Tuesday, November 13, 2007

I was rounded when I arrived and there wasn’t much going on since we only had a few patients. So I started by cleaning the sink tubs.

Then I obtained a heart rate on Maggie Mae, a 7 month old bichon who came in for being lethargic and not doing right. Her heart rate was 140.

Then Raine, a 7 year old neutered male briard, came in with bloody diarrhea. We admitted him and his owners sent him back with his own muzzle on already, although he seemed okay, just a little nervous. We decided to give him some sedation to place a catheter however, since we were going to be placing a sampling catheter and also taking some radiographs. Rebekah one of the CVT’s administered hydromorphone and Midazolam IV and that didn’t seem to make a difference. After a few tries we ended up giving him 1.5 mg of acepromizine. This also did not touch him; it took 4 people to hold him down enough to even look at his leg to place a catheter. Then he defecated all over the table and we put him on the floor where he continued to defecate. Then we got the okay from Dr. Magestro to use Propofol to knock him down. However, we first had to get a catheter in to administer the Propofol. Rebekah had to sit on him to hold him down, while I held his front legs, and someone else held his back legs. We finally got a catheter I his cephalic vein and could use Propofol to sedate him further. Then Bridget and Rebekah took him to take his radiographs while Amy C and I cleaned up. When they returned, Bridget placed a peal away catheter that can be used for sampling blood over the weekend so we do not have to keep on sticking him with needles. Then we cleaned his back end up before he woke up and placed him in a run with a fluid bolus of 800 ml of LRS. We also took his blood pressure before he worked himself up which were 110.

Then Oliver came in. Oliver is a Russian blue DSH and had a PU surgery last week. His owners say he has not been urinating at home for the past few days. His bladder felt fine and small, so nothing to worry about, probably urinating somewhere they could not see.

I then swept and mopped the treatment area and cleaned up as well.

Then I gave 20 mg or 2 ml of Famotidine to Raine through his IV line slowly.

Seamus is a bouvier that had his left hind leg amputated by Vetscision a few days ago. He is now staying with VESCONE because he started bleeding and they had to open him up again but found nothing wrong. We are supporting him until he is well enough to go home. I tried to get him to eat, I offered him some a/d, some chicken and rice dog food and also some tuna, all warmed in the microwave but Seamus was not interested what-so-ever. Then I iced his incision for about 10 minutes, he seemed to like this.

Raine pulled out his IV line from his catheter and got blood all over himself and his run. I gave him a new IV line and cleaned out his run (see procedures) and then set him back up.
I helped Rebekah take Seamus out to see if he would urinate on his own. He did not, so we passed a urinary catheter. We got about500ml of dark bloody urine out, which was apparently what they had seen this morning when he urinated outside.

Raine pulled out his line from the T-set this time and it needed to be completely rewrapped. I restrained for this, and Robin taped every junction of the line and catheter so he could not pull it out again. Then I walked him and he had a small amount of diarrhea outside.

I then helped Robin change the scrub containers by taking premade scrub and alcohol gauze squares and putting them in new containers that get changed every few weeks.

The last thing I helped with was Zora. Zora is an 8 year old spayed female Great Dane. She had been having cluster seizures all day and wanted to come here for overnight observation and for safety. I restrained her for Amy C so she could place a catheter. Then, while we were rounding the overnight technicians, Zora had another seizure and we gave her 12 cc of Valium which stopped it.

Friday, November 9, 2007

First, we rounded. Then we started our 8 am treatments.

I walked Mr. Puccini, a bichon who was a post cystotomy. Then I performed a TPR- temp = 100.2, heart rate = 120, he was panting and his gum color was pink and his capillary refill time was less than 2. Then I took his blood pressure which was 152. His total volume infused (TVI) was 66 ml. I gave him ½ tablet of Tramadol, 125mg tablet of Clavamox, 18 lb dose of Metacam in his food and then weighed him at 8.2 kgs.

Next was Chloe, another bichon who was attacked by a wolf or coyote we suspected. I took her blood pressure at 130.

Then I did some laundry and then entered my treatments into the computer.

I then walked Mr. Puccini again at about 10 o’clock am. His TVI was 66ml again.

Then I walked Dylan, a pomeranian with chronic vomiting and diarrhea. He urinated 2++.

Next, Maestro, a 4 year old spayed female DSH came in lame on her back left leg. Dr. Kridel suspected an abscess. We knocked her down using Propofol after the ketamine and valium did not work. Once she was under with the Propofol she was shaved and prepped and then Heather made an opening where she thought the pocket was. Once she was in the abscess, she found that it was a multiple pocket abscess. While this was going on, I gave a 200 ml SQ bolus of LRS. Heather flushed out all of the pockets with LRS and then placed a drain to keep it open and draining. Then we were ready to let her wake up. After the hour long procedure, we gave 6 ml of Propofol in all. Now that the Propofol was out of her system and she had calmed down the drugs we had given her before had finally taken affect. We tried to keep her warm by using warm blankets and harm water bottles, and also kept an oxygen mask on her face to help her wake up. It took her about an hour to wake up enough to go back to her cage.

Then I did some laundry and dishes and then it was time to go.

Tuesday, November 6, 2007

Amy C rounded me when I arrived, we mostly had cats today. Then I gave 0.2 CC of Ampicillin to Gracie, one of the cats, IV.

It was slow today, so I did a lot of Laundry, Dishes and I cleaned the wet tubs. (See protocols)

Then we did the 2 o’clock treatments:

There was Jack a 1 year old domestic shorthair, whose owners put dog Biospot on him. I took his temperature which was 99.9 degrees Fahrenheit.

Then there was Murri a domestic shorthair. Murri was a possible hit by car with a very badly damaged eye. I took his heart rate, which was 220. Murri is scheduled to have surgery tonight to remove the eye.

Next was Gracie, a domestic shorthair with renal failure. Her heart rate was 260. Then we rinsed her mouth and fed her.

Then Sarah, one of the doctors, brought her cat, Oreo a DSH, in who vomited at home. She wanted a full workup done on him. We drew blood for a CBC and chemistry and then I clipped her nails and gave her water and a liter box.

Our 4 o’clock treatments were;

Murri, I gave 0.36ml of Ampicillin IV. Then I applied Genteal Eye, which is an ointment. Then I changed his IV line.

We pulled Jack’s catheter, because he is scheduled to go home tonight.

Gracie needed Oral Buprenex, a new bag of LRS with 16 mEq of KCL which was 8 mL’s.

Then I made flushes for a while (see protocols).

Animal control brought a stray cat that was dead on arrival. We scanned it for a microchip and then wrote down a description of her on her tag to go on her bag. After that, Jenn Hart and I brought her to the freezer and logged her in the book.

Jack went home.

Next I held Murri for an eye exam by Christy, one of the Vets.

Oliver had a PU surgery today because he kept blocking. His catheter needed to be rewrapped, so I held him for this.

Monty, a 12 week old male bulldog, came in for a possible eye abrasion. His day care had called his owner and said he got hit by another dog while they were playing. I helped restrain him for his exam. Nothing noticeable was seen, it was probably just a puppy reaction to being hit. However we did tell the owner to keep an eye on it to make sure nothing happened within the next 24 hours.

Mitzy, a DSH spayed female who had been vomiting and could not hold her food down for 2 days. Her temperature was 103.5, heart rate was 200, respiratory rate was 52 and she was 7 kgs. It was time for me to go before anything was decided about whether or not Mitzy was going to stay or not.