LOTUS – 18681

20/01/2018

[DVM Intake] DVM Intake Exam Estimated age:2 Microchip noted on Intake? Placed on intake Microchip Number (If Applicable): History : Stray Subjective/Observe: Pretty cat. BAR. Very scared and cannot PE without a net. Conducted distant PE and partial close up PE Evidence of Cruelty seen – n Evidence of Trauma seen – n Objective T = – P = 220 R = UR BCS = 3.75/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: NP PLN: NP H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: NP U/G: NP MSI: Ambulatory x 4, CNS: NP Rectal:NP Assessment: Healthy Prognosis: Excellent Plan: OH SURGERY: Okay for surgery

23/01/2018

Pre-op exam S/O: BAR and growling/swatting. BCS 5/9. PE performed under sedation. EENT: Eyes clear, no visible nasal or ocular discharge noted Oral Exam: mild tartar H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: No masses palpated MSI: Skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: Apparently healthy cat, good candidate for surgery. Plan: OHE today

23/01/2018

Cat Spay Uterus and ovaries appear normal for intact young adult female cat Ventral Midline Incision with #10 scalpel Ovaries Ligated with: self ligation Uterine Body Ligated with: 3-0 monocryl Abdominal Closure: 3-0 monocryl cruciates, subcutaneous tissue closed in simple continuous pattern, skin apposed in intradermal pattern. Skin glue applied. Green Linear Tattoo Placed on Midline Surgeon: Bess Ferguson Addition Notes:Removed ET Tube due to abnormal vitals in regards to ETco2, RR and INco2. Mucous Plug within ending part of tube.Tube was removed and animal was masked for the reminder of SX. Over all smooth recovery.

23/01/2018

Anesthesia Summary: Feline OHE Pre Medication/Induction: Ketamine 100mg/mL injectable, 0.3mL IM, once Dexdomitor 0.5mg/mL injectable, 0.05mL IM, once Butorphanol 10mg/mL injectable, 0.03mL, IM once Anesthesia Notes: (Add any ET tube size, type of breathing circuit and breathing bag size here as well as notes about intraoperative emergency drugs/why you gave them, or other notable items here) Size 3fr. ET tube placed, maintained general anesthesia throughout procedure on variable isoflurane and variable O2. Used (non-rebreathing or rebreathing) system with 0.5L bag. 24g IVC placed in R cephalic vessel. ___13mL/hr NSAID: Robenacoxib (Onsior) 20mg/mL injectable, 0.35mL, SQ, once, for post-operative pain relief. Given post operatively. Other: (State all additional medications during the pet’s peri-operative period) Simbadol 1.8mg/mL injectable, 0.35mL SQ, once, for pain relief, given post-operatively. Recovery Status (Note “Uneventful” or “Other” and describe): Uneventful Anesthetist/Surgical Monitor (P#’s): ______/_____

24/01/2018

Lotus was scheduled for an AM Tx of Simbadol (1.8 mg/mL) Gave 0.35 mL from bottle number 54 at 9:30 AM DVM 1382 LVT 1461

Upon intake, Lotus came out of the feral den and walked into a kennel on her own. When I approached Lotus inside the kennel, she retreated and hissed and then tried to run out.