Dooley still challenged

[Rafiki]

So....going thru the treatment for Rafiki, I noticed that the treatment for the pancreatitis included something for pain, something for nausea and sub-q fluids to flush the toxins out of the pancreas. My vet said that as long as she was in that much pain, she would not eat. Appetite stimulant was not prescribed. Your ER vet did not prescribe either pain meds or sub-Q?

 

[John Popp]

Anti-nausea injection which they said is also an appetite stimulant at the hospital. They also sent me home with an appetite stimulant prescription. That was followed up with a late evening call from the on call IM vet who added an anti nausea/vomiting prescription. I'll follow up with the drug names when I get back home.


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[Rafiki]

Is he very well hydrated? I am wondering why they did not order sub-Q to flush.

 

[John Popp]

He is pretty well hydrated. He has been drinking and we have been getting about 10ml of extra water in per hour.


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[Rafiki]

Rafiki was only mildly dehydrated at the time but the vet felt that the sub-q was needed to flush ASAP. How are you getting that much water into him? Syringe or added to his food?

 

[John Popp]

OK, here's the skinny from the case report.

0.9 mls Cerenia SubQ was given at the vet and the initial prescription was for Mirtazapine once every 3 days.

The IM vet followed up and prescribed Cerenia. She was familiar with Dooley's case and his liver disease. The inner package stated "for Dogs only" and I was assured that the product had been vetted for feline use. the dosage, is a little less than half of the suggest amount for a dog of the same weight.

 

[John Popp]

Rafiki was only mildly dehydrated at the time but the vet felt that the sub-q was needed to flush ASAP. How are you getting that much water into him? Syringe or added to his food?

Dooley is generally pretty well hydrated as a rule. He will tolerate a lot of water added to his food as well as consuming a fairly large quantity of water each day (lots of large urine balls, 3x daily box cleanings).

Currently I am mixing his food, 50/50 with water and also getting him to consume extra water via syringe. He's very used to getting water via syringe as that's how we were flushing his meds taste for more than 6 months. He actually likes it and doesn't fuss at all about it but he sure knows when a syringe has something else in it.

I am going to back up and just make sure he is getting his water and I'll check in with the vet in the morning.

 

[Patti]

So sorry to hear that Dooley has had a set back - I am praying for him!

 

[John Campbell]

I thought that you were going to give the long version...

 

[SV Dad]

Get well soon, Dooley.