Here are the Facebook page posts from May 11 to May 16 in order to catch up the blog. I will create another blog post to go over the ER and cardio notes.
Sunday, May 11: "In ER with Cooper. (6 p.m.) He has severe CHF. Vomiting also. Restricted breathing so badly that he's breathing open mouth which he's not done before, not even Myrna. Not sure what triggered it. He may have been in the laundry room sun for too long. Sun means heat. Could be a stressor and stressors bring on congestion. Please pray for his recovery.
Coopers breathing improved from 100 to 60 bpm by the time I left at 10 pm. They were first giving intramuscular lasix then by IV. They gave buprenex for pain; nitro as a vasodilator; and other meds. He had blood and fluid coming through the nose from the lungs. In order to decrease the fluid he was expelling and to help the lasix work faster, they picked him up and turned him over, head pointing downward. Fluid poured out of him as if from a pitcher-I was told. I've never heard of such a thing before. They never used it on Myrna."
Monday, May 12: "Good news this morning! Prayers are answered. This latest battle has been won or at least congestion has retreated. His breathing rate is 32. They did not use nitro as it wasn't needed. He responded well to the dupo drug (I'll need to get the spelling later.) It helps contractility of the heart, much like and stronger than Pimobendan, improves blood flow to the body. This helped save kidneys that were hit with lasix. They are weaning him off of that. It's not a drug for home use. Only used via IV push and for less than 48 hrs or else the body fails to react to it. He's been on it less than 12 hrs at this point. Kidney values up slightly. Creatinine up 1.4-I think and it was only 1/10 above normal. BUN is up to 40 (norm I believe is 32) when last it was 27 but his BUN was 40 when he entered the ER (so it was taxing at home on lasix pills?) but cardio vet isn't concerned and is happy that it's not much worse. She expected it to be in 100s by now. He's off oxygen. They will continue to monitor this a.m. to make sure he can breathe off oxygen. He had 1/2 liter overnight because his pulse ox-oxygen in blood (a more complex explanation will come later) was excellent. And 1/2 liter is next to nothing in oxygen support. He finally urinated what they described as a HUGE amount at 8 a.m. after holding it in for a very long time they surmise. Cardio will do echo and xrays this afternoon and I will collect him and meet with her then and do further updates. Cardio said it is possible a clot is in the heart and a piece traveled to gastro causing vomiting at home, the violent vomiting in the car, and the screaming. Also, she has seen cats scream in the ER when the breathing is so difficult that they panic and can't get a breath and don't know what to do. Oxygen therapy and pain meds eventually calm them and it did for Cooper. So, either a clot-which we are still praying it's not but the reality is he's susceptible-or it was a panic attack. Thank you all for your prayers.
Cooper's home; Cooper's resting. We were home by 4:30 p.m. but due to storms here in MI and due to the evening usual rituals, I've not had a chance to post. I will tomorrow write up everything else discussed today with the cardio. Thank you all again for your prayers. Remember-stress leads to congestion and to CHF and stress triggers can be caused by anything: heat, sun, cold, cold/damp/humid air from opened windows, storms, noise, visitors, other pets, and kids. Decrease the stress, be vigilant about counting breathing rates, and be vigilant for sudden changes, be vigilant for signs a cat's not well. Keep up with meds and med schedules and accurate dosing. Do all that you can and more. And pray. And enjoy them. Take the photos and video while they are with you. Capture those oh so cute and silly moments. And maybe blog about them. Or post to your Facebook page more often. Good luck!"
Tuesday, May 13: "Cooper's o.k. but not eating today. Breathing steadily at 8 so far. I hand fed him at 11 a.m. peanut butter and tunafish and gave 18ml of KMR by mouth (KMR is kitten formula.)"
Wednesday, May 14: "Cooper is eating on his own today. Slight diarrhea last night after all the KMR but eating solids on his own today. Breathing seems ok."
Friday, May 16: "Cooper stopped eating last night and had diarrhea again. His breathing is still stable and seems to be at 8/15. We are hand feeding him water, club soda (bicarb-good for kidneys and boosts oxygen in blood cells) and the baby sweet potatoes I bought yesterday. He is urinating a good size so I believe his kidneys are holding up."
Sunday, May 11: "In ER with Cooper. (6 p.m.) He has severe CHF. Vomiting also. Restricted breathing so badly that he's breathing open mouth which he's not done before, not even Myrna. Not sure what triggered it. He may have been in the laundry room sun for too long. Sun means heat. Could be a stressor and stressors bring on congestion. Please pray for his recovery.
Coopers breathing improved from 100 to 60 bpm by the time I left at 10 pm. They were first giving intramuscular lasix then by IV. They gave buprenex for pain; nitro as a vasodilator; and other meds. He had blood and fluid coming through the nose from the lungs. In order to decrease the fluid he was expelling and to help the lasix work faster, they picked him up and turned him over, head pointing downward. Fluid poured out of him as if from a pitcher-I was told. I've never heard of such a thing before. They never used it on Myrna."
Monday, May 12: "Good news this morning! Prayers are answered. This latest battle has been won or at least congestion has retreated. His breathing rate is 32. They did not use nitro as it wasn't needed. He responded well to the dupo drug (I'll need to get the spelling later.) It helps contractility of the heart, much like and stronger than Pimobendan, improves blood flow to the body. This helped save kidneys that were hit with lasix. They are weaning him off of that. It's not a drug for home use. Only used via IV push and for less than 48 hrs or else the body fails to react to it. He's been on it less than 12 hrs at this point. Kidney values up slightly. Creatinine up 1.4-I think and it was only 1/10 above normal. BUN is up to 40 (norm I believe is 32) when last it was 27 but his BUN was 40 when he entered the ER (so it was taxing at home on lasix pills?) but cardio vet isn't concerned and is happy that it's not much worse. She expected it to be in 100s by now. He's off oxygen. They will continue to monitor this a.m. to make sure he can breathe off oxygen. He had 1/2 liter overnight because his pulse ox-oxygen in blood (a more complex explanation will come later) was excellent. And 1/2 liter is next to nothing in oxygen support. He finally urinated what they described as a HUGE amount at 8 a.m. after holding it in for a very long time they surmise. Cardio will do echo and xrays this afternoon and I will collect him and meet with her then and do further updates. Cardio said it is possible a clot is in the heart and a piece traveled to gastro causing vomiting at home, the violent vomiting in the car, and the screaming. Also, she has seen cats scream in the ER when the breathing is so difficult that they panic and can't get a breath and don't know what to do. Oxygen therapy and pain meds eventually calm them and it did for Cooper. So, either a clot-which we are still praying it's not but the reality is he's susceptible-or it was a panic attack. Thank you all for your prayers.
Cooper's home; Cooper's resting. We were home by 4:30 p.m. but due to storms here in MI and due to the evening usual rituals, I've not had a chance to post. I will tomorrow write up everything else discussed today with the cardio. Thank you all again for your prayers. Remember-stress leads to congestion and to CHF and stress triggers can be caused by anything: heat, sun, cold, cold/damp/humid air from opened windows, storms, noise, visitors, other pets, and kids. Decrease the stress, be vigilant about counting breathing rates, and be vigilant for sudden changes, be vigilant for signs a cat's not well. Keep up with meds and med schedules and accurate dosing. Do all that you can and more. And pray. And enjoy them. Take the photos and video while they are with you. Capture those oh so cute and silly moments. And maybe blog about them. Or post to your Facebook page more often. Good luck!"
Tuesday, May 13: "Cooper's o.k. but not eating today. Breathing steadily at 8 so far. I hand fed him at 11 a.m. peanut butter and tunafish and gave 18ml of KMR by mouth (KMR is kitten formula.)"
Wednesday, May 14: "Cooper is eating on his own today. Slight diarrhea last night after all the KMR but eating solids on his own today. Breathing seems ok."
Friday, May 16: "Cooper stopped eating last night and had diarrhea again. His breathing is still stable and seems to be at 8/15. We are hand feeding him water, club soda (bicarb-good for kidneys and boosts oxygen in blood cells) and the baby sweet potatoes I bought yesterday. He is urinating a good size so I believe his kidneys are holding up."
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