C10005421 / invoice 10000

Appointment Notes: JPS Surgery  ------- Sms reply: YesHospital Admission for:  JPSPresented by: MattPrimary contact today:  Matt 0409873645Admitting nurse: TMCurrent meds: NoOther concerns:  NoReason for presentation:   Initials of primary nurse for procedure:  TMPre Anesthetic Exam:  Risk Level (1-5): 1Laboratory: Pre Anaesthetic labs: within normal limits  PCV/TP: 38/56IV Fluids:  _22_g IV catheter placed in R cephalic v. and Hartmann's run at 5mls/kg/hr;  TVI:  80mlsAnaesthesia:   Premed:    0.56mls Premix (0.03mg/kg ACP and 0.3mg/kg Methadone) given SQ Induction:  Induction with Induction with _2.5_mls propofol (4mg/kg)   Diazepam @ 0.2mg/kg given IV  Maintenance:  Intubated with size 6.5  ET tube and maintained on isoflurane _1.25_% and oxygen _1.5_L using non-rebreathing (300ml/kg/hr) circuit for _70_ mins Other drugs given during GA: nil Anaesthesia was stable and uncomplicated; recovery was routine.IV Fluid Therapy: _22_g IV catheter placed in R cephalic vein and Hartmann's run at 5mls/kg/hr during surgery which is _28_mls/hr.5ml/kg bolus given during procedure for 10 minutesPerioperative maintenance fluid rate is:   14 ml/hr.    Procedures performed:Juvenile pubic symphysiodesisSurgery:Ventral midline incision over the pubis.  Muscles separated on the midline until pubic bone exposed.  Identified the cranial 1/3.  Assistant placed finger rectally to protect the internal organs and detected any excessive heat.  Mild warmth detected at the cranial extent.  Probe held over most regions for 5-10 secs.  Bone very soft.  Cautery setting 30W (max for our machine).Closure: Muscles re-apposed with 3/0 PDO continuous.  Continuous 3/0 PDO SC layer. Skin closed with intradermal 3/0 PDO.   Light dressing over wound fitted.Medications:    _0.22_ mls Meloxicam@0.2mg/kg given sc in recovery  Dispensed a 5 day course of oral ABs - 125mg PO BIDDispensed 4 days of individual dog meloxicam doses20cm e-collar fittedPost op vitals: HR 116, Temp 37.3 and RR 24Offered food and/or water at  _3.30_pm   Plan:  Meloxicam oral syrup may start tomorrow night with dinnerAntibiotics may start tonight.Sent home with _4_ days of pain relief using meloxicam oral (0.37mls) @ 0.1mg/kg once daily with a meal.  Wound check in 10 days time.   Discharge - Standard discharge instructions with food and keeping quiet. Keep quiet and avoid too much activity. No baths or swimming for at least 10 days. O to remove light bandage at home TM     Vital Signs    MMColour: Pink;       HeartRate: 120;       BodyScore: 5;       Temperature: 38.7;       CRT: < 2 sec;