NENE – 31183

Manhattan Center

Nene 31183, 10 year, Orange Tabby DSH Neutered, 8 lbs

Owner Surrender: 06/14/18

Medical:

15-Jun-2018
Spay-Neuter Waiver Documentation
Vet Notes: 1:00 PM

[Spay/Neuter Waiver – Medical Condition]

Your newly adopted pet has been diagnosed with AN ILLNESS and the staff veterinarians are issuing a temporary waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.
15-Jun-2018
Progress Exam
Vet Notes: 1:09 PM

LRS 25 ml IV bolus post IVC placement
Post bloods
12 noon 1 U regular insulin IM
Unasyn 30 mg/ml 2.5 ml (80 mg) IV
LRS 12 ml/hr
2 pm recheck temperature
4 pm recheck bg +/- additional regular insulin vs change to humalin/glargine

Vet Notes: 1:05 PM

See Blood work interpretation

Vet Notes: 12:53 PM

DKA +/- pancreatitis
Neutrophilia r/o inf, inflam, other
Monocytosis r/o chronicity
BUN elevation r/o pre renal, renal

Neutrophil
* 18.95 1.48 – 10.29 K/µL
Lymphocyte
* 1.86 0.92 – 6.88 K/µL
Monocyte
* 0.92 0.05 – 0.67 K/µL
Eosinophil
* 0.05 0.17 – 1.57 K/µL
Basophil
* 0 0.01 – 0.26 K/µL
Nucleated RBC
*
Suspected

Glucose
> 686 71 – 159 mg/dL
Creatinine
1.4 0.8 – 2.4 mg/dL
BUN
61 16 – 36 mg/dL
Sodium
> 180 150 – 165 mmol/L
Potassium
4.5 3.5 – 5.8 mmol/L
Chloride
138 112 – 129 mmol/L
Total Protein
10.3 5.7 – 8.9 g/dL
Albumin
3.5 2.3 – 3.9 g/dL
Globulin
6.8 2.8 – 5.1 g/dL
Bilirubin – Total
1.0 0.0 – 0.9 mg/dL
Cholesterol
382 65 – 225 mg/dL

UA SG 1.046
Blood 3+
Ketones Trace
WBC 4
15-Jun-2018
Tech Exam
L V T Notes: 12:53 PM

Placed 22g IVC on RFL, IVF LRS bolus 25mls/15min, IVF rate @ 12mls/hr. Administered 1unit of Humilin R IM @ 12:30pm. Administered 2.5mls of Unasyn 30mg/ml IV over 15min @ 12:45p. Patient to have BG taken at 4:00pm. Coordinated with Patient Advocate.
15-Jun-2018
DVM Intake
Vet Notes: 11:05 AM

[DVM Intake]
DVM Intake Exam

Estimated age:
Microchip noted on Intake?
Microchip Number (If Applicable):

History : Hx of urinating and defecating outside litter box x 6 months, eating well losing wgt. Surrendered because ab inj at dvm didn’t resolve

Subjective: Depressed mod to sever dehydration

Observed Behavior – qar to depressed

Evidence of Cruelty seen – see below

Evidence of Trauma seen – none observed

Objective

T = 96.6
P = 160
R = wnl
BCS 2/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: dental dz
PLN: No enlargements noted
H/L: bradycardia, NMA, slightly pale pink dry mm , Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: bilat small kidneys r<l
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: depressed, +/- anisocoria

Assessment: r/o renal, dm, other (no t nodules palpated)
dehydrated
depressed r/o hydration status vs other (neuro dz)
hypothermic

Prognosis: guarded to grave

Plan: Sent to medical
CBC/chem/ua
IVC/IVF rate and tx pending blood test results

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15-Jun-2018
LVT Intake
L V T Notes: 6:52 AM

[LVT Intake Exam]

Microchip Scan: negative, placed 985113001789365
Evidence of Cruelty: no
Observed Behavior: allows all handling, very sweet and affectionate, vocal
Sex: neutered male
Estimated Age: reported 10y

Subjective: reported “sick for the last six months…urinating and defecating outside of the litter box…has been slowly losing weight….has a good appetite and eats a lot but does not seem to gain weight…taken him to the vet about two months ago and Nene was given a shot with antibiotics….thought an infection was causing the symptoms but did not inform her of an exact diagnosis.”
Eyes: clear
Ears: clean
Oral Exam: gingivitis (moderate swelling and red gums) and moderate staining
Heart: WNL
Lungs: WNL
Abdomen: WNL
Musculoskeletal: WNL BCS 5/9
Mentation: BARH

Preliminary Assessment: gingivitis, unknown litter box issues

Plan: DVM intake
Intake behavior: Green (allowed all handling)

Profile:

Animal Behaviour Saved At: 6/14/2018
Animal ID: 31183
Animal Name: Nene
Breed: Domestic Short Hair
Is this cat having litter box issues?
Yes
If yes, Please elaborate:
For the past six months, Nene has been urinating and defecating outside of his litter box. Nene’s previous owner tried to change the location of the litter box and the type of litter but Nene continued to use the bathroom outside the litter box.
Basic Information:
Nene is a 10 year old male orange tabby and white domestic short haired cat. Nene lived with previous owner for 6 years and was given to owner by a neighbor. Nene was surrendered because his owner could no longer care for him and because Nene was sick.
Previously lived with:
Nene previously lived with one adult.
How is this cat around strangers?
Nene will first observe strangers and sit by his owner. Nene will slowly approach and allows to be pet.
How is this cat around children?
Nene has previously interacted with children as young as 3 months old and children up to the age of 18. Nene is described as being friendly.
How is this cat around other cats?
Nene has never interacted with other cats.
How is this cat around dogs?
Nene has never interacted with dogs.
Behavior Notes
During car rides, Nene is relaxed. Nene has never been bathed but has been washed with water-less shampoo and is not bothered. Nene is not bothered when his coat is brushed. Nene enjoys being picked up and held. Nene is not bothered when being put into his carrier as long as he is given food.
Bite history:
Nene has never bitten another animal or human.
Energy level/descriptors:
Nene has a low energy level
Has this cat ever had any medical issues?
Yes
Medical Notes
Nene has been slowly losing weight for the past six months. Nene was taken to the vet about two months ago and was given antibiotics for a possible infection.
For a New Family to Know
Nene is a friendly, affectionate, shy and independent cat. When at home, Nene likes to follow you and likes to be in the same room as you. Nene was kept as an indoors only cat and slept in his cat bed. Nene was free fed Purina Cat Complete dry food and fed two cans of Friskies wet food. Nene had a scratching post made of rope but he did not use it and instead scratched on furniture.

Behavior Notes:

Upon intake, Nene came out of his carrier right away and allowed me to collar him. Nene allowed me to pick him up and place him into his kennel. Once inside, Nene was talkative and meowed when I passed by.
 

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