C10008926 / invoice 10000

Reason: Urinary Cath Removal + Monitoring/hospDiagnosis: Objective: AM - Vet :Monitoring / Vitals see Smartflow SheetClin Exam:Large urination but some clots of blood and squirting noted this amBar and aggressiveEaten and def Assessment:First urethral obstruction , after preceeding episode of FIC Urine no bacteria, no crystals on urinalysis but marecoscopic crystullar debrisAnxious natureTreatment: See Smartflow SheetConversations: UpdatedO will colect this PMPlan: AM - Vet: Home today temg and gaba, urinary wet food recAdd Abs given ongoing blood clots and mild straining this am - convenia as hard to tabletConsider longer term anxiolytics referral to VBT if anxious cat and repeat episodesRec water fountainEmailed info re FICIf ongoing blood in urine or symtposm tehn get catrine to collect samp,e at home if possible    Vital Signs    Weight: 5.1;       

Diagnosis: Post UOSubjective: Owner reports:- Presented to ARH on Saturday morning for UO- Previous bout of cysitits, recovered well with prescribed medication- Noticed Friday, not able to urinate again, and going on and off the litter tray- Hissed at ox when she picked him up- Tried to get to GWAH but booked out, so waited the night and no improvement Saturday morning- In hospital treatment for UO - indwelling urinary catheter and IVFT- Full history not sent yet- Ideally need to remove urinary catheter today and monitor for 24hrs to see if he blocks again- If NAD detected tomorrow can go home, ideally with post UO information for the ox- Needs to be on urianry food, potential environmental changes, more kitty litters etc- Ox agreed for 24hrs hospital, and warned ox that we may need to keep in for another 2-3 days, pending Coopers response to treatmentObjective: Mentation: BAR, no skin tent notedOral Cavity: pink moist mm, CRT <2sThoracic Exam: no HM or arrythmias, chest clear bilaterally Lymph nodes: no enlargements sub man, pre scap, inguinalAbdomen: small bladder palatable, comfortable to palpate Reproductive: entire, urinary cath in place, no swelling noted prepuceIV in place R cephalic vein, patent Assessment: Remove urinary cathTreatment: Sedation: alfaxan 0.2ml slow IV Urinary catheter removedIVFT hartmanns - 15ml /hr Plan: Monitoring + IVFT Cont - Buprenorphine 0.3ml IV BID - Gabapentin 100mg PO BID - midazolam 0.5mL IV--- 09/03/2026 19:20:52 SH:Called ox with update--- 09/03/2026 20:14:19 SH:IV catheter going SCHad to remove but so fractious, needed sedation to facilitate this1mL IV alfax - went SC took 15mins for onset to kick in but then took a LONG time to regain consciousness JZ and SH had to stay back to ensure patient was safe to be left    Vital Signs    Weight: 5.3;       MMColour: pink;       Temperature: 38.8;       HeartRate: 200;       RespirationRate: 12;       CRT: <2;