you won’t know which one you need to add back. I hope this helps.
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Perfect, thank you.

What about subQ? Just kind of "best guess" decision if he's not eating/drinking normal amount?

I did schedule a consult with regular vet to talk about all this too, but no openings til next week
 
Wendy&Neko said:
Higher numbers are one thing to make him feel unwell. I always increased if something was making Neko feel off and raise her numbers. But I could always assist feed to make sure she got at least 2/3 of the calories she needed. If you don't increase, make sure you test ketones regularly. Not enough insulin, plus inappetance, plus inflammation/infection are a bad combo.

The +3 looks promising.
Click to expand...
Who knew, potential benefit of days without eating could be breaking through to some lower numbers :confused:

I've been testing blood ketones at least daily since he started eating less, fingers crossed they stay where they're at.

I'll plan to increase tonight
 
Do you guys think it's just a fluke I'm seeing "good" numbers?

I'm getting blood more easily and it even appears much thinner/less viscous on strips. Perhaps result of fluids? So lower BG concentration?
 
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