9/14 Lando AM NS ; +2 275; PM NS

tiffmaxee said:
Just leave him alone until the morning. But a token if he was really high was what I was thinking.
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Thats smart and i agree with you. He just seems so traumatized that waiting til tomorrow is where im at. Also taking your advice on talking to the vet for the other meds
 
Wendy&Neko said:
Are you testing him for ketones? From Ketones, Diabetic Ketoacidosis (DKA), and Blood Ketone Meters

The basic recipe for developing DKA = an insufficient supply of insulin + inappetance + infection OR other systemic stresses.

You are skipping insulin, he's not eating, and if it's pancreatitis you have inflammation going on. Even cats who cannot eat because they are going to get anaesthesia get a half dose.
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Hi wendy!
i have been regularly testing with urine strips. All negative.
I dont know what to do. The vet said they tested for keytones ( negative) but on the invoice it says strip :( . Its nearly impossible to get vet attention in los angeles right now, so i cant get a second opinion ( tried all emergency vets within an hours drive)
Should i beg for the vet to retest with blood meter?
Do a .5u dose this am even tho he still refuses to eat?
He is hiding still and wont eat and drinks very little.

i have to say that even tho i like my vet, i am feeling like they are doing the bare minimum. I am scared, feel bad for lando and frustrated that my 2k spent iver the last two months are showing for nothing
 
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ugh and i noticed there was only 1 injection! So im not sure if it was the bup or cerenia given :(
 

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They should have given a cerenia shot as it works faster. You can give them at home as it’s sub-q but it stings so I couldn’t bring myself to give it when I saw that. Who wrote buprinex on there? If you didn’t that’s how that was given I would think.

With repeated tests for ketones I suspect that’s fine but it’s sure frustrating.

I would give at least a token dose. Were you able to test the bg this morning? :bighug:
 
tiffmaxee said:
They should have given a cerenia shot as it works faster. You can give them at home as it’s sub-q but it stings so I couldn’t bring myself to give it when I saw that. Who wrote buprinex on there? If you didn’t that’s how that was given I would think.

With repeated tests for ketones I suspect that’s fine but it’s sure frustrating.

I would give at least a token dose. Were you able to test the bg this morning? :bighug:
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Good morning Elise ( well not an amazing one over here but good morning to you ;) :bighug: )
I wrote in buprinex on there since the vet told me on the phone that bup was administered.

this am lando at least purred when i massaged him, but is still hiding and so far has only licked a dime sized portion of churu ( which is the first attempt at eating)

yes i HOPE its not DKA i tested him monday ( neg) and hopefully the vets test strips are a good indicator.

i will give a token dose today since lando now only goes to the litterbox maybe 4xs a day with normal golf ball- baseball size clumps.

thank you for talking this through with me. I am pretty stretched and contemplating taking a leave of absence from work since i am so distracted
 
The bupe is not long lasting so I don’t understand why you weren’t sent home with some as well. It’s so frustrating not being able to be in the room. My vet’s office has started letting one person in the room per pet and everyone waits outside or in the car until called. Makes so much more sense. I haven’t been but my neighbor has.

I’m so sorry he’s not doing well. At the very least ask for the RX for ondansetron and more bupe for home. He needs to eat and clearly doesn’t feel well. Quick weight loss is the very last thing you need.

Are you working from home? It’s so hard not to be distracted with so much going on. I hope the meds kick in soon.
 
tiffmaxee said:
The bupe is not long lasting so I don’t understand why you weren’t sent home with some as well. It’s so frustrating not being able to be in the room. My vet’s office has started letting one person in the room per pet and everyone waits outside or in the car until called. Makes so much more sense. I haven’t been but my neighbor has.

I’m so sorry he’s not doing well. At the very least ask for the RX for ondansetron and more bupe for home. He needs to eat and clearly doesn’t feel well. Quick weight loss is the very last thing you need.

Are you working from home? It’s so hard not to be distracted with so much going on. I hope the meds kick in soon.
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Yes and i actually asked for some and the vet said he did not think it was necessary. I have to call today so i will ask again ( more forcefully this time)
About to give .5 u dose

oh and yes working from home THANKFULLY. But having the LOA talk today, i feel guilty being so un effective at work
 
tiffmaxee said:
The bupe is not long lasting so I don’t understand why you weren’t sent home with some as well. It’s so frustrating not being able to be in the room. My vet’s office has started letting one person in the room per pet and everyone waits outside or in the car until called. Makes so much more sense. I haven’t been but my neighbor has.

I’m so sorry he’s not doing well. At the very least ask for the RX for ondansetron and more bupe for home. He needs to eat and clearly doesn’t feel well. Quick weight loss is the very last thing you need.

Are you working from home? It’s so hard not to be distracted with so much going on. I hope the meds kick in soon.
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Wow hes still at 247
 
tiffmaxee said:
How. I hope does he weigh? I don’t think that’s enough to do anything.
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Hmmm! Well that would explain a lot. 1/3 of the 16 mg pill was what vet suggested. Lando weighs 19 lbs.
I put a portion of the pill in an empty gel cap

and yes i looked it up 1 mg per body weight ugh. I guess i have to double check everything
 
I use gel caps too. When Max got pancreatitis I was giving ondansetron but it was too small a dose and I was giving cyproheptadine every day. Once I figured out the dosing was wrong I didn’t need an appetite stimulant.
 
tiffmaxee said:
I use gel caps too. When Max got pancreatitis I was giving ondansetron but it was too small a dose and I was giving cyproheptadine every day. Once I figured out the dosing was wrong I didn’t need an appetite stimulant.
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I really hope lando benefits from all of this good advice soon! I fed him via child syringe. If he keeps it down i will do a bit more.
Do cats ever develop a lasting fear of their caretakers over this!?!
 
Lando demando said:
Do cats ever develop a lasting fear of their caretakers over this!?!
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No, but they can develop an aversion to the food they are being assist fed with. Make sure it's not one of his regular foods. I got Royal Canin Recovery, which is LC, though A/D isn't bad though MC in carbs. Both are easy to assist feed. Neko would actually eat the Recovery on her own after I gave her a little via syringe. But I fostered a shelter kitty with hepatic lipidosis (fatty liver), who would eat nothing with chicken in it after being assist fed Recovery for 2-3 weeks.

I'm glad you are getting some food in, try for at least 1/2 to 2/3 of the calories he needs. You don't want to add hepatic lipidosis to the picture. Ditto what Elise said about getting bupe and ondansetron. If doing Cerenia, he should be getting about 1mg per lb of weight. Many vets underdose it.
 
Wendy&Neko said:
No, but they can develop an aversion to the food they are being assist fed with. Make sure it's not one of his regular foods. I got Royal Canin Recovery, which is LC, though A/D isn't bad though MC in carbs. Both are easy to assist feed. Neko would actually eat the Recovery on her own after I gave her a little via syringe. But I fostered a shelter kitty with hepatic lipidosis (fatty liver), who would eat nothing with chicken in it after being assist fed Recovery for 2-3 weeks.

I'm glad you are getting some food in, try for at least 1/2 to 2/3 of the calories he needs. You don't want to add hepatic lipidosis to the picture. Ditto what Elise said about getting bupe and ondansetron. If doing Cerenia, he should be getting about 1mg per lb of weight. Many vets underdose it.
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Thank you Wendy! Good to know that sometimes its an aversion to ANYTHING with that ingredient! I was doing chicken 1 tbsp every hour. I will switch it up to salmon ( his least favorite).
I will calculate the calories so that i can stay on target until he eats on his own.
The good news is no vomiting / he doesnt hate syringe feeding / i can squeeze in his hiding place to do it.

i talk with the vet in 2 hrs about the rx wish me luck!

thanks again for the info and caring
 
@tiffmaxee i got the bup! But it is in ( needless) syringes to the gums. Have you ever applied that way? Is it a foam inducer with the taste?
Im thinking of doing tonight even tho it may not last til tomorrow am
 
You can apply to the gum or upper cheek, or under the tongue. I always did the upper cheek. I found a video here, skip the first couple minutes cause you probably have preloaded syringes. Shouldn't be a foam inducer. Neko got her bupe every day for arthritis, so I ended up getting compounded chicken flavour.
 
Wendy&Neko said:
You can apply to the gum or upper cheek, or under the tongue. I always did the upper cheek. I found a video here, skip the first couple minutes cause you probably have preloaded syringes. Shouldn't be a foam inducer. Neko got her bupe every day for arthritis, so I ended up getting compounded chicken flavour.
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Thank you wendy! I really appreciate this. Yes i feel pretty confident in shooting the cheek. Im not sure if lando would like chicken flavor or not haha! Will administer at 745. Boy is he gonna hate me tonight! But hope tomorrow am sees a pepped up guy!
 
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