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Hi. My name is***** I'm sorry to hear about this situation with your girl. What is her name? Has she ate or drank since returning from the vet's office? Did they clip and clean the wounds? Do they have a collar on her so she can't lick / groom this area?
Thank you for all that good information about Keiko. It is good that she's able to run around just fine when she feels the need to do this. Why did she just urinate where she was at? That is a good question that may not have a specific answer. She is mobile but could she just not want to get out of that area to do her duties in her normal area? With what you're describing, she could have been attacked by another cat, but being hit by a car is also a very good rule out too. I've seen situations there cats that have been hit by cars can look very similar to ones that are in fights. If she's not moving her tail, then I'm more concerned with neurologic injury to possibly her bladder and this could cause her to not urinate well on her own. If she's moving her tail all around normally, then this would seem less likely. With wounds, after they are clipped and cleaned, then keeping them from licking them, antibiotics and time are the usual path to getting them to heal. Any chance you can post a picture of the wound - I'm curious to how extensive it is.
If she's spayed, then she's not having heat cycles that would physically attract and intact male. If she's getting into altercations with cats and she's spayed, these are not sexual in nature. They are territorial and behavioral in nature. Some cats just don't do well getting along with others. As far as what you can do for her, bringing the litter box upstairs and into that room is an option. She is one that is not willing to move around a lot at this time. Having food and water there will help to encourage her to eat and drink. There is a product called Feliway that can be used as a diffuser to help reduce stress for her. As far as pain relief, there is nothing that you can give her at home to help with this. Time is going to be hopefully the best thing for her. Getting further out from the trauma so her body heals.
3 mg of Buprenorphine is a pretty good dose of it for a girl her size. It can when used at higher doses cause lethargy and sedation. What you're describing definitely sounds in the realm of a reaction to the sedative properties of the burpenorphine.
I've seen some at my ER that are more sensitive to buprenorphine and they can get really sedate. Hopefully it will improve as her body processes it out. It can take around 6-8 hours for it to really start to wear off. Hopefully she's breathing normally and has nice pink gums.
Hopefully this is the sedation from the buprenorphine. Could it be from the actual trauma that happened earlier that is progressing? That is something I'm hoping it isn't because of. At this time at home, the best you can do there is to have her in a comfortable, quiet, warm area where she can just rest.