Card 29 / 34: 8 yr old MC DSH cat presented for weight loss with anorexia and vomitting PE : Temp 103 (increased) , Resp: 60 (increased) HR normal Tacky mucous membranes Weight: obese 6.1 kg Integ: 10% dehydrated; Harsh lung sounds throughout all lung field but no murmurs. The cat is laterally recumbent and somewhat responsive. CBC shows inflammatory leukogram. Biochem panel reveals Azotemia (increased BUN and Creat) , hyperglycemia Glu: 470 (normal140) Low HCO3 :10 (normal 24) , low Cl :110 (normal 125), and low Na : 144 (normal 147) with High K. Urinalysis shows Ketones 4+ and glucose 4+ Thoracic Radiographs: Diffuse, mixed interstitial and alveolar pattern suggestive of bronchopneumonia. You diagnose the cat with Diabetes Mellitus with ketoacidosis (DKA). After initial treatment (IV fluids etc..) what do you think is a good insulin therapy to send the cat home with?
A)
Regular (short acting) insulin twice daily
B)
PZI (long acting) insulin 3 times daily
C)
Regular ( short acting ) insulin 3 times daily
D)
NPH (intermediate) insulin twice daily
E)
Insulin glargine once daily
Answer:
D) NPH (intermediate) insulin twice daily
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