STARLING – A1066016
Safe - 2-28-2016 Manhattan Rescue: Animalkind Please honor your pledges: http://www.animalkind.info/content/Donate/Donate
*SAFE* 02/28/16— ***MUST LEAVE BY 6PM TONIGHT!!!!**** Diabetic sweet purring boy Starling needs someone to love him @MACC
MANHATTAN CENTER
*DIABETIC*
STARLING – A1066016
NEUTERED MALE, WHITE / BRN TABBY, DOMESTIC SH,10 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition ILLNESS Intake Date 02/25/2016, From NY 10462, DueOut Date 02/28/2016,
Medical Behavior Evaluation GREEN
Medical Summary Scanned negative Dull, dehydrated, Typothermic, temp 96.15 F Pale mm Shrunken eyes Neutered Provided heating pad As per DVM 1167, given 200 nl LRS Vaccines held off for tonight as per DVM, possibly tomorrow needs to be vax with vet concern Geriatric underlying Combo test negative Nosf
Weight 8.5
INTIAL EXAM
Scanned negative
Dull, dehydrated,
Typothermic, temp 96.15 F
Pale mm
Shrunken eyes
Neutered
Provided heating pad
As per DVM 1167, given 200 nl LRS
Vaccines held off for tonight as per DVM, possibly tomorrow needs to be vax with vet concern
Geriatric underlying
Combo test negative
Nosf
Observation:
02/27/16 22:37
Cat seems dumpy in cage. Will perk up when roused but lethargic. Lantus given but BG read “low” 2-3hr later. IVC still in place.
02/27/16 23:00
On call rec 0.5ml 50% dextrose on gums and spike bag (200ml LRS) with 20ml 50% dextrose at same fluid rate (24ml/hr). Cat is ventroflexed and mm are pale with all reflexes in place. Temp 98.8F
02/28/16 00:02
Responding to dextrose tx–sternal and holding head without support. Still lethargic but now actively pulling back limbs when pinched and attempting to groom. Will need new diabetic management and NH placement ASAP.
Re Exam:
02/28/16 09:20
S/O: QAR, mm’s pale pink, eating a/d well on exam, IVF with dextrose added are running, had a hypoglycemic episode overnight and was supplemented dextrose – appears more mentally appropriate now. heart and lungs WNL on auscultation, hydrated
A: DM
hypoglycemic episode overnight
P: remove dextrose supplemented IVF and replace with plain LRS + 20 mEq/L KCl added to bag
decrease IVF rate to 18 ml/hr
discontinue insulin for now, feed small meals throughout the day
recheck blood and urine
needs new hope placement ASAP – 6 pm placement deadline
02/27/16 08:320
gave 1 IU lantus SC, still mod DH
auscultation wnl
OU green dc
cleaned face
resting sternal quietly
IVC intact
A:diabetes +- secondary UTI
P: add on erythromycin. 1 IU lantus BID SC, continue IVF– increased during day to 3x maintenance (24ml/hr)
2/26
rechecked BG 361
will start Lantus insulin 1 unit , recheck Bg tomorrow am
produced a large amount of urine
pet is ventroflexed, added 20mEq/L KCL to bag, set at 20ml/hr
Cat is quiet but alert. On heat support but able to escape to cooler cage region when wanted. Poor appetite. “Sleepy” behavior but not lethargic.
11:15pm
Cat is moving around cage and freely drinking water. IVC still in place. Minimal interest in food. Seems more alert than yesterday.
VET CHECK FOR DEHYDRATION, GERIATRIC
OBTUNDED, ALTHOUGH WHEN AROUSED TRIES TO MEOW WEAKLY
SEVERE DEHYDRATION, ABSENT SKIN TURGOR
ENOPHTHALMIA, MUCOID OCULAR DISCHARGE OU
ORAL CAVITY THICK ROPEY SALIVA, TACKY MM
M/S/I;MM WASTING GENERALIZED
H/L NMA EUPNEIC
ABD DOUGHY, FIRM STOOL
U/G SMALL BLADDER, NEUTERED MALE
A; GERIATRIC NM DSH
DIABETES MELLITUS, NONKETOTIC, MAY BE HYPEROSMOLAR
SEVERE DEHYDRATION
HEMATURIA, PROTENURIA,PYURIA R/O UTI
P; IV CATHTETER PLACED 22 GAUGE RIGHT CEPHALIC, BOLUSED 50ML LRS
START ON TWICE MAINTENANCE 30ML/HR
GIVEN REGULAR INSULIN ONE UNIT IV
PLAN ON CHECKING BG TWICE DAILY, WILL CHANGE TO LANTIS INSULIN SC WHEN PET BETTER HYDRATED
STARTED
AFTER IV BOLUS FLUIDS PET WAS ABLE TO DRINK WATER
START ON AMOXICLAV ORAL SUSPENSION 1.3 ML PO BID X 14 DAYS
PET NEEDS FOOD AND WATER AVAILABLE 24 HRS
PROGNOSIS FAIR TO GOOD DEPENDING ON RESPONSE TO TREATMENT IN NEXT FEW DAYS
Profile:
02/25/16 20:08
Starling is a geriatric, neutered DSH cat. He was found huddled on top of a pot hole in the street, where steam was coming out. He’s dehydrated and cold. He was lying on his paws in his box. He had a soft body and squinty eyes. He didn’t respond much when I picked him up, scanned him (-), collared him, positioned him for pictures, and placed him back in his box; he just looked around. He leaned his head into my hand while I pet him. He meowed once. He didn’t otherwise, vocalize, resist, or retreat.
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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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