C09993257 / invoice 10000

    Vital Signs    

Reason: TVH/AES - Elbow Arthroscopy RIGHT - OCD lesionSHIFT CHANGE: 2100-0700VET: Dr Megan MartinsASSESSMENT: QAR, comfortableVitals WNLWeight bearing with mild-moderate lameness on RFLEating overnightTREATMENT PLAN:Discontinued fentanyl CRI when patch activeInternal transfer back to TVH in AMTREATMENT SUMMARY:  Millie has been treated/monitored at Animal Emergency Service for post R elbow arthroscopeOvernight they have been stable and comfortable Please refer to Smart Flow - Flowsheet pdf for detailed clinical exam records and hospital notes.  Treatments given & when next due are as follows:  IV fluids at 1.5xMFentanyl CRI - discontinued overnight when patch activeFentanyl patch active 00:30Cefazolin 22mg/kg IV @ 20:00Trazodone PO @ 04:00Gabapentin 300mg PO @ 04:00If you have any queries relating to this case, please call 1300 302 912    Vital Signs    

TVH/AES - Elbow Arthroscopy RIGHT - OCD lesionReferral patients REFERRING CLINIC: {TVH-IAES VET: Lisel Nichols REASON FOR REFERRAL: Elbow arthroscopy RIGHT - OCD lesionRELEVANT HISTORY ONLY: Elbow arthroscopy RIGHT - OCD lesionDIAGNOSTIC SUMMARY: NoneMEDICATION PLAN - WHEN LAST GIVEN & WHEN DUE NEXT: IV fluids at 1.5xMFentanyl CRI @ 2ug/kg/hrFentanyl patch active Cefazolin 22mg/kg IVTrazodone PO @ 04:00Gabapentin 300mg PO EXAMINATION: TIME: 18:30Mentation: QAR Cardiovascular: NSF Respiratory: NSF Temperature: NTAbdo: Soft comfortable Musculoskeletal: R elbow surgical siteNeurological: NSF Eyes/Ears/Skin: NSF Urogenital: WNL Lymph nodes: No enlargement Hydration/volume status: Euhydrated PROBLEM LIST: - Post R elbow arthroscopeASSESSMENT: Stable and comfortablePLAN:  TVH-IClient communication and account update: Y Mode of transfer: O transfer  TREATMENT SUMMARY:  Millie has been treated/monitored at Animal Emergency Service for post R elbow arthroscopeOvernight they have been stable and comfortable Please refer to Smart Flow - Flowsheet pdf for detailed clinical exam records and hospital notes.  Treatments given & when next due are as follows:  IV fluids at 1.5xMFentanyl CRI @ 2ug/kg/hrFentanyl patch active 00:30Cefazolin 22mg/kg IV @ 20:00Trazodone PO @ 04:00Gabapentin 300mg PO @ 04:00If you have any queries relating to this case, please call 1300 302 912    Vital Signs    Weight: 31.2;