C09985263 / invoice 10000

Reason: AP: GA +  + Xrays  (JB)Pre op vitals- HR - 140 , RR - 20 , TEMP - 38.4, MM - pink / 1 secIVC placed, premed -  Valium 0.4ml + Methone 0.2ml IV at 9:55am, induction  - Alfaxan 1.1ml IV at 11amETT 6.5mm cuffed Iso/02IVF - 39ml/hr during op then 19ml/hr post opPost op vitals- HR - 100 , RR - 16 , TEMP - 37.7, MM - pink / 1 secRadiology: Xrays both hind LegsUltrasonography: Bladder/LiverClient Communication: Contacted Yvonne and advised to remove pin and wire today while under the anaesthetic. Yvonne consented to removal and estimate given.Surgery : Pin removed and wire removed from RHL. Sutured muscle with 3/0 wego. Subcutaneous layer sutured simple interrupted with 3/0 wego. Cruciate sutures with 3/0 supramid to close the skin.Surgery : Dental no teeth of concern.Scale and polish performed by MTNails trimmedMedications:Cefazolin (20mg/kg) 1.6ml Slow IV at 11:20am and repeated at 12:50pmMethone 0.2ml  top up at 2pmPlan: Recheck in 10 days for suture removal    Vital Signs    Weight: 7.9;