ZECORA – 12047

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…

 

 

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
S/O
-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
-severe emaciation
A
Diabetes mellitus, uncontrolled
Mucoid ocular d/c-r/o KCS vs allergic conjunctivitis vs other
Severe emaciation-suspect due to uncontrolled diabetes
P
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
S/O
-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
A
Diabetes mellitus, non ketoacidosis
Severe emaciation
P
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)

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