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.