How my puppy survived the PARVO VIRUS
The BAM Parvo Treatment
By Sina Norris            
On the morning of August 11, 2008 I awoke to my husband's voice telling me that my puppy was
vomiting.  As the day progressed the diarrhea started.  By 2am the next morning, the diarrhea and
vomit was bloody.  On August 12 I received the worst news that I didn't want to hear, my 6 month old,
fully vaccinated Rottweiler puppy had PARVO.   The test turned positive within a minute of being set
and it was a strong positive.  The thoughts running through my head all but screamed, she's going to
die.  I have been a veterinary techinician of 14 years, working at the same clinic. I've watched alot of
puppies die from this horrific virus, most of them Rottweilers.  The puppies that did survive it were not
rottweilers.  I knew she had a less than 50/50 chance since she was a Rottweiler.   The following is a
very accurate account of how we treated her, the medications, the tests, everything in order that I (by
myself) did on a day to day basis.  Hopefully this will help anyone else who has a Rottweiler  that is
diagnosed with PARVO.

The below meds are for a dog weighing around 50lbs.  I gave her round the clock care by
myself on orders from Dr. Charlotte Smith who I owe a gratitude of thanks for having the
knowledge to treat Jarci with the aggressive treatment plan she did.

Tuesday, August 12, 2008

8:00am  Parvo test - positive
8:20 am  CBC and chem panel      WBC - 3.2 (low)  RBC 5.25 (normal)  HCT (42) normal
                                                                              Total Protein  5.4 (normal)  Glucose 110  (normal)
8:30 am  IV catheter started 18gauge LF Leg
               1000ml  Lactated Ringers @ 100ml/hr   added to bag, KCL 8.8 cc, 50% Dextrose solution
                                                                                                 50cc and Vitamin B Complex, 2cc.
                Cefazolin IV slowly, 5.5cc
                Baytril IM 2.5 cc (Day 1)
               Metronidazole IV, (500mg/kg) 78cc IV  very slow
                  Reglan 1cc SQ
                 Cerenia 1cc SQ (Day 1)

4:30 pm  Cefazolin IV slowly 5.5cc
                  Reglan 1cc SQ
                  Baytril IM 2.5cc

6:30 pm  New 1000ml LRS Bag, added above meds, continued fluids @100ml/hr

8:30pm  Metronidazole IV, 78cc IV very slow

Wednesday, August  13, 2008

12:30 am   Cefazolin IV slowly 5.5cc
                       Reglan 1cc SQ
                     Baytril IM 2.5cc (Day 2)

4:30 am   New 1000ml LRS Bag, added meds, continued fluids @100ml/hr

8:30 am    Lethargic, Temp 103.2 Pulse, 90, Resp 18   vomiting and diarrhea
                 Metronidazole IV, 78cc very slow
                  Repeat CBC, Total Protein and Glucose   
                 WBC 2.1 (low)  RBC 5.10 (low)  HCT  40 (normal)  TP  4.4 (dropping) GLu 101 (normal)

9:30  am   Cefazolin IV slowly 5.5cc
                 Reglan 1cc SQ
                 Cerenia  1cc SQ (Day 2)
                  Baytril IM 2.5cc

2:30 pm  New 1000ml LRS Bag, added meds, continued fluids @100ml/hr

5:30 pm   Cefazolin IV slowly 5.5cc
                   Reglan 1cc SQ
                  Baytril IM 2.5cc

8:30 pm  Metronidazole IV, 78cc very slow

Thursday August 14, 2008

12:30 am  New 1000ml LRS Bag, added meds, continued fluids @100ml/hr

1:30 am  Cefazolin IV slowly 5.5cc
                Reglan 1cc SQ
               Baytril IM 2.5cc (Day 3)

8:30 am    Lethargic, vomiting and diarrhea   Temp 104.2
                Metronidazole IV, 78cc very slow
                  Repeated CBC, TP and Glu
                WBC 1.2 (very low)  RBC 4.72 (low)  HCT 38 (low normal)  TP 4.1 (lower) GLu 100 (normal

9:30 am  Cefazolin IV slowly 5.5cc
                Reglan 1cc SQ
                Cerenia 1cc SQ (Day 3)
                Baytril IM 2.5cc

10:30 am  New 1000ml LRS Bag added meds, continued fluids @100ml/hr

5:30 pm  Cefazolin IV slowly 5.5cc
                  Reglan 1cc SQ
                  Baytril IM 2.5cc

8:30 pm  Metronidazole IV, 78cc very slow
                 New 1000ml LRS Bag, added meds, continued fluids@100ml/hr

Friday, August  15, 2008

1:30 am   Cefazolin IV slowly 5.5cc
                  Reglan 1cc SQ
                 Baytril IM 2.5cc (Day 4)

6:30 am  New 1000ml/LRS Bag, added meds, continued fluids @100ml/hr

8:30 am    Lethargic, vomiting and diarrhea  Temp 103.1
                    Placed new catheter 18 gauge RF leg
                   Metronidazole IV, 78cc very slow
                  Repeated CBC , TP and Glu
                  WBC 0.8 (very low)  RBC 4.25 (low) HCT 32 (low) TP 4.0 (low) GLu 104 (normal)

9:30 am   Cefazolin IV slowly 5.5cc
                 Reglan 1cc SQ
                 Cerenia 1cc SQ (Day  4)
                Baytril IM 2.5cc

4:30 pm  New 1000ml/LRS Bag, added meds, continued fluids @100ml/hr

5:30 pm  Cefazolin IV slowly 5.5cc
                  Reglan 1cc SQ
                  Baytril IM 2.5cc

8:30 pm  Metronidazole IV, 78cc very slow

Saturday August  16, 2008

1:30 am  Cefazolin IV slowly 5.5cc
                Reglan 1cc SQ
                 Baytril IM 2.5cc

2:30 am  New 1000ml/LRS Bag, added meds, continued fluids @100ml/hr

8:30 am   Little more alert, Temp 99.9  vomiting and diarrhea
                  Repeated CBC, TP and Glu
                 WBC (1.2) RBC (4.12) HCT (30) TP (4.1) GLU (110)
                 Metronidazole IV, 78cc very slow

9:30 am  Cefazoline IV slowly 5.5cc
                Reglan 1cc SQ
               Baytril IM 2.5cc (Day 5) last time I  gave it.
                Cerenia 1cc SQ  (Day 5) last time I gave it.  

** Note**  Can only give Baytril and Cerenia for 5 days.

12:30 pm  New 1000ml/LRS Bag, added meds, continued fluids @100/hr

5:30 pm  Cefazoline IV slowly 5.5cc
                 Reglan 1cc SQ
                Cimitidine  1cc SQ

8:30 pm  Metronidazole 78cc IV very slow

10:30 pm  New 1000ml/LRS Bag , added meds, continued fluids @100/hr

Sunday August  17, 2008

1:30 am Cefazoline IV slowly 5.5cc
                Reglan 1cc SQ
                Cimitidine 1cc SQ

Very lethargic, Temp 102.4, Pulse 88, Resp 16
8:30 am  Metronidazole 78cc IV Very slow
                 Repeated CBC, TP and Glu   
                WBC (0.7  lowest yet) RBC 4.12 (lowest yet) HCT 30 (lowest yet)
                 TP 4.0 (lowest yet)  GLU 101 (normal)

At this point I called Dr. Smith.  She needed a blood transfusion.  We typed her blood, she is DEA 1.1 negative,
obtained 240ml Fresh Frozen Plasma, gave 1cc Benadryl SQ 30 minutes prior to  starting  the FFP drip @ 60ml/hr
for 4 hours @ 9:30am

1:30 pm, Started a new 1000ml LRS drip again @100ml/hr  with KCL, Vitamin B Complx and
                                                                                                 50% Dextrose  added again.

                  Cefazolin IV slowly 5.5cc
                  Reglan 1cc SQ
                  Cimitidine 1cc SQ

8:30 pm   Metronidazole 60cc IV slowly (we dropped the dosage)
                     
9:30 pm   Cefazolin IV slowly 5.5cc
                  Reglan 1cc SQ
                 Cimitidne 1cc SQ

11:30 pm  New 1000ml LRS @100ml/hr  with added meds.

Monday August  18, 2008  (Turning point day)

Bright, responsive, Temp 101.1,  Pulse 98, Resp 22
5:30 am   Cefazolin IV slowly 5.5cc
                  Reglan 1cc SQ
                  Cimitidine 1cc SQ

8:30 am   Repeated CBC, TP and Glu
                  WBC (5.4) almost normal  RBC 5.35, HCT 38, TP, 4.4, GLu 110
                  Placed new catheter  18gauge in Left Rear Leg
                  Metronidazole 60cc IV slowly

9:30 am  New 1000ml LRS @100ml/hr with added meds.

1:30 pm  Cefazoline IV slowly 5.5cc
                Reglan 1cc SQ
                 Cimitidine 1cc SQ

7:30 pm  New 1000 ml LRS @100ml/hr with added meds

8:30 pm  Metronidazole 60cc Iv slowly
                  
9:30 pm  Cefazoline IV slowly 5.5cc
                  Reglan 1cc SQ
                 Cimitidne 1cc SQ

Tuesday, August  19, 2008

5:30 am
Bright, Alert, responsive, Temp 101.2 Pulse 92  Resp 26
Wanting to play a little
Offered tsp of I/d  ate it.  Offered a little water, drank it -  no vomiting
                 Cefazolin IV slowly 5.5cc
                 Reglan 1cc SQ
                 Cimitidine 1cc SQ
                 New 1000ml/LRS @100ml/hr with added meds

8:30 am   Metronidazole 60 cc IV slowly
                 Repeated CBC
                 WBC  12.1 (NORMAL)          RBC  5.8 (NORMAL)  HCT  48 (Normal)

1:30 pm  Offered food again, Ate and drank water, no vomiting
                Cefazolin IV slowly 5.5cc
                Reglan 1cc SQ
                 Cimitidine 1cc SQ

3:30 pm  New 1000ml/LRS @100ml/hr with added meds

8:30 pm  Metronidazole 60cc IV slowly
                 Offered food again, ate and drank, no vomiting

11:01 pm  Catheter blew.....pulled it (since I was at clinic by myself could not start another catether so I D/c'd all
meds until next morning.)

Wednesday August  20, 2008

8:30 am  Repeated CBC
                WBC 11.4   she is now making her own WBC's.
                RBC 5.8  normal
                HCT  42  normal

Temp 101.1   Pulse 98, Resp 22   Very alert, wanting to play.
Offered food and instead of water, replaced it with Rebound oral electrolyte solution.
Eating and drinking, DC'd all IV's.  Started on oral meds

Cimitidine 200mg BID for 10 days
Metroclopramide 5mg BID for 2 days
Simplicef  150 mg SID for 7 days
Metronidazole 250mg  1 1/2 BID for 10 days

Added FortiFlora in food once a day.

Thursday August 21, 2008

I brought her home.  She's doing wonderful.  Eating  E/N and drinking Rebound and water, still having diarrhea.

She's still on the oral meds mentioned above.

Friday August 22, 2008

still doing good, eating EN and drinking Rebound and water, still on oral meds, still having diarrhea.

Saturday August 23, 2008

Fed her 1/2 EN and 1/2 canned SD puppy food.  Loved it!!!!  Added the FortiFlora to it.
Diarrhea changed to pudding today.

Sunday August 24, 2008

Fed whole can of EN, added FortiFlora.   Still pudding stool.

Monday August 25, 2008

NORMAL STOOL!!!!!!  CBC repeated with all normal values.  


*****update******

Saturday, August 30, 2008

Jarci has gained 5 lbs this week.  Back to normal completely.  Playing, running, everything is back to
normal.