SQUIGGLES – 21297

Manhattan Center

Squiggles 21297, 3 years, Dilute Calico, Spayed Female, 9 lbs

Intake: Owner surrender, 2/21

Medical:

22-Feb-2018
Spay/Neuter Summary
Vet Notes: 3:44 PM

SX NOTES

Was this cat in heat, pregnant or have a pyometra? YES Pyometra

Ventral Midline Incision was made 5 cm in length extending from the umbilicus caudally
Ovaries Ligated via an autoligation technique
Uterine Body Ligated with with 2 Millers knots and 3-0 PDS
Abdominal Closure via a simple cont pattern and 3-0 PDS
Sub Q closed via a simple cont pattern and 3-0
PDS
Skin closed with a interdermal pattern and 3-0 PDS

Green Linear Tattoo Placed on Midline
Surgeon: 1493

Plan: Unisyn (ampicillin + sulphabactam) 30 mg/kg IV (0.5 ml) SID for 7 days

Simbadol 0.45ml SID SQ for 3 days

Medical Assistant: 1:25 PM

Feline OHE

Pre Medication/Induction:
Ketamine 100mg/mL injectable, 0.35 mL IM, once at 12:05 pm
Dexdomitor 0.5mg/mL injectable, 0.08 mL IM, once at 12;05 pm
Butorphanol 10mg/mL injectable, 0.04 mL, IM once at 12:05 pm

Anesthesia Notes:
Size 3.5 fr. ET tube placed, maintained general anesthesia throughout procedure on variable Isoflurane and 28 L/min O2. Used non-rebreathing system with 0.5 L bag. 22 g IVC placed in RF cephalic vessel. Intraoperative LRS run at 43 mL/hr.

NSAID:
Robenicoxib (Onsior) 20mg/mL injectable, 0.4 mL, SQ, once, for post operative pain relief. Given pre operatively.

Recovery Status:
Uneventful
Extubation time at 1:20 pm
Antisedam 5 mg/ml injectable, 0.04 ml IM once at 1:17 pm
Fluids running at 15 ml/hr

Anesthesiologist/Surgical Monitor:
1498/1154

Start 0.4 ml Robenacoxib 20 mg/ml sid sq x 2 days as pain management.
22-Feb-2018
Tech Exam
L V T Notes: 9:30 AM

Placed a 22g IVC in the RFL, running fluids LRS 15ml/hr. Also obtained a sample for IH CBC.

Combo test- negative

Administered:
Simbadol 1.8mg/mL 0.45ml SQ at 9:15am. (per 1382)
Cerenia 0.4mL IV
Baytril 0.4mL IM

1 view lateral abdominal radiograph obtained
1215
22-Feb-2018
DVM Intake
Vet Notes: 8:54 AM

[DVM Intake]
DVM Intake Exam

Estimated age: reportedly 3 years, age consistent with exam
Microchip noted on Intake?
Microchip Number (If Applicable):

History :owner surrender as owner is moving; suspect open pyometra

Subjective:QAR

Observed Behavior -shy but docile, allows handling

Evidence of Cruelty seen –

Evidence of Trauma seen –

Objective
BCS 6/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam:mm pk, tacky; CRT 2 sec; mild hypersalivation
PLN: No enlargements noted
H/L: eupnic, clear lung sounds, no murmurs/arrhyhthmias
ABD: severely distended, allows palpation; suspect fluid filled uterus palpable
U/G: female intact; mucoid vulvular discharge
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal:dried mucoid discharge in fur around anus

Assessment
1. Open Pyometra, suspected

Prognosis:good with treatment

Plan:
-CBC/chem
-place IVC, LRS at 15 ml/hr overnight
-cerenia 0.4 ml IV SID x 3 days
-simbadol 0.45 ml SQ SID x 4 days
-unasyn BID
-baytril 100 mg/ml: 0.4 ml IM SID x 5 days
-recommend OHE today or tomorrow

SURGERY:okay for surgery

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