CHARLIE – 16825
Safe - 1-3-2018 Manhattan Rescue: Zani's Please honor your pledges: http://zanisfurryfriends.org
*** SAFE 01/03/18 *** WATCH VIDEO! Senior Tabby Diabetic and DECLAWED boy Charlie is looking for a cozy home for the Holidays @MACC. *DIABETIC* Sweet Charlie is a senior kitty that needs medical attention ASAP. Please help Charlie get the care that he needs.
Manhattan Center
*DIABETIC*
Hello, my name is Charlie. My animal id is #16825. I am a desexed male brown tabby cat at the Manhattan Animal Care Center. The shelter thinks I am about 13 years old. – P
I came into the shelter as a stray on 23-Dec-2017.
Charlie is at risk for medical reasons. Charlie is a geriatric cat with diabetes requiring twice daily medication. Behaviorally, we have no concerns for Charlie, whom we believe is suitable even for beginner cat homes.
My medical notes are…
Weight: 8.25 lbs
URINE ANALYSIS
[LVT Intake Exam] Microchip Scan: negative, placed 981020025357444 Evidence of Cruelty: no Observed Behavior: allows all handling, sweet and friendly, quiet Sex: neutered male Estimated Age: appx 13y+ Subjective: older cat with possible flea bite dermatitis across dorsum from hips to base of tail, fleas seen; earmites; dental disease; declawe Eyes: slight oapcity Ears: thick d/c (pinnal pedal) Oral Exam: moderate to heavy staining with tartar, swollen gingiva Heart: WNL Lungs: WNL Abdomen: WNL Musculoskeletal: WNL BCS 5/9 Mentation: BARH Preliminary Assessment: older cat with parasitism Plan: DVM intake, 0.01ml ivermectin SQ
URINE ANALYSIS:- USG- 1.042 BD- 5-10 BIL-1+ UBG- 1+ KET- NEG GLU-4+ PRO- 2+ LB- 2+ PH- 6
12/24/17 – Placed IV catheter in right cephalic vein. Set up patient on IVF (LRS) at a rate of 15 ml/hr.
Haevey was scheduled for an am tx of Lantus Insulin U100. Gave 1 unit SQ
Charlie was scheduled for PM Tx of Simbadol (1.8mg/mL) Gave 0.5 mL from bottle number 47 at 3:00 PM DVM 1088 LVT 1461
DVM Intake Exam Estimated age: 10-15 years based on dentition and overall impression Microchip noted on Intake? Scanned neg on intake – MC placed during LVT intake History : Police intake – someone called to report a cat that was not moving. Subjective: Alert, quiet, distended abdomen Observed Behavior – Allows all handling. Objective QAR, BCS 5/9 with mild muscle wasting, MMs pink EENT: Immature cataracts OU, no ocular discharge. Mild black waxy debris AU. Clean nose. Oral Exam: Severe gingivitis and tartar accumulation, missing many teeth PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic ABD: Soft abdomen, large semifirm bladder. Non painful on palpation. U/G: Male neutered MSI: Ambulatory x 4, muscle wasting on legs. Heavy barbering of fur in dorsolumbar region and over tailhead. No masses noted. CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Normal externally Assessment: 1. Dental disease 2. Barbering – R/O fleas vs. other 3. Cataracts OU 4. Large bladder, hx not moving – R/O urethral obstruction, FIC 5. URI Prognosis: Open Plan: CBC/chemistry 1088
CBC: Hct 55% Chemistry: glucose 437, globulins slightly elevated (5.3), GGT slightly elevated (5), Cl slightly low (106) Manually expressed bladder – difficult to express at first but then pt urinated well on his own. Urinalysis: Urine clear, yellow USG 1.042 – likely artificially high due to glucose Glucose 4+ Blood 5-10 Assessment: 1. Diabetes mellitus 2. Mild FIC Plan: 1. Place IVC, run fluids 2. Feed wet food 3. Start Lantus 1 unit BID 4. Do glucose curve in 7-10 days 1088
Hx: New diabetic, diagnosed 12/24, started on IV LRS and Lantus 1 unit BID. Exam at 9am: S: Alert, purring, relaxed O: BAR, estimated 5-8% dehydrated based on decreased skin turgor. MMs pink. EENT: No discharge OU, AU, nose. PLNs: Not significantly enlarged. H/L: Eupnic, not ausculted Abd: Soft, not distended, no pain on palpation, bladder soft and small. M/S/I: Amb x4. No skin lesions noted. UG: Male neutered Neuro: Alert and appropriate, no sign neurological deficiencies Pt started vomiting after exam and abdominal palpation – initially food material and water, progressed to a brown/blood-tinged thick liquid. CBC: leukocytosis (24.57 k/ul) with neutrophilia (19.38 k/ul), eosinophilia (1.75 K/ul) Chemistry: reduced hyperglycemia (395 – was 437 on intake), elevated GGT (19 – was 5), hypokalemia (3.3) 3pm repeat exam: Abd is moderately distended, soft A: 1. Diabetes mellitus 2. Suspected pancreatitis vs. UTI/pyelonephritis Short-term prognosis: Fair P: 1. Sucralfate 1/2 tab as slurry PO TID 2. Simbadol 0.5 ml SQ SID – first dose at 3pm 3. Cerenia 0.4 ml IV SID – first dose at 3pm 4. Famotidine 0.4 ml IV SID – first dose at 3pm 5. Add KCl to LRS – 20 mEq/l so 10 ml per liter 6. Clavamox 0.9 ml PO BID 1088
Hx: diabetic, started on IVF and lantus (1 U BID); was doing well but yesterday started vomiting, had several episodes of dark fluid with small amount of frank blood; cerenia, sucralfate, famotidine and simbadol added for suspected concurrent pancreatitis S/O -BAR, very interactive and affectionate due to euphoric effect of simbadol -ravernous appetite -no obvious new episodes of vomiting -mm pk, tacky; CRT <2 sec -no nasal discharge or sneezing -OU: open and clear, pupils dilated -eupnic, intermittently purring, no murmurs noted -abdomen soft, nonpainful A 1. Diabetes 2. Vomiting-suspect concurrent pancreatitis 3. Dental disease P -CWCT -continue IVF at 15 ml/hr, reassess rate in AM -Recommend BG curve in 7-10 days
S/O -BAR, affectionate and friendly, allows handling -good appetite -large episode of light brown liquid diarrhea in box -mm pk, moist; CRT <2 sec -no nasal discharge or sneezing -OU: open and clear -eupnic -abdomen slightly tense on palpation, no palpable abnormalities A 1. Diabetes mellitus 2. Diarrhea-r/o pancreatitis vs other 3. Previous vomiting-resolved 4. Dental disease P -decrease IVF rate to 10 ml/hr, d/c tomorrow if doing well -add metronidazole 50 mg/ml: 1 ml PO BID x 5 days -feed diabetic management food only -continue insulin, cerenia, famotidine and sucralfate -recommend BG curve in 7-10 days
Details on my behavior are…
Behavior Condition: 1. Green
Upon intake, the cat allowed handling. She seemed very lethargic, and did not attempt to flee from the box she was brought it. She was laying down majority of the time, no sign of aggression shown.
KNOWN HISTORY:: Charlie was brought in as a stray, so we don’t have any behavioral history or tendencies in a home environment.
MEDICAL BEHAVIOR:: 12/24 Observed Behavior – Allows all handling.
Cage Condition:: No change
Reaction to assessor:: Charlie remains soft and relaxed, lying down on his cage bedding during the approach.
Reaction when softly spoken to:: Charlie remains neutral in place.
Reaction to cage door opening:: Charlie lifts up head with soft eyes and loose body.
Reaction to touch:: Charlie leans into the assessor’s hand, purrs, and kneads while appreciating the pets.
Reaction to being picked up:: Allows the pickup and remains calm.
ACTIVITY LEVEL:: Mellow
VOCAL:: Quiet
CHARACTER TYPE: : Calm,Sweet,Affectionate
BEHAVIOR DETERMINATION: : Beginner
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Charlie interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
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