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)

Wednesday, May 17, 2017

Schmoopy Health Update

May 17, 2017 - 10:45am:  Call from Hope Center Emergency


Hope Center:

Clinically:
-  Eating well
-  Drinking well
-  No bowel movement yet


Diagnostic:
- Ran lab work 05.17.17 to check ionized calcium: Still hypercalcemic at 1.64 
  (Above high normal but lower than 05.16.17 when it was 1.88)

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

Actions for 05.17.17:
IV fluids - to help reduce Calcium (continue)
-  Zoledronate - To reduce Calcium (This was a one time dose)

- IV antibiotic (Enrofloxacin) - For UTI (They plan to transition this to Macrofloxacin in pill form probably by this evening.  Transitioning to one that has less GI upset potential)

Plan for 05.17.17:
-  Keep Schmoopy throughout day with IV fluids
-  Recheck bloodwork and calcium this evening
-  Re-assess this evening

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Canine Chronicle - Westminster 2010 Edition

Canine Chronicle - Westminster 2010 Edition
Page 275