MASHA – 10961
Gone - 11-1-2017 Manhattan
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*** GONE 11/01/17 *** His owner gone, MASHA is on his own and needs a savior tonight! He’s 10 years old and diabetic with possible kidney issues….All treatable and MASHA can have good years ahead if someone will step up for him!
Manhattan Center
*DIABETIC*
Hello, my name is Masha. My animal id is #10961. I am a desexed male brown tabby 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 27-Oct-2017.
Masha is at risk due to medical condition. He has kidney disease and diabetes that can be managed with insulin and fluids. He has no known behavior concerns at this time and appreciates petting and attention. We recommend an adopter with an average amount of cat experience.
My medical notes are…
Weight: 14 lbs
Feed and administer 2units of NPH insulin located in Medical refrigerator.
[LVT Intake Exam] Removed LVT notes as they were for the wrong cat due to a switch in ID numbers
Fed DM cat food and administered 2units of NPH insulin from pre-drawn syringes located in Medical refrigerator.
22G IV catheter placed in the Front Left cephalic vein. Bolus of 50mL LRS given over 20 minutes. After the bolus, 15ml (30 mEq) of KCL added to remainder of LRS fluids and fluid rate is taken down to 20mL per hour.
2 CC bood drawn from Left medial saphenous vein
DVM Intake Exam Estimated age: 12+ Microchip noted on Intake? No History : Owner died and neighbors found in apartment – noticed it was drinking a lot of water and took to vet DX with Diabetes and given NPH Insulin Subjective: BAR – 2% dehydrated Observed Behavior – allowed all handling, friendly, social, allowed combing of mats Evidence of Cruelty seen – No Evidence of Trauma seen – No Objective T = P = 180 R = 28 BCS = 6/9 EENT: Nuclear sclerosis and iris atrophy (age related), ears clean, no nasal or ocular discharge noted. Thyroid nodule palpated on left Oral Exam: moderate tartar, healthy gingivitis PLN: No enlargements noted H/L: NSR, Grade 1/6 inconsistently ausculted murmur CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated – but abdomen is pendulous U/G: neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, matted hair coat in dorsal lumbar area with generalized scaling – not a good groomer. prominent spine palpated – CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: not assessed Assessment enlarged thyroid – suspect hyperthyroid weight loss iris atrophy and nuclear sclerosis Suspect underlying issue (CRF, versus Diabetes?) Prognosis: Fair Plan: CBC/Chem – (we don’t have T4 slides) Rabies
Hyperglycemia BG = 351 Azotemia BUN = 66 Cr = 3.2 Anemia PCV = 24.1 Hypokalemia = K = 3.1 DX = Diabetes =/- chronic kidney disease
Diabetes mellitus dx and started on 2U NPH insuling BID prior to intake by private vet due to history of pu/pd; bw showed hyperglycemia, mild to moderate azotemia (creat 3.2, BUN 66) and hypokalemia S/O -BAR, friendly and affectionate -mild appetite -slow skin turgor -OU: geriatric changes, clouding of the lens -eupnic, no heart murmur noted today -soft, doughy abdomen -mild plantigrade stance in hind limbs -mild to moderate diffuse muscle wasting A 1. Diabetes mellitus 2. Azotemia-r/o dehydration vs mild chronic renal disease vs other P Recheck BG-283 Place IVC, give 50 ml bolus then continue at 15 ml/hr with 30 mEq KCL/L Cerenia 0.7 ml IV SID x 3 days NPH 1.5 U SQ BID Feed DM with twice daily only with insulin Recommend BG curve in 7-10 days
Hx: Diabetic and has some level of renal failure – azotemic, BUN 66, creat 3.2, anemia 24%. On insulin and IV LRS at 20 ml/hr. S: Meows, alert in kennel – gets up and comes over to say hi when I open the door O: BAR-H, mildly gelatinous skin/SQ tissue, BCS 6-7/9 (not much fat over ribcage but fat pad under abdomen), MMs pink and moist EENT: No discharge OU, AU, nose. Moderate tartar and gingivitis especially on premolars. AD cartilage is irregular and thickened. PLNs: Not significantly enlarged. H/L: Eupnic, did not auscult Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. Mild muscle wasting. IVC in place in left cephalic vein. Some matted fur. UG: Male neutered Neuro: Alert and appropriate, no sign neurological deficiencies A: 1. Diabetes mellitus 2. Azotemia – CKD most likely, on IVF 3. Anemia of chronic disease 4. Muscle wasting secondary to diabetes and chronic disease Short-term prognosis: Fair P: 1. Decrease IVF to 15 ml/hr, continue Cerenia, insulin 2. Recheck CBC/chemistry tomorrow and wean IVF further 1088
Hx: Diabetic and chronic kidney disease. On IV fluids – was at 20 ml/hr until yesterday; decreased to 15 ml/hr yesterday. Urine in litterbox this morning. S: Meows, alert, hops out of kennel to say hi on the floor. Relaxed. O: BAR, good hydration today, possibly slightly gelatinous SQ tissue over the neck. EENT: No discharge OU, AU, nose. H/L: NSR, no murmurs ausculted today. Eupnic. Abd: Soft, nonpainful M/S/I: Decreased muscle mass. Amb x4. A: Diabetic and CKD – on IVF, good hydration and attitude today. P: Decreased IV fluid rate to 10 ml/hr. Tomorrow, if hydration is still good, turn down to 5 ml/hr. 1088
Details on my behavior are…
Behavior Condition: 1. Green
Marsha allowed to be collard, scanned and photographed.
Date of Intake: 10/27/2017
Basic Information:: Marsha is a male brown tabby that is possibly 10 years old. Marsha owners passed away. Finder stated that Marsha was friendly and relaxed. He loves to sleep and will allow to be picked up.
If yes, Please elaborate:: n/a
Previously lived with:: n/a
How is this cat around strangers?: n/a
How is this cat around children?: n/a
How is this cat around other cats?: n/a
How is this cat around dogs?: n/a
Behavior Notes: n/a
Bite history:: n/a
Energy level/descriptors:: n/a
Medical Notes: The cat possibly has diabetes.
For a New Family to Know: n/a
KNOWN HISTORY:: Masha was brought in as a stray so we cannot speak to his behavior in his previous home. Finder stated that Masha was friendly and relaxed. He loves to sleep and will allow to be picked up.
MEDICAL BEHAVIOR:: Observed Behavior – allowed all handling, friendly, social, allowed combing of mats
Cage Condition:: Cage is neat
Reaction to assessor:: Masha is asleep on approach.
Reaction when softly spoken to:: Masha wakes up and turns to look at the assessor, soft eyes and body.
Reaction to cage door opening:: Masha remains calm and relaxed.
Reaction to touch:: Masha lays in place, leans into pets, and purrs.
Reaction to being picked up:: Masha sits calmly in the assessor’s arms and looks around.
ACTIVITY LEVEL:: Laid back
VOCAL:: Quiet
CHARACTER TYPE: : Calm,Sweet,Easy going
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
RECOMMENDATIONS:: None
BEHAVIOR SUMMARY:: Masha interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected]. Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
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