Dog panting after steroid shot

Question: have a 14 yr old shih tsu left by my sis who passes away. He is recently panting a lot & almost a seems uncomfortable. And I think he has dementia because he forgets where he is at times & loses his way around the house. He is also deaf & blind. My concern is how do I know when it’s time to put him down? I just don’t have the funds to visit a vet who will run costly tests to tell me the inevitable. I hate to see him suffer. Can I ask the vet to follow my wishes for euthanasia after a visit without running costly tests? Overwhelmed with all of this as I just took over his care.

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Dog panting after steroid shot

dog panting after steroid shot

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