Mia, 23/06, Keytones question

[Billyjoe A]

Previous threads….

Long post, question about Keytones at the end…..

just checking in with a question regarding Keytones. I have read the info in the health forum that talks about their seriousness. Mia has been OTJ since the end of May, but we have been on a roller coaster since her dental surgery on June 3. She was not eating and vomiting and we first suspected a sensitivity to the pain meds. She seemed better with Cerenia, but after a few days was again not eating and vomiting. Bloodwork indicated hepatitis (elevated white blood cells and liver values). She was taking clavaseptin, gabapentin for stress at vet and is now taking ursodiol for help with bile production……
She is still lethargic and appetite is so-so (eating 1/2 what she used to?). Also refusing some foods. Tonight she will start zeniquin and we have bloodwork booked for July 8 when she finishes antibiotics?

tonight I tested her blood for Keytones using the freestyle precision nano metre and had a reading of 0.4 mmol.
I have emailed the vet to see next steps, but was hoping for feedback from the group.

 

[Bron and Sheba (GA)]

tonight I tested her blood for Keytones using the freestyle precision nano metre and had a reading of 0.4 mmol.

A reading of 0.4mmol is ok and there is no need to worry. I would continue to check daily while she is not eating well and is lethargic.
I see you are testing the BG daily. If you get a reading above 100, I would testing again 3 hours after you have fed her to see if the BG has gone back down.
Being lethargic is of concern. Have you tried ondansetron for the nausea. That may work better. It is important she eats well.
Is she dehydrated at all? You can check her gums…are they take or slippery? Does her scruff fall back slowly when picked up of snap back quickly.

 

[Billyjoe A]

A reading of 0.4mmol is ok and there is no need to worry. I would continue to check daily while she is not eating well and is lethargic.
I see you are testing the BG daily. If you get a reading above 100, I would testing again 3 hours after you have fed her to see if the BG has gone back down.
Being lethargic is of concern. Have you tried ondansetron for the nausea. That may work better. It is important she eats well.
Is she dehydrated at all? You can check her gums…are they take or slippery? Does her scruff fall back slowly when picked up of snap back quickly.

Thank you! I was testing BG daily because it was the first sign that something was really wrong And not just nausea from the meds. I was concerned about the infection. She was eating much better last night and today, And I mixed in as much water if she would tolerate and still eat. And when I tested her key tones tonight they were zero! I tested twice just to be sure. Today is definitely A better day.