BLUE, 2 YEAR OLD MI GERM

Transcription

1 FELINE ADMIN SHEET

2 NOSECTOMY

3 NOSECTOMY

4 BLUE, 2 YEAR OLD MI GERM LEFT SIDED DRAINING TRACT OOCURED AFTER PLAYING OUTSDIE IN THE WOODS IN VA BEACH AFTER FOUR DIFFERENT AB GREW MRSP SENSITIVE TO CHLORAMPHENICOL PRESENTED WITH LARGE DRAINING TRACT PAINFUL TO TOUCH ON HIS SIDE

5 LARGE LEFT FLANK WOUND DAILY SEDATION AND HONEY APPLICATION

6 VAC SYSTEM USED DAILY SEDATION CHALLENGE WAS DAILY SEDATION WITH MAINTAINE COMFORT AND MOBILITY COMBINATION OF BUTORPHANOL AND DEXDOMITOR REVERSAL ANITSEDAN

7 ABBY SHOCK WAVE Painful treatment if not sedated and Sedation in healthy dog with Dexdomitor and Butorphanol is suffient, This patient had arthroscopy prior to shock wave and OCD with severe DJD in her right hock was confirmed.

8 ABBY CORONA SHOCK WAVE

9 ABBY SHOCK WAVE

10 ABBY SHOCK WAVE

11 ROSIE Radius and ulna fracture Was picked up at the breeder by the new owner s son and hopped out of his arm and broke his foot The owner s decided to take her despite the chance of growth issues with her front leg. Initial splinting during the decision making process was implemented.

12 ROSIE Alternative pain management Acupuncture

13 ROSIE Ultimately she had a distal ulnectomy when she was four months old, at that time she weighed 28 lbs Pre medication with 0.1 mg/kg Hydromorphone IM 10 minutes later 0.5 mg/kg Diazepam IV Propofol followed with 4mg/kg to affect. Maintenance with Isoflurane Intraop Cefazolin 22mg/kg IV flowly Post op one dose Hydromorphone 0.5 mg/kg IV not needed, started on orals Gabapentin 100 mg PO and Tramadol 50 mg PO within 4 hours of recovery after her first meal.

14 CHARLIE BROWN HIP PATIENT

15 CHARLIE BROWN HIP PATIENT

16 DOM REPUBLIC RESCUE CHARLIE BROWN 40.5 LBS Pre med- Hydromorphone 0.5 mg/kg IM Induction Ket 6 mg/kg Valium 3mg/kg IV Maintenance with Isoflurane +Hydro CRI Post op TGH Tramadol 75 mg PO QID TGH TGH Trazadone 75 mg PO TGH Rimadyl 75 mg ½ Po BID Prior to surgery: Class IV laser, Thermotherapy, lower back message

17 CRI

18 GRANITE Very large 111 lbs 10 y Great Dane mix presented to us for treatment after he had FHO femur fracture with infection on his right hip. Left hip end stage DJD Comorbidity: Heart disease, Hypothyroid Also has bilateral ED with end stage DJD Here for bilateral elbow and left hip PRP platelet rich plasma injections Heavy sedation: Butorphanol 0.3 mg/kg IV Propofol 4mg/kg IV to affect

19 GRANITE

20 GRANITE Post sedation went home with TGH Gabapentin 600 mg Po q8h TGH Galliprant 60 mg Po SID Also has Boswellia 2tabs q 8-12 hrs, Owner reported that for two years he has not jumped on the bed and he ran up stairs and jumped on the bed 24 hours after PRP injection

21 SURGERY PLAN

22 LABR MELANOMA MANDIBLE

23 CENTRAL MANDIBULECTOMY

24 9 YEAR OLD MN YORKIE This is one of many times he has been attacked. He lives in a neighborhood with many apartments. He gets walked on a leash and got attached while on a leash and shaking by another dog. Presented to the ER and a large bite wound pocket non penetrating was found under the skin of his back. Drain placed and wound flushed home on AB and pain meds Presented to us for suture removal

25 YORKIE

26 YORKIE Debride the wound Culture Send home on pain management Initially open wound management Closure over drain Suture removal 2 weeks later

27 YORKIE Debride the wound Culture Send home on pain management Initially open wound management Closure over drain Suture removal 2 weeks later

28 POODLE MPL BILATERAL Presented for hind leg weakness thought to have back problem Diagnosed with Nocita at surgery

29 POODLE MPL BILATERAL Bilateral MPL Grade 3-4 Recommend stifle surgery MPL correction Has concurrent Diabetes mellitus In a healthy patient can consider Morphine 0.5mg/kg or Hydromorphone 0.05 mg/kg - use a cat dose of Hydro for patients below 10 kg Eager for patient to eat and recover, one post op dose or half dose of opioid then allow for a meal Patient receiving Nocita are able to eat within hours of surgery. Little extra pain management needed.

30 TREATMENT SHEET

31 BUZZ