? 4/11 GUS new med. administered and plan for PM

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elizabeth and gus

elizabeth and gus

Member Since 2015
Good morning

Not much improvement with meds. Here is recap:

4/10/2015 Friday

Gus is not doing well today

This morning started with poor appetite. Later he spends lot of time in his bed not moving much.

At PMPS noticed that he is not himself and not purring when I petted him. I started to observe him.

Gus was just lying in his bed refused all foods including treats that he loved and was not drinking.

@ 5:20 PM gave 4mg cerenia

@5:45 PM gave 0.3 buprenor

From about 5:00PM to 10:00 no improvement.

@ 8:30 PM syringe food 10 mL.

About 10:00PM he used LB. Checked ketones-neg. Gus started to drink a lot of water but not food.

4/11/2015 Saturday

@3:00 AM gave 0.3 buprenor

Continued to drink lot of water not eating.

@6:00 AM gave 4 mg mirtazapine

@6:30 nibbled on food

Noticed that he has difficulty walking his hind legs very week.

Any suggestions will be greatly appreciated.

Elizabeth and Gus
 
Sorry to hear that Gus isn't improving. I don't have any experience with these meds so I can't be of much help there. I just wanted to lend a bit of support. Hopefully he will be feeling better today. I do know that if he is still not eating you might need to do a bit more assist feeding 10ml of food is not a lot.
 
Agree that you probably should assist feed him, if he's not eating enough calories on his own.
I'm sending feel better vines and strength vines to Gus.
 
Are you testing for ketones?

I would encourage you to call your vet. You're not seeing much change given that he's been on medication for an adequate amount of time to expect that he'd be feeling better.
 
Sienne and Gabby said:
Are you testing for ketones?

I would encourage you to call your vet. You're not seeing much change given that he's been on medication for an adequate amount of time to expect that he'd be feeling better.
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Yes ketons were neg last night. I am waiting for him to go LB to retest. He made several attempts to walk but after taking several steps he would lay down. It looks like walking is a problem for him. I got some food with syringe at 8:00 should I feed him again??? I organized things so his water and food is close to his bed. Just recently he showed interest in food and sniffed it and walked back to his bed.
 
So sorry to hear that Gus isn't feeling well. Sending lots of vines his way. This is only my opinion, but I would take him to the vet today. It's good that you are able to syringe feed him, but the weakness/difficulty walking would worry me. I hope he's okay :bighug::bighug::bighug:
 
Just talked to the vet about Gus and his not responding to Cerenia. Got prescription for Ondansetron 4mg tablets 1/4 pill every four hours. Dose it sound right????????? vet is not using this med. in his practice. He also recommended Fenatanyl transdermal patch tomorrow if he is not improving.

Update
Gus showed interest in food and nibbled just a little while back.
 
With pancreatitis, pain meds can really help with the comfort level. They may reduce activity level and appetite, though. Did you get the link to the Pancreatitis Primer? (just checking in case you hadn't seen it)
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@tiffmaxee has a lot of experience with Ondansetron. I've tagged her and she can let you know about the dose.

Is this still the same pancreatitis episode that was diagnosed on 3/25?

I think you need to go back up in dose to 1.0u. The idea with a dose decrease is that when you decrease because of a green number, you continue to have the same good range of numbers you were getting before. He immediately lost all blue and green numbers with the dose decrease to 0.75u.

Gus' leg weakness may be related to his high numbers too. Are you giving him Zobaline? That can take a while to improve leg strength, but it does really well for many cats with neuropathy.

Take a look at the Ptitis Primer that BJM linked - subq fluids is another option that helps with pancreatitis.
 
Billie was recently diagnosed with pancreatitis and has been doing very well on ondansetron. She gets 2 mg (half a tablet) twice a day around her PS times. I don't know about the every four hours dose but @tiffmaxee helped me a lot with ondansetron and I would definitely take her advice.
 
BJM said:
With pancreatitis, pain meds can really help with the comfort level. They may reduce activity level and appetite, though. Did you get the link to the Pancreatitis Primer? (just checking in case you hadn't seen it)
.
Click to expand...

Thank you
I did use information
julie & punkin (ga) said:
@tiffmaxee has a lot of experience with Ondansetron. I've tagged her and she can let you know about the dose.

Is this still the same pancreatitis episode that was diagnosed on 3/25?

I think you need to go back up in dose to 1.0u. The idea with a dose decrease is that when you decrease because of a green number, you continue to have the same good range of numbers you were getting before. He immediately lost all blue and green numbers with the dose decrease to 0.75u.

Gus' leg weakness may be related to his high numbers too. Are you giving him Zobaline? That can take a while to improve leg strength, but it does really well for many cats with neuropathy.

Take a look at the Ptitis Primer that BJM linked - subq fluids is another option that helps with pancreatitis.
Click to expand...

Thank you all for the support

The 3/25 episode was cleared within 1 day after after just two injections and fluids at the vets office.
OK so I will increase dose do you think it will be OK with him not eating much.
I am not familiar with Zobaline but this will change very soon

Thank you
 
What you're describing sounds like pancreatitis. Might not be, but it's so common in diabetic cats and Gus' already had some issues with it, so i wouldn't be surprised.

Zobaline can be purchased online. Probably locally too, but I don't know where.

Increasing the dose when the eating is iffy isn't the best idea, but he's really pretty high and i think he might feel better if his BGs were lower. Without looking at him and knowing him, I can't say for certain. Definitely want his eating to pick up, but I think he's high enough that I would go ahead and increase. It's up to you, though. It's good you're checking for ketones. When he's off like this, it's good to check for ketones at least once a day, preferably twice a day if you can.
 
Because the glucose numbers are high, even without eating, some insulin will help - it will get the glucose into the cells where it can be used, and out of the blood, plus it may trigger some appetite by lowering the blood glucose. And it will protect against fat breakdown going to the liver and swelling it up to where it doesn't work well (hepatic lipidosis).
 
Just got new medication
BJM said:
Because the glucose numbers are high, even without eating, some insulin will help - it will get the glucose into the cells where it can be used, and out of the blood, plus it may trigger some appetite by lowering the blood glucose. And it will protect against fat breakdown going to the liver and swelling it up to where it doesn't work well (hepatic lipidosis).
Click to expand...

BJ thank you so much totally make sense
 
Gus just got 2mg of ondansetron will monitor his food intake. He is trying to eat some but not much. We still have 2.5 hours for his PM insulin dose we will increase to 1s or 1??????????
It is 12 hours since he got buprenor and I am not sure if I should continue it at the moment. He is more himself now and is purring when we handle him.

Just ordered Zobaline but I am not going to receive it until 4/16.
 
I'm glad to hear Gus is doing a bit better. I find that Ondansetron is much more effective in addressing nausea for my cats than cerenia is. However, the dosing is normally twice a day, not every four hours. Your vet should have been able to look that up in the Merck manual. You could give him up to 2mg every 12 hours. I would continue with the pain meds and cerenia. I think the fluids are a good idea if you've got them and can discuss it with your vet.

I would increase his dose to 1u if you can get him to eat or syringe feed him. He does need food on board even if he is high. If you are just syringe feeding him, you probably need to give him more like 20ml instead of 10ml at each feeding but base the overall amount you give him in a day on how many calories he normally eats. In other words, you want to be sure that through syringe feeding and what he will eat that he stays pretty close the normal amount of daily calories he eats.

Sending many healing vines for him.
 
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