Natasha & Seamus
Member
An author friend of mine has been going through a huge ordeal with her 6.5 year old female kitty Anya. Her vet is at a hospital and from what I gather have a lot of patients and aren't one on one, so they haven't been much help. She forwarded me the info and I figured who better to ask for advice the the FDMB! She really is at her wits end, she has no idea what to do next.
Appetite and activity began to deteriorate the week after Thanksgiving (around Nov 27th or so). Previously, she had been treated at an emergency clinic for a skin infection related to a flea allergy, as noted in the history below. She is 6.5 years old. Her weight on Nov. 23 was 12 pounds, 3 ounces. She is spayed.
I've copied the reports from the animal hospital that recommended and inserted her PEG tube, from three of the times she's been seen (the first visit did not have a report sent).
Most recently (January 14), I took her to my local clinic for a urinalysis, which came back negative for infection. It showed a +1 Protein, and her weight is now 9 pounds, 9 ounces. She has vomited roughly every 24-30 hours for the last ten days or so. Her interest in eating on her own is minimal. She has bowel movements (very small, hard, dark) every 4-5 days. She has stopped using the litter box at all. Her urine output is still fairly normal, but she squats anywhere—the bed, a chair, the floor. Almost all of her nutrition and liquids come via the PEG tube.
The latest report she has is from the 29th of December, as they haven't called back from Jan 14th:
12/29/09
Diagnostic findings and information:
Anya presented as an outpatient to have her PEG tube evaluated, since
the owner has been getting resistance when trying to administer the
blenderized gruel or water. The PEG tube was evaluated and the stoma
site was cleaned. The PEG tube flushed easily with water and some of
the blenderized diet (20cc) was administered with no resistance. When
demonstrating to the owner that the tube was flushing okay, the
technician noted resistance, but once Anya was repositioned the tube
flushed with easily. The plan is to continue the feedings with the
owner monitoring for any kinks in the tube and/or repositioning the
patient if she is encountering resistance. The owner will continue the
current feedings and medications.
Assessment:
1) Lymphoplasmacytic inflammatory bowel disease
2) Anorexia
3) Leukocytosis, neutrophilia
4) Upper GI endoscopy and PEG tube placement 12/21/09
-------------------------------------------------------------
Plans and/or communications:
1) PEG Tube Feedings and care:
Feeding Schedule:
Mix 1 can of Iams Max Cal diet with 50mls of water and blenderize.
Then feed the following via the PEG tube:
Administer 35mls of the blenderized diet every 6 hours. The total
daily requirement of the blenderized diet is 140mls. This can be given
in three feedings of 45mls if Anya tolerates an increased quantity for
the feedings.
2) Medications:
-MIRTAZAPINE 15MG: Give 1/4 tablet orally every three days
-Baytril 20mg/ml suspension: Give 1ml via the PEG tube every 24 hours
until the medication is completed
-Pepcid a/c 10mg (over the counter): give 1/2 tablet dissolved in
5-10mls of water via the PEG tube every 24 hours
-Prednisolone 15mg/5mls: 50mls: give 1.6mls via the tube every 24
hours
Refills 2
I have the rest of the reports, but it's 6 pages in length. Any ideas whatelse she can be tested for? I'm at a loss.
Appetite and activity began to deteriorate the week after Thanksgiving (around Nov 27th or so). Previously, she had been treated at an emergency clinic for a skin infection related to a flea allergy, as noted in the history below. She is 6.5 years old. Her weight on Nov. 23 was 12 pounds, 3 ounces. She is spayed.
I've copied the reports from the animal hospital that recommended and inserted her PEG tube, from three of the times she's been seen (the first visit did not have a report sent).
Most recently (January 14), I took her to my local clinic for a urinalysis, which came back negative for infection. It showed a +1 Protein, and her weight is now 9 pounds, 9 ounces. She has vomited roughly every 24-30 hours for the last ten days or so. Her interest in eating on her own is minimal. She has bowel movements (very small, hard, dark) every 4-5 days. She has stopped using the litter box at all. Her urine output is still fairly normal, but she squats anywhere—the bed, a chair, the floor. Almost all of her nutrition and liquids come via the PEG tube.
The latest report she has is from the 29th of December, as they haven't called back from Jan 14th:
12/29/09
Diagnostic findings and information:
Anya presented as an outpatient to have her PEG tube evaluated, since
the owner has been getting resistance when trying to administer the
blenderized gruel or water. The PEG tube was evaluated and the stoma
site was cleaned. The PEG tube flushed easily with water and some of
the blenderized diet (20cc) was administered with no resistance. When
demonstrating to the owner that the tube was flushing okay, the
technician noted resistance, but once Anya was repositioned the tube
flushed with easily. The plan is to continue the feedings with the
owner monitoring for any kinks in the tube and/or repositioning the
patient if she is encountering resistance. The owner will continue the
current feedings and medications.
Assessment:
1) Lymphoplasmacytic inflammatory bowel disease
2) Anorexia
3) Leukocytosis, neutrophilia
4) Upper GI endoscopy and PEG tube placement 12/21/09
-------------------------------------------------------------
Plans and/or communications:
1) PEG Tube Feedings and care:
Feeding Schedule:
Mix 1 can of Iams Max Cal diet with 50mls of water and blenderize.
Then feed the following via the PEG tube:
Administer 35mls of the blenderized diet every 6 hours. The total
daily requirement of the blenderized diet is 140mls. This can be given
in three feedings of 45mls if Anya tolerates an increased quantity for
the feedings.
2) Medications:
-MIRTAZAPINE 15MG: Give 1/4 tablet orally every three days
-Baytril 20mg/ml suspension: Give 1ml via the PEG tube every 24 hours
until the medication is completed
-Pepcid a/c 10mg (over the counter): give 1/2 tablet dissolved in
5-10mls of water via the PEG tube every 24 hours
-Prednisolone 15mg/5mls: 50mls: give 1.6mls via the tube every 24
hours
Refills 2
I have the rest of the reports, but it's 6 pages in length. Any ideas whatelse she can be tested for? I'm at a loss.
