C09995067 / invoice 10000

Admit for Sedation and Ear clean/osurnia Application Anaesthesia: Placed muzzle for safety and required strong hold for IM injectionLovely dog but nervous +++ and strongButorphanol 10mg/mL[    0.92     ] mLs @ [  9.00am  ], Medetomidine 1mg/mL [   0.9      ] mLs @ [   9.00am ]Route of administration:  IM Medications:Atipamezole 5mg/mL [   0.5 ] mLS @ [  9.25am  ]  Route of administration: IM	Dispensed: Treatment: Cleaned ears with otoflush - dark brown odouress discharge Right much worse over Left ear with mild stenosis of ear canal presumed secondary to inflammation. Applied single osurnia to L + R ear canal Plan:Given severity of Right ear, a second 7x day course of osurnia may be warranted. To discuss with owners option to attempt re-application of just right ear vs re-sedate vs monitor for relapse and treat at this point.    Vital Signs    Weight: 46.2;