What can I say! I am preparing for a Christmas DKA ?
Yeah that makes sense. I think. I just get confused with the dextrose etc.
So say you’ve been using your neutral insulin and the BG goes below 5.5 and so you stop the insulin and start dextrose – if everything else is stabilising nicely and the animal starts eating, would you wait for the BG to come up again before you start long-acting insulin?
Thanks Scott!
Thanks Scott, you’re a star. I saw her on friday and her starved bile acids were 13 but post-prandial were 69.2 so I’ve sent her off to referral and will eagerly await the report!
Hi Scott, thanks. Unfortunately referral/surgical management is off the table. The cat is currently doing well since the initial thoracocentesis (though it’s only been 2 weeks) and has been on rutin (250mg TID) also. Thoracic radiographs and ultrasound last week showed no evidence of heart disease or neoplasia.
I guess time will tell!
Primary polycythemia (polycythemia vera) or secondary polycythemia. Secondary can be due to cardiopulmonary disease such as right-to-left shunt (VSD, tetralogy of fallot etc). Or can be associated with renal hypoxia or renal tumours.
I appreciate this is an old thread but I tend to use ketamine/diazepam mixed 1:1 and given to effect and topped up if needed. Can convert to full GA if required but have to say I’ve never needed to! I do love a blocked cat….
And yes gonna try and make it tomorrow for sure. Except despite putting a big message on the computer at work saying I need to leave at 7pm I have been booked a PTS at 7.10pm!
Better late than never though right?
TP 72 (50-72)
Alb 39 (26-40)
Glob 33 (19-46)
Urea 11 H (1.7-7.4)
Bil 4.3 (0-16)
Chol 9 H (2.8-8.3)
BA 10 (<15)
ALT 88 H (13-78)
ALP 125 H (12-83)
GGT 0 (0.1-9)
GLDH 47 H (2-6)
AST 37 (14-53)
Haematology all normal.
Owner also brought urine SG 1.034, pro ++, pH 6, rest norm/neg.
Given the ALT and ALP are so mildly raised and no signs of decreased liver function I guess just crack on a think of some anxiety meds to give this dog!
I like that you also looked up GLDH on e-clinpath 😉
I’m not at work today but the dog had bloods and ultrasounds and FNAs in March; believe it had moderate elevations in ALT and ALP at that time; was going to have further investigations but then lockdown happened. Was not put on any meds/supplements.
Presented to me on Saturday because the owner wants something for her anxiety (this has been an ongoing problem for the dog for a few years). Otherwise clinically well apart from looking like an old warty Yorkie.
So I thought I better check bloods before thinking what medication I might be able to use for it.
I am not tech savvy but let me see if I can upload results.
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