Thank you for your patience. This is definitely a rather worrying situation and one you need to monitor very carefully here with Bonnie. This sort of case is always of concern to be since so often I see puppies such as Bonnie in my clinic who have bad intestinal worms, a bad gastroenteritis, or sometimes even the nasty parvo virus. The fact she has had both vomiting and diarrhea make this enough of a reason to have Bonnie checked out by your local vet first thing tomorrow morning if possible. It is always better to be safe in these situations, but particularly so with young dogs like Bonnie. If she seems quite lethargic right now, then because she is so young, you are best to get her seen by your local vet straight away.
Whatever the case you will definitely need to keep a close eye on Bonnie's mucus membranes, capillary refill time and respiratory rate today as follows:
Mucus membranes - flip her lip and look at the color of her gums. They should maintain a nice salmon pink color. Get her to your vet or emergency vet if they appear white or very pale pink, or if they are a dark deep red color.
Capillary Refill time - this measures blood perfusion. Test this by putting your thumb on her gum to apply pressure. After you release your thumb you will see the gum blanch. Capillary refill time is the amount of time it takes (in seconds) for the gum to return to a healthy pink color from the blanched white color. If 2 seconds or less don't worry - if it is taking significantly more time, again - off to the emergency Vet.
Respiratory Rate - if she is continuously panting throughout the night this is a sign of shock and or pain and a signal for a trip to the vet.
As above, given her age and the number of potential causes for her symptoms, you are best off to get her seen first thing tomorrow if possible. Here are a few things that could be going on here from a partial or complete intestinal obstruction, intestinal worms (hopefully she is up to date with deworming treatments), a toxicity, or this could even potentially be something infectious such as parvo virus - particularly if she hasn't been fully vaccinated yet!
Best of luck with Bonnie and please let me know how you get on. For now, make sure she is drinking plenty of water and try to keep her as quiet as possible. There is a risk that she will become quite badly dehydrated relatively quickly if she isn't drinking and has ongoing diarrhea. I hope all of the above makes sense? If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION (I am not compensated in any other way). Bonuses are always welcome. Thanks! I hope to work with you again soon!
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