C09979093 / invoice 20000

Reason: Sedate And Clean Ears YY    Vital Signs    

Laboratory:  Pre Anaesthetic Exam Risk Level (1-5):AWNL Chem 10 SDMALaboratory: Medications: Pre-med:Medetomidine 0.25mls and Methadone  0.63mls 11.20amAnaesthesia: Induction: Induction with Alfaxan 1mls IV 11.25 0.5ml given 11.50am 0.5mls given 11.51amIV Fluids: 10mls bolus HartmannsBoth ears flushed with salineCytology: Left ear rod 500/hpf, right ear cocci 100/hpfR ear - TM rupturedR eye -  entropian- lower lid, small amount upper lidGoing home with Baytril otic 0.2ml BID both earsPred x 20 Give ONE(1) Tablet twice daily for 5 DAYS,then give ONE(1) Tablet once daily for 5 DAYS,then give ONE(1) Tablet every 2nd day until finishedRecommend entropian surgery for right eye - will give estimate on dischargeNurse NFBilled ET    Vital Signs    Weight: 21.3;