C10029450 / invoice 10000

HISTORY: PRESENTING COMPLAINT(S): cut LF paw

HISTORY:
At friends house, stepped on metal guttering and cut paw 
Otherwise well EDDU normal 

CLINICAL EXAMINATION:
Lovely boy 
MM pink and moist, heart and lungs clear, abdo palpation No abnormalities detected
2x wounds LF paw, will need suturing one is approx 3cm, full thickness

ASSESSMENT: 
Problem List/ Ddx:
Admit for GA and suture 

TREATMENT:
O happy with above plan
WEIGHT: 37.50

HISTORY: PROCEDURE: Stitch up

HISTORY:
EDUF normal? YYYY
Any v#/d#/coughing? NNN
UTD preventatives (vacc/worms/ heartworm/ fleas)? UTD
Microchipped? y
Current medications: nil

Other procedures to be done today? no

CLINICAL EXAMINATION:
Temp:   NT         HR:  100                 RR: 40
Demeanour: BAR
MM colour:  pink and moist
Heart: No abnormalities detected 

ANAESTHESIA:
Any conditions to be aware of for anaesthesia (eg heart problem): no

Premedication:  0.2mL medetomidine 1mg/mL/  1.1 mL  methadone 10mg/mL SC. Premed given: 12.40   pm
Induction:  IV. Intubated with    size ET tube.
Maintenance: Isoflourane and oxygen
Additional analgesia: N
GA start time: 1.50      GA finish time: 2.15

Pre-op: Placed on intravenous fluids (Hartmans) in cephalic vein R

Monitoring:
BP stable? Y

SURGERY:
Clipped and prepped lateral wound 
Removed some contaminated tissue that contained sand, flushed thoroughly 
Closed with SC and intradermal sutures w 3/0 PGCL 
Tissue glue applied
Bandaged with swab, soffban, vetwrap, elasto 

Recovery: good

Post op temp: NT

TREATMENT:
Post op: 3 mls carprofen 50mg/mL/ SC (anti-inflammatory and pain relief). Time given: 2.15pm
Home: 
- 100 mg carprofen x 1 tab sid x 5 days
- 500mg amoxyclav x 1 tab bid x 5 days
- Elizabethan collar

PLAN:
Discharge notes completed? Y
- Revisit for bandage check/change or remove in 2-3 days (monday)

HISTORY: Also I bought hux in yesterday for an arthritis injection. He did his loading dose and we were told 6-12 monthly after or if he needs sooner. Yesterday the nurse couldn’t do it as its been 4-5 months so i need to book a vet visit and do loading dose again. I have since logged in and it says hes not due til april so I am a bit confused as now this will cost us more money to do weekly loading dose plus vet consult when he technically just needed injection? Can this please be followed up Thankyou Christie Keddie Sent from my iPhone