Carolynn FletcherGA & RobbieGA
Active Member
Robbie's home and I'm at work. He didn't get any insulin even though he was at 315 because Meg may not be home and I want spotchecks when we restart things over again. He was much more normal this morning and knew who I was. Once his bg's finally started to rise and stay up (2 am) he amused himself by watching the Yorkie next to him who had vestibular disease and kept falling over :roll:
A synopses of yesterday:
AM PS was 346 and he ate breakfast like normal and I gave him his insulin (7u) at 7am.
Meg was upstairs in her room and heard thumping sounds at about 3pm (+8). She went downstairs and found Robbie stuck on the rungs of the kitchen chair. He was at the end of a seizure and started to circle, couldn't eat, and did the "perimeter sniff" along the walls, then got stuck in a corner.
After calling me she tested his bg and it was 44. Since he's already seized I had her start rubbing honey on his gums and offer food mixed with honey. 15 minutes later he was 37. He was circling, weaving his head, completely disoriented. I was able to leave work and as I rushed home, Karen talked Meg through the hypo until I got there.
At 4 pm, after an hour of honey, his bgs weren't going up and when I got home and saw him, I called my vet to let them know he was coming in. On the way there, Robbie kept licking the corner of his carrier, his pupils were fixed and unresponsive, and he vomitted every bit of food he had in him.
Upon arrival at the vet's his bg was 36 and he was still in active hypo. They inserted an IV and gave him 1cc of 50% dextrose. This brought his bg to 66, but within another half an hour he dropped to 22. Another 3cc's of dextrose only brought his bg up to 45. He was then given 6cc's of dextrose. In half an hour he was at 223. I came to get him at this point and he got another cc of dextrose. They released him with the IV catheter in and gave me 2 ccs of dextrose to take with me (my vet hospital is not 24 hrs and they released him to me only because of my experience; he needed constant monitoring). I was to monitor his bg and if it started to crash again, give him the 2ccs of dextrose I had and get him to the ER.
We got home 30 minutes after the 223 reading. Robbie was still "perimeter sniffing," head weaving, and fixed pupils. He had no idea where he was, how to eat, or who we were. I tested his bg and he'd already dropped to 67-- this was after a whopping 7 ccs of dextrose. I injected the final syringes of dextrose into his IV catheter and we jumped in the car and headed to the ER.
An hour later, upon admission to the ER (so an hour after the final 2 ccs of dextrose-- 14 ccs total), Robbie's bg was at 37. He still had active hypo symptoms--- and this was 13 hours after his shot. He was admitted to the hospital and put on a continuous infusion of 25% dextrose (a lower concentration since it was a continuous drip and they didn't want to damage his veins). They pulled blood for a CBC/chem/electrolyte panel, sent some out for an fPLI, and did a cystostenesis for a urinalysis with c & s. Regular labs looked ok and we'll get the fPLI and c & s results in a couple days. His regular vet heard a murmur and galloping rhythm, but no one could hear it again because he kept purring-- we'll have that rechecked soon. His bg's finally started to rise and stay up at 2 am-- 19 hours after his last shot of insulin.
Needless to say, I am exhausted-- and so is Robbie. His vet took out the catheter and allowed me to take him home instead of the "norm" of him staying there for the day. My girls will make sure he's all loved up and know to call me if anything seems off....
Thank you all for your prayers... I know they helped to save Robbie. As his vet said to me, "He shouldn't have been alive when he was first brought to me just over a year ago... He shouldn't have recovered this quickly from such a severe hypo. He definitely has angels watching over him."
I agree... he has my beloved Fletcher, Gabi and Honey at the Rainbow Bridge... he has my stepdaddy in Heaven (whom Robbie was named after since he came to me as my stepdaddy left)... and he has all of you here....
A synopses of yesterday:
AM PS was 346 and he ate breakfast like normal and I gave him his insulin (7u) at 7am.
Meg was upstairs in her room and heard thumping sounds at about 3pm (+8). She went downstairs and found Robbie stuck on the rungs of the kitchen chair. He was at the end of a seizure and started to circle, couldn't eat, and did the "perimeter sniff" along the walls, then got stuck in a corner.
After calling me she tested his bg and it was 44. Since he's already seized I had her start rubbing honey on his gums and offer food mixed with honey. 15 minutes later he was 37. He was circling, weaving his head, completely disoriented. I was able to leave work and as I rushed home, Karen talked Meg through the hypo until I got there.
At 4 pm, after an hour of honey, his bgs weren't going up and when I got home and saw him, I called my vet to let them know he was coming in. On the way there, Robbie kept licking the corner of his carrier, his pupils were fixed and unresponsive, and he vomitted every bit of food he had in him.
Upon arrival at the vet's his bg was 36 and he was still in active hypo. They inserted an IV and gave him 1cc of 50% dextrose. This brought his bg to 66, but within another half an hour he dropped to 22. Another 3cc's of dextrose only brought his bg up to 45. He was then given 6cc's of dextrose. In half an hour he was at 223. I came to get him at this point and he got another cc of dextrose. They released him with the IV catheter in and gave me 2 ccs of dextrose to take with me (my vet hospital is not 24 hrs and they released him to me only because of my experience; he needed constant monitoring). I was to monitor his bg and if it started to crash again, give him the 2ccs of dextrose I had and get him to the ER.
We got home 30 minutes after the 223 reading. Robbie was still "perimeter sniffing," head weaving, and fixed pupils. He had no idea where he was, how to eat, or who we were. I tested his bg and he'd already dropped to 67-- this was after a whopping 7 ccs of dextrose. I injected the final syringes of dextrose into his IV catheter and we jumped in the car and headed to the ER.
An hour later, upon admission to the ER (so an hour after the final 2 ccs of dextrose-- 14 ccs total), Robbie's bg was at 37. He still had active hypo symptoms--- and this was 13 hours after his shot. He was admitted to the hospital and put on a continuous infusion of 25% dextrose (a lower concentration since it was a continuous drip and they didn't want to damage his veins). They pulled blood for a CBC/chem/electrolyte panel, sent some out for an fPLI, and did a cystostenesis for a urinalysis with c & s. Regular labs looked ok and we'll get the fPLI and c & s results in a couple days. His regular vet heard a murmur and galloping rhythm, but no one could hear it again because he kept purring-- we'll have that rechecked soon. His bg's finally started to rise and stay up at 2 am-- 19 hours after his last shot of insulin.
Needless to say, I am exhausted-- and so is Robbie. His vet took out the catheter and allowed me to take him home instead of the "norm" of him staying there for the day. My girls will make sure he's all loved up and know to call me if anything seems off....
Thank you all for your prayers... I know they helped to save Robbie. As his vet said to me, "He shouldn't have been alive when he was first brought to me just over a year ago... He shouldn't have recovered this quickly from such a severe hypo. He definitely has angels watching over him."
I agree... he has my beloved Fletcher, Gabi and Honey at the Rainbow Bridge... he has my stepdaddy in Heaven (whom Robbie was named after since he came to me as my stepdaddy left)... and he has all of you here....
