Dr. J suggested giving Torb for pain management, and to monitor closely for the next 24 hours. He gave an initial injection, which seemed to quiet Bassy quite a bit, and another subcue. Gave me a liquid suspension of Torb to take home and administer every 12 hours.
I'm confused about the dosing, though. It seems a little low. Can someone double-check this for me?
Bassy weighs just over 1kg. Dr. J has set the dosage at .2cc. The concentration on the bottle says "5mg/2cc." This would obviously be 2.5/1cc. So here is my calculation:
What he should be getting, based on dose calculator:
2mg/kg (standard dose) x 1kg (weight) / 2.5mg/kg (concentration) = .8
What he's actually getting:
.2cc (prescribed dose) x 2.5 (concentration) / 1kg (weight) = .5
Also, medication pages also say 4q, but Dr. J is going with 12q.
The .5 that I got when reverse-calculating it, would tell me how much he's getting -- not what dose.
That seems like quite a difference between .2cc and .8cc. Not familiar with Torb to know if a lower dose is indicated for this type of pain (vs., say, surgery), but that seems like an awfully small amount.
- You can quote me
The GL analgesia page specifies "2 mg/kg, SQ, q2-4h, (1,2)". That's an injectable (SQ) dose. Sometimes there's a dosage difference based on mode of delivery (and I can't recall if butorphanol is one of them).
Having said all that, I'd start him at the low dose -- the 0.5 mg, or 0.2 cc. See how he feels. You don't want to knock him out for any longer, or dope him up any more, than is necessary to make him comfortable.
In our experience Torb makes them sleep for somewhere between 3 to 5 hours. Then, they wake up hungry, with the munchies, so to speak. I'm taking a guess that your vet doesn't want him to sleep that long, or that deeply. A lower dose will hopefully rest him a little, help make him comfortable, and make him eager to eat.
I'll stick with the lower dose, then.
Are there any concerns with him being on Bactrim, Prednisone and the Torb simultaneously from a GI standpoint?
Urine output seems good, although there still seems to be a very little bit of discomfort when he eliminates. Nothing like it was on Saturday. He's still on Bactrim for any secondary infection, plus the Torb at .2cc twice a day, as well as Prednisone at .5cc every 3 days. As of this evening, still has a good appetite as far as his veggies and hay are concerned, drinking on his own, active, and producing normal feces. He had a nice, big pee right after handfeeding this evening that looked clear.
Husband and I were wondering if there's a chance that he may have passed the stone-? Probably wishful thinking on our part, but after what was obviously a very painful episode on Saturday morning, he has been more like his old self.
Should I get another x-ray? And, I had asked this earlier but I don't think anybody commented...is there such a thing as too many x-rays? The one last week that found the stone was, I believe, the 5th xray since May.
You could wait until there is clear pain/problems in the hopes that a stone or something was passed. But of course that would be speculation. Perhaps discussing the value and timing of the xrays with your vet would be the best choice.
- You can quote me
"Are there any concerns with him being on Bactrim, Prednisone and the Torb simultaneously from a GI standpoint?"
I don't *think* so. The only GI interaction to avoid at all costs, that I know of, is a steroid and an NSAID. That is, right now you can't add Metacam or Rimadyl into the mix. Josephine would know for sure.
On a positive note, Bassy is no longer hopping. Seems it was just a muscle pull or a bruise on that leg where the lump is, after she drained it. So that's at least one good thing going for him right now.
I'm thinking of sending a urine sample over ot the vet tomorrow. Is it possible to tell if he still has a kidney stone based solely on the volume of crystals in the urine? (assuming not). I am just really reluctant to get another x-ray so soon, and yet I'd be curious to know if it has gotten smaller.
I started Sebastian on Shilintong this weekend, since he continues to cry when he urinates and has bowel movements. He actually seems to like the taste of it mixed with a little CC. Go figure.
My question is, I'm noticing that he tends to cry *more* with a bowel movement than with urination. His poops are a normal size but are a little dry. He has had subcues and is drinking on his own...eating hay. Why am I still seeing dry poops? He hunches and cries whenever he produces them. I know that crying when defecating is symptomatic of kidney stones, but I'm trying to understand why and what can be done to help soften them. Was hoping he'd like canned pumpkin, but that was a no-go.
Arthritis in the back also makes pigs cry when peeing or pooping.
Arthritis doesn't seem to be a factor; he had a full-body xray done a couple of weeks ago, and nothing (other than the stone) remarkable showed up. A consulting vet was originally concerned with the possibility of cancer, but our vet didn't find any indication of that, either.
He passed a little blood this evening, which is the first time in days. :(
Continues to lose weight despite handfeeding. I'm not having a very good feeling about all of this.
- I GAVE, dammit!
So he *does* have a stone, shown on xray, right?
Why does the vet not want to operate?
I'm not understanding this, because a stone would cause all the pain symptoms you're describing, and it sounds as if you're looking for another cause? Or am I missing something?