C10030185 / invoice 10000

Reason: Dental With ExtractionsAppointment Notes: ab 12/3/26  Sent SMS confirmation, arrival 730-830am ab.Pablo BAR, EDDU normal, administered meds ok. Confirmed with FM to continue cardisure today, start back on trilostane tomorrow (sunday). Booked POC for next week. MH    Vital Signs    

Reason: Dental scale and polish with ExtractionsSubjective and History:Cardisure administered in hospitalAnaesthesia:Premedication: Medetomidine (5 mcg/kg) + Methadone (0.3 mg/kg) IM.IV catheter placement: Cephalic vein.Induction: Alfaxan IV titrated to effect.Maintenance: Endotracheal intubation. 100% oxygen + isoflurane titrated to effect.Monitoring: Multiparameter monitoring, including HR, RR, SpO2, and anaesthetic depth, constantly monitored by a nurse.IV Fluids: Crystalloid fluids administered at 5-10 mL/kg IV. IV fluids reduced post-operatively.Dentistry:Full mouth scale and polish performed. Extractions required: 102,101,201 - all very wobbly 105 (wobbly,106 (wobbly) ,205,206Dental nerve blocks appliedExtracted routinely without complication. Closed gingiva with 5-0 Monocryl. These are dissolvable.Dental chart completed with before and after pictures.Attempted extubation - was pawing at his face so reintubated, gave additional meth 0.1mg/kg + 0.005mg/kg acp IV - then extubated, mask oxygen with lights off, uneventful recovery Treatment: Meth 0.1mg/kg IV Acepromazine 0.005mg/kg IVMask oxygen with lights off for recoveryPlan:Feed softened food for the next 14 daysRecheck in 3 - 5 days to assess healing and discuss ongoing oral homecare.    Vital Signs    Weight: 8.7;       

Vetnostics attachedSTIM 51 - excellent controlIdeally needs dental with extractionsDiscussed with NicoleBooked for friday the 13th    Vital Signs