OUTCOME
"Tugger" was transferred to the Intensive Care Unit
and was treated with IV fluids, fresh frozen plasma, oxygen therapy
because of his dyspnea, cimetidine and metoclopromide to reduce the
vomiting, regular insulin to regulate his diabetes, and total parental
nutrition to provide nutritional support while he was still vomiting and
unable to take anything by mouth. He initially responded to treatment
with decreased vomiting and was able to be weaned off the supplemental
oxygen. However, on the sixth day of hospitalization, he became acutely
dyspneic again. Differential diagnoses included aspiration pneumonia,
pulmonary thromboembolism, and ARDS. Despite being placed back on
supplemental oxygen, "Tugger" respiratory arrested that night
and was unable to be resuscitated. No necropsy was performed.
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