? Bear update- low electrolytes, labs etc

[Yogi_Bear]

Trace Ketones

We got Bear’s labs back today and it seems he has low electrolytes.. amongst his obviously unregulated bs levels

His vet gave us two options basically, to hospitalize him at a 24 hr clinic where they will give him IV and also a fast acting insulin to regulate him better. Not sure how i feel about the fast acting insulin- but if it is in his best interest, I would do it. I just know when we first started he was sensitive to insulin which is why we tried slgs.. so i do worry about him crashing.. i know they would monitor him but im still not sure if i like the idea.. but if it is what has to be done.
Option 2 is daily out patient care at their clinic with iv only..
I dont think theres a way we can perk up his electrolytes at home at this time since hes been so poorly

Attached labs if anyone sees/notices anything else or has any advice/recommendations on how to get our bear cub back feeling better

 

[Wendy&Neko]

Did the vet talk about taking home a potassium supplement to give him? That's one that definitely needs to come up. Did you decide which way to go?

 

[Yogi_Bear]

Did the vet talk about taking home a potassium supplement to give him? That's one that definitely needs to come up. Did you decide which way to go?

She didnt discuss anything else other than the hospitalization/IV. I asked if there was anything we could give him at home and she said no

Id rather do the outpatient, I really dont want to give him the fast acting insulin.. i dont know how that would affect his depot? But i also dont want to put him in harms way if thats what is needed

 

[Wendy&Neko]

I have used the fast acting insulin before. They are likely talking about Humulin or Novalin R or Regular insulin. It's a short acting insulin that doesn't impact the depot at all. Human diabetics often take R around meal time to take the edge off. Vets often use it R in cases of ketones or artificially high numbers. Here, the times when people use R are when they have higher dose cats with certain conditions (acromegaly, IAA) or with ketones. It does require extra monitoring, which is easily done in a vet clinic environment. R typically doesn't last much longer than 4 hours, in and out quickly. We suggest if someone is going to use R at home, they do so with help of an experienced person here. There are many things to learn about using R, including when not to use it.

 

[Yogi_Bear]

I have used the fast acting insulin before. They are likely talking about Humulin or Novalin R or Regular insulin. It's a short acting insulin that doesn't impact the depot at all. Human diabetics often take R around meal time to take the edge off. Vets often use it R in cases of ketones or artificially high numbers. Here, the times when people use R are when they have higher dose cats with certain conditions (acromegaly, IAA) or with ketones. It does require extra monitoring, which is easily done in a vet clinic environment. R typically doesn't last much longer than 4 hours, in and out quickly. We suggest if someone is going to use R at home, they do so with help of an experienced person here. There are many things to learn about using R, including when not to use it.

Thats good to know that it wont affect his depot!
He seems to be on the upswing atm with appetite, eating a bit more, and he was even interested in some dry kibble today so i let him have a bit. His amps was lower but still elevated but his vet is glad to see its coming down + food increasing.

She is going to consult with the vet at the animal hospital and come up with some type of plan for bear, just waiting to hear what that is