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The client has had Grey since he was a kitten. Approximately one and a half years ago, he had a four month period of chylothorax, requiring intermittent thoracocentesis. Restrictive cardiomyopathy was diagnosed 16 months ago and he was started on enalapril 1 tablet (2.5 mg tablet) PO q 24 hours, aspirin 1/4 tablet (80 mg tablet) PO q 3 days, Tumil K 2 tablets PO q 24 hours, and Lasix 1/2 tablet (12.5 mg tablet) PO q 8 hours. He had previously been diagnosed with diabetes mellitus, but this resolved in July of 1997. Approximately six weeks ago, he was diagnosed with diabetes mellitus again; he was started on insulin (owner unsure of type) 4 U SQ BID six days ago, and his Lasix was decreased to 1/2 tablet (12.5mg tablet) PO 1 12 hours. He last received insulin this morning. The client feels that he has had decreased activity for the last eight weeks, particularly in the last 1-2 weeks. Yesterday, Grey became lethargic and anorexic. He has been vomiting after urination, and appears to have some straining associated with urination. He was taken to the referring DVM this evening, where an increased respiratory effort was noted. Thoracic radiographs were taken and showed pleural effusion. Abdominal effusion (ascites) was also evident. The client noted that Grey vomited once after eating, but there has been no coughing, sneezing, or diarrhea.

On presentation, Grey is depressed but responsive. T=93.8, P=120, R=68. Ears are clean. Cornea, conjunctiva, anterior chamber, and sclera are clear. Mucous membranes are pink, with a CRT of 1 seconds. Breath sounds are audible dorsally and absent ventrally. Heart is difficult to auscult. Ascites is present, making abdominal palpation difficult. No masses or organomegaly detected. Mandibular, prescapular, and popliteal lymph nodes are less than 1/2 cm.

S: Grey was diagnosed with restrictive cardiomyopathy sixteen months ago, after being treated for chylothorax over 3-4 months.O: On presentation, Grey was dyspneic. A 21-gauge butterfly catheter was used to remove 230 mL of red-colored fluid (200 mL from the left; 30 mL from the right). A: Given the prior diagnosis of restrictive cardiomyopathy, it is most likely that this cat is in congestive heart failure.P: Administer Lasix 20 mg IM. Stabilize cat overnight on 40% oxygen, and continue to monitor respiratory rate and effort. Offer free choice food and water. Tomorrow, submit pleural fluid for analysis and perform echocardiogram to assess cardiac function.

S: Grey was diagnosed with diabetes previously, and this resolved in July of 1997. He was diagnosed with diabetes again approximately six weeks ago, and is receiving insulin 4U SQ q 12 hours.O: Blood glucose at the referring DVM this evening was 240 mg/dL.A: Diabetes mellitus will need to be addressed once the congestive heart failure has been dealt with. Failure to treat diabetes mellitus for a prolonged period of time can result in diabetic ketoacidosis.P: Stabilize Grey overnight and assess blood glucose in the morning. Offer free access to w/d.


Run, Baby, Run: What Every Owner, Breeder & Handicapper Should Know About Lasix in Racehorses
Book (Russell Meerdink Co)

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I am afraid I euthanized my sweet cat too soon!

He was a 12-year old boy probably Maine Coon mix that I'd had for his last 10 years. He was found to have heart disease just 12 weeks ago today. After being aspirated by an incompetent vet, and told he might have a lung infection, I took my time in bringing him home, thinking the antibiotics would likely take care of his problem.
I brought him home, and after a couple of hours, he started gasping for breath and panting. My housemate rushed us to an emergency vet. The vet there seemed to think his chances were grim. I would up leaving him there overnight in an oxygen cage. They used an IV to administer meds, and a needle to aspirate a therapeutic amount of fluid from his lungs

Kyle's Saratoga picks for Aug. 3  — Glens Falls Post-Star
WIN — CHRISSY GIRL was a victim of circumstance last out, running in between horses behind a glacial pace, yet still managed to finish willingly once in the clear. Should prove best with a trip. .. First start for Brown here with Lasix on.

Imports add class to Arlington Million card  — Las Vegas Review-Journal
To order, go to and search for it under DRF Press. The cost is $60. Richard Eng's horse racing column is published Friday in the Las Vegas Review-Journal. He can be reached at Follow him on Twitter: @richeng4propick.

Byron King: Arlington Million Day stakes add to pick five appeal  — Daily Racing Form
They typically come at a price, though, in the form of a much higher takeout than straight bets.

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  • Avatar RKJ Can an overdose of Coumadin and Lovenox kill a person?
    May 05, 2007 by RKJ | Posted in Heart Diseases

    My 79 year old grandmother went to the hospital with pneomonia and was dead within a week. First she was given an antibiotic for the pnemonia which thickened her blood. She was then given coumadin and lovenox to thin her …tests or to do surgery. (She had not actually had any surgery during this visit...but she did have catarac surgery a week or two before all of this.)
    *Correction* My mom says my grandmother's INR was at 44 (not 14).

    • Thank you cowboy, because much of what was said above is crap. Oh yeah and they really didn't address the question.

      You asked does this sound normal or was there a major mistake?

      Although, we …itself is a leading cause of death in older people, they often times just don't have the physiologic reserve or immunocompetency to fight it off. And with coronary disease her chances might not have been that good. Sorry.

  • Avatar esarjohn1962 After I take Ibuprofen I always get hot,it happens everytime I take it?
    Jun 20, 2009 by esarjohn1962 | Posted in Other - General Health Care

    Is this all in my head or is it possible, I do take high blood pressure medicine.

    • ( are the possible side effects of ibuprofen?

      *Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. …out all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.