JILL – 21371
Safe - 3-11-2018 Manhattan
**SAFE 3/11/18** Jill came to ACC from a home with lots of other cats after her previous owner passed away. She has a been a spunky girl with lots of purrsonality to spare! She has come down with a kitty cold and just needs a place to rest until she feels better and can find her forever home!
Intake Date: 2/22/18
Intake Type: Owner Surrender
Medical Behavior: Blue
Sex: Spayed Female
Age: 1 year
Original Location: 10029
Vet Notes: 4:40 PM
Hx: Reported dull on 3/2/18, with crusty eyes.
S:Purring, rubbing head along the kennel door. Good appetite this morning.
O: Mild serous ocular and nasal discharge.
A: URI – likely viral
P: Move to isolation
-Start Fortiflora, vit B injection
-Monitor for progression of signs
L V T Notes: 10:16 AM
It was due for an AM TX of Simbadol 1.8mg/mL. Administered 0.33 ml SQ at 9:22 am from bottle # 68.
Vet Notes: 4:27 PM
S/O – incision site looks healthy, no discharge or excess inflammation.
P: Benign Neglect
L V T Notes: 9:05 AM
Jill was scheduled for an AM tx of Simbadol 1.8mg/ml. Administered 0.33mL SQ at 8:38am from bottle #68.
Vet Notes: 2:09 PM
Presurgical exam and sx notes: hx of ear mites
QAR, mildly dehydrated, BCS 4/9
– no c/s v/d observed/reported
EENT: AU hx of ear mites/tx => ears cleaned, nosf
Oral Exam: mod. gingivitis
PLN: No enlargements noted
H/L: NSR, NMA; Lungs clear, eupneic; nsf
ABD: soft abdomen, palp. two small firm round masses on L/R abdomen – r/o fetuses
U/G: intact female, pregnant
MSI: amb x 4, skin free of parasites, no masses noted, clean coat
CNS: mentation appropriate â€“ no signs of neurologic abnormalities
Rectal: not performed
A: ear mites, pregnant, ok for spay surgery
Sx Notes: early preg. otherwise routine OHE: Ventral midline incision approach; each ovarian pedicle was auto-ligated and excised distal to ligatures; broad ligament lig. with 3-0 monocryl; uterine body ligated with two modified-Miller’s ligatures using 3-0 Monocryl and excised distal to ligatures; body wall closed with simple continuous pattern using 3-0 Monocryl; subcutaneous/intradermal layers closed with continuous pattern using 3-0 Monocryl; green-ink tattoo placed lateral to spay incision; surgical glue applied to skin incision and over tattoo site to assist with closure
Medical Assistant: 12:39 PM
Anesthesia Summary: Feline OHE
Ketamine 100mg/mL injectable, 0.25 mL IM
Dexdomitor 0.5mg/mL injectable, 0.05 mL IM
Butorphanol 10mg/mL injectable, 0.03 mL IM
Size 3 fr. ET tube placed, maintained general anesthesia throughout procedure on isoflurane and O2. Used (non-rebreathing ) system with 0.5 L bag.
22g IVC placed in RFL cephalic vessel.
Intraoperative IV LRS at 5-10mL/kg/hr: 25 mL/hr
Robenacoxib (Onsior) 20mg/mL injectable, 0.25 mL, SQ, once, for post-operative pain relief. Given pre/post operatively.
Simbadol 1.8mg/mL injectable, 0.33 mL SQ, once, for pain relief, given post-operatively.
Reversed with Antisedan 5mg/ml 0.025 ml IM after sx.
cat was pregnant.
Start 0.33 cc simbadol 1.8 mg/ml sid x 2 days and 0.25 cc Robenacoxib 20 mg/ml sid x 2 days as pain management.
Vet Notes: 3:00 PM
DVM Intake Exam
Microchip noted on Intake?n
Microchip Number (If Applicable):
History : o passed away
Observed Behavior -timid, allows exam
Evidence of Cruelty seen -n
Evidence of Trauma seen -n
EENT: Eyes clear, ear mites and otitis, no nasal or ocular discharge noted
Oral Exam:clean teeth, missing few incisors
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment: ear mites
Plan:invermectin 0.05ml sq
Okay for surgery
Jill was brought in with limited information on their behavioral history or tendencies in a home environment.
2/22/18 Observed Behavior -timid, allows exam
Reaction to assessor:
Jill remains neutral, lying down on her cage bedding during the approach.
Reaction when softly spoken to:
Jill becomes alert with normal shape eyes.
Reaction to cage door opening:
Jill slowly increases distance, ears erect and forward.
Reaction to touch:
Jill seems unsure, but when touched she slowly leans into the assessor’s hand. However, she remains cautious with the interaction, eyes wide, looking around and tenses up.
Reaction to being picked up:
She becomes antsy then jumps back into the cage.
H – Healthy
Jill interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
CAME IN WITH
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View all entries in: Safe Cats 2018-03