Possible emergency post on Facebook group with "HI" BG and vomiting - possible DKA?

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Tara L

Tara L

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All - can anyone assist Missy on the Facebook group? Her cat, Pepper, was at the ER vet earlier today for mouth pain, and given Buprenorphine. Since they came home, Pepper has been vomiting (five times in one hour). Pepper is on Prozinc and due for a dose, but can't keep anything down - Missy isn't sure if she should shoot. Missy tested her twice and she is coming up as "HI". She is also going to do her best to try and check her ketones - is putting her in the bathroom to try and catch her urinating. ER vet is over an hour away. I'm not as familiar with dealing with HI or possible DKA - can anyone jump on the post? Link to thread here:
https://www.facebook.com/groups/felinediabetes/permalink/10155996096085202/
 
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Dang Tara! I was out when you posted this. I'm stopping there now, though it looks like she's got some help.
 
Update! Pepper has eaten half her serving of dinner, and kept it down for over 3o min now. She's had a dose of insulin and Missy got a ketone test in and Pepper is ketone free! She's going to monitor her tonight to be sure she's safe.
 
Hey Missy! So glad to see you back here! Please do keep us updated on how Pepper is tonight. I hope she's able to get some rest (and that you are too!).

We'll be glad to help you out WHENEVER you need anything. :)
 
1.25. I was going to increase it tonight, until this happened. I'll go on my Google account and see if I can remember how to share her SS
 
Peppersmom72 said:
1.25. I was going to increase it tonight, until this happened. I'll go on my Google account and see if I can remember how to share her SS
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Click on the “share” icon on your SS and then “anyone with link can view”. I think you have to paste the SS URL in there somewhere.
 
Hello Missy, I saw the post on fb & was happy that you had a lot of people on board helping! I hope you have a good night with Pepper continueing to improve! I feel so bad when any of our kitties are sick. Big :bighug: & get some rest if you can...
 
Here we go again. She's throwing up everything (water). Won't eat and now she can't have her Cerenia because it hasn't been 24 hours. The Emergency vet is closed because it's Easter. Now what do I do? No insulin will be given at 730.
 
I would only give very small amounts of food & water periodically. I had a cat that was not diabetic but had stomach issues. Small doses help calm the tummy. I know you can’t withhold food but the least amt that goes in, it will be easier on the stomach. You could also try 1/2 tab cerenia morning & other half at night. It might relax the tummy better this way. My vet advised me to do this when Baby vomited. I hope you get some answers soon...
 
Becky & Baby Girl Kitty said:
I would only give very small amounts of food & water periodically. I had a cat that was not diabetic but had stomach issues. Small doses help calm the tummy. I know you can’t withhold food but the least amt that goes in, it will be easier on the stomach. You could also try 1/2 tab cerenia morning & other half at night. It might relax the tummy better this way. My vet advised me to do this when Baby vomited. I hope you get some answers soon...
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I haven't fed her, she won't eat. It's bile
 
Peppersmom72 said:
I haven't fed her, she won't eat. It's bile
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I apologize for the short reply earlier - just starting my morning routine with my three. Re nausea: she might need something that acts differently fornausea. One med that many use is ondansetron (human drug for nausea from chemo). Some people have used it along with Cerenia because it controls nausea by a different mechanism. There isn't much you can do today unfortunately.

Not ideal but this is what I'd do in your situation when no vet advice is available:
  • leave her alone for a few hours - no food, no water, no testing, etc. Her tummy needs to settle.
  • make up a slurry of pureed wet food and warm water to syringe into her in small amounts of a teaspoon or two every half hour to see if it will stay down
  • if it stays down, continue until evening PS time
  • get a ketone test if possible
  • do PMPS and post here for advice re dosing
  • if you aren't successful with that keep testing for ketones - this evening, tomorrow AM, etc. and call your vet first thing to discuss another nausea med or upping the dose frequency of Cerenia (they can also give her a Cerenia injection).
 
Another idea for later: give half the daily Cerenia dose in the AM and half in the PM if her vomiting calms down later.
 
@Kris & Teasel I finally was able to get ahold of another emergency clinic. I will be taking her in. Looks like the bupe dose yesterday could have caused the vomiting yesterday, but we are going to see if she has an underlying issue besides her mouth causing the issue. She could possibly be constipated. I found little piece of poop in my daughters room and another in the living room.
 
Peppersmom72 said:
@Kris & Teasel I finally was able to get ahold of another emergency clinic. I will be taking her in. Looks like the bupe dose yesterday could have caused the vomiting yesterday, but we are going to see if she has an underlying issue besides her mouth causing the issue. She could possibly be constipated. I found little piece of poop in my daughters room and another in the living room.
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Good news about a vet visit. Constipation can definitely make them feel sick and bupe is a narcotic - renowned for causing constipation (and possibly vomiting). Please keep us posted. :bighug:
 
Peppersmom72 said:
@Kris & Teasel I finally was able to get ahold of another emergency clinic. I will be taking her in. Looks like the bupe dose yesterday could have caused the vomiting yesterday, but we are going to see if she has an underlying issue besides her mouth causing the issue. She could possibly be constipated. I found little piece of poop in my daughters room and another in the living room.
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Oh yeah constipation can definitly make her not want to eat and cause tummy upset. Do keep us posted. I'm glad you found an open clinic
 
I'm praying this is the culprit. They are letting her hang out for 30 mins to see if she poops. If she doesn't, she might need sedated and manually extract the poop.
 
She still won't eat. Should I try tuna in water to get her to eat? She did not have insulin this morning and supposed to have insulin at 5.
 
She won't eat it. I feel like she's dying right in front of me. All she's doing is lying around. I understand that the last 2 days took alot out of her, but at least she was drinking earlier. Now nothing.
 

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Peppersmom72 said:
She won't eat it. I feel like she's dying right in front of me. All she's doing is lying around. I understand that the last 2 days took alot out of her, but at least she was drinking earlier. Now nothing.
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@Peppersmom72

Did you offer tuna juice?

She looks like a precious child! What was the status of the enema?

Did it all come out?

She’s not impacted right?

Do you have apple cider vinegar?

What are all her conditions? Age?
 
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I don't know if it all came out. She went alot at the vet and the vet said she had more in there, and she should pass it within 24 hrs. She's 14. She's never acted like this after an enema. She looks distended to me, but I don't know if it's the way she's laying. I called the vet back and they said if I'm concerned to bring her back. I can't afford another $450 vet bill today. They gave her an injection of Cerenia. Could that do it? Yes, I have apple cider vinegar.
 
Does she seem like she has indigestion...?


think how you feel when you have indigestion and don't want to eat or drink anything...does it seem like that?

is she running a fever?

yea enemas cost a lot but I would not recommend one for her or even glycerin as she is not on her feet...she seems very uncomfortable...just looking at the pic
 
I don't know anything about Cerenia but in a very brief read...is should stop nausea...prevent vomiting...supposedly...again I have never used it.

Did you try tuna juice ? has she had it before? Maji took a while to fall in love with it. She was hesitant about it at first.

Tuna juice would do a world of good for her but not if she is throwing up.
 
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