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Hi this is Dr. Hill. How long has she been coughing?
I would hold on the doses for now, because she is at rest and missing a single dose of either medication is not going to make or break her treatment. How was she diagnosed with bronchitis? Has she had X-rays of her chest, blood work and a fecal?
what is her resting respiratory rate. You get this by counting how many breaths she takes in 15 seconds. Let me know when you get the value.
I have to say, that I am concerned that she is worse since starting the steroid (temaril P) and the fact that she has a heart murmur and her vertebral heart score has increased. I am more inclined to lean towards a potential heart problem causing the exacerbation of the cough. do you have a local emergency clinic you can take her to?
Because you have seen an increase of 25% in the resting heart rate and she can't stop coughing, I think you should take her in tonight. All you need is a good physical exam and chest X-rays. You do not have to do a full workup, so that should help keep costs down. If her lungs do not show evidence of fluid and her oxygen levels (SPO2) are normal, then you can see your local veterinarian tomorrow. Best to be safe. I can help you find a local emergency clinic is you send me your city/state/area code
That is great!!! Your welcome. Let me know what you find out, if you don't mind. You can continue to post on this thread for a couple of days, even after rating my response. take care.