MILKSHAKE – 10833
Safe - 11-1-2017 Manhattan
***SAFE 11/01/17 ***SHAKE IT LIKE A MILKSHAKE…LET’S DO THE BEST WE CAN TO GET BLACK AND WHITE ANGEL A LOVING RETIREMENT HOME…Our Milkshake is 10 years old and dumped at the shelter because he was not eating and drinking at home. When offered food he ate and drank well at intake. Milkshake is a bit dehydrated and has a heart murmur. He should have follow up care. Let’s do everything we can to move this great guy to safe haven. When you foster, all reasonable medical expenses are covered. Milkshake needs a chance for a happy new life. BE HIS HERO BY OFFERING TO FOSTER OR ADOPT. ONLY HAS TIL NOON TOMORROW. ONLY HAS YOU.
MANHATTAN CENTER
Hello, my name is Milkshake. My animal id is #10833. I am a male white cat at the Manhattan Animal Care Center. The shelter thinks I am about 10 years old. – P
I came into the shelter as a stray on 26-Oct-2017.
Milkshake is at risk due to renal disease. Milkshake has a an Adult Only behavior determination.
My medical notes are…
Weight: 6.125 lbs
[LVT Intake Exam] Microchip Scan: negative, Evidence of Cruelty: no Observed Behavior: hisses and swats outright but then does not further aggress, somewhat dull, resists restraint to an extent Sex: intact male Estimated Age: appx 8-10y Subjective: rough haircoat, older cat, reported “not drinking or eating for days” by finder, underweight Eyes: clear, slightly sunken globes Ears: clean Oral Exam: moderate staining Heart: could not auscultate Lungs: could not auscultate Abdomen: WNL Musculoskeletal: underweight, 3.5/9 Mentation: QAR, slight dehydration, did not tolerate SQF, gave bowl of water which cat eagerly took to Preliminary Assessment: geriatric cat, underweight Plan: DVM intake
DVM Intake Exam Estimated age: 9 years Microchip noted on Intake? none, reported to be placed but microchip fell out. History : Owner surrender, reported had not eaten in two days but ate very well and drank very well during initial intake. Subjective: QAR, mildly dehydrated Observed Behavior – Hisses/growls but does not attempt to bite/scratch. Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective P = 220 R = 30 BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted. Elevated third eyelids bilaterally Oral Exam: No overt lesions, only brief oral exam PLN: No enlargements noted H/L: NSR, grade 3/6 L parasternal HM. CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male intact, 2 descended testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Moderate muscle wasting over epaxials. MCS 1.5/3. Prolonged skin turgor CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: NE Assessment Dehydrated Heart murmur Muscle wasting Questionable appetite Prognosis: Guarded Plan: Rabies vax CBC/Chem pending MC placed LRS ~60mLs SQ Transfer to medical for monitoring appetite/thirst overnight. If continues to eat well and labwork relatively wnl, can transfer out of medical After bloodwork showing severe azotemia: IVC placed LRS @ 8mL/hr Ampicillin 22mg/kg 0.25mL IV q8h Cerenia 0.28mL IV q24h Baytril 0.5mL IV q24h Re-check labwork on 10/30. Consider changing to oral meds if eating consistently well SURGERY: Permanent waiver due to age, heart murmur
CBC: Hct 25%, Lym 0.48L, Eos 0.03L Chem: gluc 185, Cr 5.7, BUN >130 Phos 14.3, ALT 235 Given anemia, suspect acute-on-chronic renal disease. Suspect heart murmur secondary to dehydration and heart murmur. See Intake exam for treatment notes.
Progress Exam – heart murmur and azotemia Hx : presented 10/27. Owner surrender, reported had not eaten in two days, mildy dehydrated, but ate and drank during intake. Heart murmur noted. Bloodwork revealed anemia, azotemia, suspect acute-on-chronic renal disease. Currently on cerenia, baytril, ampicillin, and IVF. S/O: QAR, mildly dehydrated P = 220 R = 30 BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted. Elevated third eyelids bilaterally Oral Exam: No overt lesions, only brief oral exam PLN: No enlargements noted H/L: NSR, grade 3/6 L parasternal HM. CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male intact, 2 descended testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Moderate muscle wasting over epaxials. MCS 1.5/3. Prolonged skin turgor CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: NE Assessment Dehydrated Heart murmur Muscle wasting Questionable appetite Prognosis: Guarded Plan: CTM in medical Continue Cerenia 0.28mL IV q24h – last dose 10/31 Continue Baytril 0.5mL IV q24h- last dose 11/3 Continue Ampicillin 22mg/kg 0.25mL IV q8h – last dose 11/3 Continue IV LRS @ 8ml/hr Re-check labwork on 10/30. Consider changing to oral meds if eating consistently well If continues to eat well and recheck labwork shows azotemia has resolved, can transfer out of medical. SURGERY: Permanent waiver due to age, heart murmur
Progress Exam – heart murmur and azotemia Hx : Owner surrender, reported had not eaten in two days but ate very well and drank very well during initial intake. Mildly dehydrated and heart murmur noted. Blood work revealed anemia and azotemia (suspect acute-on-chronic renal disease). S/O: QAR, hisses/growls during PE, needed a tech to restrain. No reported complications overnight. No c/s/v/d. Urine in litter box this AM, no BM noted. Fluid pump was running normally, IVC patent. Objective P = 220 R = 40 BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted. Oral Exam: mild gingivitis, mm moist, no lesions seen, p would not allow for a full oral exam PLN: No enlargements noted H/L: NSR, grade 3/6 L parasternal HM. CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, small soft bladder U/G: Male intact, 2 descended testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, fair hair coat. Moderate muscle wasting dorsally. Slightly delayed skin turgor. CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: Dehydration – improving Heart murmur Muscle wasting Questionable appetite – improving Prognosis: Guarded Plan: ctm in medical continue Ampicillin 22mg/kg 0.25mL IV q8h – last dose 11/3 continue Cerenia 0.28mL IV q24h – last dose 10/31 continue Baytril 0.5mL IV q24h – last dose 11/3 continue IVF LRS @ 8ml/hr (~ 70ml/kg/day) Re-check labwork on 10/30. Consider changing to oral meds if eating consistently well If continues to eat well and labwork normalizes, can transfer out of medical SURGERY: Permanent waiver due to age, heart murmur
Anemia, severe azotemia on intake; IVF started on 10/27, running at 8 ml/hr this morning S/O -BAR, allows gentle petting on head but began hissing and swatting with additional handling -ravenous appetite -appears eupnic -seems slightly pruritic AD but does not allows exam -diffuse muscle wasting, unthrifty coat A Azotemia-suspect acute (dehydration, infection) on chronic Anemia-secondary to renal disease vs paraneoplastic vs other P Continue IVF at 8 ml/hr through the day Recheck chem tomorrow, rec’d T4 testing as well Okay to change to oral meds tomorrow
Hx: Anemia and severe azotemia, suspect acute-on-chronic renal failure, also heart murmur. Was receiving IV LRS at 8 ml/hr but pt pulled IVC out this morning. Receiving ampicillin, Cerenia, Baytril. Recheck chem and T4 scheduled for tomorow (10/31). Has not eaten yet today. S: Flat to the bottom of the kennel, growling and hissing at me when I make eye contact. Limited assessment due to behavior. O: QAR, estimated 8% dehydrated based on decreased skin turgor EENT: No ocular or nasal discharge H/L: Eupnic, not ausculted due to behavior Abd: Not palpated A: 1. Severe azotemia and dehydration, unable to maintain IVF due to behavior which is presumably related to pt stress level 2. Heart murmur P: 1. Start SQF 300 ml SID – recommend IVC and IVF when possible 2. Switch ampicillin to Clavamox 0.75 ml PO BID x10 days 3. Switch Baytril injectable to 22.7 mg tablets, 1/2 tab PO SID x5 days 4. Recheck chem and T4 tomorrow 5. Recommend echocardiogram 1088
Details on my behavior are…
Behavior Condition: 3. Yellow
Milkshake was very loose bodied he allowed me to collar him and pick him up. He was rubbing against my arm and lied down on his side when i went to take his picture. He took food from me an let me scratch his head while he ate.
Date of Intake: 10/26/2017
Spay/Neuter status: Unknown
Basic Information:: Milkshake is a male black and white domestic short hair cat that is estimated to be 8 years old. He was brought in as a stray when he was found in someones backyard.
If yes, Please elaborate:: Unknown
Previously lived with:: Unknown
How is this cat around strangers?: Unknown
How is this cat around children?: Unknown
How is this cat around other cats?: Unknown
How is this cat around dogs?: Unknown
Behavior Notes: Unknown
Bite history:: Unknown
Energy level/descriptors:: Unknown
Medical Notes: Unknown
For a New Family to Know: Unknown
KNOWN HISTORY:: Milkshake was brought in as a stray, so there is limited information on his behavior history or tendencies in a home environment. Milkshake had a loose body during intake and allowed the counselor to collar him and pick him up. He was rubbed against their arm and lied down on his side.
MEDICAL BEHAVIOR:: Allows gentle petting on head but began hissing and swatting with additional handling.
Cage Condition:: Cage is neat
Reaction to assessor:: Milkshake was calm, relaxed, and friendly by the front.
Reaction when softly spoken to:: Milkshake sniffs by the front and appears curious.
Reaction to cage door opening:: Milkshake gets up and greets by the opening.
Reaction to touch:: Milkshake sniffs the assessor’s hand and accepts petting on his head. He hisses when pet along his body, however, and swipes gently. He head-butts after, but grumbles at the same time. He appears conflicted.
ACTIVITY LEVEL:: Moderate
VOCAL:: Somewhat chatty
CHARACTER TYPE: : Calm,Curious,Timid
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Experienced, adult only
Behavior Asilomar: TM – Treatable-Manageable
RECOMMENDATIONS:: None
BEHAVIOR SUMMARY:: Please note that this cat is being treated for a medical condition at the time of evaluation. It is difficult to determine at this time how the medical condition may be affecting the behavior. Milkshake tolerates attention and petting but may be fearful or stressed in the shelter, and is displaying conflicting behaviors. Due to the behaviors seen in the care center, we feel that this cat will do best in an experienced, adult only home.
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