Bean & Dental Questions

[ohbell]

Just wanted to get some advice on Beans dental that I have scheduled for Thursday.

We will have to pull up food no later than 1030. That is only +6 into her pm shot. Was considering 1/2 dose and of course no insulin Thursday am.

What about Friday am? Should I be concerned w/ giving her the normal amount if she eats or will the meds they use make a difference how the insulin works?

Also, what should we stay away from as far as meds for the surgery? Should I just ask for gas due to her being 12?

Just had a very bad experience with Civvie Gizzi and no reversal of the meds and come to find out, some was not that great that they used. - Ketamine

.80 Butorphanol 10mg/mL
.80 Dexmedetomidine HCl 0.5gm/mL
.64 Ketamine 100mg/10mL

The vet said she is responding to the dexmedetomidine.

Thanks!

 

[Larry and Kitties]

My one vet no longer uses ketamine. Some animals have problem like you you experienced. Many years ago my vet kept two of may cats overnight because they did not recovery from ketamine.
My one vet use Propofol now.

Regarding eating, how much wold Beans normally eat before 10:30? I would reduce the dose the amount but the amount not normally eaten.
What does you vet suggest?
Also, some vets says to give some/reduced insulin the morning of the dental. You vet has to use their experience and the BG Beans has in the morning for that determination.
For Thursday's PM feeding my vet has recommended a reduced amount and thus the insulin dose you also be reduced.
For Friday's feeding some cats can take more than a days to get back to normal eating. If not eating normally I would give a reduced dose.

 

[ohbell]

Thanks Larry!
Could she be more sensitive to insulin after the surgery too?
not just the normal eating part but was worried she could drop lower than normal due to that as well.
I will politely ask what they use first then post and then they can politely be ask to change if I feel we need to!!!

 

[Larry and Kitties]

Some cats are lethargic after anesthesia as you are aware. That can cause a higher BG since the inactivity does not "burn" glucose.
I would alsoway error and the safe side and give a reduced dose if BG is lower than expected or not eating as much as before.