GRAYSON – A1094762

Manhattan Center

*DIABETIC*

My name is GRAYSON. My Animal ID # is A1094762. – P
I am a neutered male gray domestic sh mix. The shelter thinks I am about 10 YEARS old.

I came in the shelter as a STRAY on 10/25/2016 from NY 10034, owner surrender reason stated was STRAY.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
11/04/2016 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is BEGINNER, Weight 10.0 LBS.

11/04/16 08:09 S: ate well overnight, sweet, purring O: last BG done at 11pm last night = 375, 1U insulin given SQ (lantis U40) at 11pm last night this morning BG = 47 insulin NOT GIVEN!!!!!!!!!! BAR, continued persistent skin tenting pink moist mucous membranes mentation WNL, PLRS WNL 4x ambulatory, BCS 3/9, generalized mm atrophy A: DM complicated by systemic infection dental disease underweight dehydration vs SQ fat loss P: cont treatment & IVF place with new hope px: fair for short term, open for long term control DM 11/3 BROUGHT TO MEDICAL FOR LETHARGY, IN ADOPTIONS DEPRESSED MINIMALLY ALERT, RESPONSIVE TO TOUCH STIMULI MM PINK AND PIGMENTED, TACKY SEVERE DEHYDRATION GENERALIZD MM ATROPHY DESPITE HAVING SOME FAT PADS NMA BRADYCARDIA HR 120, EUPNEIC DOUGHY ABDOMEN ROUGH COAT EMPTY URINARY BLADDER CBC: HCT27%, SUSPET nRBC, NEUT 23.7 SUSPECT BANDS, PLT 346 CHEM: BG >686, BUN 74, TP 11.9, GLOB 9.1, TBILI1, NA 179, cL 138 A: DM, HYPERNATREMIC, MOST LIKELY HYPEROSMOLAR DM NEUTROPHILIA WITH LET SHIFT R/O PYELONEPHRITIS P; START ON IV FLUIDS RIGHT CEPHALIC CATHETER, 20ML /HR- RELATIVELY SLOW RATE DUE TO ELECTROLYTE IMBALANCE- NEEDS TO BE HYDRATED SLOWLY. MAY TAKE SEVERAL DAYS TO ACHEIVE NORMAL HYDRATION LANTUS INSULIN GIVEN ONE UNIT SC ( USED 40 UNIT SYRINGE) @3 PM BAYTRIL 22.7MG SC AT 6 PM CERENIA 0.5ML IN 3ML LRS SC NEEDS BG CHECKED ON, IF OVER 300, GIVE ANOTHER UNITS (OK TO USE 40 UNIT SYRINGE SC) PROGNOSIS GUARDED, DEPENDS ON RESPONSE TO TX OVER NEXT 48 HRS

10/25/2016 PET PROFILE MEMO
Allows handling.

WEB MEMO
No Web Memo

10/28/2016 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
Reaction to assessor: Grayson immediately comes soliciting at the front of the cage. Reaction to door opening: Grayson remains standing at the front of the cage, relaxed body posture, soliciting attention. Reaction to touch: Grayson head-butts the assessor’s hand and appreciates petting on the head and body. Reaction to Being Picked up: Allows the pickup and remains calm. Placement determination: Beginner Grayson interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.

GROUP BEHAVIOR EVALUATION
No Group Behavior Summary

10/25/2016 INITIAL PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Scan negative Geriatric Age aprox. 10 yrs Heavy dental tartar with dental disease Neutered Mild dehydration Cloudy eye Dandraft on caot Mild appetite Allows handling NOSF

11/04/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating BEGINNER
11/04/16 08:09 S: ate well overnight, sweet, purring O: last BG done at 11pm last night = 375, 1U insulin given SQ (lantis U40) at 11pm last night this morning BG = 47 insulin NOT GIVEN!!!!!!!!!! BAR, continued persistent skin tenting pink moist mucous membranes mentation WNL, PLRS WNL 4x ambulatory, BCS 3/9, generalized mm atrophy A: DM complicated by systemic infection dental disease underweight dehydration vs SQ fat loss P: cont treatment & IVF place with new hope px: fair for short term, open for long term control DM 11/3 BROUGHT TO MEDICAL FOR LETHARGY, IN ADOPTIONS DEPRESSED MINIMALLY ALERT, RESPONSIVE TO TOUCH STIMULI MM PINK AND PIGMENTED, TACKY SEVERE DEHYDRATION GENERALIZD MM ATROPHY DESPITE HAVING SOME FAT PADS NMA BRADYCARDIA HR 120, EUPNEIC DOUGHY ABDOMEN ROUGH COAT EMPTY URINARY BLADDER CBC: HCT27%, SUSPET nRBC, NEUT 23.7 SUSPECT BANDS, PLT 346 CHEM: BG >686, BUN 74, TP 11.9, GLOB 9.1, TBILI1, NA 179, cL 138 A: DM, HYPERNATREMIC, MOST LIKELY HYPEROSMOLAR DM NEUTROPHILIA WITH LET SHIFT R/O PYELONEPHRITIS P; START ON IV FLUIDS RIGHT CEPHALIC CATHETER, 20ML /HR- RELATIVELY SLOW RATE DUE TO ELECTROLYTE IMBALANCE- NEEDS TO BE HYDRATED SLOWLY. MAY TAKE SEVERAL DAYS TO ACHEIVE NORMAL HYDRATION LANTUS INSULIN GIVEN ONE UNIT SC ( USED 40 UNIT SYRINGE) @3 PM BAYTRIL 22.7MG SC AT 6 PM CERENIA 0.5ML IN 3ML LRS SC NEEDS BG CHECKED ON, IF OVER 300, GIVE ANOTHER UNITS (OK TO USE 40 UNIT SYRINGE SC) PROGNOSIS GUARDED, DEPENDS ON RESPONSE TO TX OVER NEXT 48 HRS

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