C10001916 / invoice 10000

Reason: Glaucoma - Left EyePresented and seen by Dr Harris Boubis @ 7/3/26 @ 11pmRegular Vet: Tullamarine Animal HospitalHistory:Referred from AVC for management of acute glaucoma1 year ago injury to L eye, seen by Melbourne Eye Vets, removed a small piece of metal with laserOwners away for a few days, came back today, noted L eye cloudy and red; reportedly fine before thisAny current medications: Methadone 0.2mg/kg IM 9pm; meloxicam 0,1mg/kg PO 9pm, xalatan 1 drop 9pm (at Advanced Vet Care)Any access to potential toxins?: NE/D/U/D: YExamination Findings:General demeanour: bright, alert, responsiveTemperature: 38.8Cardiovascular: HR 120; no murmurs or arrhythmias on auscultationRespiratory: panting; normal effortOral exam: MM pink; CRT 2sAbdomen: nsfPeripheral LNs: nsfEyes/Ears: L pupil miotic, episcleral hyperaemia, IOP 14-16mmHgR pupil IOP 38mmHgIntegument: nsfMusculoskeletal: nsfGait: nsfNeurological: nsfRectal exam: nsfUrogenital: nsfInitial Assessment:Acute glaucoma, responded well to XalatanLaboratory:Blood gas table - DOGSPCV/TS:	53/80	Serum ClearBlood gas valuesHct:	57.8	%pH:	7.408	(7.366 - 7.453)pCO2:	32.0	(29.0 - 51.3)pO2:	48.3	(28.9 - 59.9)Acid-base statuscBase(Ecf)c:	-4.5	mmol/LcHCO3- (P,St)c:	21.5	(17.0 - 24.0 mmol/L)Electrolyte valuescK+:	3.4	(3.6 - 4.4 mmol/L)cNa+:	152	(143 - 150 mmol/L)cCa2+:1.30	(1.28 - 1.43 mmol/L)cCl-:	119	(112 - 122 mmol/L)Metabolite valuescGlu:	4.9	(4.4 - 6.8 mmol/L)cLac:	2.3	(0.6 - 1.8 mmol/L)cTbil:	-	(-20 - 1000 µmol/L)Urea:	9.6	(2.5 - 9.6 mmol/L)Crea:	69	(62 - 105 mmol/L)Prognosis:FairTreatment:Primary vs secondary; if secondary, Xalatan not preferred, and since cannot determine underlying cause, have recommended Azopt insteadXalatan discontinuedMeloxicam 0.1mg/kg PO q24hAzopt 1 drop OS q12h, start tonightRevisit in 3-5 days with ophthalmologistClient Communication:Discharge notes providedDaily update emailed to referring vet: YES    Vital Signs    Weight: 8.9;