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Kitten in kidney failure - my fault

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GuiltyGuiltyGuilty - 08 Dec 2006 20:06 GMT
I accidentally overdosed a 3 pound kitten with .8 ml of Metacam.  The
dose was supposed to be .08 ml

I did this on Monday morning, now it's Friday and she's at the vet in
kidney failure.  Do kittens ever recover from something this bad?
Spot - 09 Dec 2006 03:35 GMT
I'm wondering why you would ever need to give a kitten metcam in for first
place.  I hope she recovers.

Celeste

>I accidentally overdosed a 3 pound kitten with .8 ml of Metacam.  The
> dose was supposed to be .08 ml
>
> I did this on Monday morning, now it's Friday and she's at the vet in
> kidney failure.  Do kittens ever recover from something this bad?
GuiltyGuiltyGuilty - 09 Dec 2006 04:27 GMT
It was prescribed for her.  By a veterinarian.

> I'm wondering why you would ever need to give a kitten metcam in for first
> place.  I hope she recovers.
[quoted text clipped - 6 lines]
> > I did this on Monday morning, now it's Friday and she's at the vet in
> > kidney failure.  Do kittens ever recover from something this bad?
josh - 09 Dec 2006 05:08 GMT
> I'm wondering why you would ever need to give a kitten metcam in for first
> place.  I hope she recovers.

I'm wondering why you felt the need to be snarky to someone with a very sick
kitten.  At twelve weeks of age (which is a guess, of course), I'm going to
assume it's for treatment of inflammation post spay or declaw.
Spot - 10 Dec 2006 00:54 GMT
I wasn't being snarky I just never heard of a kitten taking metcam is all.
Maybe you ought not to get your panties in such a bunch and quit being so
nasty yourself.

Celeste

>> I'm wondering why you would ever need to give a kitten metcam in for
>> first place.  I hope she recovers.
>
> I'm wondering why you felt the need to be snarky to someone with a very
> sick kitten.  At twelve weeks of age (which is a guess, of course), I'm
> going to assume it's for treatment of inflammation post spay or declaw.
The_Insanely_Freakin_Simply_Amazing_Grand_Puppy_Wizard_@HotMail.Com - 11 Dec 2006 23:00 GMT
HOWEDY josh you pathetic miserable stinkin lyin animal
murderin active acute chronic life long mental case and
veterinary malpracticioner,

> > I'm wondering why you would ever need to give a kitten metcam in for first
> > place.  I hope she recovers.
>
> I'm wondering why you felt the need to be snarky to someone with a very sick kitten.

That's EZ, josh. spot is a dog abusin mental case, like yourself.

>  At twelve weeks of age (which is a guess, of course), I'm going to
> assume it's for treatment of inflammation post spay or declaw.

You mean, veterinary malpractice, don't you, josh?

UNLESS of curse, you can DEFEND those practices.

But you WON'T, on accHOWENTA YOU CAN'T.

Since WHEN is anesthesia "NORMAL" for "PERFECTLY
HEALTHY ANIMALS," dra carla, dvm?

>  This is the hardest thing we have to risk

"WE", dra carla, dvm? You mean YOU RISK the
LIVES of "PERFECTLY HEALTHY ANIMALS" comitting
VETERINARY MALPRACTICE on them, DON'T YOU, dra
carla, dvm...

> each time our pets are put under for surgery.

If ALL the "PERFECTLY HEALTHY ANIMALS" you RISK
by UNNECESSARILY INAPUPRIATELY SURGICALLY
MUTILATING them, THAT woudld DESTROY your PROFIT
MARGINES, wouldn't it, dra carla, dvm <{); ~ ) >

>  I don't know what the ratio is

O.K., dra carla, dvm, PERMIT The Amazing Puppy Wizard to
ENLIGHTEN YOU: There are NO PERFECTLY HEALTHY
ANIMALS who should be RISKING UNNECESSARY
INAPUPRIATE SURGICAL MUTILATIONS at the hands of
ETHICKAL VETERINARIANS who'll chop off body parts
on accHOWENT of YOU DON'T KNOW NUTHING abHOWET
HOWE to pupperly handle train and manage those INNOCENT
VICTIMS of "THE HARDEST THING WE HAVE TO RISK," e.g.
YOUR FINANCIAL HEELTH, dra carla, dvm <{); ~ ) >

THOSE DEATHS are 100% VETERINARY MALPRACTICE.
The Amazing Puppy Wizard INTENDS to IDENTIFY
EXXXPOSE and DISCREDIT you and your ilk <{); ~ ) >

> in people but its generally the same idea,

PEOPLE can CHOOSE FOR THEMSELVES if THEY want
to SUFFER THE RISKS of unnecessary surgical mutilations,
dra carla, dvm <{): ~ ) >

> that for absolutely no reason other than proper
> anesthetic protocol a healthy patient can die.

Are you BLAMING inapupriate administration of
anesthesia for those UNNECESSARY INAPUPRIATE
SURGICAL MUTILATIONS which comprise a HUGE %
of YOUR INCOME, dra carla, dvm?

> Cat's hearts are extremely small as you can infer
> from the size of their chests.

LikeWIZE your heart, as WE can PROVE by your
irresponsible SURGICAL MUTILATIONS of "PERFECTLY
HEELTHY ANIMALS," to SUPPORT YOURSELF in the
manner in which you've become accustomed, dra
carla, dvm <{); ~ ) >

> Even if your cat had responded to the epi injection
> she only had a 1 in 10 chance of surviving after cardiac
> arrest.

The kat was BROUGHT IN for DECLAWING, dra carla, dvm,
as VETERINARY MALPRACTICE which has been PROVEN to
CAUSE FEAR AGGRESSION and HOWEsbreaking problems in
FORMERLY PERFECTLY HEELTHY VICTIMS of your MEDICAL
MALPRACTICE, dra carla, dvm. The Amazing Puppy Wizard
is fixin to DROP THE HAMMER on you and your industry
wide MALPRACTICE, dra carla, dvm <{): ~ ) >

>   Also she would have been in the hospital for several
>  days fighting for life and still may not have made it.

OTOH, she'd be PERFECTLY FINE at her own HOWES had
your comrade in MALPRACTICE gave FULL DISCLOSURE
and REFUSED to commit VETERINARY MALPRACTICE on this
INNOCENT VICTIM of your GREED, ARROGANCE, and IGNORANCE,
dra carl, veterinary MALPRACTICIONER <{); ~ ) >

> I know these facts don't make your loss any easier to deal with.

HOWEver, it doesn't SEEM to bother you, your BREAD an BUTTER
RIDES on SURGICALLY MUTILATING FORMERLY HEELTHY INNOCENT
DEFENSELESS CRITTERS, dra carla, veterinary MALPRACTICIONER.

> Trust me

TRUST YOU, dra carla? You're a THIEF, A LIAR, and MURDERER.

>  when I say your vet is very upset by this loss also.

Yeah, it COULD EFFECT HIS BUSINESS, dra carla, veterinary
MALPRACTICIONER EXXXTRAORDINAIRE <{); ~ ) >

> There is nothing more heart-wrenching as a surgeon than
> losing your patient.

PARTICULARLY when IT WAS a "PERFECTLY HEELTHY CRITTER"
pryor to your CUTTIN IT UP for PROFTIT, depsite KNOWING the RISK
of life threatening TEMPERAMENT and HEELTH problems your RISKY
MALPRACTICE is RESPONSIBLE FOR, dra carla, dvm <{); ~ ) >

> My condolences.

BWEEEEEEEEEAAAHAHAHHAHAAA!!!

> > Aside from being completely heartbroken, I need to know
> > since some people have started telling me that it sounds
> > possibly more like incompetence.

BET YOUR LIFE ON IT. You've been LIED TO and MISLED
by UNETHICKAL VETERINARIANS who'll DO and SAY ANY
THING to RIP YOU OFF for your HARD EARNED DOUGH, at
the EXXXPENSE of your kat's LIFE, like HOWE dra carla,
dvm PREFERS to CONDUCT BUSINESS <{): ~ ) >

> > I know it won't bring my babygirl back,

Well HOWE COME she was being SURGICALLY MUTILATED?

> > but I need some opinions...

That AIN'T a OPINION, it's PROVEN FACT.

> > She was 3, and the only reason we decided to get her
> > declawed was because we had tried almost every other
> > type of training/alternative to keep it from furniture.

NOT EVERY TYPE of ALTERNATIVE. You USED AVERSIVES, not training.

> > Trust me when I say she could have all the furniture if
> > she could come back...

Are you WILLING to SUE your veterinarian for MALPRACTICE?

The Amazing Puppy Wizard will EAGERLY offer EXXXPERT WITNESS
TESTIMONY and GET YOU some JUSTICE. GUARANTEED. AND FOR
FREE, to boot.

> > At any rate, we paid to get the laser surgery because we
> > wanted it to be as painless as possible, and paid to have
> > her blood tested.
> > The vet said basically that the surgery went according to
> > protocol until they went to reviver her. She wouldn't respond.

Well, so much for modern medecine.

> >  Then 3 different people tried to inject epinephrine into
> > her heart, but that she must have had a small heart because
> > they couldn't find it.

THAT'S ABSURD. YOU COUNT RIBS AND JAB.

> >  This was at a supposed cat specialist clinic as well...

BWEEEEEEEEAAHAHAHHAHAAA!!!

> >  we thought she was as safe as could be...

INDEED... SHE WAS. SHE DIED TO ENRICH THE VET.

> > It makes no sense, we adopted her from the Humane Society
> > when she was 10 months old, and she had been spayed there.

ANOTHER RISKY UNNECESSARY INAPUPRIATE MUTILATION.

> >  Ours does a good job, but they don't strike me as
> > the type that would check a cat's heart size in order
> > to get them spayed.

ALL THEY WANT IS HOWER MONEY.

> > I would especially appreciate any veterinarians
> > to respond to this post.

LikeWIZE...

> > I know it won't bring her back, but if it sounds
> > like they may have done  something wrong I will
> > be seriously pissed off!

WOULD YOU SUE THEM IF YOU COULD PROVE surgically
mutilating kat's paws is UNETHICKAL MUTILATION?

> > I just want my girl back.

PERHAPS your vet's office can REPLACE IT?

> > I know she can't, but... you know.  :-(

And NHOWE, so you you...

> > --Matt

Go ahead josh, DEFEND YOUR MALPRACTICE just like
HOWE you would in a COURT OF LAW for CRIMINAL
MALPRACTICE in front of a JURY of your peers under OATH.

BWEEEEAAHAHAHAHAHAHAAAA!!!

Just say "ADIOS," josh <{): ~ ) >

LIKE THIS: ADIOS, josh <{): ~ (  >
Dale Atkin - 09 Dec 2006 18:42 GMT
I'm afraid all I can do is offer moral support. Really it depends on how bad
it is. It certainly isn't a good thing. Good luck to kitty, let us know how
she makes out. If she does recover, I'm guess she'll need to be on a special
food.
I'm curious, how big was the syringe they gave you to give it to her with?
Surprized they whoud give you one that would take 10x the recommended dose,
without telling you exactly (including showing you on the syringe) how much
to give her. It can be an easy mistake to make.

Again, good luck.

Dale

>I accidentally overdosed a 3 pound kitten with .8 ml of Metacam.  The
> dose was supposed to be .08 ml
>
> I did this on Monday morning, now it's Friday and she's at the vet in
> kidney failure.  Do kittens ever recover from something this bad?
GuiltyGuiltyGuilty - 09 Dec 2006 19:20 GMT
Thank you, I appreciate the moral support.  This morning she's still at
the emergency vet on IV fluids, but she seems a little better.  I spent
most of the night over there with her and she finally ate something on
her own, after getting a big dose of fluids.  Her BUN number is still
too high on the scale to be measured, but her other number (I can't
think of what it's called, I think it's her potassium level) has gotten
much better.  I just got back from visiting her again, and I got her to
stand up and try to smack a ball around for a minute, which made me
SOOOO happy.  Her regular vet still says she probably won't live, but
her emergency vet disagrees.

Anyway to answer some questions now that I'm feeling a little more
hopeful, she was prescribed Metacam because she had to have an eye
removed, because her previous owners accidentally punctured her eye and
then returned her to the animal shelter rather than taking her to the
vet, so when the shelter took her to the emergency vet her temp was
nearly 107 and eye was so infected it had to be removed.  I assume the
Metacam was for pain and inflammation after the eye was removed.  The
syringe that came with the Metacam was huge, it was for dogs and it had
pounds (like weight) printed on it rather than ccs or mls.  I was not
shown on the syringe how much to give, and somehow I mistook .08 mls for
.8 mls on the dosage label.  Nothing anyone can say to me here could
possibly make me feel any worse or any stupider than I already feel for
making such a horrible, horrible mistake.  I am sick over this, and I
would do anything on earth, and will spend any amount of money, if I can
save her.  She's just about 3 months old and has already been in the
animal shelter twice, been spayed at a very young age, and had her eye
punctured, removed, and been thrown into kidney failure.  She's been
such a sweetie through it all and I feel like a kitten killer, even if
she doesn't die.

Tonight at 9:00 the emergency vet is going to draw blood again and see
what her numbers are.  I'm going to pace around wringing my hands all
day waiting to hear good news tonight.  Thanks for your support :)
 

> I'm afraid all I can do is offer moral support. Really it depends on how bad
> it is. It certainly isn't a good thing. Good luck to kitty, let us know how
[quoted text clipped - 14 lines]
> > I did this on Monday morning, now it's Friday and she's at the vet in
> > kidney failure.  Do kittens ever recover from something this bad?
Dale Atkin - 09 Dec 2006 20:21 GMT
> The
> syringe that came with the Metacam was huge, it was for dogs and it had
[quoted text clipped - 3 lines]
> possibly make me feel any worse or any stupider than I already feel for
> making such a horrible, horrible mistake.

I hope that what I said didn't make you feel any worse.

I think I understand now how the problem happend though. I have a similar
bottle of metacam in my cupboard for my dog (although it doesn't even
indicate ccs on there, so I'd have to work a little bit to figure out from
the indicated scale). 0.08mLs is going to look like next to nothing on there
(not even sure I could draw up that amount even remotely accurately), but
the syringe came with Metacam, so that's what they gave you, I'm curious,
how big was the bottle they sent you home with? How long were you meant to
keep up the Metacam for? Were the two values in line? (i.e. does dose x days
~ volume they gave you?) I'd personally be having my doubts if it came to
dosing my animal, and I was only meant to draw up that tiny amount.

To the vets out there... Does Metacam come in any lower concentration doses
than that? it seem a little unusual to have to dose an animal that small
with that big of a syringe.

Dale
Sandy Christmus, DVM - 09 Dec 2006 21:50 GMT
>> The
>> syringe that came with the Metacam was huge, it was for dogs and it had
[quoted text clipped - 11 lines]
> with that big of a syringe.
>  
Sorry about your kitty.  I hope she pulls through with no major
long-term problems.

Regarding the Metacam dosing, it only comes as 1.5mg/ml concentration
and the syringe that comes with the bottle measures the dose in pounds
of dog. The drug (in the US) is only labeled for use in dogs.  We do
often use Metacam in cats, although it's an off-label use, and it seems
to be fairly safe unless the cat has kidney disease to start with and
then it can easily send them into worse failure. Personally, if I
prescribe Metacam for a cat, I'll remove the syringe that comes with the
bottle and replace it with a 1cc (tuberculin) syringe, which will allow
measurement of less than 0.1cc. The typical dose for a cat is in this
<0.1cc range. This dosing difficulty is my biggest gripe with Metacam
and why I don't use it all that often.

I'm sorry for the miscommunication that took place and the accidental
overdose of the drug. Again, all my best for you and your kitten.

Sandy, DVM
Deborah, DVM - 10 Dec 2006 00:15 GMT
I hope your kitten is doing better.  Regarding her chances, hard to say.  I
do know that the one cat I had that survived acute renal failure when I was
absolutely positive that it wouldn't, was a 3 month old kitten whose owner
gave it ibuprofen.  When she came in, her kidney values (bun and creatinine)
wouldn't even read on my machine they were so high.  But she actually went
home after about 5 days of intensive fluid therapy.  I was shocked (but
happily ;-)).  This kitten did have one further episode of kidney problems
at about a year of age, but again did well with fluids.  She's now 3 yrs and
doing fine.  I think that your kitten's chances are probably better because
she's so young.  Young animals (especially cats) have much better
recuperative / regenerative abilities than do older animals.

Good luck with her.

Deborah, DVM

p.s. regarding the dosing of metacam -- it's unfortunately an easy mistake
to make, especially if you were sent home with the original syringe in the
box -- I always throw that syringe away for cats and send home a tuberculin
syringe so that it's easier to dose those small amounts

>I accidentally overdosed a 3 pound kitten with .8 ml of Metacam.  The
> dose was supposed to be .08 ml
>
> I did this on Monday morning, now it's Friday and she's at the vet in
> kidney failure.  Do kittens ever recover from something this bad?
GuiltyGuiltyGuilty - 12 Dec 2006 04:52 GMT
The emergency vet let me take her home!  She said the numbers were back
to normal.  I was stunned.  And thrilled!  She gave her some K/D to eat
for just a day or two, (the kitten hates it) and wants to check her
kidney numbers again in a day or two, (she's going to the vet on
Wednesday) to see if they stay stable.  The kitten, in the meantime, has
gone from an anorexic limp little sad little thing to an energetic,
happy, playful little monkey!  I'm so grateful.   I've saved that "dog
syringe" as a reminder to be extra, extra careful in the future.  

> I hope your kitten is doing better.  Regarding her chances, hard to say.  I
> do know that the one cat I had that survived acute renal failure when I was
[quoted text clipped - 22 lines]
> > I did this on Monday morning, now it's Friday and she's at the vet in
> > kidney failure.  Do kittens ever recover from something this bad?
Dale Atkin - 12 Dec 2006 17:16 GMT
> The emergency vet let me take her home!  She said the numbers were back
> to normal.  I was stunned.  And thrilled!  She gave her some K/D to eat
[quoted text clipped - 4 lines]
> happy, playful little monkey!  I'm so grateful.   I've saved that "dog
> syringe" as a reminder to be extra, extra careful in the future.

Horray!! Do we know yet if any permanent damage was done?

Dale
Ebbtide - 12 Dec 2006 17:19 GMT
>> The emergency vet let me take her home!  She said the numbers were back
>> to normal.  I was stunned.  And thrilled!  She gave her some K/D to eat
[quoted text clipped - 8 lines]
>
> Dale

So happy for you and for sure it was a medical error by the professionals
(???) and really not your error at all. I am a RN and this happens far too
often in this world with folks and animals alike.

Joyce
buglady - 16 Dec 2006 20:19 GMT
> I accidentally overdosed a 3 pound kitten with .8 ml of Metacam.  The
> dose was supposed to be .08 ml
>
> I did this on Monday morning, now it's Friday and she's at the vet in
> kidney failure.  Do kittens ever recover from something this bad?

.........How horrible.  How is this kitten doing now?

buglady
take out the dog before replying
Dale Atkin - 17 Dec 2006 00:09 GMT
There's another thread a little further down, which is a little more
current.

Dale

>> I accidentally overdosed a 3 pound kitten with .8 ml of Metacam.  The
>> dose was supposed to be .08 ml
[quoted text clipped - 6 lines]
> buglady
> take out the dog before replying
buglady - 17 Dec 2006 03:39 GMT
> There's another thread a little further down, which is a little more
> current.

........I see the tail end of it........Earthlink news servers have been out
of business for a week and when they went back up this afternoon that week
is just plain gone!

buglady
take out the dog before replying
 
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