Worland Windom Peterson Peterson Webster Peterson Peterson Peterson Peterson Peterson Peterson Peterson Peterson Gokhale Gokhale

rson Peterson Peterson Peterson Peterson Peterson Gokhale Gokhale Sodhi Sodhi Snyder Reising Alpine Sodhi Lakemont
Range 03/31/07 02/27/07 02/05/07 01/16/07 12/28/06 11/21/06 10/31/06 10/20/06 10/13/06 10/05/06 09/28/06 09/25/06 09/22/06 09/15/06 09/07/06 09/01/06 08/18/06 08/05/06 07/14/06 06/26/06 06/22/06 05/09/04
CBC
WBC 6-17 31.5 52.8 60.4 86.9 75.4 48.2 46.7 51.7 51.1 60.7 45.3 45.3 25.8 33.7 21.4 30.9 28.1 11.4 11.7 10.7 7.7
RBC 5.5-8.5 3.8 2.71 3.2 2.7 3.8 3.8 3.8 3.7 3.5 3.7 3.62 4.2 4.2 4.6 5.12 5.5 5.3 6.2 5.3 6
HGB 12-18 9.4 6.7 8.4 8.2 9.7 9.8 9.9 9.5 8.5 9.1 8.8 10.3 10.5 11.4 12.8 13.4 12.7 16 13.5 15.4
HCT 37-55 29 21 27 21 29.9 31 30 31 27 28 26 32 31 34.3 35.1 36.6 41 46 41.0 41.5 48
MCV 60-77 76 77 84 79 79 82 80 83 77 76 72 77 74 74 69 67 78 74 77.0 69
MCH 19-28 24.5 24.8 26 31 25.7 25.6 26 25.3 24.5 24.9 24.2 24.8 25 24.6 25 24.4 24.1 25.7 25.4 25.7
MCHC 30-38 32 32 31 39.1 32.3 31 33 31 32 33 33.6 32 34 33.2 36.4 36.7 31 35 33.0 37
RDW 12-16 16.6 16
MPV (mean platelet volume) 6.1-10.1 9.8 10
Platelet Count 170-400 672 453 133 471 341 457 355 338 414 304 377 292 323 394 218 157 186 Adequate 224
Differential Counts ABS / %
Baso 0-150 0/0 0/0 0/0 0 0 0 0/0 0/0 70 0/0 0/0
Eos 0-1200 945/3 0/0 604/1 0/0 0 0 1034 1032 337 309 / 1 0/0 798 / 7 710 214 / 2 75 / 1
Bands 0-300 630/2 0/0 2508/3 2740/4 0 2068 1022 3035 3171 774 2359 0/0 556 / 2 114 / 1 0/0
Polys /neutrophils 2060-10600 28665/91 50731/97 59192/98 76076/91 60965/89 47236 45299 46013 48034 55844 38458 23220 30330 18.9-/ 87.6 26574 / 86 24464 / 88 9006 / 79 8770 9095 / 85 6450 / 86
Lymph 690-4500 630/2 0/0 604/1 5016/6 1370/2 482 467 1551 1533 1214 453 258 337 1.7 / 8.3 309 / 1 278 / 1 912 / 8 1500 963 / 9 750 /10
Monos 0-840 630/2 1569/3 0/0 0/0 3425/5 482 467 517 511 2718 516 0.8 / 4.1 3708 / 12 2502 / 9 570 / 5 660 428 / 4 225 / 3
Metamyelocytes 0-0 517 607 337 2
Total 30900 27800 7500
NRBC 0-1 4 1 3 1 1
Reticulocyte Total 0-1 2 2.2 1.2 2 4.8 1.85 2.03
Absolute Reticulocytes <60000 87780 59620 38400 53000 180480 64750 75110
Chemistry Screen
Glucose, Serum 65-130 167 82 276 288 50 93 10 74 115 89 88 16 31.0 117 100 98 97 129.2
Glucose, Plasma 65-130 157 80 103 106 28.0 117
BUN 6-29 15 20 45 44 17 21 23 12 10 9 18 15 17 11 11 27
Creatinine 0.5-1.6 0.6 0.8 0.6 1.2 1.6 0.5 0.6 0.5 0.6 0.7 0.5 / 0.6 1.2 0.9 1.4 0.9 1.1 1.12
Bun/Creatinine Ratio 4-27 25 75 34 35 46 14 12
Sodium (Na) 140-158 142 149 142 141 150 147 151 142 147 142 155 150 150 151
Potassium (K) 4-5.7 4.4 4.1 4.5 3.8 5.2 4.7 5 4.2 4.2 4.03 5.5 5.2 4.2 4.5
Sodium/Potassium Ratio 27-40 32 36 32 37 29 31 30 34 35 28 29 36 34
Chloride (Cl) 102-120 100 111 106 111 107 114 114 111 109 118 108 106 105 113
Triglyceride 29-291 408 151 393 443 107
Magnesium (Mg) 1.5-2.5 1.4 2 1.6 2.3 1.1 1.8
Carbon Dioxide 18-26 18 13 20 15.9 20 21 22
Anion Gap 13-25 20 17 23 9.4 27 23 16
Calcium 8-12 9.7 10.2 9.2 8.1 9.9 9.7 9 8.2 10.3 9.1 10.2 9.4 9.4 10.3 10.2
Phosphorus 3-7 8.6 6.3 5.5 6 5.8 5.6 7.1 5.1 4.6 5.1 4.4 5 4.9 4.4 3.9
Osmolality, Calculated 270-310 296 301 298 280.9 306 296 309 299
Total Protein (TP) 5.4-7.6 6 6.7 5.6 5.7 6.5 6.3 6.6 5.9 7.1 6.5 5.6 6.5 6.4 7.5 6.4 6.8 6.7 6.29
Albumin 2.3-4.0 2.8 2.9 2.9 2.5 3.2 3 3.1 2.8 2.4 3.2 2.3 3.7 3.5 3.9 3.7 3.4
Globulin 2.7-4.4 3.2 3.8 2.7 3.2 3.3 3.3 3.5 3.1 4.7 3.3 3.3 2.8 2.9 3.6 3.1 3.3
Albumin/Globulin Ratio 0.6-1.2 0.9 0.8 1.1 0.8 1 0.9 0.9 0.9 1 1.3 1.2 1.1 1.2 1
Bilirubin 0.0-0.5 0.1 0 0.2 0.8 0.1 0.1 0.1 0.01 <0.1 0.1 <0.1 0.1 0 0.1 0.2 0
Alkaline phosphatase (ALP) 10-84 848 1279 5832 10966 7533 2331 4494 4516 1232 3400 1788 3819 4360 384 4119 336 397
Gamma gt (GGT) 0-10 11 7 116 147 155 33 82 72 54 11 468 5 3
ALT (SGPT) 12-118 26 34 66 57 356 94 189 184 45 147 234 206 381 37 66 135 <10
AST (SGOT) 16-60 58 52 50 78 126 40 53 98 121 24 57 57
CK / CPK 50-300 554 219 780 235 297 71 108 621 415 212 289
Cholesterol 150-275 254 321 745 707 283 350 384 355 236 225 118 110 115 173 192
Amylase 300-1500 647 793 735 594 544 512 902.0 547 369 591 695
Lipase 0-425 196 203 205 171 198 288 264 190 225
Bile Acids, Pre Meal <13 10.4
Bile Acids, Post Meal <25 10.1
Total Estrogen 20-25 25.13
Cortisol 1-2.50 2.2 0.52
IgA 70-170 51
IgG 1000-2000 894 2+anisocytosis
igM 100-200 83 3+rouleaux
T4 RIA 1-4 0.3 <0.1 2.1 1.19 0.7
T4 2-4.5 0.83 2.61
T3 100-200 114.83
large platelets large platelets
1+hypochromasiaslight polychromasia present present 1+hypochromasia 1+hypochromasia 1+hypochromasia 2+anisocytosis
howell jolly bodies platelets appear
2+anisocytosis present slightly increased 2+anisocytosis 2+anisocytosis 2+anisocytosis 3+rouleaux
rbc morphology
2+rouleaux normal 2+rouleaux 3+rouleaux 2+rouleaux

1+macrocytosis 1+macrocytosis 1+polychromasia

1+polychromasia
03/22 prednisone restarted 1/4 tab today as Bear holding up right hind leg, not walking well
03/26 vetalog shot .5mL, stopped pred vetalog shot, intermittent soloxine, 1/4 pred this morning
02/25 stopped soloxine seemed Bear was losing too much weight, decided to stop thyroid meds to see if this would help
02/25 restarted prednisone 1/4 tab 1/4 tab for a few days, then up to 1/2 tab - 2.5mg
02/18 stopped prednisone & all antibiotics approximate date
02/06 ran out of zeniquin (marboflaxin) peterson
02/06 reduce prednisone to 1.25mg/1 day
02/05 start cephalexin 125mg 3x/day peterson
02/05 stop simplicef peterson
01/23 increase vetsulin to 9U gokhale
01/23 start vetsulin 8U peterson for diabetes, transition from IV
01/23 start simplicef peterson
01/20 soloxine 0.1mg /2x day peterson for thyroid
01/19 changed cefazolin to marboflaxin peterson based on culture results
01/17 reduce prednisone to 2.5mg / 1 day
01/17 amikacin and cefazolin for 2 days peterson
01/15 - 01/23 metronidozole 50mg/2x day
01/15 Imipenem for 2 days peterson
2007 - Jan prednisone reduced to 5 mg reduced Bear's prednisone to 2.5mg twice a day some time in Jan
11/13 restart azathioprine gokhale only gave occasionally as Bear seemed worse every time taken; he is no longer taking this
11/13 increased prednisone to 7mg
11/13 doxycycline ran out
11/6 clindamycin gave 2 clindamycin tablets this week
10/30 stopped choloramphenicol had a small number of 1/4 tablets the previous week
10/30 Baytril ran out stopped either this week or week prior
10/28 clindamycin gave 1 clindamycin tablet, seemed Bear was worse next day so discontinued
10/02 doxycycline 50mg/2x day
09/29 chloramphenicol (viceton) 250mg/3x day peterson
09/28 stop clindacure peterson
09/28 6.6kg peterson
09/27 stop atopica
09/26 stop metronidazole peterson
09/25 start atopica 25mg /2x day peterson
09/25 6.6kg peterson
09/23 start clindacure 25mg/3x day peterson
09/22 stop clavmox peterson
09/22 6.9kg peterson
09/15 tramadol 12.5mg-25mg/day as approp gokhale
09/15 prednisone 2.5mg/day gokhale
09/15 clavamox 125mg/day started gokhale
09/14 timentin given via IV gokhale
09/14 6.8kg gokhale
09/14 stop azathioprine gokhale
09/08 stop prilosec gokhale
09/08 baytril 102/mg/day gokhale occasional missed doses and reduced doses, at one point also too high a dose
09/08 metronidazole 62.5mg/day gokhale
09/08 prednisone 5mg/day gokhale
09/08 azathioprine 14mg/two days gokhale
09/07 iv antibiotics while admitted gokhale
09/07 6.7kg gokhale
08/25 azathioprine started 14mg/day snyder
08/24 prilosec 5mg/prednisone gokhale
08/24 7kg gokhale
08/04 prednisone 15mg/day+ snyder
prednisone 1.25mg/day reisling
prednisone 2.5mg/day reisling
7/14 prednisone 5mg/day- reisling
07/11 prednisone 10mg/day- hermann approximate date of medication reduction
06/29 stop doxycycline reisling
06/28 prednisone started 15mg/day hermann started full dosage several days later
06/28 stop baytril hermann
06/28 stop amoxcilin hermann
06/25 baytril 32mg/day alpine
06/25 amoxi 150mg/day alpine
06/25 iv antibiotics while admitted alpine
06/23 doxycycline 50mg/day reisling
06/23 tramodol reisling
06/16 17.3 lbs lakemont
mg/DL Time Date Insulin Dose Temp UrineGlu UrineKey Food
283 8:12 AM 30-Mar gave 4U after this measurement highest concentration (peak)
269 8:29 AM 30-Mar
118 11:14 AM 30-Mar lowest concentration = nadir (trough)
130 2:28 PM 30-Mar midpoint (ideal range 200mg/dl; 150-250 acceptable)
299 5:30 PM 30-Mar
285 8:23 PM 30-Mar gave 4U after this measurement blood glucose exceeds rental curve=10mmol/l or 180mg/dl
83 12:38 AM 31-Mar
117 8:48 AM 31-Mar no insulin given
137 8:20 PM 31-Mar no insulin given
307 7:55 AM 1-Apr gave 2U after this measurement
316 9:18 PM 1-Apr gave 2U? (forgot to note)
351 8:45 AM 2-Apr gave 3U after this measurement
337 2:44 PM 2-Apr unusual so high, then later drop 1 tab cornsilk 6:00PM
192 8:51 PM 2-Apr gave 2U at 10:00pm
236 10:26 AM 3-Apr gave 2U cornsilk in morning
301 10:17 PM 3-Apr gave 2U
273 11:19 AM 4-Apr gave 2U 101.3
287 3:23 PM 4-Apr 103.7
359 11:42 PM 4-Apr gave 2U 102.9
8:14 AM 5-Apr had appt conflicted with insulin admin 101.5
266 1:27 PM 6-Apr 102.3
291 8:07 PM 6-Apr gave 2U 103.3
284 9:17 AM 6-Apr gave 2U 101.8 9:45AM hamburger w duck egg & onion yin chaou, herb tea
11:00 AM 6-Apr 103.+ acupuncture
259 2:34 PM 6-Apr 103.7
4:22 PM 6-Apr 103.0 4:00PM duck egg herb tea
265 9:19 PM 6-Apr gave 3U after this measurement 103.2
182 2:02 PM 7-Apr no morning dose as not eating 102.5
135 5:35 PM 7-Apr lethargic, not eating 102.4
6:08 PM 7-Apr 103.8 syringe dogsure & PDG
442 8:26 PM 7-Apr gave 4U after this measurement 103.1
256 10:29 PM 7-Apr 103.6 steak strips
11:36 PM 7-Apr 2000+ 15
278 1:14 AM 8-Apr gave 2U as glucose still high 104.+
271 2:16 AM 8-Apr high temp most of evening 104.+
302 3:58 AM 8-Apr 104.+ 1000+ 15 few kibble, hamburger/egg
219 7:33 AM 8-Apr 104.0 Sub-Q fluids
473 9:08 AM 8-Apr gave 8U 102.2
11:15 AM 8-Apr 104.1 at vet, fructosamine taken
191 11:57 AM 8-Apr 3 Tbl egg; 6cc diabetic drink w Optagest
103 1:22 PM 8-Apr 104.2
2:35 PM 8-Apr 104.0
281 4:07 PM 8-Apr 1000+ 5
238 5:59 PM 8-Apr gave 8U 102.2 1/4 can tripe
7:42 PM 8-Apr 103.6
171 8:31 PM 8-Apr 102.4 1/4 can tripe
116 9:51 PM 8-Apr 18cc diabetic drink
254 Average

Bear Blood Glucose 03/30

4U insulin administered 2x/day
20
Blood glucose (mmol/l)

15

10

0
0 4 8 12 16 20 24
Time (hours)