ZECORA – 12047
Safe - 11-9-2017 Manhattan Rescue: Rescue Dogs Rock NYC Please honor your pledges: http://rescuedogsrocknyc.org/donate/
ZECORA – 12047
**DIABETIC – NEEDS MEDICAL FOLLOW-UP**
Intake Date: 11/7/17 Intake Type: Stray
Medical Behavior: Green Age: 8 years Sex: Female
Weight: 24 lbs
DVM Intake Exam: Estimated age: 8-10years Microchip noted on Intake? no History : stray Subjective:severely emaciated Observed Behavior -calm, allows handling Evidence of Cruelty seen -possible Evidence of Trauma seen -no Objective T =100.6 P =80 R =wnl BCS 1/9 EENT: ou sclerosis, ears clean, no nasal or crusty ocular dc Oral Exam: pale, cold gums PLN: No enlargements noted H/L: NSR, NMA, , Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: no SS seen MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities bloodwork;mild anemia, blood sugar >650 Assessment: diabetes Prognosis:guarded to fair Plan: IV catheter maintenance fluids 30ml/hour small meals only cbc/chem waive rabies vax until stronger. gave 2 units humulin N at 7pm SURGERY: Permanent waiver due to age
A Little Bit About Me…
Let’s get to know each other a bit more…
My medical notes are…
11/08/17 Vet Notes : Hx: severe emaciation, severe hyperglycemia on intake; given 3U Humulin insulin SQ last night at 7 pm and started on LRS at 30 ml/hr
-great appetite, pu/pd
-appears depressed in cage initially, after 200 ml fluid bolus over 30 minutes, she was much more interactive and walking around, very sweet and docile; does not react to other dogs in the room
Glucometer reads High this morning, indicating BG >700
-mm pk, tacky; CRT ~2 sec
-OU: mild mucoid discharge, immature cataracts
-eupnic, quiet lung sounds; possible grade II L parasternal murmur
-abdomen slightly tense but no palpable abnormalities
Diabetes mellitus, uncontrolled
Mucoid ocular d/c-r/o KCS vs allergic conjunctivitis vs other
Severe emaciation-suspect due to uncontrolled diabetes
Switch to NaCl, continue IVF at 50 ml/hr
cerenia 1.5 ml IV SID
humulin 4U SQ BID with food
prognosis: guarded to fair; does not appear to be ketoacidotic and is eating which improves prognosis but is severely emaciated and has a long road to recovery with frequent BG checks; will require insulin therapy indefinitely
11/09/17 Vet Notes : Diabetic, severely emaciated on intake; NaCl 0.9% running at 50 ml/hr
-QAR in cage but much brighter overall, barking in cage for attention; wagging tail when out of cage
-good appetite, eating i/d well
-normal bowel movement, large urination this morning
-mm pk, tacky; CRT 2 sec
-no nasal discharge or sneezing
-OU: open and clear of discharge today; immature cataracts
-eupnic, no murmur noted
-soft, doughy abdomen
-severely emaciated, likely due to uncontrolled diabetes
Diabetes mellitus, non ketoacidosis
Continue IVF at 50 ml/hr today, reassess rate in AM
Continue humulin insulin (4U SQ BID), famotidine and cerenia IV
TID feeding with i/d-8 am, 2 pm, 8 pm
recheck BG 6 hours post insulin today
recommend BG curve in 10-14 days
prognosis: fair; appears to be making significant improvements but has a long road to recovery and will require frequent blood work monitoring and indefinite insulin therapy
Details on my behavior are…
Behavior Assessment Date: 11/9/2017
Date of intake: 7-Nov-2017
Spay/Neuter status: No
Means of surrender (length of time in previous home): Stray
Date of assessment: 9-Nov-2017
Look: 1. Dog’s eyes are averted, ears are back, tail is down, relaxed body posture. Dog allows head to be held loosely in Assessor’s cupped hands.
Sensitivity: 1. Dog stands still and accepts the touch, eyes are averted, and tail is in neutral position with a relaxed body posture. Dog’s mouth is likely closed for at least a portion of the assessment item.
Tag: 1. Dog stands with tail low and wagging, and comes toward the Assessor in a friendly manner when the Assessor ceases moving.
Paw squeeze 1: 1. Dog does not respond at all for three seconds. Eyes are averted and ears are relaxed or back.
Paw squeeze 2: 1. Dog gently pulls back his/her paw.
Flank squeeze 1: Item not conducted
Flank squeeze 2: Item not conducted
Toy: 1. No interest.
Summary: Zecora slowly approached the assessor in the assessment room. She allowed all handling and displayed no concerning behaviors.
Date of intake: 7-Nov-2017
Summary: Zecora had a relaxed body and allowed all handling.
Date of initial: 7-Nov-2017
Summary: Zecora allowed handling.
ENERGY LEVEL: We have no history on Zecora so we cannot be certain of her behavior in a home environment. In the care center, she displays a medium level of activity.
BEHAVIOR DETERMINATION: AVERAGE (suitable for an adopter with an average amount of dog experience)
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.
View all entries in: Safe Dogs 2017-11