Schmoopy Calcium Levels

03.03.15 – Calcium = 11 (within normal range) (Creatine Kinase high at 416 (range = 10-200)
06.20.16 – Calcium = 10.7 (within normal range)
12.07.16 – Calcium = 11.4 (within normal range)
04.10.17 – Calcium = 12.8 (above high normal)
04.27.17 – Calcium = 15.3 (above high normal) (earlier this week, SubQ fluids, Lasix & diuretic in an effort to get Calcium under control)
04.27.17 – Ionized Calcium = 1.41 (above high normal) (IV fluids)
04.28.17 – Ionized Calcium = 1.4 (above high normal)
05.01.17 – Ionized Calcium = 1.3 (on morning of surgery (prior to surgery)) (within normal range)
05.10.17 – Ionized Calcium = 1.43 (above high normal)
05.16.17 – Ionized Calcium = 1.88 (above high normal) - This is the highest it has ever been
05.17.17 – Ionized Calcium = 1.64 (above high normal) but less than yesterday.

05.18.17 – Ionized Calcium = 1.44 (above high normal) but going down.
05.19.17 – Ionized Calcium = 1.36 (slightly above high normal)
05.23.17 – Ionized Calcium = 1.12 (slightly below normal)

Tuesday, May 16, 2017

May 16, 2017 - 9:45am:  Checked into Hope Center Emergency

Clinically presenting to me:  Not eating all weekend, lethargic


Hope Center: 

Diagnostic:
- Ran lab work to check ionized calcium: Hypercalcemic at 1.88 (highest it has ever been) 

Objective:
- Get calcium into normal range (he'll feel better, he'll start to eat again, and reduce risks of kidney damage)

Actions:
IV fluids - To help reduce Calcium
-  Zoledronate - To reduce Calcium
- IV antibiotic (Enrofloxacin) - For UTI

Plan:
-  Keep Schmoopy overnight with IV fluids
-  Recheck bloodwork and calcium in the morning on 05.17.17

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Canine Chronicle - Westminster 2010 Edition

Canine Chronicle - Westminster 2010 Edition
Page 275