I have been remiss in posting the rest of Gracie's story. I apologize for the lapse in posting. I have given up some other responsibilities in order to concentrate on the Gimpy Dogs site. I hope you find the site informative and helpful.
Without further ado
May 6 (recap, originally posted by Mary, May 2009)
Blood and urine were checked again today. Gracie’s lost a pound, unfortunately. But, she seems interested in food. She gets a cup of brown rice in the morning and evening with 1 ounce of grilled turkey pattie (she loves it grilled), ½ of a very finely crumpled hard-boiled egg, and, as incentives, a ½ to 1 crushed Iams weight-control dog biscuit, ½ a crumpled Greenie pill pocket hidden in the rice, and as a plate-cleaner, some torn pieces of baguette not to exceed the nutritional amount in the original Hills recipe. She also gets no more than a teaspoon of turkey baby food either slathered on the bottom of the bowl or mixed with warm water to create a sauce. Normally, she would get 2 ounces of grilled turkey per meal but I’ve reduced the amount slightly because of the protein-based incentives. She also gets about a ½ cup of rice and maybe ½ ounce grilled turkey with some of the incentives as a small mid-day meal. Feeding and fluids can take up to an hour in the morning to administer. Also, I have to allow time during the week to cook her food.
May 7 (recap, originally posted by Mary, May 2009)
The vet called today with the results of the latest tests:
Gracie’s BUN is down from 79 to 77 but her creatinine level has gone back to 5 from 3.6. It was at 5 when she was hospitalized. If she seems to be lethargic, the vet has suggested we go back to a ½ bag every day for a few days then go back to ½ bag of subQ fluids every other day.
(Today, Gracie does seem a little tired, but I’m not sure if that is due to the long walk we took this morning in humid weather – she was kind of dragging behind Sofie, which was unusual). More fluids will also help if she starts to lose her appetite.
I need to reduce the Calcitriol to 0.65 ml 2Xs a week from 1.0ml. The Calcitriol is to be given 1 hour before or 2 hours after the AlternaGel. I need to adjust the timing of the meds and eating; giving these at the wrong time could be having an effect on Gracie’s numbers:
Give AlternaGel after Gracie eats or in her food
Pills (blood pressure, Pepcid, tramadol) give 1 hour before or 2 hours after she eats
Again, Calcitriol two-times a week (.65 ml) should be given 1 hour before or 2 hours after she eats BUT not at same time of other pills
I’ve made the next vet tech appointment for an Istat blood test (ionized calcium) in about a month (Monday, June 8th 9:30 am). I will also need to bring a urine sample. (Yes, that’s always interesting – I prefer to do this in the privacy of our back yard since following a dog around with a plastic cup looks odd to the neighbors. The vet provides a sterile set up – latex gloves and a lidded cup but, since the cup is too large to fit under Gracie as she squats, I’ve found that a small, flat plastic container—I use a hummus container from Trader Joe’s – works best for collection then transfer to the larger cup. Since the vet is checking urine content, not bacteria, a sterile sample isn’t absolutely necessary.)
May 19, 2009 (recap, originally posted by Mary, May 2009)
One of my neighbors passed on a suggestion for getting more fluids into Gracie -- mix some electrolyte-enhanced water in with her regular bowl of water, maybe a ½ cup or so.
This product is sold under the brand name Smart Water, but Trader Joe's also carries the same thing under its store brand name. Don't get anything flavored, just the regular water. This helps with keeping her hydrated as she's urinating more because of the subcutaneous fluids that are helping to flush her kidneys.
May 20, 2009 (recap, originally posted by Mary, May 2009)
I am a little concerned with Gracie's condition in general. Since last weekend, she's been showing signs of weakness again--tripping, slipping on the floor, laying down a lot rather than standing. The vet said that if this occurs, we should increase the fluids to everyday for a few days. We did this the weekend before last and will start her again on fluids everyday for a few days this week. It means her numbers are probably rising again. Not good. However, I am getting her to eat, but she's now responding to turkey "meatloaf" -- pound of ground turkey with two eggs and about a third cup of plain bread crumbs mixed in and baked. She just seemed to get tired of the grilled meat. Turkey baby food (about a teaspoon) mixed with warm water also helps to incentivize.
