CAT

A318012

Reason:

STRAY

Intake Date:

Outcome:

6/27/18

EUTH

HLTH HST

6/30/18

Treatment Records:

Date
Type
Medication
Weight
Description
Reason
Diagnosis
Body Condition
6/28/18
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06/28/18 14:49- Pain appears to be well managed at this time- cat is friendly and amenable to petting; no urine in litterbox or on towel.
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6/28/18
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6/28/18 at 1800 hours - Cat's pain appears under control (he meowed in a friendly manner and pushed his head against my hand). Cannot palpate bladder due to obesity. No pain reaction at palpation of abdomen. No urine in litter box and has not eaten.
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6/29/18
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06/29/18 - cat did eat a small amount of kibble overnight- one small formed feces in litter box- no urine noted in litter box or on towels; removed 25 mL urine from bladder by cystocentesis- manually expressed additional 10-15 mL urine; urine was slightly cloudy- no frank blood. Scheduled for next dose S-R buprenorphine on 6/30/18.
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6/29/18
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06/29/18 - small amount urine in litter box- cat's demeanor consistent throughout the day; willing to eat small amount wet food; administered approx 100 mL LRS SC
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6/29/18
FLUIDS-SQ
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6/29/18
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06/29/18 - Summary of medical notes from time at Blue Pearl Emergency 06/27/28 22:18 hx of producing small amounts hematuric urine in carrier on way to ER Pain 2/5; adequate hydration- normal mentation- no ulcers- petechiation in mouth wt=7.8 kg- BCS=8/9- Temp=100.2 degrees F- Pulse=180- tesp=40- mm pink- crt<2sec Producing small amounts hematuric urine- Penis tip erythematous. Sonographically- urinary bladder markedly distended- filled with speckeled material amidst the urine- proximal urethra markedly distended DDX: FLUTD- likely FIC Tx: under sedation- Tomcat catheter passed- hematuric urine remove-225 mL; bladder flushed with sterile isotonic salin until clear; sterile saline mixed with 1 mg dexamethasoneSP and 3.75 mg bupivicaine into urethra upon withdrawing catheter. Cursory microscopic exam of urine: no crystals- cocci present
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6/30/18
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11:30 - BAR in kennel- appears to be eating some food- very small amount urine in LB and smell of urine in kennel. Pale pink- moist mucous membranes. Cat is very affectionate- and does not behave as though painful. Somewhat amenable to abdominal palpation - challenging due to obesity - bladder feels about size of a baseball. Unable to manually express any urine. 12:00 - Performed cystocentesis; obtained 20ml slightly cloudy- pale yellow urine. After cystocentesis- cat appeared more sensitive to abdominal/bladder palpation- so manual expression was not re-attempted at this time. Bladder was reduced to about tennis ball size. Will continue to monitor for comfort- urination - will need to humanely euthanize if it becomes apparent that we are unable to control cat's discomfort and/or cat continues to be unable to void urine. At this time- it seems apparent that cat is very slowly dribbling urine and/or passing very small amounts- but voiding is unable to keep up with urine production. 14:30 - Found cat panting and straining to urinate- vomited food and water. Vocalizing and clearly very uncomfortable. Recommend humane euthanasia- as cat appears to be decompensating.
URINARY ISSUE
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8/9
6/30/18
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BUPRENORPHINE S-R INJ
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6/28/18
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17.7
06/28/18 - cat is BAR- abdomen tense and painful on palpation- pain score 4/5- mm pale; significant muscle atropy in rear limbs. Hx of admission to Blue Pearl - dribbling bloody urine: primary rule outs include urinary blockage- abdominal trauma- cystitis Treatment plan:address pain- hydrataion- and monitor urinations. Admnistered the following medications at 1130: S-R buprenorphine (3 mg/mL) 0.25 mL SC interscapular Onsior (6 mg/tab) 2 tabs PO Clavamox (125 mg/tab) one tab PO LRS approx 100 mL SC Rx: Clavamox (125 mg/tab) one tab PO BID x 6 days Onsior (6 mg/tab) 2 tabs PO SID x 2 days
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6/28/18
FLUIDS-SQ
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6/28/18
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BUPRENORPHINE S-R INJ
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6/28/18
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CLAVAMOX 125 MG
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6/28/18
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ONSIOR 6 MG
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6/27/18
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6/27/18 - Cat was picked up from an apartment complex 22:00 hours. RP said he was a sick stray. Taken by #319 to AEVS. Cat was passing very small amounts of hematuric urine but bladder still markedly distended. DVM there relieved obstruction under sedation after conversation with - flushed bladder- admin buprenorphine. Cat to be brought to MACC in a.m.
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Behavior Records:

Date
Reason
HEAD PAT
TOUCH
TOOTH
FOOD
Notes

Evaluation Records:

eval_date
eval_type
eval_comments