Administrative Hours: 8:30 am - 6:30 pm, Wednesday - Saturday | 6225 42nd Ave. N., Minneapolis, MN 55422
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Date
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SUPPLIMENTAL HISTORY/NOTES
No Additional Notes
TPR
Weight
Assessed
Estimate
Not Assessed
Unable to Obtain
Patient Weight in Lbs
Temperature
Assessed: Rectal
Assessed: Ear
Assessed: Axillary
Not Assessed
Unable to Obtain
Temperature
Heart Rate
Assessed
Not Assessed
Unable to Obtain
Heart Rate
Respiratory Rate
Assessed
Not Assessed
Unable to Obtain
Respiratory Rate
Mucus Membrane
Assessed
Not Assessed
Unable to Obtain
Mucus Membrane
CRT
Assessed
Not Assessed
Unable to Obtain
CRT
Hydration
Assessed
Not Assessed
Unable to Obtain
Hydration
Body Condition Score
Not Assessed
1/9
2/9
3/9
4/9
5/9
6/9
7/9
8/9
9/9
Body Condition Comments
FAS Score
Not Assessed
0/5
1/5
2/5
3/5
4/5
5/5
FAS Comments
Exam
General
NsF
AbN
Not Assessed
General Comments
Eyes
NsF
AbN
Not Assessed
Eyes Comments
Ears
NsF
AbN
Not Assessed
Ears Comments
Integ
NsF
AbN
Not Assessed
Integ Comments
Resp
NsF
AbN
Not Assessed
Resp Comments
Oral
NsF
AbN
Not Assessed
Oral Comments
CV
NsF
AbN
Not Assessed
CV Comments
AbN Dental Issue
Retained Teeth
Dental Score: Level 1/5
Dental Score: Level 2/5
Dental Score: Level 3/5
Dental Score: Level 4/5
Dental Score: Level 5/5
CV Issue
1/6 heart murmur
2/6 heart murmur
3/6 heart murmur
4/6 heart murmur
5/6 heart murmur
6/6 heart murmur
Incidental finding, please follow up with your family veterinarian or a cardiologist
ABD
NsF
AbN
Not Assessed
ABD Comments
PLN/THYROID
NsF
AbN
Not Assessed
PLN/THYROID Comments
MS
NsF
AbN
Not Assessed
MS Comments
UROGEN
NsF
AbN
Not Assessed
UROGEN Comments
NEURO
NsF
AbN
Not Assessed
NEURO Comments
Digital Rectal
NsF
AbN
Not Assessed
Digital Rectal Comments
Diagnostics
Recommended Diagnostics
RESULTS RECEIVED IN CLINIC
4DX Snap Test In House
Add on CBC
Add on Lyte 4
Add on Total T4
Blood Pressure Reading
Catalyst ALT In house
Catalyst Bile Acid
Catalyst BUN
Catalyst Calcium In House
Catalyst CREA
Catalyst NH3
CBC In House IDEXX
Chem 10 In House IDEXX
Chem 17 In House IDEXX
Cytology In House - 1 Site
Cytology in House - 3 Sites
Ear Cytology
Echocardiogram w/ hospitalization - Ultrasound Specialist
EKG/ECG - in house
Fecal Test In-house
Feline proBNP Snap in House
Feline Triple SNAP
Fine Needle Aspirate
Fluid Analysis - In House
Fluorescein Eye Stain
Fructosamine In House IDEXX
Full Mouth Dental Radiograph - no dental procedure
Fungal Culture (in house)
Glucose
Hair Pluck
Heartworm SNAP In House
Lyte 4
Manual CBC
Microfilariae In House Test
Miscellaneous Diagnostic
PARVO SNAP Test
PCV/TP
Phenobarbital In House IDEXX
Poison Control - ASPCA consult
PTTPT In House
Schirmer Tear Test
SDMA Catalyst slide
Skin Cytology
Skin Scrape
Specific Gravity
T4 In House IDEXX
Telemedicine Rad Consult - Priority
Telemedicine Rad Consult - Priority weekend
Telemedicine Rad Consult - STAT
Telemedicine Rad Consult - STAT weekend
Tonometry: Intraocular Pressure Test
Total Bilirubin
Ultrasound - in-house - AFAST-TFAST
Ultrasound Guided Fine Needle Aspirate (FNA) w/cytology 1 site - Ultrasound Specialist
Ultrasound Guided Fine Needle Aspirate (FNA) w/cytology 2 sites - Ultrasound Specialist
Urinalysis - microscopic eval - in house
Urinalysis in house + collection
Urine Strip
X-ray - dental single site | Radiographs
X-ray - Recheck | Radiographs
X-ray Barium Series | Radiographs
X-Ray Exotics/neonate | Radiographs
X-Rays Flat Fee | Radiographs
Other
Recommended Diagnostics
RESULTS PENDING
2M Antibody
4Dx Plus Test - Canine
4DX Snap Test In House
ACTH Stimulation (One Pre, One Post) - Canine/Feline
ACTH Stimulation (One Pre, Two Posts) - Canine/Feline
Add On Amylase
Add on CBC
Add on Fiv/FeLv
Add On Lab 4Dx Plus Test - Canine
Add on Lyte 4
Add on Total T4
ADD-ON - Thyroid Panel 6 - Canine
ADRCheck Profile Plus with Spec fPL Test - Feline
ADRCheck Profile with Spec fPL Test - Feline
Adult Screen
Aerobic and Anaerobic Cultures
Aerobic Culture (ID and Susceptibility)
Aerobic Ear Culture (ID and Susceptibility)
Aerobic Ear Culture (ID and Susceptibility) - Both Ears
Allergen Panel Midwest/Prairies Region with Food - Canine/Feline
Allergen Panel, Regional with Farm & Stable and Insect - Canine/Feline (Midwest)
Anti-Mullerian Hormone ELISA - Canine/Feline
Avian Mini Panel
Babesia Combo IFA to NCSU
Bile Acids Panel (Pre- and Postprandial)
Bilirubin Fraction
Biopsy 1 Site/Lesion
Biopsy 2 Sites/Lesions
Biopsy 3 Sites/Lesions
Biopsy 4 Sites/Lesions
Biopsy, Professional Interest (1 Site/Lesion)
Bird blood
Blastomyces Antigen
Blastomyces Dermatitidis
Blood Pressure Reading
Bromide
Brucella Canis Antibody by AGID
Brucella canis Antibody by Rapid Slide Agglutination (RSAT)
Brucella canis RealPCR Test
Canine Thyroid Dx Profile Prem
Canine Tick/Vector Comp RealPCR
Cardiopet proBNP Test - Feline
Cardiopet proBNP Test Add-On - Canine
Cardiopet proBNP Test Add-On - Feline
Catalyst ALT In house
Catalyst Bile Acid
Catalyst BUN
Catalyst Calcium In House
Catalyst CREA
Catalyst NH3
CBC Comprehensive
CBC In House IDEXX
Chem 10 In House IDEXX
Chem 10 with IDEXX SDMA Test
Chem 11 with IDEXX SDMA Test
Chem 17 In House IDEXX
Chem 25 with IDEXX SDMA Test
Chem 27 with IDEXX SDMA Test
Chem 27 with IDEXX SDMA Test and Total T4
Chlamydia psitici
Chronic Enteropathy (CE/IBD) Panel - Canine
Coagulation Panel 1
Coagulation Panel 2
Cobalamin (Vitamin B12) and Folate
Complex Biopsy
Coombs (37°C) - Canine/Feline
Cortisol
Cortisol Add On Test
Cryptococcus Antigen
Cryptococcus Antigen by Latex Agglutination
Culture & Sensi. Aerobic
Cytology 1 Site
Cytology 2 Sites
Cytology 3 Sites
Cytology 4 Sites
Cytology In House - 1 Site
Cytology in House - 3 Sites
Dermatology Discharge Cytology University of Florida D-Lab
Dermatology Tissue Aspirate Cytology University of Florida D-Lab
Dermatology Tissue Imprint/Scraping Cytology University of Florida D-Lab
Dexamethasone Suppression (One Pre, One Post) - Canine/Feline
Dexamethasone Suppression (One Pre, Two Post) - Canine/Feline
Diabetes Profile, Complete - Feline
Diarrhea Real PCR Feline - Comprehensive
Diarrhea RealPCR™ Panel (Comprehensive) with Fecal Dx® Profile—Canine
Diarrhea RealPCR™ Panel (Comprehensive) with Fecal Dx® Profile—Feline
Distemper Virus (CDV) Quant RealPCR Test
Distemper Virus (CDV) RealCPR Test - Canine
Dolphin Profile
Ear Cytology
Echocardiogram w/ hospitalization - Ultrasound Specialist
EKG/ECG - in house
Electrolyte Panel
Fecal DX Profile
Fecal Dx Profile with Giardia
Fecal Egg Count - Canine/Feline
Fecal Enteric Pathogen Culture Toxin Panel 1
Fecal Ova and Parasites
Fecal Ova and Parasites with Baermann Test
Fecal Ova and Parasites with Giardia
Fecal Test In-house
Feline ADR Combo Plus Profile
Feline Combo Plus Complete Profile
Feline Combo Plus Profile
Feline proBNP Snap in House
Feline Triple SNAP
FeLV Antigen and FIV Antibody by ELISA
FeLV Antigen by IFA
FeLV Quant RealPCR Test
Ferret Panel
Fever of Unknown Origin RealPCR Panels - Comprehensive Canine
Fever of Unknown Origin RealPCR Standard - Feline
Fever of Unknown Origins RealPCR Panels - Comprehensive Feline
Fine Needle Aspirate
FIP Virus RealPCR Add-On
FIV Antibody by Western Blot
FIV RealPCR Test
FLUID ANALYSIS
Fluid Analysis - In House
Fluid Analysis with Cytology
Fluorescein Eye Stain
Follow Up Urine Culture
Free T4 - Canine/Feline
Free T4 by Equilibrium Dialysis
Fructosamine
Fructosamine In House IDEXX
Full Mouth Dental Radiograph - no dental procedure
Fungal Culture
Fungal Culture (in house)
Fungal Culture Add-On
GI Panel 2 with Spec fPL Test - Feline
GI Panel w/Spec cPL - Canine
GI Panel with Sprc cPL Test - Canine
GI Profile Complete with Triglycerides (Canine)
GI Profile, Complete - Feline
GI Profile, Complete Select
Glucose
Hair Pluck
HealthCheck
HealthCheck Plus Profileq
Heartworm Anibody by ELISA - Feline
Heartworm Antibody by ELISA Add On - Feline
Heartworm Antigen by ELISA - Canine
Heartworm Antigen by ELISA - Canine Add On
Heartworm Antigen by ELISA, Feline - Add on
Heartworm Antigen by ELISA-Feline
Heartworm Microfilariae by Filter
Heartworm Panel - Canine
Heartworm Panel - Feline
Heartworm Panel 1 - Canine
Heartworm SNAP In House
Hypercalcemia of Malignancy Profile
Hyperthyroid Profile 2
IDEXX SDMA Test
Immunohistochemistry Panel (2 Antibodies)
Insulin Panel - Canine/Equine
Insulin Panel (Feline/Exotics)
Ionized Calcium
Iron (Serum) Add-on
Iron (Serum) Test
Itchy Dog Panel
Leptospira spp. Panel - Canine
Leptospira spp. RealPCR Test
Leptospirosis Antibody Panel by Microagglutination
Liver Panel
Lyme Quant C6® Antibody Test
Lyte 4
Manual CBC
Microfilariae In House Test
Miscellaneous Diagnostic
Neurologic RealPCR Panel - Feline
NSAID Profile 1
Parathyroid Hormone (PTH) with Ionized Calcium
PARVO SNAP Test
Pathologist Review of CBC
PCV/TP
Phenobarbital (One Sample)
Phenobarbital and Bromide
Phenobarbital In House IDEXX
Phenobarbital Monitoring Profile
Poison Control - ASPCA consult
Priority Biopsy 1 Site
Protein Electrophoresis, Serum
PTT (Partial Thromboplastin Time)
PTTPT In House
Rabies Titer FAVN - Kansas State
Renal Panel
Renal Profile, Complete
Reptilian/Amphibian Comprehensive Profile
Respiratory Disease (CRD) RealPCR Panel (Comprehensive) - Canine
Resubmission Description Included
Resubmission No Description
Ringworm (Dermatophyte) RealPCR™ Panel
Ringworm (Dermatophyte) RealPCR™ Panel with Fungal Culture
Salmonella spp.RealPCR Test
Schirmer Tear Test
SDMA Catalyst slide
Senior Profile
Skin Cytology
Skin Scrape
Small Animal Ocular Globe Biopsy Submission COPLOW
Small Animal Ocular Tissue Biopsy Submission COPLOW
Small-Mammal Comprehensive Panel
Small-Mammal Comprehensive Panel w/ CBC
Spec fPL Test - Feline
Specific Gravity
Standard CBC
Standard Fecal lDx Antigen Panel with Giardia
T4 In House IDEXX
T4 Total
Taurine, Whole Blood
Telemedicine Rad Consult - Exotics
Telemedicine Rad Consult - Non urgent
Telemedicine Rad Consult - Priority
Telemedicine Rad Consult - Priority weekend
Telemedicine Rad Consult - Routine
Telemedicine Rad Consult - STAT
Telemedicine Rad Consult - STAT weekend
Thyroid Comprehensive Screen with FT4ED-Canine
Thyroid Panel 12 with Cholesterol
Thyroid Panel 2 - Canine/Feline
Thyroid Panel 3 - Canine
Thyroid Panel 3 - Canine Only
Thyroid Panel 4 - Canine
Thyroid Panel 6 - Canine
Tonometry: Intraocular Pressure Test
Total Bilirubin
Total Health - Plus Profile
Total Health Plus Profile with Free T4
Triglycerides and Cholesterol
Tritrichomonas Blagburni (formerly T. foetus) RealPCR Test
Trypsin-Like Immunoreactivity (TLI), Cobalamin (Vitamin B12), and Folate-Canine
Ultrasound - in-house - AFAST-TFAST
Ultrasound Guided Fine Needle Aspirate (FNA) w/cytology 1 site - Ultrasound Specialist
Ultrasound Guided Fine Needle Aspirate (FNA) w/cytology 2 sites - Ultrasound Specialist
Upper Respiratory Disease RealPCR Panel - Feline
Urinalysis - microscopic eval - in house
Urinalysis Add-On + sample collection
Urinalysis Add-On + sample collection Send out
Urinalysis with Culture Urine and MIC Susceptibility
Urine Cortisol: Creatinine Ratio
Urine Cortisol:Creatinine Ratio Add on
Urine Culture and MIC Susceptibility
Urine Protein: Creatinine Ratio
Urine Strip
Uveitis RealPCR Panel- Feline
Vaccine Panel by Elisa - Distemper and Parvovirus
Vaccine Panel by SVN/HI - Canine - Distemper and Parvovirus
Von Willebrand Factor
X-ray - dental single site | Radiographs
X-ray - Recheck | Radiographs
X-ray Barium Series | Radiographs
X-Ray Exotics/neonate | Radiographs
X-Rays Flat Fee | Radiographs
Young Wellness Select
Young Preanesthetic Panel
Zinc (Blood) - Avian/Exotics TESTING
Other
Recommended Diagnostics
DECLINED BY O
Further workup
2M Antibody
4Dx Plus Test - Canine
4DX Snap Test In House
ACTH Stimulation (One Pre, One Post) - Canine/Feline
ACTH Stimulation (One Pre, Two Posts) - Canine/Feline
Add On Amylase
Add on CBC
Add on Fiv/FeLv
Add On Lab 4Dx Plus Test - Canine
Add on Lyte 4
Add on Total T4
ADD-ON - Thyroid Panel 6 - Canine
ADRCheck Profile Plus with Spec fPL Test - Feline
ADRCheck Profile with Spec fPL Test - Feline
Adult Screen
Aerobic and Anaerobic Cultures
Aerobic Culture (ID and Susceptibility)
Aerobic Ear Culture (ID and Susceptibility)
Aerobic Ear Culture (ID and Susceptibility) - Both Ears
Allergen Panel Midwest/Prairies Region with Food - Canine/Feline
Allergen Panel, Regional with Farm & Stable and Insect - Canine/Feline (Midwest)
Anti-Mullerian Hormone ELISA - Canine/Feline
Avian Mini Panel
Babesia Combo IFA to NCSU
Bile Acids Panel (Pre- and Postprandial)
Bilirubin Fraction
Biopsy 1 Site/Lesion
Biopsy 2 Sites/Lesions
Biopsy 3 Sites/Lesions
Biopsy 4 Sites/Lesions
Biopsy, Professional Interest (1 Site/Lesion)
Bird blood
Blastomyces Antigen
Blastomyces Dermatitidis
Blood Pressure Reading
Bromide
Brucella Canis Antibody by AGID
Brucella canis Antibody by Rapid Slide Agglutination (RSAT)
Brucella canis RealPCR Test
Canine Thyroid Dx Profile Prem
Canine Tick/Vector Comp RealPCR
Cardiopet proBNP Test - Feline
Cardiopet proBNP Test Add-On - Canine
Cardiopet proBNP Test Add-On - Feline
Catalyst ALT In house
Catalyst Bile Acid
Catalyst BUN
Catalyst Calcium In House
Catalyst CREA
Catalyst NH3
CBC Comprehensive
CBC In House IDEXX
Chem 10 In House IDEXX
Chem 10 with IDEXX SDMA Test
Chem 11 with IDEXX SDMA Test
Chem 17 In House IDEXX
Chem 25 with IDEXX SDMA Test
Chem 27 with IDEXX SDMA Test
Chem 27 with IDEXX SDMA Test and Total T4
Chlamydia psitici
Chronic Enteropathy (CE/IBD) Panel - Canine
Coagulation Panel 1
Coagulation Panel 2
Cobalamin (Vitamin B12) and Folate
Complex Biopsy
Coombs (37°C) - Canine/Feline
Cortisol
Cortisol Add On Test
Cryptococcus Antigen
Cryptococcus Antigen by Latex Agglutination
Culture & Sensi. Aerobic
Cytology 1 Site
Cytology 2 Sites
Cytology 3 Sites
Cytology 4 Sites
Cytology In House - 1 Site
Cytology in House - 3 Sites
Dermatology Discharge Cytology University of Florida D-Lab
Dermatology Tissue Aspirate Cytology University of Florida D-Lab
Dermatology Tissue Imprint/Scraping Cytology University of Florida D-Lab
Dexamethasone Suppression (One Pre, One Post) - Canine/Feline
Dexamethasone Suppression (One Pre, Two Post) - Canine/Feline
Diabetes Profile, Complete - Feline
Diarrhea Real PCR Feline - Comprehensive
Diarrhea RealPCR™ Panel (Comprehensive) with Fecal Dx® Profile—Canine
Diarrhea RealPCR™ Panel (Comprehensive) with Fecal Dx® Profile—Feline
Distemper Virus (CDV) Quant RealPCR Test
Distemper Virus (CDV) RealCPR Test - Canine
Dolphin Profile
Ear Cytology
Echocardiogram w/ hospitalization - Ultrasound Specialist
EKG/ECG - in house
Electrolyte Panel
Fecal DX Profile
Fecal Dx Profile with Giardia
Fecal Egg Count - Canine/Feline
Fecal Enteric Pathogen Culture Toxin Panel 1
Fecal Ova and Parasites
Fecal Ova and Parasites with Baermann Test
Fecal Ova and Parasites with Giardia
Fecal Test In-house
Feline ADR Combo Plus Profile
Feline Combo Plus Complete Profile
Feline Combo Plus Profile
Feline proBNP Snap in House
Feline Triple SNAP
FeLV Antigen and FIV Antibody by ELISA
FeLV Antigen by IFA
FeLV Quant RealPCR Test
Ferret Panel
Fever of Unknown Origin RealPCR Panels - Comprehensive Canine
Fever of Unknown Origin RealPCR Standard - Feline
Fever of Unknown Origins RealPCR Panels - Comprehensive Feline
Fine Needle Aspirate
FIP Virus RealPCR Add-On
FIV Antibody by Western Blot
FIV RealPCR Test
FLUID ANALYSIS
Fluid Analysis - In House
Fluid Analysis with Cytology
Fluorescein Eye Stain
Follow Up Urine Culture
Free T4 - Canine/Feline
Free T4 by Equilibrium Dialysis
Fructosamine
Fructosamine In House IDEXX
Full Mouth Dental Radiograph - no dental procedure
Fungal Culture
Fungal Culture (in house)
Fungal Culture Add-On
GI Panel 2 with Spec fPL Test - Feline
GI Panel w/Spec cPL - Canine
GI Panel with Sprc cPL Test - Canine
GI Profile Complete with Triglycerides (Canine)
GI Profile, Complete - Feline
GI Profile, Complete Select
Glucose
Hair Pluck
HealthCheck
HealthCheck Plus Profileq
Heartworm Anibody by ELISA - Feline
Heartworm Antibody by ELISA Add On - Feline
Heartworm Antigen by ELISA - Canine
Heartworm Antigen by ELISA - Canine Add On
Heartworm Antigen by ELISA, Feline - Add on
Heartworm Antigen by ELISA-Feline
Heartworm Microfilariae by Filter
Heartworm Panel - Canine
Heartworm Panel - Feline
Heartworm Panel 1 - Canine
Heartworm SNAP In House
Hypercalcemia of Malignancy Profile
Hyperthyroid Profile 2
IDEXX SDMA Test
Immunohistochemistry Panel (2 Antibodies)
Insulin Panel - Canine/Equine
Insulin Panel (Feline/Exotics)
Ionized Calcium
Iron (Serum) Add-on
Iron (Serum) Test
Itchy Dog Panel
Leptospira spp. Panel - Canine
Leptospira spp. RealPCR Test
Leptospirosis Antibody Panel by Microagglutination
Liver Panel
Lyme Quant C6® Antibody Test
Lyte 4
Manual CBC
Microfilariae In House Test
Miscellaneous Diagnostic
Neurologic RealPCR Panel - Feline
NSAID Profile 1
Parathyroid Hormone (PTH) with Ionized Calcium
PARVO SNAP Test
Pathologist Review of CBC
PCV/TP
Phenobarbital (One Sample)
Phenobarbital and Bromide
Phenobarbital In House IDEXX
Phenobarbital Monitoring Profile
Poison Control - ASPCA consult
Priority Biopsy 1 Site
Protein Electrophoresis, Serum
PTT (Partial Thromboplastin Time)
PTTPT In House
Rabies Titer FAVN - Kansas State
Renal Panel
Renal Profile, Complete
Reptilian/Amphibian Comprehensive Profile
Respiratory Disease (CRD) RealPCR Panel (Comprehensive) - Canine
Resubmission Description Included
Resubmission No Description
Ringworm (Dermatophyte) RealPCR™ Panel
Ringworm (Dermatophyte) RealPCR™ Panel with Fungal Culture
Salmonella spp.RealPCR Test
Schirmer Tear Test
SDMA Catalyst slide
Senior Profile
Skin Cytology
Skin Scrape
Small Animal Ocular Globe Biopsy Submission COPLOW
Small Animal Ocular Tissue Biopsy Submission COPLOW
Small-Mammal Comprehensive Panel
Small-Mammal Comprehensive Panel w/ CBC
Spec fPL Test - Feline
Specific Gravity
Standard CBC
Standard Fecal lDx Antigen Panel with Giardia
T4 In House IDEXX
T4 Total
Taurine, Whole Blood
Telemedicine Rad Consult - Exotics
Telemedicine Rad Consult - Non urgent
Telemedicine Rad Consult - Priority
Telemedicine Rad Consult - Priority weekend
Telemedicine Rad Consult - Routine
Telemedicine Rad Consult - STAT
Telemedicine Rad Consult - STAT weekend
Thyroid Comprehensive Screen with FT4ED-Canine
Thyroid Panel 12 with Cholesterol
Thyroid Panel 2 - Canine/Feline
Thyroid Panel 3 - Canine
Thyroid Panel 3 - Canine Only
Thyroid Panel 4 - Canine
Thyroid Panel 6 - Canine
Tonometry: Intraocular Pressure Test
Total Bilirubin
Total Health - Plus Profile
Total Health Plus Profile with Free T4
Triglycerides and Cholesterol
Tritrichomonas Blagburni (formerly T. foetus) RealPCR Test
Trypsin-Like Immunoreactivity (TLI), Cobalamin (Vitamin B12), and Folate-Canine
Ultrasound - in-house - AFAST-TFAST
Ultrasound Guided Fine Needle Aspirate (FNA) w/cytology 1 site - Ultrasound Specialist
Ultrasound Guided Fine Needle Aspirate (FNA) w/cytology 2 sites - Ultrasound Specialist
Upper Respiratory Disease RealPCR Panel - Feline
Urinalysis - microscopic eval - in house
Urinalysis Add-On + sample collection
Urinalysis Add-On + sample collection Send out
Urinalysis with Culture Urine and MIC Susceptibility
Urine Cortisol: Creatinine Ratio
Urine Cortisol:Creatinine Ratio Add on
Urine Culture and MIC Susceptibility
Urine Protein: Creatinine Ratio
Urine Strip
Uveitis RealPCR Panel- Feline
Vaccine Panel by Elisa - Distemper and Parvovirus
Vaccine Panel by SVN/HI - Canine - Distemper and Parvovirus
Von Willebrand Factor
X-ray - dental single site | Radiographs
X-ray - Recheck | Radiographs
X-ray Barium Series | Radiographs
X-Ray Exotics/neonate | Radiographs
X-Rays Flat Fee | Radiographs
Young Preanesthetic Panel
Young Wellness Select
Zinc (Blood) - Avian/Exotics TESTING
Other
Other Diagnostics: Results Received in Clinic
Other Diagnostics: Results Pending
Other Diagnostics: Declined by O
RESULTS/NOTES/INTERPRETATIONS
Assessment/Plan
ASSESSMENT: Problem Ddx
Add
Remove
Visit Type
Outpatient
Hospitalized
Hospitalized Transferring Team/DVM
Urgent Care VT/VA
PTL
JJ
KJ
LT
RH
HP
ET
AMT
LSL
CW
CAN
AS
BD
Urgent Care DVM
WKG
EMG
KM
PH
Initials/Time Stamp
Hosp Template
Manual Input
AKI (acute kidney injury):
Manual Input:
LOA: qh NURSING: TPR/walk q FLUIDS: LRS @ __ mL/h IV Additives: DIAGNOSTICS: MEDICATIONS: PLANNED PROCEDURES:
AKI (acute kidney injury):
LOA: q1h NURSING: TPR/walk q 4h FLUIDS: LRS @ __ mL/h IV Additives: NONE DIAGNOSTICS: Recheck renal panel @ 5p MEDICATIONS: Cerenia (10 mg/mL) 1 mg/kg IV q 24h Ondansetron (2 mg/mL) 0.1 mg/kg IV q6-8h slowly Famotidine (10 mg/mL) 1 mg/kg SC q12h PLANNED PROCEDURES:
Supplemental Notes
Hospitalization Notes and Assessment
Surgery Report
Hospitalization Notes and Assessment
Surgery Report
Medications to go home
Acetaminophen Codeine 300mg/60mg tablets
Adequan Canine
Air Bumper collar
Albon Oral Suspension 5%
Alphatrak Starter kit
Alprazolam 0.5 mg Tablet
Alprazolam 1 mg Tablet
Aluminum Hydroxide Gel Susp
Amitriptyline HCL 50mg Tablets
Amlodipine Besylate Tablets 2.5 mg
Amoxi Drops 50mg/mL 15mL
Amoxicillin Tablets - 200mg
Amoxicillin Tablets - 400mg
Amoxicillin Trihydrate and Clavulanate Potassium 125mg/Tablets
Amoxicillin Trihydrate and Clavulanate Potassium 500mg/125mg/Tablet
Amoxicillin Trihydrate and Clavulanate Potassium 62.5 mg/ml suspension 15 ml Bottle
Amoxicillin Trihydrate and Clavulanate Potassium 62.5mg/Tablets
Amoxicillin Trihydrate and Clavulanate Potassium 875mg/125mg/Tablet
Amoxicillin Trihydrate/Clavulanate Potassium 200/28.5 mg/5 ml - 50 ml
Animax Ointment 7.5ml Tube
Apoquel (Oclacitinib) 16 mg Tablets
Apoquel (Oclacitinib) 5.4 mg Tablets
Artificial Tears Ophth Ointment 1/8oz
Atenolol Tablets 25 mg
Azithromycin 200 mg/5mL 15ml
Bandage Supplies
Benazepril Hydrochloride 5 mg/tab
Betagen Topical Spray 120mL (Gentamicin Sulfate w/ Betamethasone Valerate)
Betagen Topical Spray 240mL (Gentamicin Sulfate w/ Betamethasone Valerate)
Betagen Topical Spray 60mL (Gentamicin Sulfate w/ Betamethasone Valerate)
Bioseb Shampoo Antiseptic/Antiseborreic 8 oz
Buprenorphine 0.3 mg/ml oral
Calsorb Tube 12 ml
Capromorelin (Entyce) 30 mg/ml
Capstar Blue (nitenpyram) 11.4 mg/Tab 2-25#
Capstar Green (nitenpyram) 57.0 mg/Tab Over 25 #
Carprofen Flavor Tablets 100 mg
Carprofen Flavor Tablets 25 mg
Carprofen Flavor Tablets 75 mg
Cat Lax Hairball
Cefpodoxime 100mg Tablets
Cefpodoxime 200mg Tablets
Cephalexin 250 mg Capsules
Cephalexin 500mg Capsules
Cephalexin Oral suspension 125 mg/5 ml
Ceraven CHX Antiseptic Shampoo 4% 8 fl oz
Ceraven CHX+KET Antiseptic Shampoo 16 fl oz
Ceraven CHX+KET Antiseptic Shampoo 8 oz
Ceraven KET 0.1% Antiseptic Flush 16 fl oz
Ceraven Pramoxine 1% Shampoo 16 fl oz
Cerenia (Maropitant Citrate) 10 mg/ml Inj
Cerenia (Maropitant Citrate) 16 mg/Tablet
Cerenia (Maropitant Citrate) 60 mg/Tablets
CET Veggiedent medium
CET Veggiedent small
CET Veggiedent x-small
Chlorhexidine 2% Solution 4oz
Ciprofloxacin Hyd. Opthalmic Sol 0.3% 5 ml
Claro Otic Solution
Clindamycin HCL 150mg Capsules
Clindamycin HCL 25 mg/ml Drops 20ml
Clindamycin HCL 300 mg Capsules
Clindamycin HCL 75 mg Capsules
Critical Care Herbivore Fine Grind (100GM) - Papaya Flavor
Denamarin Blue 90 mg Cats/Dogs up to 12#
Denamarin Purple 425 mg Large
Denamarin Teal 225 mg Medium
Dermoscent 6 spot on Dog 45-90# 4 pk
Desmopressin 0.2 mg/Tablet
Dexamethasone Ophthalmic Sol. 0.1% 5 ml
Dexamethasone SP 2mL + 18mL Normal Saline
Diazepam 5 mg/ml Inj
Diphenhydramine HCL 25 mg Capsules
Diphenhydramine HCL 50 mg Capsules
Donated Medication
Douxo Calm S3 Mousse 5.1oz
Douxo Calm S3 PS Shampoo 6.7oz
Douxo S3 Care Shampoo 16.9 floz
Doxycycline 100 mg Tablets
Doxycycline 50 mg Capsules
Doxycycline 50mg/ml
Drontal Tablets - Cats
EICOSA3FF Snipcaps (Omega 3) - Lrg Dogs over 30#
EICOSA3FF Snipcaps (Omega 3) - Sm Dogs and Cats up to 60#
EICOSACAPS (Omega 3 and 6) - Dogs 41-70#
Enalapril 2.5 mg Tablet
Enalapril 5 mg tablets
Enrofloxacin 100mg/ml inj
Enrofloxacin 136 mg Tablets
Enrofloxacin 22.7 mg/ml inj
Enrofloxacin 22.7mg Tablets
Enrofloxacin 68 mg Tablets
Enrofloxacin/Silver Sulfadiazine (Baytril Otic) Otic ointment 15 mL
EpiKlean ear cleaner 12 fl oz
EpiKlean ear cleaner 8 fl oz
Erythromycin Ophthalmic Oint 0.5% 1/8oz - 3.5g
Famotidine 20 mg/tab
Fluoxetine 40 mg capsules
Furosemide 12.5 mg tablets
Furosemide 20 mg tablets
Furosemide 80 mg tablets
Furosemide Solution 1% (10mg/mL) 60 mls
Gabapentin 100 mg Capsules
Gabapentin 300 mg Capsules
Gabapentin 400 mg Capsules
Gabapentin oral liquid 50 mg/ml
Gentamicin, Mometason, Clotrimazole 15g Otic Suspension
Grannick’s Bitter Apple 16 oz bottle
Guaifenesin and Dextromethorphan tablets (Cough Tablets)
Heartgard Plus Blue Up to 25#
Heartgard Plus Blue up to 25# Free dose
Heartgard Plus Brown 51-100#
Heartgard Plus Brown 51-100# Free dose
Heartgard Plus Green 26-50#
Heartgard Plus Green 26-50# Free dose
Hill's A/D 5.5 oz can #5670
Hill's Canine C/D Multicare Chicken dry 27.5# bag #10012
Hill's Canine C/D Multicare Chicken dry 8.5# bag #10111
Hill's Canine I/D Low Fat 17.6# bag #1862
Hill's Canine I/D Low Fat Rice, Vegetable and Chicken Stew 12.5 oz cans #10423
Hill's Canine I/D Lowfat 8.5# bag #1861
Hill's Canine I/D Turkey 13 oz can #7008
Hill's Canine K/D Beef and Vegetable Stew 12.5 oz can #3398
Hill's Canine K/D Chicken and Vegetable Stew 12.5 oz can #3395
Hill's Canine K/D Lamb 17.6# bag #10379
Hill's Canine W/D Multi-Benefit 17.6# bag #8672
Hill's Canine W/D Vegetable and Chicken Stew 12.5oz can #10129
Hill's Feline C/D Multicare Chicken and Vegetable Stew 2.9 oz can #3386
Hill's Feline C/D Multicare Ocean Fish 5.5 oz can #6239
Hill's Feline C/D Multicare Ocean Fish 8.5# bag #2782
Hill's Feline C/D Multicare Stress Chicken and Vegetable Stew 2.9 oz can #3387
Hill's Feline C/D Multicare Stress with Chicken 4# bag #603930
Hill's Feline C/D Multicare Stress with Chicken 8.5# bag #603935
Hill's Feline C/D Multicare Vegetable, Tuna and Rice Stew 2.9 oz can #3385
Hill's Feline I/D Chicken 4# bag #4629
Hill's Feline I/D Chicken and Vegetable Stew 2.9 oz can #3392
Hill's Feline I/D With Chicken 5.5 oz can #4628
Hill's Feline K/D Chicken 4# bag #7252
Hill's Feline K/D Chicken and Vegetable Stew 2.9 oz can #3393
Hill's Feline K/D Chicken Pate 5.5 oz can #9453
Hill's Feline K/D Tuna Pate 5.5oz can #2698
Hill's Feline K/D Vegetable and Tuna Stew 2.9 oz can #3394
Hill's Feline Z/D Ultra 4# bag #7905
Hill's Feline Z/D Ultra 5.5 oz can #5238
Hill's Sample
Hill's Written Script
IV Line 15 dr/ml
K-CIT-V Potassium Citrate Tablets
KlearOtic ear cleaner 4 oz
Lactated Ringer
Lactulose Solution 10g/15ml
Levothyroxine 0.3 mg tablet
Levothyroxine 0.8 mg tablet
Levothyroxine 1.0 mg tablet
Lickguard ointment 0.75 oz
Lidocaine 2.5% and Prilocaine 2.5% cream 30 gr
Light Karo syrup
L-Mesitran Medical Grade Honey 50 gm
Lysine gel 5oz
Lysine powder (VIRALYS) 100 gram
Mal-A-Ket Wipes 50 ct
Manuka Honey Gel 15 gm
Marbofloxacin (Zeniquin) 100mg Tablets
Marbofloxacin (Zeniquin) 25mg Tablets
Meclizine 25 mg Tablets
Meloxicam 0.5mg/mL oral - dose
Meloxicam 1.5 mg/mL oral
Meloxicam 1.5 mg/mL oral 10 mL
Meloxicam 1.5mg/mL oral 32mL
Meloxicam 5 mg/mL injection
Metacam (Meloxicam) 0.5mg/mL oral 15mL
Methimazole (Felimazole) 2.5 mg Tablets
Methimazole (Felimazole) 5 mg Tablet
Methocarbamol Tablet 500 mg
Metoclopramide 5mg Tablets
Metronidazole 250 mg Tablets
Metronidazole 50 mg/Tablet
Metronidazole 500 mg Tablets
Miconahex + triz shampoo 16 oz
Miconahex+triz shampoo 8oz
Miconazole (Miconosol) Lotion 1% - 60ml
Miconazole cream 2%, 30 gram
Miconazole Lotion 1% 60 MLs + Dexamethasone SP 15 MLs
Midazolam 5 mg/mL Inj
Mirtazapine (Mirataz) Transdermal 5 g
Mirtazapine 15 mg Tablets
Movoflex chews 40-80#
Movoflex chews over 80#
Movoflex chews under 40#
Needle 18 g x 1 inch
Needle 20 g x 1 inch
Needle 27g x 1/2 inch
Neo Poly B Dex Ophth Oint 3.5gm 1/8oz
Neo Poly Bac Zinc Ophthalmic Ointment 3.5g
Nexgard Blue 10.1-24#
Nexgard Blue 10.1-24# Free Dose
Nexgard Orange 4-10 #
Nexgard Orange 4-10# Free Dose
Nexgard Purple 24.1-60 #
Nexgard Purple 24.1-60# Free Dose
Nexgard Red 60.1-121 #
Nexgard Red 60.1-121# Free Dose
Normal Saline (Sodium Chloride) 0.9 %, 1000 ml bag
Nutri-Cal Oral Gel - Canine/Feline 4.25 oz
Omeprazole DR 20 mg/Tablets
Omeprazole DR capsules 20 mg
Ondansetron 2 mg/ml inj
Ondansetron 4 mg Tablets
Ondansetron 8 mg Tablets
Onsior Tablets 6mg Feline
Opthalmic Eye Wash 4oz
Optimmune Ophth Oint
Orbax (Orbifloxacin) Oral suspension 30 mg/ml - 20 ml
Ox Bow Carnivore Care 2.5 oz bag
Ox Bow Critical Care Herbivore 36 gram bag
Panacur Granules 222 mg/g
Paramonthly Plus Feline 1.5# and up
Phoenix ear cleaner 12 oz
Pimobendan (Vetmedin) 1.25mg/Tablet
Pimobendan (Vetmedin) 10 mg Tablets
Pimobendan (Vetmedin) 2.5 mg Tablets
Pimobendan (Vetmedin) 5 mg Capsules
Plastilitter
Prazosin 2mg Capsules
Prazosin 5 mg Capsules
PrednisoLONE 5mg/tab
PrednisoLONE oral solution 3 mg/ml
Prednisone 20mg/tab
Prednisone 5 mg/Tab
Proin chew 25 mg/tab
Proin Chew 50 mg/tab
Proin Chew 75 mg/tab
Proin ER 18 mg/tab
Proviable-DC
Puppy Kit Heart worm prevention
Pyrantel Pamoate 50 mg/ml
Renal-K gel 5oz
Revolution Canine 10.1-20#
Revolution Canine 20.1-40#
Revolution Canine 5.1-10#
Revolution Plus Feline 11.1-22#
Revolution Plus Feline 2.8-5.5#
Revolution Plus Feline 5.6-11#
Revolution Puppy and Kitten
Serum - Autologous
Sileo (Dexmedetomidine oromucosal gel) 0.09 mg/ml
Silver Sulfadiazine cream 1% 25g.
Sterile Lubricant (Surgilube)
Sucralfate Tablets 1 gr. (Carafate)
Sulfa/trimethoprim
Sulfadimethoxine (Albon) 125 mg tablets
Sulfadimethoxine (Albon) 500 mg Tablets
Syringe 1 ml
Syringe Insulin U100 0.3cc 29G X 1/2
Syringe Insulin U40 0.5CC 29G x 1/2
Take Home Fluids
Terbinafine 250 mg tablets
Tramadol 50 mg Tablets
Trazodone 100 mg tablets
Trazodone 50 mg Tablet
Tresaderm 15mL
Tresaderm 7.5 ml
Triz EDTA Aqueous Flush 4oz
TRIZCHLOR 4 MOUSSE 7.1oz
Trizchlor 4 Shampoo 8oz
TrizEDTA 4oz+12mls Enrofloxacin 100mg/ml+5mls Dexamethasone SP 4mg/ml
TrizEDTA Crystals Flush 16 fl oz
TrizEDTA Crystals Flush 4 fl oz
TrizULTRA + Keto Flush 12 fl oz
TrizULTRA + Keto Flush 4 fl oz
Tylan Soluble Powder
Vetsulin 40 IU/ML
Vitamin B12 Inj 1000mcg/mL
Vitamin K1 25mg Capsule
Zonisaminde 25mg/caps
Other
Rx Pick Up Location
In Clinic
Written Script (W)
Covetrus (C)
Auth only (A)
Call into pharmacy (P)
Acetaminophen Codeine 300mg/60mg tablets
Acetaminophen Codeine 300mg/60mg tablets: Give ** tablet by mouth once every ** hours for pain. Qty #30 Tablets. Refills: 0. Exam needed before further refills. Exp: 3 months
Adequan Canine
Adequan Canine: Inject 1.25 mL into the muscle once every 3-4 days for 3 more treatments. May need to continue for 2 more weeks at frequent dose. Qty #** mL (5mL per bottle). Refills: 0. Exp: 6 months
Air Bumper Collar
Air Bumper Collar: Keep on patient for 14 days. Qty: #1 Collar. Exp: 12 months
Albon Oral Suspension 5%
Albon Oral Suspension 5%: Give **mL by mouth once every 24 hours for 5 days. Recheck fecal 14 days after finishing treatment. Qty #5 mL Refills: 0. Exp: 6 months
Alphatrak Starter kit
Alphatrak Starter kit: Use as directed Qty #1 Kit. Refills: 0. Exp: 6 months
Alprazolam 0.5 mg Tablet
Alprazolam 0.5 mg: Give ** by mouth once every ** hours for ** Qty #30 Tablets. Refills: 0. Exp: 6 months
Alprazolam 1 mg Tablet
Alprazolam 1 mg Tablet: Give ** by mouth once every ** hours for ** Qty #30 Tablets. Refills: 0. Exp: 6 months
Aluminum Hydroxide Gel Susp
Aluminum Hydroxide Gel Susp: Give 1.0 mL by mouth once every 12 hours with meals. Qty #28 mL. Refills: 0. Exp: 12 months
Amitriptyline HCL 50mg Tablets
Amitriptyline HCL 50mg Tablets: Give ** tablet by mouth once every ** hours for ** Qty #30 Tablets. Refills: 0. Exp: 6 months
Amlodipine Besylate Tablets 2.5 mg
Amlodipine Besylate Tablets 2.5 mg: Give *** tablet by mouth every 24 hours. Qty #30 Tablets. Refills: 0. Exp: 12 months
Amoxi Drops 50mg/mL 15mL
Amoxi Drops 50mg/mL 15mL: Give ** mls by mouth once every 12 hours for ** days. Qty # 10 mLs. Refills: 0. Exp: 6 months
Amoxicillin Tablets - 200mg
Amoxicillin Tablets - 200mg: Give ** tablets by mouth once every 12 hours for ** days. Qty # 28 Tablets. Refills: 0. Exp: 6 months
Amoxicillin Tablets - 400mg
Amoxicillin Tablets - 400mg: Give ** tablets by mouth once every 12 hours for ** days. Qty # 28 Tablets. Refills: 0. Exp: 6 months
Amoxicillin Trihydrate and Clavulanate Potassium 125mg/Tablets
Amoxicillin Trihydrate and Clavulanate Potassium 125mg/Tablets: Give *** tablet by mouth once every 12 hours for *** days. *Finish complete course. Recheck if not resolved prior to end of treatment. Qty # 28 Tablets. Refills: 0. Exp: 6 months
Amoxicillin Trihydrate and Clavulanate Potassium 500mg/125mg/Tablet
Amoxicillin Trihydrate and Clavulanate Potassium 500mg/125mg/Tablet: Give 1/2 tablet by mouth once every 12 hours for 14 days. *Recheck in 2 weeks if symptoms unresolved. Qty # 14 Tablets. Refills: 0. Exp: 6 months
Amoxicillin Trihydrate and Clavulanate Potassium 62.5 mg/ml suspension 15 ml Bottle
Amoxicillin Trihydrate and Clavulanate Potassium 62.5 mg/ml suspension 15 ml Bottle: Give ***mls by mouth once every 12 hours for ** days Qty # 10 mLs. Refills: 0. Exp: 6 months
Amoxicillin Trihydrate and Clavulanate Potassium 62.5mg/Tablets
Amoxicillin Trihydrate and Clavulanate Potassium 62.5mg/Tablets: Give 1/2 tablet by mouth once every 12 hours for 14 days. *Recheck in 2 weeks if symptoms unresolved Qty #14 Tablets. Refills: 0. Exp: 6 months
Amoxicillin Trihydrate and Clavulanate Potassium 875mg/125mg/Tablet
Amoxicillin Trihydrate and Clavulanate Potassium 875mg/125mg/Tablet: Give 1/2 tablet by mouth once every 12 hours for 14 days. *Recheck in 2 weeks if symptoms unresolved. Qty #14 Tablets. Refills: 0. Exp: 6 months
Amoxicillin Trihydrate/Clavulanate Potassium 200/28.5 mg/5 ml - 50 ml
Amoxicillin Trihydrate/Clavulanate Potassium 200/28.5 mg/5 ml - 50 ml: Give 1 ml by mouth once every 12 hours Qty #14 mLs. Refills: 0. Exp: 6 months
Animax Ointment 7.5ml Tube
Animax Ointment 7.5ml Tube: Apply a small amount to effected area once every 24 hours until healed. Qty #1. Refills: 0. Exp: 6 months
Animax Ointment 7.5ml Tube
Animax Ointment 7.5ml Tube: Apply a small amount to effected area once every 24 hours until healed. Qty #1. Refills: 0. Exp: 6 months
Apoquel (Oclacitinib) 16 mg Tablets
Apoquel 16mg Tablets: Give ** tablet by mouth once every 12 hours for first 7 days, then once every 24 hours on ongoing basis for relief of allergy symptoms. Qty #30 Tablets. Refills: 0. Exp: 6 months
Apoquel (Oclacitinib) 5.4 mg Tablets
Apoquel (Oclacitinib) 5.4 mg Tablets : Give ** tablet by mouth once every 12 hours for first 7 days, then once every 24 hours on ongoing basis for relief of allergy symptoms. Qty #30 Tablets. Refills: 0. Exp: 6 months
Artificial Tears Ophth Ointment 1/8oz
Artificial Tears Ophth Ointment 1/8oz: Apply to *** eye(s) every *** hours. Wait 5 minutes between applying different eye medications to the same eye. Qty #1. Refills: 0. Exp: 6 months
Atenolol Tablets 25 mg
Atenolol Tablets 25 mg: Give ** tablet by mouth once every ** hours for **. Qty #30 Tablets. Refills: 0. Exp: 6 months
Azithromycin 200 mg/5mL 15ml
Azithromycin 200 mg/5mL 15ml: Give 1.0 mL by mouth once every 24 hours for 5 days, then once every 72 hours for 3 more weeks. Qty #12 mLs. Refills: 0. Exp: 6 months
Bandage Supplies
Bandage Supplies: Use as directed
Benazepril Hydrochloride 5 mg/tab
Benazepril Hydrochloride 5 mg/tab: Give ** tablet by mouth once every ** hours for **
Betagen Topical Spray 120mL (Gentamicin Sulfate w/ Betamethasone Valerate)
Betagen Topical Spray 120mL (Gentamicin Sulfate w/ Betamethasone Valerate): Apply to affected area daily. Qty: #1. Refills: 0. Exp: 6 months.
Betagen Topical Spray 240mL (Gentamicin Sulfate w/ Betamethasone Valerate)
Betagen Topical Spray 240mL (Gentamicin Sulfate w/ Betamethasone Valerate): Apply to affected area daily. Qty: #1. Refills: 0. Exp: 6 months.
Betagen Topical Spray 60mL (Gentamicin Sulfate w/ Betamethasone Valerate)
Betagen Topical Spray 60mL (Gentamicin Sulfate w/ Betamethasone Valerate): Apply to affected area twice daily until healed. Qty: #1. Refills: 0. Exp: 6 months.
Bioseb Shampoo Antiseptic/Antiseborreic 8 oz
Bioseb Shampoo Antiseptic/Antiseborreic 8 oz: Apply as directed. Qty: #1. Refills: 0. Exp: 6 months.
Buprenorphine 0.3 mg/ml oral
Buprenorphine 0.3 mg/ml oral: Give contents of one syringe (0.25 mL) in cheek once every 8-12 hours for pain/discomfort. Qty: #10 mLs Refills: 0 Exp: 6 months.
Calsorb Tube 12 ml
Calsorb Tube 12 ml: Use as directed. Qty: #1 tube. Refills: 0 Exp: 6 months.
Capromorelin (Entyce) 30 mg/ml
Capromorelin (Entyce) 30 mg/ml: Give *** mL by mouth once every 24 hours for appetite stimulation. Qty: #10 mL. Refills: 0 Exp: 6 months.
Capstar Blue (nitenpyram) 11.4 mg/Tab 2-25#
Capstar Blue (nitenpyram) 11.4 mg/Tab 2-25#: Give 1 tablet by mouth to help kill fleas in 30 minutes. Qty: #1 Refills: 0 Exp: 6 months.
Capstar Green (nitenpyram) 57.0 mg/Tab Over 25 #
Capstar Green (nitenpyram) 57.0 mg/Tab Over 25 #: Give 1 tablet by mouth to help kill fleas in 30 minutes. Qty: #1 Refills: 0 Exp: 6 months.
Carprofen Flavor Tabs 100mg
Carprofen Flavor Tabs 100mg: Give ** tablets by mouth once every 12 hours for pain and inflammation. Qty #30 Tablets. Refills: 0. Exp: 6 months
Carprofen Flavor Tablets 25 mg
Carprofen Flavor Tablets 25 mg: Give ** tablets by mouth once every 12 hours for pain and inflammation. Qty #30 Tablets. Refills: 0. Exp: 6 months
Carprofen Flavor Tablets 75 mg
Carprofen Flavor Tablets 75 mg: Give 1/2 tablet by mouth once every 12 hours for pain/inflammation/discomfort. *Recheck in 2 weeks if symptoms unresolved. Qty #30 Tablets. Refills: 0. Exp: 6 months
Cat Lax Hairball
Cat Lax Hairball: Give pea size amount orally to cat once a day as needed for hairballs/constipation. Qty #1. Refills: 0. Exp: 6 months
Cefpodoxime 100mg Tablets
Cefpodoxime 100mg Tablets: Give *** tablet by mouth once every 24 hours for *** days. Recheck in 10-14 days if symptoms unresolved. Qty #7 Tablets. Refills: 0. Exp: 6 months
Cefpodoxime 200mg Tablets
Cefpodoxime 200mg Tablets: Give *** tablet by mouth once every *** hours for 14 days. *Recheck in 10-14 days if symptoms unresolved. Qty #7 Tablets. Refills: 0. Exp: 6 months
Cephalexin 250 mg Capsules
Cephalexin 250 mg Capsules: Give *** capsule(s) every 12 hours by mouth for *** days. Recheck if no improvement. Finish complete course. Qty #14 Capsules. Refills: 0. Exp: 6 months
Cephalexin 500mg Capsules
Cephalexin 500mg Capsules: Give *** capsule(s) every 12 hours by mouth for *** days. Recheck if no improvement. Finish complete course. Qty #14 Capsules. Refills: 0. Exp: 6 months
Cephalexin Oral suspension 125 mg/5 ml
Cephalexin Oral suspension 125 mg/5 ml: Give ** by mouth once every 12 hours for ** days. Qty #14 Capsules. Refills: 0. Exp: 6 months
Ceraven CHX Antiseptic Shampoo 4% 8 fl oz
Ceraven CHX Antiseptic Shampoo 4% 8 fl oz: Apply as directed. Qty #1. Refills: 0. Exp: 6 months
Ceraven CHX+KET Antiseptic Shampoo 16 fl oz
Ceraven CHX+KET Antiseptic Shampoo 16 fl oz: Use as directed. Qty #1. Refills: 0. Exp: 6 months
Ceraven CHX+KET Antiseptic Shampoo 8 oz
Ceraven CHX+KET Antiseptic Shampoo 8 oz: Use as directed. Qty #1. Refills: 0. Exp: 6 months
Ceraven KET 0.1% Antiseptic Flush 16 fl oz
Ceraven KET 0.1% Antiseptic Flush 16 fl oz: Use as directed. Qty #1. Refills: 0. Exp: 6 months
Ceraven Pramoxine 1% Shampoo 16 fl oz
Ceraven Pramoxine 1% Shampoo 16 fl oz: Use as directed. Qty #1. Refills: 0. Exp: 6 months
Cerenia (Maropitant Citrate) 10 mg/ml Inj
Cerenia (Maropitant Citrate) 10 mg/ml Inj: ** Qty #1 mLs. Refills: 0. Exp: 6 months
Clindamycin HCL 150mg Capsules
Clindamycin HCL 150mg Capsules: Give ** by mouth once every ** hours for ** Qty #30 capsules. Refills: 0. Exp: 6 months
Cerenia (Maropitant Citrate) 16 mg/Tablet
Cerenia (Maropitant Citrate) 16 mg/Tablet: Give 1 tablet by mouth once every 24 hours to help with nausea. Qty #4 Tablets. Refills: 0. Exp: 6 months
Cerenia (Maropitant Citrate) 60 mg/Tablets
Cerenia (Maropitant Citrate) 60 mg/Tablets: Give 1 tablet by mouth once every 24 hours to help with nausea. Qty #4 Tablets. Refills: 0. Exp: 6 months
CET Veggiedent medium
CET Veggiedent medium: Use as directed Qty #1 Package Refills: 0. Exp: 6 months
CET Veggiedent small
CET Veggiedent small: Use as directed Qty #1 Package Refills: 0. Exp: 6 months
CET Veggiedent x-small
CET Veggiedent x-small: Use as directed. Qty #1 Package Refills: 0. Exp: 6 months
Chlorhexidine 2% Solution 4oz
Chlorhexidine 2% Solution 4oz: Squirt small amount of solution in a small bowl of warm water to make a sky blue color. Soak ___for ___ minutes ___ times per day. Qty #1 bottle. Refills: 0. Exp: 6 months
Ciprofloxacin Hyd. Opthalmic Sol 0.3% 5 ml
Ciprofloxacin Hyd. Opthalmic Sol 0.3% 5 ml: Apply 3-4 drops to both eyes once every 12 hours for 14 days. Wait 5 minutes between applying different eye medications to the same eye. Qty #1 bottle. Refills: 0. Exp: 6 months
Claro Otic Solution
Claro Otic Solution: Apply 1/2 tube to each ear once. Qty #1 tube. Refills: 0. Exp: 6 months
Clindamycin HCL 150mg Capsules
Clindamycin HCL 150mg Capsules: Give ** by mouth once every ** hours for ** Qty #30 capsules. Refills: 0. Exp: 6 months
Clindamycin HCL 25 mg/ml Drops 20ml
Clindamycin HCL 25 mg/ml Drops 20ml: Give 1 ml by mouth once every 12 hours for 14 days. Qty #1 bottle. Refills: 0. Exp: 6 months
Clindamycin HCL 300 mg Capsules
Clindamycin HCL 300 mg Capsules: Give ** by mouth once every ** hours for ** Qty #30 capsules. Refills: 0. Exp: 6 months
Clindamycin HCL 75 mg Capsules
Clindamycin HCL 75 mg Capsules: Give 1 capsule by mouth once every 12 hours for 14. Qty #28 capsules. Refills: 0. Exp: 6 months
Critical Care Herbivore Fine Grind (100GM) - Papaya Flavor
Critical Care Herbivore Fine Grind (100GM) - Papaya Flavor: Use as directed. Qty #1 packet. Refills: 0. Exp: 6 months
Denamarin Blue 90 mg Cats/Dogs up to 12#
Denamarin Blue 90 mg Cats/Dogs up to 12#: Give ** tab by mouth once ever 24 hours. Give on an empty stomach. Keep tablets in original un-opened package until you are ready to administer tablet. Qty #7 tablets. Refills: 0. Exp: 6 months
Denamarin Purple 425 mg Large
Denamarin Purple 425 mg Large: Give ** tab by mouth once ever 24 hours. Give on an empty stomach. Keep tablets in original un-opened package until you are ready to administer tablet. Qty #7 tablets. Refills: 0. Exp: 6 months
Denamarin Teal 225 mg Medium
Denamarin Teal 225 mg Medium: Give ** tab by mouth once ever 24 hours. Give on an empty stomach. Keep tablets in original un-opened package until you are ready to administer tablet. Qty #7 tablets. Refills: 0. Exp: 6 months
Dermoscent 6 spot on Dog 45-90# 4 pk
Dermoscent 6 spot on Dog 45-90# 4 pk: Apply 1 vial topically once a week for 6 weeks, then once every 2 weeks. Qty #1 package. Refills: 0. Exp: 6 months
Desmopressin 0.2 mg/Tablet
Desmopressin 0.2 mg/Tablet: Give 1 tablet by mouth once every 12 hours, long term. Qty #60 tablets. Refills: 0. Exp: 6 months
Dexamethasone Ophthalmic Sol. 0.1% 5 ml
Dexamethasone Ophthalmic Sol. 0.1% 5 ml: Apply 2 drops to both eyes once every 12 hours for 14 days. Wait 5 minutes between applying different eye medications to the same eye. Qty #1 bottle. Refills: 0. Exp: 6 months
Dexamethasone SP 2mL + 18mL Normal Saline
Dexamethasone SP 2mL + 18mL Normal Saline: Administer 3-4 drops to each ear twice daily for 10 days. Qty #1 bottle. Refills: 0. Exp: 6 months
Diazepam 5 mg/ml Inj
Diazepam 5 mg/ml Inj : ** Qty #1 mL. Refills: 0. Exp: 6 months
Diphenhydramine HCL 25 mg Capsules
Diphenhydramine HCL 25 mg Capsules: Give ** capsules by mouth once every ** hours for ** Qty #30 capsules. Refills: 0. Exp: 6 months
Diphenhydramine HCL 50 mg Capsules
Diphenhydramine HCL 50 mg Capsules: Give ** capsules by mouth once every ** hours for ** Qty #30 capsules. Refills: 0. Exp: 6 months
Donated Medication
Donated Medication: ** Qty #** capsules, tables, mLs Refills: 0. Exp: 6 months Donated Medication: ** Qty #** capsules, tables, mLs Refills: 0. Exp: 6 months Donated Medication: ** Qty #** capsules, tables, mLs Refills: 0. Exp: 6 months
Douxo Calm S3 Mousse 5.1oz
Douxo Calm S3 Mousse 5.1oz: Apply 1-2 pump to effected area once every 24 hours. Qty #1 bottle. Refills: OTC Exp: 12 months
Douxo Calm S3 PS Shampoo 6.7oz
Douxo Calm S3 PS Shampoo 6.7oz: Use as directed on bottle. Qty #1 bottle. Refills: OTC Exp: 12 months
Douxo S3 Care Shampoo 16.9 floz
Douxo S3 Care Shampoo 16.9 floz: Use as directed on bottle. Qty #1 bottle. Refills: OTC Exp: 12 months
Doxycycline 100 mg Tablets
Doxycycline 100 mg Tablets: Give 1 tablet by mouth once every 12 hours for 14 days. Qty #28 tablets. Refills: 0. Exp: 6 months
Doxycycline 50 mg Capsules
Doxycycline 50 mg Capsules: Give 1 capsule by mouth once every 12 hours for 14 days. Qty #28 capsules. Refills: 0. Exp: 6 months
Doxycycline 50mg/ml
Doxycycline 50mg/ml : Give ** mls by mouth once every 12 hours for 14 days. * Recheck in 10-14 days if symptoms are unresolved. Qty #28 mLs. Refills: 0. Exp: 6 months
Drontal Tablets - Cats
Drontal Tablets - Cats: Give ** tablets by mouth once every ** hours for ** Qty #30 tablets Refills: 0. Exp: 6 months
EICOSA3FF Snipcaps (Omega 3) - Lrg Dogs over 30#
EICOSA3FF Snipcaps (Omega 3) - Lrg Dogs over 30#: Use as directed Qty #1 Refills: 0. Exp: 6 months
EICOSA3FF Snipcaps (Omega 3) - Sm Dogs and Cats up to 60#
EICOSA3FF Snipcaps (Omega 3) - Sm Dogs and Cats up to 60#: Use as directed Qty #1 Refills: 0. Exp: 6 months
EICOSACAPS (Omega 3 and 6) - Dogs 41-70#
EICOSACAPS (Omega 3 and 6) - Dogs 41-70#: Use as directed Qty #1 Refills: 0. Exp: 6 months
Enalapril 2.5 mg Tablet
Enalapril 2.5 mg Tablet: Give 1 tablet by mouth once every 12 hours Qty #60 Refills: 0. Exp: 6 months
Enalapril 5 mg tablets
Enalapril 5 mg tablets: Give 1 tablet by mouth once every 12 hours Qty #60 Refills: 0. Exp: 6 months
Enrofloxacin 100mg/ml inj
Enrofloxacin 100mg/ml inj: Use as directed. *Recheck in 10-14 days if symptoms unresolved.** Qty #1 mL Refills: 0. Exp: 6 months
Enrofloxacin 136 mg Tablets
Enrofloxacin 136 mg Tablets: Give 1/2 tablet by mouth once every 12 hours for 14 days. *Recheck in 10-14 days if symptoms unresolved. Qty #14 Tablets Refills: 0. Exp: 6 months
Enrofloxacin 22.7 mg/ml inj
Enrofloxacin 22.7 mg/ml inj: Use as directed. *Recheck in 10-14 days if symptoms unresolved. Qty #1 mL Refills: 0. Exp: 6 months
Enrofloxacin 22.7mg Tablets
Enrofloxacin 22.7mg Tablets: Give 1 tablet by mouth once every 24 hours for 10 days. Qty #10 Tablets Refills: 0. Exp: 6 months
Enrofloxacin 68 mg Tablets
Enrofloxacin 68 mg Tablets: Give 1 tablet by mouth once every 24 hours for 10 days. *Recheck in 10-14 days if symptoms unresolved. Qty #10 Tablets Refills: 0. Exp: 6 months
Enrofloxacin/Silver Sulfadiazine (Baytril Otic) Otic ointment 15 mL
Enrofloxacin/Silver Sulfadiazine (Baytril Otic) Otic ointment 15 mL: Apply 2-3 drops in *** ear once every 12 hours for 14 days. Shake well before use. Qty #1 Tube. Refills: 0. Exp: 6 months
EpiKlean ear cleaner 12 fl oz
EpiKlean ear cleaner 12 fl oz: Use as directed. Qty #1 Bottle. Refills: 0. Exp: 6 months
EpiKlean ear cleaner 8 fl oz
EpiKlean ear cleaner 8 fl oz: Use as directed. Qty #1 Bottle. Refills: 0. Exp: 6 months
Erythromycin Ophthalmic Oint 0.5% 1/8oz - 3.5g
Erythromycin Ophthalmic Oint 0.5% 1/8oz - 3.5g: Apply 1/4 inch to both eyes once every 12 hours for 14 days. Wait 5 minutes between applying different eye medications to the same eye. Qty #1 Tube. Refills: 0. Exp: 6 months
Famotidine 20 mg/tab
Famotidine 20 mg/tab: Give ** tablets by mouth once every ** hours for ** Qty #30 tablets. Refills: 0. Exp: 6 months
Fluoxetine 40 mg capsules
Fluoxetine 40 mg capsules: Give ** capsule by mouth once every 24 hours. This medication will take 4-6 weeks to take effect. Qty #30 capsules. Refills: 0. Exp: 6 months
Furosemide 12.5 mg tablets
Furosemide 12.5 mg tablets: Give ** tablets by mouth once every ** hours for **. Qty #30 tablets. Refills: 0. Exp: 6 months
Furosemide 20 mg tablets
Furosemide 20 mg tablets: Give ** tablets by mouth once every ** hours for **. Qty #30 tablets. Refills: 0. Exp: 6 months
Furosemide 80 mg tablets
Furosemide 80 mg tablets: Give ** tablets by mouth once every ** hours for **. Qty #30 tablets. Refills: 0. Exp: 6 months
Furosemide Solution 1% (10mg/mL) 60 mls
Furosemide Solution 1% (10mg/mL) 60 mls: Use as directed. Qty #1 Bottle. Refills: 0. Exp: 6 months
Gabapentin 100 mg Capsules
Gabapentin 100 mg Capsules: Give 1 capsule by mouth once every 12 hours for 14 days. Qty #28 capsules. Refills: 0. Exp: 6 months
Gabapentin 300 mg Capsules
Gabapentin 300 mg Capsules: Give 1 capsule by mouth once every 12 hours for 14 days. Qty #28 capsules. Refills: 0. Exp: 6 months
Gabapentin 400 mg Capsules
Gabapentin 400 mg Capsules: Give 1 capsule by mouth once every 12 hours for 14 days. Qty #28 capsules. Refills: 0. Exp: 6 months
Gabapentin oral liquid 50 mg/ml
Gabapentin oral liquid 50 mg/ml: Give 0.25 mls by mouth once every 12 hours. Qty #15 mLs. Refills: 0. Exp: 6 months
Gentamicin, Mometason, Clotrimazole 15g Otic Suspension
Gentamicin, Mometason, Clotrimazole 15g Otic Suspension: Apply 4-5 drops to both ears once every 24 hours for 14 days. *Recheck in 10-14 days if symptoms unresolved. Qty #1 bottle. Refills: 0. Exp: 6 months
Grannick’s Bitter Apple 16 oz bottle
Grannick’s Bitter Apple 16 oz bottle: Use as directed. Qty #1 bottle. Refills: OTC Exp: N/A
Guaifenesin and Dextromethorphan tablets (Cough Tablets)
Guaifenesin and Dextromethorphan tablets (Cough Tablets): Give ** tablet by mouth once every 12 hours Qty #60 tablets. Refills: 0 Exp: 6 months
Heartgard Plus Blue Up to 25#
Heartgard Plus Blue Up to 25#: Give 1 tablet by mouth once a month to prevent heartworm disease. Recommend annual heartworm testing. Qty #1 tablet. Refills: 0 Exp: 12 months
Heartgard Plus Brown 51-100#
Heartgard Plus Brown 51-100#: Give 1 tablet by mouth once a month to prevent heartworm disease. Recommend annual heartworm testing. Qty #1 tablet. Refills: 0 Exp: 12 months
Heartgard Plus Green 26-50#
Heartgard Plus Green 26-50#: Give 1 tablet by mouth once a month to prevent heartworm disease. Recommend annual heartworm testing. Qty #1 tablet. Refills: 0 Exp: 12 months
Heartgard Plus Blue up to 25# Free dose
Heartgard Plus Blue up to 25# Free dose: Give 1 tablet by mouth once a month to prevent heartworm disease. Recommend annual heartworm testing. Qty #1 tablet. Refills: 0 Exp: 12 months
Heartgard Plus Brown 51-100# Free dose
Heartgard Plus Brown 51-100# Free dose: Give 1 tablet by mouth once a month to prevent heartworm disease. Recommend annual heartworm testing. Qty #1 tablet. Refills: 0 Exp: 12 months
Heartgard Plus Green 26-50# Free dose
Heartgard Plus Green 26-50# Free dose: Give 1 tablet by mouth once a month to prevent heartworm disease. Recommend annual heartworm testing. Qty #1 tablet. Refills: 0 Exp: 12 months
Hill's A/D 5.5 oz can #5670
Hill's A/D 5.5 oz can #5670: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Canine C/D Multicare Chicken dry 27.5# bag #10012
Hill's Canine C/D Multicare Chicken dry 27.5# bag #10012: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Canine C/D Multicare Chicken dry 8.5# bag #10111
Hill's Canine C/D Multicare Chicken dry 8.5# bag #10111: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Canine I/D Low Fat 17.6# bag #1862
Hill's Canine I/D Low Fat 17.6# bag #1862: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Canine I/D Low Fat Rice, Vegetable and Chicken Stew 12.5 oz cans #10423
Hill's Canine I/D Low Fat Rice, Vegetable and Chicken Stew 12.5 oz cans #10423: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Canine I/D Lowfat 8.5# bag #1861
Hill's Canine I/D Lowfat 8.5# bag #1861: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Canine I/D Turkey 13 oz can #7008
Hill's Canine I/D Turkey 13 oz can #7008: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Canine K/D Beef and Vegetable Stew 12.5 oz can #3398
Hill's Canine K/D Beef and Vegetable Stew 12.5 oz can #3398: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Canine K/D Chicken and Vegetable Stew 12.5 oz can #3395
Hill's Canine K/D Chicken and Vegetable Stew 12.5 oz can #3395: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Canine K/D Lamb 17.6# bag #10379
Hill's Canine K/D Lamb 17.6# bag #10379: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Canine W/D Multi-Benefit 17.6# bag #8672
Hill's Canine W/D Multi-Benefit 17.6# bag #8672: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Canine W/D Vegetable and Chicken Stew 12.5oz can #10129
Hill's Canine W/D Vegetable and Chicken Stew 12.5oz can #10129: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Feline C/D Multicare Ocean Fish 8.5# bag #2782
Hill's Feline C/D Multicare Ocean Fish 8.5# bag #2782: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Feline C/D Multicare Ocean Fish 5.5 oz can #6239
Hill's Feline C/D Multicare Ocean Fish 5.5 oz can #6239: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline C/D Multicare Stress Chicken and Vegetable Stew 2.9 oz can #3387
Hill's Feline C/D Multicare Stress Chicken and Vegetable Stew 2.9 oz can #3387: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline C/D Multicare Stress with Chicken 4# bag #603930
Hill's Feline C/D Multicare Stress with Chicken 4# bag #603930: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Feline C/D Multicare Stress with Chicken 8.5# bag #603935
Hill's Feline C/D Multicare Stress with Chicken 8.5# bag #603935: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Feline C/D Multicare Vegetable, Tuna and Rice Stew 2.9 oz can #3385
Hill's Feline C/D Multicare Vegetable, Tuna and Rice Stew 2.9 oz can #3385: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline I/D Chicken 4# bag #4629
Hill's Feline I/D Chicken 4# bag #4629: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Feline I/D Chicken and Vegetable Stew 2.9 oz can #3392
Hill's Feline I/D Chicken and Vegetable Stew 2.9 oz can #3392: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline I/D With Chicken 5.5 oz can #4628
Hill's Feline I/D With Chicken 5.5 oz can #4628: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline K/D Chicken 4# bag #7252
Hill's Feline K/D Chicken 4# bag #7252: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Feline K/D Chicken and Vegetable Stew 2.9 oz can #3393
Hill's Feline K/D Chicken and Vegetable Stew 2.9 oz can #3393: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline K/D Chicken Pate 5.5 oz can #9453
Hill's Feline K/D Chicken Pate 5.5 oz can #9453: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline K/D Tuna Pate 5.5oz can #2698
Hill's Feline K/D Tuna Pate 5.5oz can #2698: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline K/D Vegetable and Tuna Stew 2.9 oz can #3394
Hill's Feline K/D Vegetable and Tuna Stew 2.9 oz can #3394: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Feline Z/D Ultra 4# bag #7905
Hill's Feline Z/D Ultra 4# bag #7905: Feed as directed. Qty #1 bag. Refills: PRN Exp: 12 months
Hill's Feline Z/D Ultra 5.5 oz can #5238
Hill's Feline Z/D Ultra 5.5 oz can #5238: Feed as directed. Qty #1 can. Refills: PRN Exp: 12 months
Hill's Sample
Hill's Sample **: Feed as directed. Qty #1 bag/can. Refills: 0 Exp: 6 months
Hill's Written Script
Hill's **: Wet or Dry. Feed as directed. Qty #1 bag/can. Refills: PRN Exp: 1 year
IV Line 15 dr/ml
IV Line 15 dr/ml: Use with fluid bag and needles. Qty #1 line. Refills: 0 Exp: 6 months
K-CIT-V Potassium Citrate Tablets
K-CIT-V Potassium Citrate Tablets: Give 1 tablet by mouth once every 12 hours. Qty #14 tablets. Refills: 0 Exp: 6 months
KlearOtic ear cleaner 4 oz
KlearOtic ear cleaner 4 oz: Use as directed. Qty #1 bottle. Refills: 0 Exp: 6 months
Lactated Ringer
Lactated Ringer: Give 150 mL under the skin once every 24 hours. Qty #1 bag. Refills: 0 Exp: 6 months
Lactulose Solution 10g/15ml
Lactulose Solution 10g/15ml: Give ** mLs by mouth once every ** hours for ** Qty #10 mLs. Refills: 0 Exp: 6 months
Levothyroxine 0.3 mg tablet
Levothyroxine 0.3 mg tablet: Give ** tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Levothyroxine 0.8 mg tablet
Levothyroxine 0.8 mg tablet: Give ** tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Levothyroxine 1.0 mg tablet
Levothyroxine 1.0 mg tablet: Give ** tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Lickguard ointment 0.75 oz
Lickguard ointment 0.75 oz: Apply to bandage or wound up to twice a day. Qty #1 Tube. Refills: 0 Exp: 6 months
Lidocaine 2.5% and Prilocaine 2.5% cream 30 gr
Lickguard ointment 0.75 oz: Apply a small amount to effected area. Qty #1 Tube. Refills: 0 Exp: 6 months
Light Karo syrup
Light Karo syrup: ** Qty #1 mL. Refills: 0 Exp: 6 months
L-Mesitran Medical Grade Honey 50 gm
L-Mesitran Medical Grade Honey 50 gm: Apply to the affected area. Qty #1. Refills: 0 Exp: 6 months
Lysine gel 5oz
Lysine gel 5oz: ** Qty #1 tube. Refills: 0 Exp: 6 months
L-Mesitran Medical Grade Honey 50 gm
L-Mesitran Medical Grade Honey 50 gm: Apply to the affected area. Qty #1. Refills: 0 Exp: 6 months
Lysine powder (VIRALYS) 100 gram
Lysine powder (VIRALYS) 100 gram: ** Qty #1 tub. Refills: 0 Exp: 6 months
Mal-A-Ket Wipes 50 ct
Mal-A-Ket Wipes 50 ct: Use wipe to apply to affected areas. Qty #1 packet. Refills: 0 Exp: 6 months
Manuka Honey Gel 15 gm
Manuka Honey Gel 15 gm: Apply to the affect area. Qty #1 packet. Refills: 0 Exp: 6 months
Marbofloxacin (Zeniquin) 100mg Tablets
Marbofloxacin (Zeniquin) 100mg Tablets: Give 1/2 tablet by mouth once every 24 hours for 14 days. Qty #7 tablets. Refills: 0 Exp: 6 months
Marbofloxacin (Zeniquin) 25mg Tablets
Marbofloxacin (Zeniquin) 25mg Tablets: Give 1/2 tablet by mouth once every 24 hours for 14 days. Qty #7 tablets. Refills: 0 Exp: 6 months
Meclizine 25 mg Tablets
Meclizine 25 mg Tablets: Give ** tablets by mouth once every ** hours for ** Qty #14 tablets. Refills: 0 Exp: 6 months
Meloxicam 0.5mg/mL oral - dose
Meloxicam 0.5mg/mL oral - dose: Give ** mL by mouth once every ** hours for ** Qty #14 mLs. Refills: 0 Exp: 6 months
Meloxicam 1.5 mg/mL oral
Meloxicam 1.5 mg/mL oral: Give contents of one syringe (***mL) every 24 hours for 4 days. Next dose due TOMORROW. Qty #4 mLs. Refills: 0 Exp: 6 months
Meloxicam 1.5 mg/mL oral 10 mL
Meloxicam 1.5 mg/mL oral 10 mL: Give ** mLs by mouth once every ** hours for **. Qty #14 mLs. Refills: 0 Exp: 6 months
Meloxicam 1.5mg/mL oral 32mL
Meloxicam 1.5mg/mL oral 32mL: Give ** mLs by mouth once every ** hours for **. Qty #14 mLs. Refills: 0 Exp: 6 months
Meloxicam 5 mg/mL injection
Meloxicam 5 mg/mL injection: ** Qty #1 mLs. Refills: 0 Exp: 6 months
Metacam (Meloxicam) 0.5mg/mL oral 15mL
Metacam (Meloxicam) 0.5mg/mL oral 15mL: Give ** mL by mouth once every ** hours for ** Qty #1 mLs. Refills: 0 Exp: 6 months
Methimazole (Felimazole) 2.5 mg Tablets
Methimazole (Felimazole) 2.5 mg Tablets: Give ** tablets by mouth once every ** hours for ** Qty #30 tablets. Refills: 0 Exp: 6 months
Methimazole (Felimazole) 5 mg Tablet
Methimazole (Felimazole) 5 mg Tablets: Give ** tablets by mouth once every ** hours for ** Qty #30 tablets. Refills: 0 Exp: 6 months
Methocarbamol Tablet 500 mg
Methocarbamol Tablet 500 mg: Give 1 tablet by mouth once every 8-12 hours for pain/discomfort/muscle relaxation. Qty #30 tablets. Refills: 0 Exp: 6 months
Metoclopramide 5mg Tablets
Metoclopramide 5mg Tablets: Give ** tablets by mouth once every ** hours for **. Qty #30 tablets. Refills: 0 Exp: 6 months
Metronidazole 250 mg Tablets
Metronidazole 250 mg Tablets: Give 1 tablet by mouth once every 12 hours for 5 days. Qty #10 tablets. Refills: 0 Exp: 6 months
Metronidazole 50 mg/Tablet
Metronidazole 50 mg Tablets: Give 1 tablet by mouth once every 12 hours for 5 days. Qty #10 tablets. Refills: 0 Exp: 6 months
Metronidazole 500 mg Tablets
Metronidazole 500 mg Tablets: Give 1 tablet by mouth once every 12 hours for 5 days. Qty #10 tablets. Refills: 0 Exp: 6 months
Miconahex + triz shampoo 16 oz
Miconahex + triz shampoo 16 oz: Apply as directed. Qty #1 bottle. Refills: 0 Exp: 6 months
Miconahex+triz shampoo 8oz
Miconahex + triz shampoo 8 oz: Apply as directed. Qty #1 bottle. Refills: 0 Exp: 6 months
Miconazole (Miconosol) Lotion 1% - 60ml
Miconazole (Miconosol) Lotion 1% - 60ml: Apply as directed. Qty #1 bottle. Refills: 0 Exp: 6 months
Miconazole cream 2%, 30 gram
Miconazole cream 2%, 30 gram: Use as directed. Qty #1 bottle. Refills: 0 Exp: 6 months
Miconazole Lotion 1% 60 MLs + Dexamethasone SP 15 MLs
Miconazole Lotion 1% 60 MLs + Dexamethasone SP 15 MLs: Apply a small amount to both ears once every 12 hours for 10 days. Qty #1 bottle. Refills: 0 Exp: 6 months
Midazolam 5 mg/mL Inj
Midazolam 5 mg/mL Inj: ** Qty #1 mL. Refills: 0 Exp: 6 months
Mirtazapine (Mirataz) Transdermal 5 g
Mirtazapine (Mirataz) Transdermal 5 g: Apply 1.5 in strip to the inside of the ear once every 24 hours as appetite stimulant. Qty #1 pen. Refills: 0 Exp: 6 months
Mirtazapine 15 mg Tablets
Mirtazapine 15 mg Tablets: Give 1/4 tablet by mouth once every 72 hours for appetite stimulation. Qty #10 tablets. Refills: 0 Exp: 6 months
Movoflex chews 40-80#
Movoflex chews 40-80#: Use as directed. Qty #1 tub. Refills: OTC Exp: N/A
Movoflex chews over 80#
Movoflex chews over 80#: Use as directed. Qty #1 tub. Refills: OTC Exp: N/A
Movoflex chews under 40#
Movoflex chews under 40#: Use as directed. Qty #1 tub. Refills: OTC Exp: N/A
Needle 18 g x 1 inch
Needle 18 g x 1 inch: Use as directed. Qty #10 Needles. Refills: 0 Exp: 6 months
Needle 20 g x 1 inch
Needle 20 g x 1 inch: Use as directed. Qty #10 Needles. Refills: 0 Exp: 6 months
Needle 27g x 1/2 inch
Needle 27g x 1/2 inch: Use as directed. Qty #10 Needles. Refills: 0 Exp: 6 months
Neo Poly B Dex Ophth Oint 3.5gm 1/8oz
Neo Poly B Dex Ophth Oint 3.5gm 1/8oz: Apply 1/4 inch to both eyes once every 12 hours for 14 days. Wait 5 minutes between applying different eye medications to the same eye. Qty #1 tube. Refills: 0 Exp: 6 months
Neo Poly Bac Zinc Ophthalmic Ointment 3.5g
Neo Poly Bac Zinc Ophthalmic Ointment 3.5g : Apply 1/8 inch to **** eye once every 12 hours for 7 days. Wait 5 minutes between applying different eye medications to the same eye. Qty #1 tube. Refills: 0 Exp: 6 months
Nexgard Blue 10.1-24#
Nexgard Blue 10.1-24#: Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Nexgard Blue 10.1-24# Free Dose
Nexgard Blue 10.1-24# Free Dose: Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Nexgard Orange 4-10 #
Nexgard Orange 4-10 #: Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Nexgard Orange 4-10# Free Dose
Nexgard Orange 4-10# Free Dose: Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Nexgard Purple 24.1-60 #
Nexgard Purple 24.1-60 #: Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Nexgard Purple 24.1-60# Free Dose
Nexgard Purple 24.1-60# Free Dose : Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Nexgard Red 60.1-121 #
Nexgard Red 60.1-121 #: Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Nexgard Red 60.1-121# Free Dose
Nexgard Red 60.1-121# Free Dose: Give 1 chewable once a month for flea and tick prevention. For dogs and puppies 8 weeks and older. Qty #1 chewable tablet. Refills: 0 Exp: 12 months
Normal Saline (Sodium Chloride) 0.9 %, 1000 ml bag
Normal Saline (Sodium Chloride) 0.9 %, 1000 ml bag: Give 100 mls under the skin once a day. Qty #1 bag. Refills: 0 Exp: 6 months
Nutri-Cal Oral Gel - Canine/Feline 4.25 oz
Nutri-Cal Oral Gel - Canine/Feline 4.25 oz: ** Qty #1 tube. Refills: 0 Exp: 6 months
Omeprazole DR 20 mg/Tablets
Omeprazole DR 20 mg/Tablets. Give ** tablets by mouth once every ** hours for ** Qty #30 tablets. Refills: 0 Exp: 6 months
Omeprazole DR capsules 20 mg
Omeprazole DR capsules 20 mg: Give ** capsules by mouth once every ** hours for ** Qty #30 capsules. Refills: 0 Exp: 6 months
Ondansetron 2 mg/ml inj
Ondansetron 2 mg/ml inj: ** Qty #1 mL. Refills: 0 Exp: 6 months
Ondansetron 4 mg Tablets
Ondansetron 4 mg Tablets: Give ** tablets by mouth once every ** hours for ** Qty #30 tablets. Refills: 0 Exp: 6 months
Ondansetron 8 mg Tablets
Ondansetron 8 mg Tablets: Give ** tablets by mouth once every ** hours for ** Qty #30 tablets. Refills: 0 Exp: 6 months
Onsior Tablets 6mg Feline
Onsior Tablets 6mg Feline: Give 1 tablet by mouth once a day. Qty #30 tablets. Refills: 0 Exp: 6 months
Opthalmic Eye Wash 4oz
Opthalmic Eye Wash 4oz: ** Qty #1 bottle. Refills: 0 Exp: 6 months
Optimmune Ophth Oint
Optimmune Ophth Oint: Apply a 1/4 inch strip to both eyes once every 12 hours. Wait 5 minutes between applying different eye medications to the same eye. Qty #1 tube. Refills: 0 Exp: 6 months
Orbax (Orbifloxacin) Oral suspension 20 ml
Orbax (Orbifloxacin) Oral suspension 20 ml: Give 1 ml by mouth once every 24 hours for * days. Qty #14 mLs. Refills: 0 Exp: 6 months
Ox Bow Carnivore Care 2.5 oz bag
Ox Bow Carnivore Care 2.5 oz bag: Use as directed. Qty #1 bag. Refills: 0 Exp: 6 months
Ox Bow Critical Care Herbivore 36 gram bag
Ox Bow Critical Care Herbivore 36 gram bag: Use as directed. Qty #1 bag. Refills: 0 Exp: 6 months
Panacur Granules 222 mg/g
Panacur Granules 222 mg/g: Sprinkle contents of 1 bag (**g) on food once a day for 3 days. Qty #20 grams. Refills: 0 Exp: 6 months
Paramonthly Plus Feline 1.5# and up
Paramonthly Plus Feline 1.5# and up: Part fur between shoulder blades, apply contents of tube to skin. Monthly preventative for fleas, ticks and lice. Qty #1 tube. Refills: 0 Exp: 6 months
Phoenix ear cleaner 12 oz
Phoenix ear cleaner 12 oz: Use as directed. Qty #1 bottle. Refills: 0 Exp: 6 months
Pimobendan (Vetmedin) 1.25mg/Tablet
Pimobendan (Vetmedin) 1.25mg/Tablet: Give 1 tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Pimobendan (Vetmedin) 10 mg Tablets
Pimobendan (Vetmedin) 10 mg Tablets: Give 1 tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Pimobendan (Vetmedin) 2.5 mg Tablets
Pimobendan (Vetmedin) 2.5 mg Tablets: Give 1 tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Pimobendan (Vetmedin) 5 mg Capsules
Pimobendan (Vetmedin) 5 mg Capsules: Give ** capsules by mouth once every 12 hours long term. Qty #60 capsules. Refills: 0 Exp: 6 months
Plastilitter
Plastilitter: Add to freshly cleaned and washed litter box. *Do not use with litter.* Pour urine sample back in to pill vial, store in fridge until bringing to vet. Qty #1 ct. Refills: 0 Exp: 6 months
Prazosin 2mg Capsules
Prazosin 2mg Capsules: **Compounded liquid**. Give ** mls by mouth once every 8-12 hours. Qty #2 capsules. Refills: 0 Exp: 6 months
Prazosin 5 mg Capsules
Prazosin 5mg Capsules: **Compounded liquid**. Give ** mls by mouth once every 8-12 hours. Qty #2 capsules. Refills: 0 Exp: 6 months
PrednisoLONE 5mg/tab
PrednisoLONE 5mg/tab: Give 1 tab by mouth 2x/day for 5 days, then 1 tab 1x/day for 5 days, then 1/2 tab 1x/day for 5 days, then 1/2 tab every 48 hours until gone. Qty #18 tablets. Refills: 0 Exp: 6 months
PrednisoLONE oral solution 3 mg/ml
PrednisoLONE oral solution 3 mg/ml: Give ** ML by mouth 2x/day for 5 days, then ** ML 1x/day for 5 days, then ** ML 1x/day for 5 days, then ** ML every 48 hours until gone. Qty #20 mLs. Refills: 0 Exp: 6 months
Prednisone 20mg/tab
Prednisone 20mg/tab: Give 1 tab by mouth 2x/day for 5 days, then 1 tab 1x/day for 5 days, then 1/2 tab 1x/day for 5 days, then 1/2 tab every 48 hours until gone. Qty #18 tablets. Refills: 0 Exp: 6 months
Prednisone 5 mg/Tab
Prednisone 5 mg/Tab: Give 1 tab by mouth 2x/day for 5 days, then 1 tab 1x/day for 5 days, then 1/2 tab 1x/day for 5 days, then 1/2 tab every 48 hours until gone. Qty #18 tablets. Refills: 0 Exp: 6 months
Proin chew 25 mg/tab
Proin chew 25 mg/tab: Give 1 tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Proin Chew 50 mg/tab
Proin Chew 50 mg/tab: Give 1 tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Proin Chew 75 mg/tab
Proin Chew 75 mg/tab: Give 1 tablet by mouth once every 12 hours. Qty #60 tablets. Refills: 0 Exp: 6 months
Proin ER 18 mg/tab
Proin ER 18 mg/tab: Give ** tablet by mouth once every 24 hours. Qty #30 tablets. Refills: 0 Exp: 6 months
Proviable-DC
Proviable-DC: Give 1 capsule by mouth once a day. Qty #30 tablets. Refills: 0 Exp: 6 months
Puppy Kit Heart worm prevention
Puppy Kit Heart worm prevention: Give 1 dose by mouth once a month for prevention of heart worm disease. Recommend annual heart worm testing. Qty #1 kit. Refills: 0 Exp: 6 months
Pyrantel Pamoate 50 mg/ml
Pyrantel Pamoate 50 mg/ml: ** Qty #5 mLs. Refills: 0 Exp: 6 months
Renal-K gel 5oz
Renal-K gel 5oz: ** Qty #1 tube. Refills: 0 Exp: 6 months
Revolution Canine 10.1-20#
Revolution Canine 10.1-20#: Part fur between shoulder blades and apply contents of 1 tube to skin once a month to prevent flea infestation. Qty #1 tube. Refills: 11. Exp: 12 months
Revolution Canine 20.1-40#
Revolution Canine 20.1-40#: Part fur between shoulder blades and apply contents of 1 tube to skin once a month to prevent flea infestation. Qty #1 tube. Refills: 11. Exp: 12 months
Revolution Canine 5.1-10#
Revolution Canine 5.1-10#: Part fur between shoulder blades and apply contents of 1 tube to skin once a month to prevent flea infestation. Qty #1 tube. Refills: 11. Exp: 12 months
Revolution Plus Feline 11.1-22#
Revolution Plus Feline 11.1-22#: Part fur between shoulder blades and apply contents of 1 tube to skin once a month to prevent flea infestation. Qty #1 tube. Refills: 11. Exp: 12 months
Revolution Plus Feline 2.8-5.5#
Revolution Plus Feline 2.8-5.5# : Part fur between shoulder blades and apply contents of 1 tube to skin once a month to prevent flea infestation. Qty #1 tube. Refills: 11. Exp: 12 months
Revolution Plus Feline 5.6-11#
Revolution Plus Feline 5.6-11#: Part fur between shoulder blades and apply contents of 1 tube to skin once a month to prevent flea infestation. Qty #1 tube. Refills: 11. Exp: 12 months
Revolution Puppy and Kitten
Revolution Puppy and Kitten: Part fur between the shoulder blades, apply contents of tube to skin. Do not bathe pet 2 days prior or 2 days after applying medication. Qty #1 tube. Refills: 11. Exp: 12 months
Serum - Autologous
Serum - Autologous: Apply 2 drops to both eyes once every 8 hours for 14 days. *Recheck in 10-14 days if symptoms unresolved. Qty #1 bottle. Refills: 0 Exp: 2 weeks
Sileo (Dexmedetomidine oromucosal gel) 0.09 mg/ml
Sileo (Dexmedetomidine oromucosal gel) 0.09 mg/ml: ** Qty #1 bottle. Refills: 0. Exp: 6 months.
Silver Sulfadiazine cream 1% 25g.
Silver Sulfadiazine cream 1% 25g: Apply a pea size amount to affected area once every 12 hours for 14 days. Qty #1 tube. Refills: 0. Exp: 6 months.
Sterile Lubricant (Surgilube)
Sterile Lubricant (Surgilube): ** Qty #1 tube. Refills: 0. Exp: 6 months.
Sucralfate Tablets 1 gr. (Carafate)
Sucralfate Tablets 1 gr. (Carafate): Give ** tablets by mouth once every ** hours for **. Give dose alone, 1 hour prior or 1 hour after other medications or food. Qty #30 tablets. Refills: 0. Exp: 6 months.
Sulfa/trimethoprim
Sulfa/Trimethoprim: ** Qty #30 mLs. Refills: 0. Exp: 6 months.
Sulfadimethoxine (Albon) 125 mg tablets
Sulfadimethoxine (Albon) 125 mg tablets: Give ** tablet(s) by mouth once every 24 hours for 5 days. Recheck fecal 14 days after finishing treatment. Qty #5 tablets. Refills: 0. Exp: 6 months.
Sulfadimethoxine (Albon) 500 mg tablets
Sulfadimethoxine (Albon) 500 mg tablets: Give ** tablet(s) by mouth once every 24 hours for 5 days. Recheck fecal 14 days after finishing treatment. Qty #5 tablets. Refills: 0. Exp: 6 months.
Syringe 1 ml
Syringe 1 ml: Use to administer ** Qty #1 syringe Refills: 0. Exp: 6 months.
Syringe Insulin U-100 0.3cc 29G X 1/2"
Syringe Insulin U-100 0.3cc 29G X 1/2": Use to administer insulin. Qty #100 syringes. Refills: 0. Exp: 6 months.
Syringe Insulin U-40 0.5CC 29G x 1/2"
Syringe Insulin U-40 0.5CC 29G x 1/2": Use to administer insulin. Qty #100 syringes. Refills: 0. Exp: 6 months.
Terbinafine 250 mg tablets
Terbinafine 250 mg tablets: Give ** tablets by mouth once every ** hours for ** Qty #30 tablets. Refills: 0. Exp: 6 months.
Tramadol 50 mg Tablets
Tramadol 50 mg Tablets: Give 1/2-3 tablets by mouth once every 8-12 hours for pain/discomfort/cough suppression. Qty #30 tablets. Refills: 0. Exp: 6 months.
Trazodone 100 mg tablets
Trazodone 100 mg tablets: Give 1/2 to 1 tablet by mouth up to once every 8 hours for treatment of anxiety. Qty #30 tablets. Refills: 0. Exp: 6 months.
Trazodone 50 mg Tablet
Trazodone 50 mg Tablet: Give 1 tablet by mouth once every 8-12 hours for prevention of anxiety. Qty #30 tablets. Refills: 0. Exp: 6 months.
Tresaderm 7.5 ml
Tresaderm 7.5 ml: Apply small amount to both ears once a day for 14 days. Store in the refrigerator. Qty #1 bottle. Refills: 0. Exp: 6 months.
Tresaderm 15mL
Tresaderm 15mL: Apply small amount to both ears once a day for 14 days. Store in the refrigerator. Qty #1 bottle. Refills: 0. Exp: 6 months.
Triz EDTA Aqueous Flush 4oz
Triz EDTA Aqueous Flush 4oz: Use as directed. Qty #1 bottle. Refills: 0. Exp: 6 months.
TRIZCHLOR 4 MOUSSE 7.1oz
TRIZCHLOR 4 MOUSSE 7.1oz: Use as directed. Qty #1 bottle. Refills: 0. Exp: 6 months.
Trizchlor 4 Shampoo 8oz
Trizchlor 4 Shampoo 8oz: Use as directed. Qty #1 bottle. Refills: 0. Exp: 6 months.
TrizEDTA 4oz+12mls Enrofloxacin 100mg/ml+5mls Dexamethasone SP 4mg/ml
TrizEDTA 4oz+12mls Enrofloxacin 100mg/ml+5mls Dexamethasone SP 4mg/ml: (TrizEDTA 4oz bottle; remove 15 mL. + 10 mL Enrofloxacin LA (100 mg/mL) + 5 mL Dexamethasone SP (4mg/ml).) Apply 10 drops to affected ear twice daily for 14 days. Can use twice weekly for maintenance. Qty #1 bottle. Refills: 0. Exp: 6 months.
TrizEDTA Crystals Flush 4 fl oz
TrizEDTA Crystals Flush 4 fl oz: Apply a small amount to the ear canal, massage into ear, then clean out excess solution and debris. May use up to once/day. Qty #1 bottle. Refills: 0. Exp: 6 months.
TrizEDTA Crystals Flush 16 fl oz
TrizEDTA Crystals Flush 16 fl oz.: Apply a small amount to the ear canal, massage into ear, then clean out excess solution and debris. May use up to once/day. Qty #1 bottle. Refills: 0. Exp: 6 months.
TrizULTRA + Keto Flush 12 fl oz
TrizULTRA + Keto Flush 12 fl oz: Apply a small amount to the ear canal, massage into ear, then clean out excess solution and debris. May use up to once/day. Qty #1 bottle. Refills: 0. Exp: 6 months.
TrizULTRA + Keto Flush 4 fl oz
TrizULTRA + Keto Flush 4 fl oz: Apply a small amount to the ear canal, massage into ear, then clean out excess solution and debris. May use up to once/day. Qty #1 bottle. Refills: 0. Exp: 6 months.
Tylan Soluble Powder
Tylan Soluble Powder: ** Qty #5 tsp. Refills: 0. Exp: 6 months.
Vetsulin 40 IU/ML
Vetsulin 40 IU/ML: Give ** units under the skin once every 12 hours for control of diabetes. Qty #1 bottle. Refills: 0. Exp: 6 months.
Vitamin B12 Inj 1000mcg/mL
Vetsulin 40 IU/ML: Give 0.25 mL under the skin once a week for 6 weeks, then once every month. If responding positively recheck after giving all doses to discuss next steps. Qty #1.5 mLs. Refills: 0. Exp: 6 months.
Vitamin K1 25mg Capsule
Vitamin K1 25mg Capsule: Give ** capsules by mouth once every ** hours for ** Qty #30 capsules. Refills: 0. Exp: 6 months.
Zonisaminde 25mg/caps
Zonisaminde 25mg/caps: Give 1 cap by mouth once every 12 hours, long term for control of seizures. Qty: #60 capsules. Refills: 0. Exp: 6 months.
Other
Medication Name: **. Give ** tablets by mouth once every ** hours for ** Qty: #30 tablets. Refills: 0. Exp: 6 months.
Prior Medications
Continue previous medications as prescribed
Stop prior medications for new medications
Stop prior dosages for new dosages
Not Applicable
Other
Prior Medication Notes
Visit Summary Template
Manual Input
Acute Kidney Injury
Addison's
AG Abscess
Anxiety
Aural Hematoma
Aural Polyp Removal
Bandage/Splint
Black Fly Gnat Bite
Cat Bite Abscess
Cat Limp Tail
Chronic Disease Recheck
Chronic Kidney Disease (CKD)
Conjunctivitis
Congestive Heart Failure
Corneal Ulceration
Cruciate Rupture
Cuterebra
Cuterebriasis
Cystotomy
Dental Procedure
Diabetes
Drop Off
Enucleation
Ex-Lap/GI FB
Feeding Tube
Feline Asthma
FLUTD
Gastroenteritis/vomiting/diarrhea
General Surgery
GI Obstruction
Glaucoma
Heartworm Treatment
Hot Spot
Itchy Dog/Cat
KCS
Kennel Cough
Lameness/IVDD
Leg Amputation
Lower Urinary Tract Dz - Canine
Mass Evaluation
Mass Removal
Otitis/Ear Infection
Palliative Care/Chronic Disease
Papillomavirus
Parvovirus
Perineal Urethrostomy
Periodontal Disease (severe)
Post-bite Rabies
Pyometra
Seizures
Splint: Fracture
Supportive Care
Torn/Broken Nail
Trigeminal Neuritis
Ultrasound/Echocardiogram
Urethral Obstruction (cat)
URI Cat
Vestibular
Vomit with Apo or Dexmed
Weight Loss
Wound Exploration and Repair
Applicable Information Included:
Take Home Medications/Medication Change
At Home Nursing Care
Diet Instrucations
Treatments Given In Clinic
Informational/Handout
Weight Loss Recommendation/Instructions
Post Sedation Instructions
OTC pain meds warning
Quality of life scale
Handout Name(s)
Other
Abdominal Ultrasounds in Pets
Addison's
Addison's Disease (Hypoadrenocorticism)
Anorexia
Arthritis
Aural Hematoma
Bite Wound Abscess
Bloodwork Overview
Carprofen
Cervical Disk Disease
CKD - Cats
Colitis
Colitis Causes Gooey Diarrhea in Dogs and Cats
Corneal Ulcers
Cystotomy
Diabetes
Diabetes - Diet, Cat
Diabetes - Dog Diet
Diabetes Mellitus
Diarrhea (Bacterial) Puppies/Kittens
Ear Infection (Otitis Externa)
Ear Medications
Ear Mites
Enucleation
Environmental Allergy/Atopic Dermatitis
Exocrine Pancreatic Insufficiency in Dogs and Cats
Feline Asthma
Feline Idiopathic Cystitis
Feline Inappropriate Urination
FLUTD
Getting Your Cat to the Veterinarian
Heart Murmurs
Hypertension
Hyperthyroidism
Insulin Administration - Cats
Insulin Administration - Dogs
Itchy Dogs and Cats
KCS
Lab Values
Lymphoma (Dogs)
MCT (Dogs and Cats)
Orphaned Kitten and Puppy Care
Osteosarcoma
Otitis
Parvovirus Cleaning Environment
Prednioso(lo)ne
Sebaceous Gland Tumors (Benign)
Steroid Use
Struvite Stones - Dogs
Struvite Stones - Feline
Subcutaneous Fluids
Vestibular Disease
FIV/FelV
Heartworm Disease Handout - Pet Owners
Handout Upload
Max. file size: 1 GB.
Weight Loss Recommendation/Instructions
OTC PAIN MED WARNING
Do not give any non-prescription drugs (such as aspirin, Tylenol, or ibuprofen) unless directed by your veterinarian. If you feel your pet is more painful than the medication can control, let us know and we can provide additional instruction or options.
MEDICATION NOTES: MANUAL INPUT
* Please see receipt or invoice for further notes about medications. **
Other:
SUPPLIMENTAL MEDICATION NOTES
MEDICATION NOTES: GASTROENTERITIS
* Please see receipt or invoice for further notes about medications. **
No medications were prescribed today.
Cerenia - anti-nausea medication. It is very important that your pet be evaluated by a veterinarian if there is any vomiting while taking this medication.
Ondansetron - further anti-nausea medication.
Fenbendazole/Panacur - broad spectrum dewormer.
Metronidazole - antibiotic with anti-inflammatory properties as well.
Diagel - to help with diarrhea and loose stool.
Ponazuril - for treatment of coccidia.
Subcutaneous fluids - please see the provided handout for further information on how to administer subcutaneous fluids.
Most cases of uncomplicated diarrhea will improve within 3-5 days with a bland diet alone, and antibiotics are not indicated.
Other
MEDICATION NOTES: OTITIS/EAR INFECTION
* Please see receipt or invoice for further notes about medications. **
Many topical ear products can cause ototoxicity if the ear drum is injured or ruptured. We are not always able to ensure the ear drum is intact due to patient comfort, excessive hair or discharge, or ear conformation. If you notice any signs of hearing loss, or vestibular symptoms (head tilt, loss of balance, or abnormal eye movements), please discontinue any topical products and contact us right away. While deafness may not resolve, vestibular signs typically do resolve over time.
Other
MEDICATION NOTES: CUTEREBRIASIS
* Please see receipt or invoice for further notes about medications. **
Capstar - This pill is given daily for 3 days to kill the parasite slowly.
Prednisolone - This is a steroid to reduce the risk of anaphylactic reaction. Taper as directed and do not discontinue abruptly.
Clavamox - This is an antibiotic to treat the secondary abscess/infection in the skin wound.
Recommend monthly flea and tick prevention for all outdoor cats, especially in summer months. Do what you can to rabbit/rodent proof your yard.
Other
MEDICATION NOTES: ANAL GLAND ABSCESS
* Please see receipt or invoice for further notes about medications. **
Amoxicillin/Clavulanic Acid (antibiotic) - Give with meals to avoid GI upset. Start tonight and give until gone.
Carprofen (pain medication) - Give with meals, and discontinue if there is any GI upset. Start tonight.
Other
MEDICATION NOTES: ANXIETY
* Please see receipt or invoice for further notes about medications. **
*Important note on anti-anxiety medications: anti-anxiety medications are not meant to replace behavior modification and should be used in conjunction with training plans to address behaviors of concern.
Veterinary evaluation recommended if there are concerns for side effects associated with the anti-anxiety medications prescribed.
FLUOXETINE- this is an anti-depressant medication that is prescribed for the management of separation anxiety, canine and feline aggression, compulsive behaviors, inappropriate elimination in cats, and anxiety. Side effects can include decreased appetite, lethargy, behavior changes (anxiety, irritability), and GI upset. For most pets this is a safe medication to be on long-term. This medication can take 6-8 weeks to take full effect. Your pet may need to have their dose increased or decreased based on their response to the medication.
PAROXETINE- this is an anti-depressant medication that is prescribed for management of anxiety, canine and feline aggression, compulsive behaviors, and inappropriate elimination in cats. Side effects in dogs can include lethargy, GI upset, behavior changes (anxiety, irritability, hyperactivity), temporary decrease in appetite, and hypersalivation. Side effects in cats can include behavior changes (anxiety, irritability, change in sleep patterns), decrease in appetite, and changes in elimination patterns. This medication can take 6-8 weeks to take full effect. Your pet may need to have their dose increased or decreased based on their response to the medication.
TRAZODONE - this is an anti-anxiety medication that can help ease anxiety associated with stressful events (i.e. veterinary visits). Give one dose as prescribed by mouth the night before a stressful event and one dose by mouth two hours before a stressful event. The main side effect seen with this medication is sedation.
GABAPENTIN - this is a pain medication that is often prescribed together with trazodone to help with anxiety associated with stressful events. It's main side effects can be drowsiness and loss of coordination. Give one dose as prescribed by mouth the night before a stressful event and one dose by mouth two hours before a stressful event. The main side effect seen with this medication is sedation.
Other
MEDICATION NOTES: AURAL HEMATOMA
* Please see receipt or invoice for further notes about medications. **
No medications were prescribed today.
Prednisone - oral steroid. It is important to follow the taper directions closely and not stop this medication abruptly.
Trazodone - this is an oral anti-anxiety/sedative that was prescribed to help keep your pet comfortable and calm, to avoid reinjury.
Ear medication was prescribed for underlying ear infection.
Other
MEDICATION NOTES: AURAL POLYP REMOVAL
* Please see receipt or invoice for further notes about medications. **
Dexamethasone ear drops - topical steroid for inflammation. Start tonight. Alternate time of day with Baytril drops.
Baytril ear drops - topical antibiotic for secondary inflammation. Start tomorrow morning.
Prednisone/Prednisolone (oral steroid) - follow all instructions on the bottle. DO NOT STOP ABRUPTLY. This medication will help decrease swelling in the ear canal. Start tomorrow evening.
Buprenorphine - This is a pain medication. It may cause some grogginess or sedation. You may start it at bedtime tonight. Give at least twice daily this week, then taper as able.
Cerenia - anti-nausea medication. Start tomorrow evening.
Mirtazapine - appetite stimulant. Start tonight. Ok to discontinue when patient is eating consistently.
DISCONTINUE vinegar/water ear cleanings.
Other
MEDICATION NOTES: BANDAGE/SPLINT
* Please see receipt or invoice for further notes about medications. **
No medications were prescribed today.
Carprofen - pain medication
Meloxicam - pain medication
Gabapentin - pain medication
Tramadol - pain medication
Buprenorphine - pain medication.
Trazodone - to help with sedation and rest
Amoxicillin/Clavulanic acid - antibiotic. Give with food to prevent GI upset.
Other
MEDICATION NOTES: BLACK FLY GNAT BITE
* Please see receipt or invoice for further notes about medications. **
No medications were prescribed today.
If your dog is very itchy, OTC diphenhydramine (Benadryl) can be given twice daily. Give 1mg per pound of body weight.
Other
MEDICATION NOTES: CATE BITE ABSCESS
* Please see receipt or invoice for further notes about medications. **
No medications were prescribed today.
Amoxicillin/Clavulanic Acid: Antibiotic. Please give with food. May cause GI upset.
Buprenorphine: Pain medication. May have a sedation effect.
Other
MEDICATION NOTES: CAT LIMP TAIL
* Please see receipt or invoice for further notes about medications. **
No medications were prescribed today.
Buprenorphine: Pain medication. May have a sedation effect.
Other
MEDICATION NOTES: CHRONIC DISEASE RECHECK
* Please see receipt or invoice for further notes about medications. **
No new medications were prescribed today.
Other
MEDICATION NOTES: CONJUNCTIVITIS
* Please see receipt or invoice for further notes about medications. **
**Please separate all eye medications by 5-10 minutes. Drops should be given prior to ointments.**
NeoPolyBac HC or NeoPolyDex - This is an ointment that contains both an antibiotic for bacterial infection, as well as a steroid for inflammation. This should NEVER be used if the eye has a corneal ulcer. This should not be used in cats due to risk of anaphylactic reaction
NeoPolyBac - This is an antibiotic ointment to treat or prevent bacterial infection in the eye. This should not be used in cats due to risk of anaphylactic reaction.
Gentamycin/Erythromycin - This is an antibiotic ointment to treat or prevent bacterial infection in the eye.
Ciprofloxacin - This is an antibiotic drop to treat or prevent bacterial infection in the eye.
Dexamethasone - This is a topical steroid to help decrease inflammation in the front chamber of the eye. Discontinue if there is any defect in the surface of the eye, then contact a veterinarian. This should NEVER be used if the eye has a corneal ulcer.
Other
MEDICATION NOTES: CORNEAL ULCERATION
* Please see receipt or invoice for further notes about medications. **
**Please separate all eye medications by 5-10 minutes. Drops should be given prior to ointments.**
Atropine - This is to dilate the pupil in order to reduce pain in the eye. The pupil will be markedly dilated. You may notice some excessive drooling after giving, as it is very bitter and drains through the nose. After the pupil is dilated, decrease to dosing only as often as needed to maintain dilation, which may be as little as every 24-48 hours.
NeoPolyBac - This is an antibiotic ointment to treat or prevent bacterial infection in the eye. This should not be used in cats due to risk of anaphylactic reaction.
Gentamycin/Erythromycin - This is an antibiotic ointment to treat or prevent bacterial infection in the eye.
Ciprofloxacin - This is an antibiotic drop to treat or prevent bacterial infection in the eye.
Autologous Serum - A blood product from a donor dog. This product mimics the body's natural reaction to injury to help heal the ocular surface. Store in the refrigerator.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Other
MEDICATION NOTES: CRUTIATE RUPTURE
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Carprofen - pain medication
Meloxicam - pain medication
Gabapentin - pain medication
Tramadol - pain medication
Trazodone - to help with sedation and rest
Other
MEDICATION NOTES: CUTEREBRA
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Preniso(lo)ne - steroid to help decrease inflammation in response to cuterebra.
Amoxicillin/Clavulanate Acid - antibiotic for secondary bacterial infection.
Other
MEDICATION NOTES: DROP OFF
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Trazodone - this medication is to help make sure your pet is more comfortable coming into the clinic tomorrow.
Please give 1 dose of Trazodone this evening and 1 dose tomorrow morning 2 hours prior to drop-off.
Please give 1 dose of Trazodone tomorrow morning 2 hours prior to drop-off.
Gabapentin - this medication is to help make sure your pet is more comfortable coming into the clinic tomorrow.
Please give 1 dose of Gabapentin this evening and 1 dose tomorrow morning 2 hours prior to drop-off.
Please give 1 dose of Gabapentin tomorrow morning 2 hours prior to drop-off.
Other
MEDICATION NOTES: FELINE ASTHMA
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Prednisolone - we start with a course steroid therapy to see if there is a positive response to treatment. If there is, this confirms the diagnosis. We then tailor them to the lowest effective dose. This means that we follow the taper instructions on the bottle and, if there is a positive response, we continue decreasing the dose. If at any point signs worsen, you would go back up tot he previous dose and stay there, and let us know. It is important not to stop this medication abruptly. There are EXTRA DOSES so that you can go up to the previous dose while we are strategizing long term care if needed. Once we know what the lowest effective dose is, we can switch to inhaler therapy if the dose is too high or causing side effects, or for rescue episodes. Information on this product can be found here: https://www.trudellanimalhealth.com/product/aerokat-chamber
Other
MEDICATION NOTES: FLUTD
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Prazosin - anti-spasmodic. Start when you get home.
Buprenorphine - pain medication. Start when you get home.
Amoxicillin - antibiotic - start when you get home.
Other
MEDICATION NOTES: GLAUCOMA RIGHT EYE
Please see receipt or invoice for further notes about medications.
This is the normal eye
This is the affected eye
Latanoprost - This is a medication to constrict the pupil and allow fluid to drain better. Apply once daily at bedtime.
Cosopt - This is a combination medication to reduce pressure in the eye. Apply every 8 hours.
Dexamethasone - This is a topical steroid to help decrease inflammation in the front chamber of the eye. Discontinue if there is any defect in the surface of the eye, then contact a veterinarian. This should NEVER be used if the eye has a corneal ulcer.
Please separate all eye medications by 5-10 minutes. Drops should be given prior to ointments.
Other
MEDICATION NOTES: GLAUCOMA LEFT EYE
Please see receipt or invoice for further notes about medications.
This is the normal eye
This is the affected eye
Latanoprost - This is a medication to constrict the pupil and allow fluid to drain better. Apply once daily at bedtime.
Cosopt - This is a combination medication to reduce pressure in the eye. Apply every 8 hours.
Dexamethasone - This is a topical steroid to help decrease inflammation in the front chamber of the eye. Discontinue if there is any defect in the surface of the eye, then contact a veterinarian. This should NEVER be used if the eye has a corneal ulcer.
Please separate all eye medications by 5-10 minutes. Drops should be given prior to ointments.
Other
MEDICATION NOTES: HOT SPOT
Please see receipt or invoice for further notes about medications.
Carprofen - an anti-inflammatory medication to help with pain.
Cefpodoxime (antibiotic) - give with food to reduce GI upset.
Cephalexin (antibiotic) - give with food to reduce GI upset.
Betagen spray - a topical medication with antibiotics for infection and steroids to reduce inflammation.
Prednisone (steroid) - While we can do a short course of this medication to help with flare-ups, it is not typically recommended for ongoing or chronic use.
Other
MEDICATION NOTES: TORN/BROKEN NAIL
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Carprofen - anti-inflammatory. 2-3 days is typically all these patients need, and then the nail forms a good callus.
Other
MEDICATION NOTES: ITCHY DOG/CAT
Please see receipt or invoice for further notes about medications.
Cephalexin - antibiotic for skin infection.
Apoquel - oral medication for itch.
Mousse - topical medication to help with comfort or for superficial bacterial infections.
Nexgard - or other ongoing flea/tick/external parasite prevention is recommended year round for all dogs, especially those who may be more reactive to irritants or have possible allergy to parasite exposure.
Revolution Plus - recommended year round for all cats, especially those who may be more reactive to irritants or have possible allergy to parasite exposure. Recommended year round for all cats, especially those who may be more reactive to irritants or have possible allergy to parasite exposure.
Mometavet - topical medication for secondary ear infections.
DexSP, Triz-EDTA, Baytril ear rinse (antibacterial, anti-inflammatory). Clean the affected ear(s) once daily for 10 days. Can be used weekly for maintenance.
Claro-Otic - this was applied in the clinic and lasts 2 weeks. It may need to be repeated, depending on severity of infection and recheck exam.
Cetirizine (OTC Zyrtec) - Antihistamines generally have poor efficacy in itching, but can be useful in very mild cases. You can try 5mg per 10lbs of body weight once daily.
Other
MEDICATION NOTES: KCS
Please see receipt or invoice for further notes about medications.
Please separate all eye medications by 5-10 minutes. Drops should be given prior to ointments.
Optimmune - This is an immunosuppressant medication that stimulates tear production. It will need to be used long-term. Keeping it in the fridge may help it be less messy.
Artificial tears, OptixCare, HylaTears - You may use a lubricating ointment staggered between Optimmune doses if the eyes are still dry or uncomfortable. If this is needed frequently or ongoing, Optimmune dose may need to be adjusted.
Other
MEDICATION NOTES: KENNEL COUGH
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Cough tabs - For cough suppression.
Antibiotic
If any yellow or green nasal discharge, decrease in appetite, or extreme lethargy are noted in the next 3 days, you can pick up an antibiotic from Access. There is no need to start one today.
Other
MEDICATION NOTES: LAMENESS/IVDD
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication when you get home.
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication when you get home.
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Tylenol with codeine - This medication is for pain relief. A written prescription has been provided. This can be picked up at any retail (human) pharmacy.
Methocarbamol - This medication is a muscle relaxer, and may cause sedation. Start when you get home.
Trazodone - This medication is a sedative to allow your patient to rest and avoid re-injury. This may be started any time.
Prednisone/Prednisolone - This medication is a steroid for pain and inflammation. Please give with food or a snack. May cause increased thirst and urination. Taper as directed; do not discontinue abruptly. Start this medication when you get home.
Other
MEDICATION NOTES: CANINE LOWER URINARY TRACT DISEASE
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Amoxicillin - antibiotic for urinary tract infection.
Ciprofloxacin - antibiotic for prostatitis.
Carprofen - pain medication.
Other
MEDICATION NOTES: MASS EVALUATION
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
An antibiotic was prescribed because of infection in the mass.
Diphenhydramine (OTC antihistamine) - Give 1mg per pound of body weight twice daily to help decrease side effects of mast cell activity.
Famotidine (OTC antacid) - Give 1mg per 2 lbs of body weight once daily to help decrease to help decrease side effects of mast cell activity.
Other
MEDICATION NOTES: PARVOVIRUS
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Cerenia - anti-nausea medication.
Ondansetron - anti-nausea medication.
Subcutaneous Fluids - for hydration support.
Other
MEDICATION NOTES: PAPILLOMAVIRUS
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Other
MEDICATION NOTES: PERIODONTAL DISEASE (SEVERE)
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Clindamycin - antibiotic. We give this for 1 week on, then three weeks off, repeating the cycle until dental procedure. It does not completely cure infection but can help with comfort.
Buprenoprhine - continue this medication until the dental procedure. This is a pain medication.
Gabapentin - continue this medication until the dental procedure. This is a pain medication.
Carprofen - pain medication.
Meloxicam - pain medication.
Other
MEDICATION NOTES: PALLIATIVE CARE/CHRONIC DISEASE
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Buprenorphine: This is a pain medication, most often used with cats.
Tramadol: This is a medication, typically used in dogs, to help with add-on pain relief or to help decrease anxiety from experiencing pain.
Carprofen: This is an NSAID used for dogs. It helps with arthritis or other inflammation as well as pain.
Meloxicam: This is an NSAID used for cats. It helps with arthritis or other inflammation as well as pain.
Gabapentin: This is a medication that can be effective against some long-term or neurologic pain.
Mirtazapine: This is an appetite stimulant. It should be given every 72 hours (oral) or every 24 hours (transdermal).
Entyce: This is an appetite stimulant. It should be given daily.
Feeding tubes may also be an option if your pet is not eating well on their own. They have to be well enough to undergo a short anesthetized procedure for this to be an option.
Subcutaneous fluids: These may be used to help with hydration support at home.
Cerenia: This is an anti-nausea medication. It should be given every 24 hours orally.
Ondansetron: This is another anti-nausea medication. It can be given up to every 8 hours.
If you notice your pet displaying symptoms of nausea in the future (vomiting, lip-licking, or drooling), please discuss with the team at Access Veterinary Care. A medication may be able to be prescribed to help with this symptom.
If your pet begins to refuse food, please discuss with the team at Access Veterinary Care. A medication may be able to be prescribed to help with this symptom.
If you notice your pet displaying symptoms of pain in the future, please discuss with the team at Access Veterinary Care. A medication may be able to be prescribed to help with this symptom.
Other
MEDICATION NOTES: POST-BITE RABIES
No medications were prescribed today.
Other
MEDICATION NOTES: SEIZURES
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Medications are started when seizures prove to be recurrent. If there is more than 1 seizure in 24 hours, a single seizure lasts more than 5 minutes, or seizure more often than every 6 weeks or increasing in frequency, we start seizure medications.
Other
MEDICATION NOTES: SUPPORTIVE CARE
Please see receipt or invoice for further notes about medications.
Cerenia: Anti-nausea medication. This is given once daily. An injection of this medication was given in clinic today. The next dose is DUE TOMORROW.
Cerenia: Anti-nausea medication. This is given once daily. START THIS MEDICATION THIS EVENING.
Ondansetron: anti-nausea medication. This is given every 8-12 hours as needed for signs of nausea (lip-licking, drooling). It can be given at the same time as Cerenia and the two are frequently prescribed together to help control nausea.
Subcutaneous fluids - please see the provided handout for further information on how to administer subcutaneous fluids. More information can be found here.
Mirtazapine: Appetite stimulant. This is given orally every 72 hours for appetite stimulation or transdermally every 24 hours, depending on the formulation.
Entyce: Appetite stimulant.
Other
MEDICATION NOTES: TRIGEMINAL NEURITIS
There is no specific medication that treats trigeminal neuritis.
Other
MEDICATION NOTES: ULTRASOUND/ECHOCARDIOGRAM
No medications were prescribed today.
Continue medications as previously prescribed until final plan is communicated.
Other
MEDICATION NOTES: FELINE URI
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Doxycycline - antibiotic. This medication should not be given dry, mix contents of capsule in slurry with wet food and some water. A liquid form is also available.
Amoxicillin/Clavulonate acid - antibiotic.
Azithromyin - antibiotic.
Cerenia and Saline nasal drops - administer 1-2 drops each nostril twice daily to help break up secretions and bring down inflammation.
Other
MEDICATION NOTES: VESTIBULAR
Please see receipt or invoice for further notes about medications.
Cerenia - This is an anti-nausea medication that is helpful for motion sickness. An injection has been given in hospital today. Start oral tablets tomorrow.
Meclizine (OTC Bonine) - Give 1 mg per 4lbs body weight once daily as needed for nausea.
Other
MEDICATION NOTES: VOMIT WITH APO OR DEXMED
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Cerenia (anti-nausea medication) should last for 24 hours.
Activated charcoal - may cause transient diarrhea or black/chalky stools.
Other
MEDICATION NOTES: WEIGHT LOSS
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Mirtazapine: Appetite stimulant. This is given orally every 72 hours for appetite stimulation or transdermally every 24 hours, depending on the formulation.
Entyce: Appetite stimulant.
Other
MEDICATION NOTES: CONGESTIVE HEART FAILURE (CHF)
Please see receipt or invoice for further notes about medications.
No medications were prescribed today.
Furosemide – This medication is a diuretic that will help pull fluid off of the lungs. Furosemide causes increased drinking and urination and your pet may have accidents in the house. Start this medication tonight. It is very important that you allow access to fresh water at all times!
Pimobendan – This medication will help the heart contract stronger.
Enalapril – This medication helps prevent the body from adjusting to and counteracting the effects of furosemide. Enalapril can cause decreased appetite and electrolyte and kidney problems, which your veterinarian will monitor for. Start this medication once your pet is feeling better (a few days from now).
Other
MEDICATION NOTES: DIABETES
** IMPORTANT NOTE** It is always safer to skip 1 dose of insulin than to give an extra dose. If your pet doesn't eat well, is vomiting, or dull and lethargic, please skip the insulin dose and contact a veterinarian as soon as possible.
Please see receipt or invoice for further notes about medication
Insulin - Vetsulin: This insulin should be shaken vigorously prior to injection. This insulin should be kept in the refrigerator. Use only u-40 syringes with this insulin.
Insulin - Glargine: This insulin should be rolled gently prior to injection. This insulin should be kept in the refrigerator. Use only u-100 syringes with this insulin.
Since we discussed insulin therapy and this will not work for your family or your cat, we are going to try management with Glipizide. This is an oral medication that some cats respond to, at least temporarily. START this medication as soon as you have picked it up (a prescription has been provided).
Other
MEDICATION NOTES: CHRONIC KIDNEY DISEASE (CKD)
Please see receipt or invoice for further notes about medication
Kidney-specific diet to restrict protein (which injures kidneys) and phosphate.
Amlodipine - For blood pressure.
Subcutaneous fluids - for correction and control of clinical dehydration, which can speed up the progression of kidney disease.
Potassium gluconate for potassium supplementation.
Maropitant/Cerenia for nausea.
Ondansetron for nausea.
Aluminum Hydroxide - to bind phosphate.
Other
MEDICATION NOTES: PYOMETRA
Please see receipt or invoice for further notes about medication
Amoxicillin/Clavulanate Acid - this is an antibiotic. It will not clear up the infection, but is intended to slow down progression of the infection until surgery.
Other
MEDICATION NOTES: GI OBSTRUCTION
Please see receipt or invoice for further notes about medication
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Other
MEDICATION NOTES: ACUTE KIDNEY INJURY
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Buprenorphine - pain medication. This was given as an injection today, and lasts 6-8 hours. It may cause grogginess or sedation.
Amoxicillin - antibiotic. This was given as an injection today. Please start this evening.
Cerenia: Anti-nausea medication. This is given once daily. An injection was given in clinic today - next dose DUE TOMORROW.
Cerenia: Anti-nausea medication. This is given once daily. START THIS EVENING.
Ondansetron: anti-nausea medication. This is given every 8-12 hours as needed for signs of nausea (lip-licking, drooling). It can be given at the same time as Cerenia and the two are frequently prescribed together to help control nausea.
Subcutaneous fluids - please see the provided handout for further information on how to administer subcutaneous fluids. More information can be found here. Start tomorrow evening.
Mirtazapine: Appetite stimulant. This is applied to the skin inside the pinna every 24 hours. Start tonight.
Entyce: Appetite stimulant. Start tonight.
Other
MEDICATION NOTES: ADDISON'S
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Prednisone – This medication is a steroid, that is used to mimic the body’s response to the stress of everyday life. Please give this medication daily as prescribed.
DOCP (Percorten) - This medication is given as an injection every 28 days (4 weeks). This can be done by your veterinarian, or you may wish to purchase a bottle and learn how to give injections at home. Regardless, it is essential that you follow dose and timing instructions exactly. **DOCP must be shaken thoroughly prior to administration**
Other
MEDICATION NOTES: CYSTOTOMY
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Clavamox - This medication is an antibiotic intended to treat or prevent infection. Please start this medication tonight.
Tylenol with codeine - This medication is for pain relief. A written prescription has been provided. This can be picked up at any retail (human) pharmacy.
Other
MEDICATION NOTES: DENTAL PROCEDURE
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Clavamox - This medication is an antibiotic intended to treat or prevent infection. Please start this medication tonight.
Tramadol - This is a pain medication and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Other
MEDICATION NOTES: ENUCLEATION
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Clavamox - This medication is an antibiotic intended to treat or prevent infection. Please start this medication tonight.
Tylenol with codeine - This medication is for pain relief. A written prescription has been provided. This can be picked up at any retail (human) pharmacy.
Other
MEDICATION NOTES: EX-LAP/GI FB
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Tylenol with codeine - This medication is for pain relief. A written prescription has been provided. This can be picked up at any retail (human) pharmacy.
Other
MEDICATION NOTES: FEEDING TUBE
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Clavamox - This medication is an antibiotic intended to treat or prevent infection. Please start this medication tonight.
Tylenol with codeine - This medication is for pain relief. A written prescription has been provided. This can be picked up at any retail (human) pharmacy.
Other
MEDICATION NOTES: WOUND EXPLORATION AND REPAIR
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Carprofen - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Meloxicam - This medication is for pain relief. Please give this medication with food or a snack. Start this medication tomorrow (your pet has had an injection of it already today).
Gabapentin - This medication is given for additional pain relief and can be given as little as once or as many as three times a day, depending on your pet's level of pain. Please start this medication tonight.
Buprenorphine - This medication is given for additional pain relief and can be given two to three times a day, depending on your pet's level of pain. Please start this medication tonight.
Clavamox - This medication is an antibiotic intended to treat or prevent infection. Please start this medication tonight.
Tylenol with codeine - This medication is for pain relief. A written prescription has been provided. This can be picked up at any retail (human) pharmacy.
Convenia - This medication is an antibiotic that was given as a one time injection and lasts for 14 days.
Other
MEDICATION NOTES: URETHRAL OBSTRUCTION (CAT)
Please see receipt or invoice for further notes about medication
No medications were prescribed today.
Prazosin - anti-spasmodic. Start when you get home.
Buprenorphine - pain medication. Start when you get home.
Amoxicillin - antibiotic - start when you get home.
Other
Medication Notes Supplemental:
DIAGNOSIS INFORMATION/CONCERNS: GASTROENTERITIS/VOMITING/DIARRHEA
Vomiting - open diagnosis.
Diarrhea - open diagnosis.
Gastroenteritis - inflammation of the GI tract (stomach and/or intestines) can cause vomiting and/or diarrhea.
Suspect foreign body/GI obstruction - we are attempting to treat with supportive care but this may require surgical intervention to fix.
Other
DIAGNOSIS INFORMATION/CONCERNS: TORN/BROKEN NAIL
Torn or broken toenail
The nail tissue looks healthy with no signs of infection and should heal well.
There were signs of an infection in the nail bed
Other
DIAGNOSIS INFORMATION/CONCERNS: OTITIS/EAR INFECTION
Ear Infections can be caused by yeast, bacteria, or overgrowth of normal tissue and are frequently a sign of underlying allergy or other skin disease. Further diagnostics may be necessary to treat underlying condition predisposing your pet to ear infections, especially if it does not resolve with the therapy prescribed today. Please see the handout provided for further information.
Other
DIAGNOSIS INFORMATION/CONCERNS: MANUAL INPUT
DIAGNOSIS INFORMATION/CONCERNS: ABERRANT CUTEREBRIASIS
Aberrant Cuterebriasis (suspect Cuterebra parasite migrating in back of throat). This is a tricky disease, because it can be incredibly hard to prove. While treatment can be associated with anaphylaxis, allowing the disease to progress is much more likely to cause life-threatening complications. PLEASE SEEK IMMEDIATE CARE: If your pet develops difficulty breathing or severe vomiting, have your pet seen right away at an emergency veterinary clinic. For more information visit: https://capcvet.org/guidelines/cuterebriasis/
DIAGNOSIS INFORMATION/CONCERNS: ANAL GLAND ABSCESS
Ruptured anal gland abscess - The anal gland became impacted and infected, with the pressure causing rupture of the overlying skin. For more information, visit: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=9759085
DIAGNOSIS INFORMATION/CONCERNS: ANXIETY
General Anxiety | More information can be found here: https://vcahospitals.com/know-your-pet/fears-phobias-and-anxiety
Anxiety in clinic | Your pet would benefit from taking medications prior to stressful events (i.e. veterinary visits, grooming appointments, etc).
Other:
DIAGNOSIS INFORMATION/CONCERNS: AURAL HEMATOMA
Aural hematoma - accumulation of blood under the skin in the ear flap due to trauma to the cartilage. Regardless of treatment chosen, the ear will likely scar and be irregular once healed.
These occasionally need to be surgically corrected, particularly if they cover the ear canal or do not resolve over time. They can take a few weeks to resolve completely.
We are going to try medical treatment first with Prednisone (oral steroid).
Ear cytology showed no active infection, the prednisone should help control any discomfort as a result so no topical medication is needed at this point.
There is an underlying ear infection that we need to treat to make sure your pet stops shaking its head.
Other:
DIAGNOSIS INFORMATION/CONCERNS: AURAL POLYP REMOVAL
Aural polyp - removed via traction today. https://veterinarypartner.vin.com/default.aspx?pid=19239&id=10464209
DIAGNOSIS INFORMATION/CONCERNS: BANDAGE/SPLINT
Open wound - We are unable to suture the wound closed at this time, because it is too large. There would be too much stress on sutures, which would pull through. We will have to manage this as an open wound until it shrinks small enough for surgical closure.
Infected wound - We have placed a special bandage to help remove dead and infected tissue. These bandages need to be changed frequently, until the wound is healthy and healing appropriately.
Orthopedic injury - a splint and padded bandage have been placed to stabilize the injury while it heals.
Other:
DIAGNOSIS INFORMATION/CONCERNS: BLACK FLY GNAT BITE
Black fly/gnat bite.
DIAGNOSIS INFORMATION/CONCERNS: CAT BITE ABSCESS
"Cat bite abscess" - these are typically puncture wounds that are not noticed until infection develops under the skin and an abscess forms. Treatment involves allowing the abscess to drain and appropriate antibiotic therapy. Some are large enough to require drain placement.
DIAGNOSIS INFORMATION/CONCERNS: LIMP TAIL
Limp tail. Cats can get injuries to their tail by falling awkwardly that lead to nerve irritation and muscle damage. Many times these resolve with time and pain medication. Some cats have permanent damage and a limp tail but adapt well.
DIAGNOSIS INFORMATION/CONCERNS: CHRONIC DISEASE RECHECK
Recheck for chronic condition:
DIAGNOSIS INFORMATION/CONCERNS: CONJUNCTIVITIS
Conjunctivitis (inflammation of tissue surrounding eye). This can be caused by bacterial or viral infection, allergies, underlying disease such as KCS, or trauma and local irritants. Additional information available here: https://vetmed.tamu.edu/news/pet-talk/conjunctivitis/
DIAGNOSIS INFORMATION/CONCERNS: CORNEAL ULCERATION
Corneal ulceration (wound on surface of eye globe). The surface of the eye is very thin, so it is important that it heals without secondary infection as soon as possible to prevent complications. Additional information can be found here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951434
Possible causes include: trauma (mechanical or chemical), poor tear production, abnormal eyelid formation or hairs rubbing on the cornea, and sometimes viral infection. Treatment of underlying cause, when able, is the best option to help the eye heal, as well as prevent recurrence. Chronic irritation can lead to corneal scarring or pigmentation which affect vision.
Your pet's ulcer is very deep and/or infected. It has a higher risk of perforating and we must treat very aggressively. Referral to an Ophthalmologist is highly recommended.
Other:
DIAGNOSIS INFORMATION/CONCERNS: CRUCIATE RUPTURE
Suspect cranial cruciate ligament tear - this is an injury to the ligament that holds the knee joint in place. Sometimes these tears are partial, sometimes they are complete. Frequently, surgery is the best option for quickest and best return to function. Some pets will respond well to strict rest and pain management. X-rays taken today showed no obvious sign of fractures or bone trauma.
DIAGNOSIS INFORMATION/CONCERNS: CUTEREBRA
Cuterebra: Dogs and cats can be accidental hosts of Botfly larvae. The adult botfly deposits its eggs near or in the opening of rodent and rabbit burrows. After hatching, the botfly larvae, which typically infect rodents and rabbits, enters the host's body through an opening such as the nose or mouth or through a skin wound. After several days, the botfly larvae migrate to the tissues beneath the skin where they encyst and continue their development.
DIAGNOSIS INFORMATION/CONCERNS: FELINE ASTHMA
Feline asthma - please see further information in this condition here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951536
DIAGNOSIS INFORMATION/CONCERNS: DROP OFF
DIAGNOSIS INFORMATION/CONCERNS: FLUTD
Your cat is showing signs that indicate pain in the lower urinary tract (bladder and urethra). There are many causes of this in cats - urinary tract infections, crystal formation, stones, or Feline Lower Urinary Tract Disease (also known as Feline Idiopathic Cystitis). More information on these conditions can be found at veterinarypartner.com or at the Indoor Pet Initiative.
It is very important, especially for male cats, to monitor for signs of urinary blockage - straining in the litterbox and unable to produce urine. This is a medical emergency in cats. Please see the above links and handouts for further information on FLUTD and other environmental changes that may be helpful, regardless of the underlying cause of your cat's lower urinary tract signs.
Based on age and history, I suspect FLUTD/FIC (although we do need to rule out the other causes, especially if there is not a response to treatment). We are going to start treating symptomatically with anti-spasmodics and pain medication. Please also collect urine for a urinalysis - this can be dropped off at the clinic to make sure we do not need to treat with an antibiotic or change diet. To rule out stones, we would take x-rays. We can perform these at any time if you wish, and will want to if signs to not resolve.
Urinalysis shows inflammation but no bacteria. This is consistent with FLUTD/FIC. We are going to start treating symptomatically with anti-spasmodics and pain medication.
Your cat is showing signs of a urinary tract infection based on urinalysis run today in clinic. There was bacteria in the urine as well as cells that show that there is inflammation and pain in the bladder.
There are crystals in your cat's bladder and urine, and the urine is very concentrated. While sometimes special diets are needed to help prevent further formation of crystals, many cats can be managed by diluting out the urine as much as possible. This can be done by encouraging water intake and feeding canned food.
There are stones in your cat's bladder. These can occasionally be dissolved through diet, but frequently require surgery to fix them.
Other:
DIAGNOSIS INFORMATION/CONCERNS: GLAUCOMA
Glaucoma (elevated ocular pressure). This is a very painful condition that can result in vision loss, and requires emergency intervention in the acute phase. Once vision is lost, it is unlikely to improve and treatment focuses on maintaining patient comfort. | Further information can be found here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=6097123
Long-term, it is very likely to progress and require surgery: For the best chance of maintaining a comfortable and visual eye, referral to an ophthalmologist is recommended as soon as possible. They may recommend surgery to correct any underlying causes, or place a drain to help the eye fluid drain more appropriately.
There is also a high chance of the other eye becoming affected, typically within 6-12 months. Medical therapy instituted in this eye right away can delay glaucoma for up to 31 months.
Other:
DIAGNOSIS INFORMATION/CONCERNS: HOT SPOT
Pyotraumatic Moist Dermatitis (Hot Spot). This may start as a minor irritation such as a small cut or bug bite, incomplete drying after swimming or very humid weather, or be related to underlying allergies causing itching. This can lead to excessive chewing and trapping of moisture at the level of the skin, which allows infection to fester and progress rapidly. More information can be found here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952729
DIAGNOSIS INFORMATION/CONCERNS: ITCHY DOG/CAT
For further information on management of allergic skin disease please see this handout on atopic dermatitis: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951973
Please see the handout on itching in dogs found here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952662
Please see the handout on itching in cats found here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952664
Allergic skin disease - ongoing concern.
There were signs of a skin infection in the clinic today.
There were signs of an ear infection in the clinic today.
There were external parasites noted on exam or diagnostics today.
Other:
DIAGNOSIS INFORMATION/CONCERNS: KCS
KCS (Dry Eye). The glands of the eyes are not producing enough tears to adequately lubricate the surface of the eye. Please visit this site for further information: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951823
DIAGNOSIS INFORMATION/CONCERNS: KENNEL COUGH
Suspect kennel cough. Your dog is showing signs of kennel cough. This is a term for a wide variety of upper respiratory infections from a variety of viral and bacterial pathogens. Unless there is sign of a bacterial infection (fever, lethargy, discolored nasal discharge), an antibiotic is not typically prescribed and the viral infection runs its course. If signs of a secondary bacterial infection are present (yellow or green drainage or discharge from the nose or eyes, lethargy, decreased appetite, or fever) or the sneezing and upper respiratory signs have lasted longer than one week, we will typically start antibiotics. Mainstay of therapy is cough suppression.
DIAGNOSIS INFORMATION/CONCERNS: LAMENESS/IVDD
Lameness
Suspected Intervertebral Disc Disease: This is back pain from bulging or ruptured discs between the bones of the spine. Severity can range from pain to paralysis. Radiographs do not show us the spinal cord or discs, but can show us any boney injuries or chronic instability. MRI is recommended if there is concern of spinal cord disease or if surgery is being considered due to chronic pain or inability to walk. For more information, visit this link: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4953012
Other:
DIAGNOSIS INFORMATION/CONCERNS: CANINE LOWER URINARY TRACT DISEASE
Your dog is showing signs that indicate pain in the lower urinary tract (bladder and urethra). There are many causes of this in dogs - urinary tract infection, crystal formation, prostatitis in male dogs, and stones are some the most common.
Your pet is showing signs of a urinary tract infection based on urinalysis run today in clinic. There was bacteria in the urine as well as cells that show that there is inflammation and pain in the bladder.
There are crystals in your pet's bladder and urine, and the bladder is very concentrated. These may or may not be associated with bladder stones. Frequently dogs with crystals or stones also have bacterial infections.
There are stones in your pet's bladder. These can occasionally be dissolved through diet, but frequently require surgery to fix them.
Your dog is showing signs of prostatitis. Neutering is recommended to help with the treatment of his condition. Prostatitis can be recurrent, or even become life-threatening if prostatic abscesses develop.
It is very important, especially for male dogs, to monitor for signs of urinary blockage - straining and unable to produce urine. Although rare, this is a medical emergency.
Other:
DIAGNOSIS INFORMATION/CONCERNS: PARVOVIRUS
Parvovirus. Parvovirus is a very infectious disease that causes destruction of the intestinal tract. Life-threatening risks to patients include nutritional deficits, secondary bacterial infections, sepsis, and dehydration. Some patients may require inpatient care at an emergency clinic to survive. For more information visit: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951463 Care is focused primarily on supportive nursing care to help with hydration, nausea, preventing bacterial infection, and helping make sure they are taking in food for nutritional support.
DIAGNOSIS INFORMATION/CONCERNS: MASS EVALUATION
Lipoma - cytology shows lipoma (fatty tumor). No action needed unless this changes in size or texture, at which point re-evaluation is recommended.
Cytology performed today was inconclusive. We recommend sending out the sample for a pathologist to review.
Cytology showed signs of infection. This may need to be addressed prior to obtaining a diagnosis - the mass will need to be resampled.
These masses are not a concern; we recommend monitoring for any changes in size or texture, at which point reevaluation is recommended.
Other:
DIAGNOSIS INFORMATION/CONCERNS: PAPILLOMAVIRUS
Canine papillomavirus. This is a viral infection that leads to warts and is spread through direct contact. It is species specific and cannot be passed to humans or other species. They are commonly found near the mouth, lips, muzzle of young dogs or on the eyelids, around the eyes, or between the toes. Most will resolve within 2 months on their own. For those that last longer than 4 months, or those that cause significant discomfort, surgical removal and biopsy can be performed. Sometimes, crushing a wart or lesion in the clinic leads to an immunological response that can speed up recovery. It is not uncommon for multiple lesions to be present.
DIAGNOSIS INFORMATION/CONCERNS: PERIODONTAL DISEASE (SEVERE)
Severe periodontal disease (dental disease). A dental procedure is required to correct this condition and will likely involve multiple tooth extractions. It is important to know that dogs and cats with very severe dental disease are at a higher risk for complications during dental procedures, as there is frequently a loss of integrity to their bone. While rare, this may include oronasal fistulas or fracture to the jaw bone. We are happy to perform these procedures at Access, and we are also happy to refer you to a dental specialist if that is your preference.
DIAGNOSIS INFORMATION/CONCERNS: PALLIATIVE CARE
We suspect or have diagnosed a terminal illness in your pet, and are pursuing a palliative care approach rather than a curative one. This means our focus is on quality of life and comfort rather than reversing or stopping the effects of any particular disease process. If at any time you are interested in obtaining further information or pursuing a definitive diagnosis, we are happy to continue workup or provide a referral to the appropriate specialist. It is important to know that some treatments for palliative care goals can make it impossible to reach a definitive diagnosis in the future, because they can mask clues and information.
DIAGNOSIS INFORMATION/CONCERNS: POST-BITE RABIES
Your pet was bitten by another pet.
Your pet was bitten by an unknown source - possible wild carnivore, skunk, or bat.
Your pet is up to date on Rabies vaccination.
Your pet is overdue for Rabies vaccination.
Your pet has no documentation of Rabies vaccination.
Other:
DIAGNOSIS INFORMATION/CONCERNS: SEIZURES
Though seizures can appear scary and overwhelming, they are not immediately life-threatening. For more information visit: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951440 https://aercmn.com/the-eight-things-you-need-to-know-if-your-dog-has-seizures-part-1/
DIAGNOSIS INFORMATION/CONCERNS: SUPPORTIVE CARE
There are many things that can cause these signs. Without a concrete diagnosis, we are treating with supportive care to help your pet feel better. We are not able to provide a concrete prognosis.
We are waiting for results of diagnostics to help determine next steps.
Other:
DIAGNOSIS INFORMATION/CONCERNS: TRIGEMINAL NEURITIS
Trigeminal Neuritis
Idiopathic trigeminal neuritis is a non-painful paralysis of the trigeminal nerve to the face that causes a “dropped jaw” in dogs. This “dropped jaw” can interfere with the ability of the dog to eat and drink. We can also see excess saliva (hypersalivation). The paralysis is caused by inflammation of the nerve, but the cause of the inflammation is currently unknown. This condition is typically self-limiting, which means it will heal on its own. Typically the condition typically lasts for 2-3 weeks, but some dogs may experience signs for several months.
Trigeminal neuritis is a diagnosis of exclusion, meaning that we technically have to rule out other conditions first before we can say this is the cause. X-rays of the skull or advanced imaging (CT/MRI) can be performed to look for abnormalities with the temporomandibular joint (TMJ) causing a dropped jaw. It is also important to make sure that your pet is up to date on their rabies vaccine, as rabies can sometimes present with a dropped jaw. Your pet is up to date on their vaccine, so we are less concerned for rabies as a possible cause at this time. Because there are other possible causes of a dropped jaw, if it lasts for longer than 3-4 weeks you should consider scheduling additional diagnostic tests.
For more information visit: https://www.mspca.org/angell_services/trigeminal-neuropathy/
Other:
DIAGNOSIS INFORMATION/CONCERNS: ULTRASOUND/ECHOCARDIOGRAM
Your pet had an abdominal ultrasound performed with a travelling ultrasonographer today to look for an underlying cause of their symptoms. A final report will be received and evaluated within the upcoming week. Any medications, next step diagnostics, or other details will be outlined at that time. You may be contacted via phone or email with the next steps/results.
Your pet had an echocardiogram performed with a travelling ultrasonographer today to further investigate their heart murmur/heart disease. A final report will be received and evaluated within the upcoming week. Any medications, next step diagnostics, or other details will be outlined at that time. You may be contacted via phone or email with the next steps/results.
Pre-anesthetic diagnostics to investigate heart murmur for dental cleaning/extractions
Other:
DIAGNOSIS INFORMATION/CONCERNS: FELINE URI
Upper respiratory infection. Your cat is showing signs of an upper respiratory infection. This is a term for a wide variety of upper respiratory infections from a variety of viral and bacterial pathogens. Unless there is sign of a bacterial infection (fever, lethargy, discolored nasal discharge), an antibiotic is not typically prescribed and the viral infection runs its course. Some cats may be predisposed to upper respiratory flareups, and require further supportive care. If signs of a secondary bacterial infection are present (yellow or green drainage or discharge from the nose or eyes, lethargy, decreased appetite, or fever) or the sneezing and upper respiratory signs have lasted longer than one week, we will typically start antibiotics.
DIAGNOSIS INFORMATION/CONCERNS: VESTIBULAR
Vestibular syndrome. The vestibular apparatus is a combination of the inner ears for sensing where the body is in space and the brain that interprets the signals. When there is a problem, the patient can feel very dizzy and seasick, which often leads to nausea. Complete diagnosis requires referral for imaging (CT or MRI, otoscopy). For more information visit https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951444.
Based on examination, Idiopathic/Old Dog Vestibular Disease is suspected. This is a benign condition, but we do not know the underlying cause. Treatment is based on supportive care. There may be a residual head tilt, and symptoms may be recurrent.
Based on exam and history, inner ear disease is expected (Otitis Interna). We have elected to start treatment with a long course of antibiotics to cover this possibility.
Based on exam, there is concern for a problem in the brain.
Other:
DIAGNOSIS INFORMATION/CONCERNS: VOMIT WITH APO OR DEXMED
Ingestion of disagreeable material.
Ingestion of inedible object.
Ingestion of toxic material.
Vomit induction was performed in clinic today and was successful.
Vomit induction was performed and was not successful.
Other:
DIAGNOSIS INFORMATION/CONCERNS: WEIGHT LOSS
There are many things that can cause these signs. Without a concrete diagnosis, we are treating with supportive care to help your pet feel better. We are not able to provide a concrete prognosis.
We are waiting for results of diagnostics to help determine next steps.
Other:
DIAGNOSIS INFORMATION/CONCERNS: CONGESTIVE HEART FAILURE (CHF)
Congestive Heart Failure. - The heart is not beating as efficiently as it should, so fluid is backing up into the lungs, making breathing difficult. - Heart disease cannot be cured, but often we can manage it for some time with medications. - For more information, visit: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=8501760., https://heartsmart.vet.tufts.edu/treatment-of-congestive-heart-failure/ An echocardiogram with a veterinary cardiologist is needed to determine the exact underlying heart disease your pet is dealing with, and maximize effective care. If this test is not able to be performed, we can treat with our best guess on what is likely to be causing these signs.
DIAGNOSIS INFORMATION/CONCERNS: DIABETES
Diabetes is a chronic diseases best managed at a more traditional general practice. This allows for consistency of care in order to fine tune the management of this complex disease. If there is a clinic you regularly work with, or would like to transfer, please let us know where we can sent medical records. If you would like some suggestions on area clinics we are happy to provide those. We do not do long-term monitoring and dose adjustments at Access, and refills will not be available through our practice - they must be through established GP provider. Diabetes is caused by a deficiency in insulin. This makes it difficult for your pet to regulate their blood sugar. The main symptoms include dramatic increase in thirst, urination of excessive amounts or volume, increased appetite, and weight loss. Other underlying diseases, such as Cushing's, acromegaly, pancreatitis, or infection will make Diabetes more difficult to control. Dogs typically require life-long insulin therapy, and will usually develop cataracts that lead to blindness. Cats can occasionally be put into diabetic remission. Continued monitoring is very important. The most affordable way to manage a diabetic pet long-term is to perform at-home blood glucose monitoring. This takes a bit of a learning curve, but can be well-tolerated by most families and diabetic pets on a long-term basis. Information on diabetes in cats can be found here: https://catfriendly.com Diabetes overview/ summary for dogs: https://vcahospitals.com/know-your-pet/diabetes-mellitus-in-dogs-overview Performing glucose curves at home: https://www.vetsulin.com/dogs/glucose-curves.aspx How to give injections of insulin: https://www.vetsulin.com/dogs/vetsulin.aspx Further reading: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951506
DIAGNOSIS INFORMATION/CONCERNS: CHRONIC KIDNEY DISEASE (CKD)
CKD (Chronic Kidney Disease or Chronic Renal Failure)
Stage I: Creatinine <1.6 (normal range) with dilute urine.
Stage II: Creatinine 1.6-2.8
Stage III: Creatinine 2.9 - 5.0
Stage IV: Creatinine >5.0
More Information can be found here: ttps://catfriendly.com | https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952679
Other:
DIAGNOSIS INFORMATION/CONCERNS: PYOMETRA
Pyometra - this is an infection of the tissue in the uterus. Treatment for this condition involves surgical removal of the reproductive organs. We are scheduling this surgery for tomorrow.
DIAGNOSIS INFORMATION/CONCERNS: GI OBSTRUCTION
Procedure performed: Removal of stomach/intestinal obstruction.
DIAGNOSIS INFORMATION/CONCERNS: ACUTE KIDNEY INJURY
Acute Kidney Injury: Normally functioning kidneys do many things in the body - they help maintain hydration status, they filter toxins and metabolic waste, they maintain balance of calcium and phosphate, sodium and potassium, help conserve protein so that it can be used for important body functions, help maintain an adequate pH, promote red blood cell production, and help regulate blood pressure. Acute kidney injury is typically diagnosed through bloodwork showing raised kidney related blood values and dilute urine. It can be caused by many things - infectious disease, kidney infection, toxin exposure to name a few. Therapy is targeted at supportive care initially, identifying underlying cause and initiating treatment for it. It can involve multiple days in the clinic, referral to a 24 hour clinic, or continued nursing care at home. If we are able to support a patient through this initial stage, evaluation for any lasting chronic kidney disease is done to decide on long-term therapy. Depending on the underlying cause of kidney injury, the prognosis can range from good to guarded. Initial response to treatment and follow-up bloodwork tells us a lot about further prognosis.
DIAGNOSIS INFORMATION/CONCERNS: ADDISON'S
Addison's Disease: Addison’s disease in dogs is a complex condition in which there is a malfunction of the adrenal glands, which regulate the body’s response to stress and the kidneys’ ability to regulate electrolytes. This results in the dog becoming physically ill in response to a stressful event (which normally would not cause any problems), and can result in life threatening electrolyte imbalances (high potassium levels, low sodium levels). The treatment for Addison’s disease is to mimic the body’s day to day stress response with a steroid (usually prednisone), and replace the hormone that tells the kidneys how to regulate the electrolytes (called DOCP or Percorten). For more information, visit https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951484
DIAGNOSIS INFORMATION/CONCERNS: CYSTOTOMY
Cystotomy Procedure - removal of bladder stones.
DIAGNOSIS INFORMATION/CONCERNS: DENTAL PROCEDURE
Dental cleaning and health assessment, full mouth radiographs, cleaning of the teeth. Extractions:
DIAGNOSIS INFORMATION/CONCERNS: ENUCLEATION
Eye removal procedure.
DIAGNOSIS INFORMATION/CONCERNS: EX-LAP/GI FB
DIAGNOSIS INFORMATION/CONCERNS: FEEDING TUBE
Esophagostomy tube placement (E-Tube)
DIAGNOSIS INFORMATION/CONCERNS: WOUND EXPLORATION AND REPAIR
DIAGNOSIS INFORMATION/CONCERNS: URETHRAL OBSTRUCTION
There are many causes of urethral obstruction in cats - blood clots or inflammatory debris, crystal formation, stones, or urethral spasm. Feline Lower Urinary Tract Disease (also known as Feline Idiopathic Cystitis), does not have a specifically known cause, and there are no cures. However, there are many management strategies.
Urinalysis shows inflammation but no bacteria. This is consistent with FLUTD/FIC. We are going to start treating symptomatically with anti-spasmodics and pain medication.
Your cat is showing signs of a urinary tract infection based on urinalysis run today in clinic. There was bacteria in the urine as well as cells that show that there is inflammation and pain in the bladder.
There are crystals in your cat's bladder and urine, and the urine is very concentrated. While sometimes special diets are needed to help prevent further formation of crystals, many cats can be managed by diluting out the urine as much as possible. This can be done by encouraging water intake and feeding canned food.
There are stones in your cat's bladder. These can occasionally be dissolved through diet, but frequently require surgery to fix them.
More information on these conditions can be found at veterinarypartner.com or at the Indoor Pet Initiative.
It is very important, especially for male cats, to monitor for signs of urinary blockage - straining in the litterbox and unable to produce urine. This is a medical emergency in cats. Please see the above links and handouts for further information on FLUTD and other environmental changes that may be helpful, regardless of the underlying cause of your cat's lower urinary tract signs.
Other:
OTHER DIAGNOSIS INFORMATION/CONCERNS
AT HOME NURSING CARE: GASTROENTERITIS/VOMITING/DIARRHEA
No special nursing care needed.
Other
AT HOME NURSING CARE: OTITIS/EAR INFECTION
No special nursing care needed.
Clean ears 2-3x per week for 2 weeks then weekly on an ongoing basis for maintenance. Please see the attached handout for information on how to administer ear cleaning and medication.
Other
AT HOME NURSING CARE: CUTEREBRIASIS
No special nursing care needed.
Keep any visible wound clean and dry at all times.
Apply warm compresses for 5-10 minutes twice daily, or rinse gently with lukewarm tap water and pat dry.
Keeping cats indoors and preventing hunting is the best way to prevent future occurrences.
Nasal discharge can be broken up by using plain saline nose drops as needed (such as Little Remedies brand).
Other
AT HOME NURSING CARE: ANAL GLAND ABSCESS
No special nursing care needed.
An E-Collar (cone) should be worn at all times to prevent licking at the abscess. A pair of briefs can be helpful for hygiene. Turn them upside down so the tail can go through the front opening.
Apply warm compresses to the affected area for 5-10 minutes twice daily. These should be clean, damp clothes, warm but not hot to the inside of your wrist.
Keep the affected area clean and dry of debris/discharge. Gently rinse with lukewarm tap water or sterile wound spray and pat dry. Do not pick or scrub at the incision itself.
Other
AT HOME NURSING CARE: MANUAL INPUT
No special nursing care needed.
AT HOME NURSING CARE: ANXIETY
No special nursing care needed.
Cat pheromone recommendations: Feliway, Feliway Multicat
Consider using calming pheromone diffusers in your home to help promote a calm environment.
Dog pheromone recommendations: Adaptil
Work with your primary care veterinarian, a specialty veterinary behaviorist, or certified pet trainers to develop behavior modification and training plans that are tailored to your pet's specific needs.
Local training and behavior resources: Veterinary Behavior Specialties of Minnesota: https://vetbehaviormn.com/
Local training and behavior resources: Animal Humane Society: https://www.animalhumanesociety.org/behavior/training-classes
There are many other training schools in the Twin Cities area offering classes, private lessons, etc.
Other:
AT HOME NURSING CARE: TORN/BROKEN NAIL
No special nursing care needed.
E-collar: Keep one on for the next few days to allow the quick to callous over completely if your pet is licking at the nail bed. If you need to come back and pick one up from us you may.
Monitor the nail for redness, drainage, or discharge.
Chlorhexidine foot soaks twice daily until healed - dilute a small amount (1 squirt) into a cup of lukewarm water and soak foot for 5 minutes or as long as your pet will tolerate.
A bandage was applied to help with bleeding. This can be removed at home tomorrow.
If sensitive, your pet may prefer to wear a boot to protect the nail when outside.
Other
AT HOME NURSING CARE: AURAL HEMATOMA
No special nursing care needed.
Consider a No Flap Ear Wrap (Can purchase online) to help keep trauma down as the ear heals. Link: www.noflapearwrap.com
Clean the area around the cannula twice daily (more if needed) to prevent build-up of discharge on the skin. You can use lukewarm water to gently rinse and wipe it away, but do not pick or scrub.
Other
AT HOME NURSING CARE: AURAL POLYP
No special nursing care needed.
Keep your cat confined in an area where they cannot jump/climb/fall until steady on their feet. Keep food/water/litter nearby to help them get to it very easily.
Please see the handout for information on how to administer ear cleaning and medication.
Other
AT HOME NURSING CARE: BANDAGE/SPLINT
Bandage/Splint Nursing Care: A bad bandage can cause worse injuries than the bandage is protecting; taking good care of the bandage is critically important. Monitor twice daily for: swelling of the toes or above the bandage, damage, foul smell, moisture, new pain/discomfort, or slipping of the bandage. If observed, please have the bandage changed ASAP. Protect the bandage with a rubber boot, MediPaw boot, plastic bag or plastic wrap whenever the patient is outside. Even short play time on seemingly dry soil can wick moisture into the bandage. Do not allow the patient to lick or chew the bandage. An Elizabethan collar (cone) may be necessary. Activity needs to be limited to short leash walks for potty breaks only.
AT HOME NURSING CARE: BLACK FLY GNAT BITE
Black Fly Gnat Bite Nursing Care: No special nursing care necessary. Keeping out of vegetation may help prevent these, but they are not harmful.
AT HOME NURSING CARE: CAT BITE ABSCESS
An E-Collar (cone) should be worn at all times to prevent licking at the abscess. Apply warm compresses to the affected area for 5-10 minutes twice daily. These should be clean, damp clothes, warm but not hot to the inside of your wrist. Apply gentle pressure and gently massage towards the drain site, if one has been placed. Keep the surgical area clean and dry of debris/discharge. Gently rinse with lukewarm tap water or sterile wound spray and pat dry. Do not pick or scrub at the incision itself.
AT HOME NURSING CARE: CAT LIMP TAIL
Keep your cat quiet and away from things that may continue to irritate the tail. This could be jumping and landing funny from high spaces, children pulling on tails, doorways closing, etc.
AT HOME NURSING CARE: CHRONIC DISEASE RECHECK
No special nursing care needed.
CONTINUE with current nursing care until bloodwork results are received.
Other
AT HOME NURSING CARE: CONJUNCTIVITIS
An E-collar should be worn at all times to prevent the patient from scratching or rubbing at the eye.
AT HOME NURSING CARE: CORNEAL ULCERATION
An E-collar should be worn at all times to prevent the patient from scratching or rubbing at the eye. Use a harness for any walks and do not allow any excessive pressure to be placed on the neck.
AT HOME NURSING CARE: CRUCIATE RUPTURE
It is important to have your pet on strict rest for the next 4-6 weeks, or until surgery consult. This means no walks, no running, no stairs. They should be on leash in the home or in a crate, and leashed to go outside to go to the bathroom only. We understand that this may be difficult, but it is the best way to allow for healing and recovery. There may be the option to prescribe a sedative such as Trazodone or Gabapentin if it is difficult to keep them calm.
AT HOME NURSING CARE: CUTEREBRA
Keeping away from rodent or rabbit burrows may help prevent these in the future.
AT HOME NURSING CARE: DROP OFF
No special nursing care needed.
AT HOME NURSING CARE: FELINE ASTHMA
No special nursing care needed.
AT HOME NURSING CARE: FLUTD
No special nursing care needed.
AT HOME NURSING CARE: GLAUCOMA
An E-collar should be worn at all times to prevent the patient from scratching or rubbing at the eye.
AT HOME NURSING CARE: HOT SPOT
E-collar to be worn at all times. Keep the wound clean and dry - gently rinse with lukewarm water and pat dry only if needed to prevent discharge build-up on the skin. Keep patient indoors with the a/c on while healing, other than short potty breaks or walks outside. Any swimming or bathing in the humid months should be followed by a rinse, thorough towel drying, and possibly even a cool-air blow dry.
AT HOME NURSING CARE: ITCHY DOG/CAT
No special nursing care needed.
Unscented baby wipes can be used to remove pollens from feet after being outside. Air filters or humidifiers and using unscented laundry detergent can help decrease environmental irritation.
Routine ear cleaning with TrizUltra ear cleaner can help prevent flare-ups of ear infections.
We suspect your pet may have ringworm. For instructions on environmental and home decontamination, please see the handout here: https://veterinarypartner.vin.com/default.aspx?pid=19239&catId=102903&id=7058488
Other
AT HOME NURSING CARE: KCS
No special nursing care needed.
An E-collar should be worn at all times to prevent the patient from scratching or rubbing at the eye until tear production is adequately controlled.
Other
AT HOME NURSING CARE: KENNEL COUGH
No special nursing care needed.
Keep your dog calm during the recovery period.
Other
AT HOME NURSING CARE: LAMENESS/IVDD
No special nursing care needed.
Strict rest: Leash walks for potty breaks only. No running, jumping, furniture, or playing. Use a kennel or leash/tether to minimize activity and movement in the house.
Limited activity: Your pet may have slow/short walks as long as they are not limping or sore afterwards. Avoid any strenuous activity/exuberant play for 2 weeks, then gradually return to normal activity.
Keep your cat indoors at all times until healed.
Cage rest: Your cat needs to stay in a cage at all times. It should be big enough for a sleeping area, litterbox, and food/water dishes, but not enough for your cat to wrestle, climb, or play.
Icing the sore area for 10-15 minutes twice daily can help decrease pain and inflammation.
Warm compresses can help sore muscles loosen up. Make sure it is not too hot to hold to the inside of your wrist for several minutes. Apply for 5-10 minutes and then gently massage the area if it is tolerated by your pet.
A help-em-up harness may be useful to assist you with managing your pet. This particular style can stay on them nearly all the time and has a front and back for stability; extension straps can be added if needed to help you maneuver them around: https://helpemup.com/
Other
AT HOME NURSING CARE: CANINE LOWER URINARY TRACT DISEASE
No special nursing care needed.
Collect urine - place in clean container in fridge, bring in for urinalysis within 12 hours of collection.
Other
AT HOME NURSING CARE: MASS EVALUATION
No special nursing care needed.
Continue to monitor the mass for any signs of growth, change, or ulceration. These would be an indication to have this mass rechecked.
Keep an E-Collar on to prevent licking at the mass.
Avoid any trauma to the mast cell tumor, including feeling it firmly.
Other
AT HOME NURSING CARE: PARVOVIRUS
No special nursing care needed.
Monitor for decreased appetite, decreased water consumption, weakness, lethargy, vomiting, and worsening diarrhea, all may indicate that hospitalization is needed.
Your dog should be strictly isolated from all other dogs until no longer shedding virus (see information below).
Other
AT HOME NURSING CARE: PAPILLOMAVIRUS
No special nursing care needed.
Other
AT HOME NURSING CARE: PERIODONTAL DISEASE (SEVERE)
No special nursing care needed.
Other
AT HOME NURSING CARE: SUPPORTIVE CARE
No special nursing care needed.
Other
AT HOME NURSING CARE: PALLIATIVE CARE
No special nursing care needed.
Continue your great care!
An IV catheter was placed during your pets hospitalization to help administer fluids and medications. The catheter was removed and a pressure bandage was placed over the site. This bandage can be removed in 1-2 hours.
Other
AT HOME NURSING CARE: POST-BITE RABIES
Because your pet was up to date on Rabies vaccination, 45 day confinement and observation at home is recommended. Do not allow your pet to interact with other pets. Your pet should be in a fenced yard or in the house at all times.
Because your pet was overdue for Rabies vaccination, 120 day confinement and observation at home is recommended. Do not allow your pet to interact with other pets. Your pet should be in a fenced yard or in the house at all times.
Because there is no documentation of previous Rabies vaccine available, blood has been drawn (prior to receiving Rabies booster) to check Rabies titers. This will help guide decisions regarding confinement. Plan on confinement for 120 days or quarantine for 180 days.
Because your pet has never had a Rabies vaccine, quarantine is required for 120 days. This must be at a special facility preventing any interaction with humans or animals.
Your pet bit another pet or human, and must be confined and observed in the home for 10 days.
Other:
AT HOME NURSING CARE: SEIZURES
Start a journal or log of seizure activity, noting anything that seemed to set it off, time of day, length of seizure, and time it took to return to normal behavior.
AT HOME NURSING CARE: TRIGEMINAL NEURITIS
It is important to monitor for any signs of aspiration pneumonia (increased coughing or labored breathing).
You may offer your pet a ball to chew on to help encourage development of muscle strength as their normal function slowly returns.
Other:
AT HOME NURSING CARE: ULTRASOUND/ECHOCARDIOGRAM
No special nursing care needed.
Please monitor your pet's respiratory rate when sleeping. Monitoring this parameter allows us identify disease progression before it causes serious clinical consequences. Monitoring method: Observe your pet when sleeping or resting comfortably in a thermoneutral environment (i.e. not too hot, not too cold). Count the number of breaths in 15 seconds (one complete breath includes both inspiration and expiration). Multiply that number by 4 to give the number of breaths per minute (i.e. the "respiratory rate"). The normal sleeping respiratory rate should stay below 30-35 breaths/minute. Please notify us if you observe a progressive increase in your pet's respiratory rate or if the rate increases above 40. If sudden and severe changes are noted please take your pet to the nearest emergency room. Also monitor your pet for: respiratory distress, labored breathing, inappetence, vomiting, weakness, collapse, seizure-type activity, or severe lethargy. Please seek veterinary evaluation if any of these signs are observed.
Other:
AT HOME NURSING CARE: FELINE URI
No special nursing care needed.
Spending time in steamy shower room can help break up secretions and ease breathing.
Some cats may benefit long-term from a lysine supplement if they have repeat URI signs. We recommend Viralys powder or gel.
Other:
AT HOME NURSING CARE: VESTIBULAR
Set up a restricted area at home for recuperation. It should have soft clean bedding, non-slippery floors, and easy access to food and water. There should not be any furniture for the patient to jump or climb on, due to risk of falling. Carry outside or use a sling to help support for potty breaks outside.
No special nursing care needed.
Other:
AT HOME NURSING CARE: VOMIT WITH APO OR DEXMED
No special nursing care needed.
Monitor at home for any further signs of vomiting or other concerns.
Other:
AT HOME NURSING CARE: WEIGHT LOSS
No special nursing care needed.
Weigh your pet at home weekly. For cats - the best way to do this will be to purchase a baby scale online that they can stand on.
Other:
AT HOME NURSING CARE: CONGESTIVE HEART FAILURE (CHF)
Continue your great care!
Weigh your pet at home weekly. For cats - the best way to do this will be to purchase a baby scale online that they can stand on.
Your pet had an IV catheter placed to help with fluids and medication. This
Monitor your pet for any signs of exercise intolerance (collapse, change to mucous membrane colors, trouble breathing or coughing with exercise) as these may be an indication that your pet needs their dosing adjusted.
Monitoring the Sleeping Respiratory Rate: Your pet must be resting quietly or sleeping. Watch the chest rise and fall until you are able to see each breath clearly. Count the number of breaths taken in one minute. Less than 25 breaths per minute = normal, good control of heart failure. Greater than 25 breaths per minute but less than 50 = call your veterinarian, medications may need to be increased. Greater than 50 breaths per minute = take your pet to a veterinarian or veterinary emergency center today. There are a number of apps available on Google Play and Apple stores that can be helpful when monitoring respiration rates.
Other:
AT HOME NURSING CARE: DIABETES
Treatment of Diabetes Mellitus involves insulin administration.
We have provided a starting dose of insulin to help bring the blood sugar down, but it will need to be fine-tuned based on results of monitoring tests. Please schedule an appointment at the GP of your choice as soon as possible to establish care and start making adjustments.
Once we start insulin, the most important thing is to monitor for signs of hypOglycemia (low blood sugar). This would mean the insulin dose is too high and the blood sugar is too low; which can become a life-threatening emergency. Short term, low blood sugar is always more dangerous than high blood sugar. If you notice any of the following signs at any point, you should apply karo syrup (keep some handy from now on!) to your pet's gums (to allow the sugar to soak in) and have your pet evaluated at a veterinary clinic immediately. This is a very rare but important situation to monitor. If seen, do NOT give insulin again until your pet has been evaluated by a veterinarian. Symptoms of hypoglycemia include: Seizures, lack of responsiveness, tremors or muscle twitching, incoordination, unconsciousness, extreme lethargy, skipping meals, excessive drooling, vomiting
It may be helpful to perform glucose curves at home. Please discuss with your GP.
Other:
AT HOME NURSING CARE: CHRONIC KIDNEY DISEASE (CKD)
No special nursing care needed.
Continue your great care!
Other:
AT HOME NURSING CARE: PYOMETRA
Monitor your pet closely. If she is not acting herself or seems to have a decline in energy, refuses food, or has any other concerning behavior pop up prior to surgery, she should be evaluated ASAP by a veterinarian.
AT HOME NURSING CARE: GI OBSTRUCTION
• Leash walks to toilet ONLY for two weeks - no running, jumping, wrestling, rough play, or going to the dog park. • Keep the incision clean and dry - no bathing or swimming for two weeks. What to watch for after removal of a gastrointestinal obstruction: • It is okay for your pet not to eat right away but they should begin eating at least small amounts within 24 hours. • Your pet should not vomit - vomiting is cause for concern, please call us. • It is common and normal for the pet not to have a bowel movement for a few days, so long as they are otherwise improving. • Look at the incision twice a day - a small amount of redness and discharge is normal for a day or two, but should quickly improve. If you notice worsening redness, discharge, swelling, or pain, please contact us. • Do not try to clean the incision. If there is dried discharge around the incision it can be removed with a cotton ball and water, but leave the incision itself alone. • Keep the cone/elizabethan collar on at all times for two weeks to prevent licking, chewing, or scratching.
AT HOME NURSING CARE: ACUTE KIDNEY INJURY
Allow your pet to rest in a quiet room of their own, so that you can closely monitor bathroom and eating habits.
No exercise or activity restrictions
Other:
AT HOME NURSING CARE: ADDISON'S
Continue your great care!
Avoid stress, excitement, and strenuous activity until your pet is stable and regulated
If stress or excitement are anticipated, give an extra dose of prednisone prior to the event.
If you will be unable to give your dog’s DOCP injection or get them to the veterinarian on the exact due date, giving the injection before the due date is best. A significant delay in giving the injection may result in your pet getting sick.
Your pet has a bandage where their IV catheter was placed to help with fluids and medication. This may be removed in 1-2 hours.
Other:
AT HOME NURSING CARE: CYSTOTOMY
It is common and normal for an animal who has been sedated or been under general anesthesia not to have a bowel movement for a few days. So long as they are otherwise improving and are not actively straining to produce stool, this is not a concern. If it has been more than 2 days since surgery, please let us know. You may see bloody urine for the first 2-3 days, this is normal. If you continue to see bloody urine or if your pet is straining to urinate or unable to urinate, please contact us. Incision Site Care: - Please check your pet’s incision site daily and take notice of any changes in appearance. Seroma (collection of bloody fluid) or dehiscence (break down and opening of the incision) are possible complications, especially with too much activity or tension at the surgery site. - A certain amount of redness and swelling is normal for many wounds/incisions and is actually necessary for healing to begin. A small amount of redness and discharge is normal for a day or two, but should quickly improve. If you notice worsening redness, discharge, swelling, or pain, please contact us. - Keep the incision clean and dry at all times. If there is dried discharge on the skin and fur around the incision it can be removed with a cotton ball or washcloth and water, but leave the incision itself alone. - Your pet should not be allowed to lick, bite or chew at the incision site. Keep the cone/Elizabethan collar on at all times for two weeks to prevent licking, chewing, or scratching. - Apply a cold pack to the wound (if your pet allows this) for 10 minutes, 3 times a day for the first 3 days.
EXERCISE RESTRICTIONS: CYSTOTOMY
Leash walks for bathroom breaks ONLY for 2 weeks - no running, jumping, wrestling, rough play, or going to the dog park.
Keep your cat as calm as possible - it may help to confine them to a room where they are unable to jump and climb.
We know how difficult it can be to restrict activity after surgery. Our recommendations are specific to your pet and should be followed as closely as possible. Some complications can many times be avoided completely just by preventing too much activity in the immediate postoperative period. Please let us know if medication to help keep your pet calm would be helpful.
No exercise restrictions are needed.
Other:
AT HOME NURSING CARE: WOUND EXPLORATION AND REPAIR
Incision Care: Please check your pet’s incision site daily and take notice of any changes in appearance. Seroma (collection of bloody fluid) or dehiscence (break down and opening of the incision) are possible complications, especially with too much activity or tension at the surgery site. A certain amount of redness and swelling is normal for many wounds/incisions and is actually necessary for healing to begin. A small amount of redness and discharge is normal for a day or two, but should quickly improve. If you notice worsening redness, discharge, swelling, or pain, please contact us. If there is dried discharge on the skin and fur around the incision it can be removed with a cotton ball or washcloth and water, but leave the incision itself alone. Your pet should not be allowed to lick, bite or chew at the incision site. We recommend obtaining an “Elizabethan” collar which is placed around the neck in order to prevent your pet from bothering the incision. Dental or other oral procedures; you may see bloody saliva for the first few days, this is normal. If you continue to see bloody saliva or notice a foul smell coming from your pets mouth please contact us. Apply a cold pack to the wound (if your pet allows this) for 10 minutes, 3 times a day for the first 3 days. Bandage Instructions: Please check your pet’s bandage twice daily and take notice of any changes in appearance. If the bandage is on a limb, please check the toes twice daily to make sure they are not twisted or swollen. Your pet should not be allowed to lick, bite or chew at the bandage. Keep a cone/Elizabethan collar on at all times to prevent licking or chewing. Limit movement of the bandaged area to prevent damage to the bandage and encourage healing. (No running, jumping, wrestling, park visits, etc) Keep the bandage clean and dry at all times. If the bandage is wet, is must be changed or removed that day. Use saran wrap, trash bags, or other thick plastic to protect the bandage from mud, rain, and snow - remove these as soon as they are back inside
EXERCISE RESTRICTIONS: WOUND EXPLORATION AND REPAIR
We know how difficult it can be to restrict activity after surgery. Our recommendations are specific to your pet and should be followed as closely as possible. Some complications can many times be avoided completely just by preventing too much activity in the immediate postoperative period.
Leash walks for bathroom breaks ONLY for 2 weeks - no running, jumping, wrestling, rough play, or going to the dog park.
Keep your cat as calm as possible - it may help to confine them to a room where they are unable to jump and climb. They should stay indoors at all times.
No exercise restrictions are needed.
Other:
AT HOME NURSING CARE: DENTAL PROCEDURE
No special exercise restrictions once recovered from anesthesia. Your pet may have had teeth extracted. If this is the case, the gums have been sutured in order to prevent any food accumulation in the area left behind by the tooth. It is important to be gentle with the mouth while things are healing. Do not tug on the lips or try to look at the extraction sites, as they are better left alone while healing. Please make sure your pet does not rub their mouth as this may open up the sutures. With dental or other oral procedures; you may see bloody saliva for the first few days, this is normal. If you continue to see bloody saliva or notice a foul smell coming from your pets mouth please contact us 763-390-4050. We recommend yearly dental cleaning and assessment for all patients as part of their comprehensive oral health plan.
AT HOME NURSING CARE: ENUCLEATION PROCEDURE
Exercise should be restricted to leash walks for bathroom breaks ONLY, for 2 weeks - no running, jumping, wrestling, rough play, or going to the dog park. Keep your cat as calm as possible - it may help to confine them to a room where they are unable to jump and climb. Please check your pet’s incision site daily and take notice of any changes in appearance. Seroma (collection of bloody fluid) or dehiscence (break down and opening of the incision) are possible complications, especially with too much activity or tension at the surgery site. A certain amount of redness and swelling is normal for many wounds/incisions and is actually necessary for healing to begin. A small amount of redness and discharge is normal for a day or two, but should quickly improve. If you notice worsening redness, discharge, swelling, or pain, please contact us. Keep the incision clean and dry at all times. If there is dried discharge on the skin and fur around the incision it can be removed with a cotton ball or washcloth and water, but leave the incision itself alone. Your pet should not be allowed to rub their face on furniture or carpet, or scratch or paw at the surgical site. Keep the cone/Elizabethan collar on at all times for two weeks to prevent licking, chewing, or scratching. Apply a cold pack to the wound (if your pet allows this) for 10 minutes, 3 times a day for the first 3 days. Place cloth between an ice pack or bag of frozen vegetables.
AT HOME NURSING CARE: EX-LAP/GI FB
Exercise should be restricted to leash walks for bathroom breaks ONLY, for 2 weeks - no running, jumping, wrestling, rough play, or going to the dog park. Keep your cat as calm as possible - it may help to confine them to a room where they are unable to jump and climb. Please check your pet’s incision site daily and take notice of any changes in appearance. Seroma (collection of bloody fluid) or dehiscence (break down and opening of the incision) are possible complications, especially with too much activity or tension at the surgery site. A certain amount of redness and swelling is normal for many wounds/incisions and is actually necessary for healing to begin. A small amount of redness and discharge is normal for a day or two, but should quickly improve. If you notice worsening redness, discharge, swelling, or pain, please contact us. Keep the incision clean and dry at all times. If there is dried discharge on the skin and fur around the incision it can be removed with a cotton ball or washcloth and water, but leave the incision itself alone. Your pet should not be allowed to lick, bite or chew at the incision site. Keep the cone/Elizabethan collar on at all times. You may apply a cold pack to the wound (if your pet allows this) for 10 minutes, 3 times a day for the first 3 days. Place cloth between an ice pack or bag of frozen vegetables.
AT HOME NURSING CARE: FEEDING TUBE
Monitor For If your pet coughs or develops breathing problems, STOP if you are attempting to feed and seek veterinary attention ASAP. This may be a sign of aspiration. Your pet may need an e-collar if they are scratching at or bothering the e-tube. Feeding Tube Care Instructions: Check the position of the tube daily. If there is any foul odor or active drainage, have a veterinarian evaluate the site ASAP. You may notice a small area of bright pink tissue at the incision - this is normal. If there is any foul smelling odor or pus, this should be evaluated immediately. Clogged Feeding Tubes: Check for kinks in the external tube. Massage the external tube to break up any material or debris. If the tube flushes but food does not go through, check the food syringe - it is possible the end of this is blocked, not the feeding tube. Flushing the tube with a small amount (6 mL) of water, you may apply some force. If that does not work, flush a small amount (6 mL) of Coca-Cola into the tube and allow it to sit for 10 minutes. The bubbles can help break up the clog. If that does not work, bring your pet in for us to evaluate the feeding tube. Bandage Instructions: Please check your pet’s incision site and perform a bandage change daily. Take notice of any changes in appearance; including redness, discharge, or swelling. Replace the bandage as follows: Clean around the exit site with dilute chlorohexidine or Hibiclens on a cotton tipped applicator. Apply a small amount of antibiotic ointment (SSD cream) to the skin around the tube. Apply sterile gauze with a slit cut in it so it surrounds the e-tube. Loosely wrap 1-2 layers of soft gauze around the neck, being careful to not pull too tight. Loosely wrap 1-2 layers of roll gauze around the neck, being careful to not pull to tight. Cover with Vet Wrap to protect from spills and liquid. When the bandage is placed, it should be flat, free from rolls or folds, and you should be able to place your fingers flat underneath it. A Kitty Kollar is a helpful alternative to bandaging. It can be ordered online, or crafty people have been able to sew one of their own.
AT HOME NURSING CARE: URETHRAL OBSTRUCTION
Monitoring/What to Watch Out For: Your pet had a urinary catheter placed today. Some red drainage from his penis is normal. Your pet should not be allowed to lick, bite or chew at the penis. If you find it impossible to stop your pet from doing this we recommend obtaining an “Elizabethean” collar which is placed around the neck in order to prevent your pet from bothering the area. The main concern for your pet is that he pass urine. If he does not pass urine for 24 hours, he should be reevaluated by a veterinarian as this may be a sign that he has blocked again. Exercise and Activity: Please keep your pet in an area with the least amount of stress for them with a litter box readily available, as well as food and water.
SUPPLIMENTAL AT HOME NURSING CARE
POST SEDATION INSTRUCTIONS
Your pet was sedated today: Your pet may be groggy for about 12 hours after anesthesia, and pacing, disorientation, and vocalization may occur. It is best to restrict children from pets for 18 to 24 hours. Do not give any nonprescription drugs to your pet unless instructed by your veterinarian (NO aspirin, tylenol, etc.). Pets may be nauseous after sedation. It is okay to feed your pet after their procedure. To determine if your pet will tolerate food after sedation, we recommend starting with small, frequent meals instead of one large one. If your pet vomits after a small meal, withhold food for about 12 hours before trying again. Pets’ bathroom habits may change for 24 - 72 hours after sedation. If you have any concerns about your pet’s bathroom habits, or if they are straining to use the bathroom, please contact us or have them evaluated at your nearest general practice clinic, urgent care clinic, or emergency clinic. If you have any additional concerns, please don’t hesitate to reach out to us! Our hours are Wednesday – Saturday, 8:30 am – 6:30 pm. If we’re unavailable, and you feel your pet is not doing well. Please have them further evaluated at any local clinic or emergency room.
DIET INSTRUCTIONS: SUPPORTIVE CARE
No special diet is needed.
Tempt your pet to eat: Tempting a pet to eat sounds easy but can actually be quite frustrating. The following are some helpful tips to make sure you have the best chances: Start by trying canned food. You can also try mixing this with some dry food to make it more flavorful. Offer something that is a delicacy to your pet - dogs may be interested in a can of cat food, which is just fine for a few meals. Baby food, as long as it is meat based and does not have onions or garlic in the ingredients, can be another option for dogs and cats. It may help to run a small amount of food on your pet's gums to start their interest in food. If your pet is doing a lot of lip licking or drooling, this may mean that they are nauseous. There are some medications that can be prescribed to help with nausea if this is part of their problem. Some pets may wish to eat with their owners around, some may wish to eat in isolation from people or other pets in the house. If there is continued lack of interest in food for a day or so, there are some medications that can be prescribed to help stimulate appetite, such as Mirtazapine or Capromorelin (Entyce). Some pets may need the help of a feeding tube to get through a bout of inappetence/anorexia. This sounds scary, but can be very helpful - especially for cats who are at a higher risk of developing secondary illness that can be much more serious than whatever caused them to stop eating in the first place.
Feed a bland diet for 3-5 days (Hill's or homemade). See directions below.
Other
DIET INSTRUCTIONS: GASTROENTERITIS/VOMITING/DIARRHEA
No special diet is needed.
Feed a bland diet for 3-5 days (Hill's or home made). See directions below
Fiber can be added to provide bulk and further support to the digestive system. An easy way to do this is to feed canned pumpkin - 1 tbsp/10 lb - mixed with each meal.
A probiotic can be helpful to correct GI flora (good bacteria). A daily dose of a spoonful of plain yoghurt, Culturelle, or a probiotic called ProViable (available through us) are good options.
Other
DIET INSTRUCTIONS: VOMIT WITH APO OR DEXMED
No special diet is needed.
Feed a bland diet for 3-5 days (Hill's or home made). See directions below
Other
DIET INSTRUCTIONS: MANUAL INPUT
DIET INSTRUCTIONS
No special diet necessary.
DIET INSTRUCTIONS
Softening kibble with water or feeding canned food may be more comfortable to swallow.
DIET INSTRUCTIONS
No special diet is needed. You may feed small meals this evening if your pet is interested in food.
DIET INSTRUCTIONS
No special diet is needed. Consider adding in a supplement to help promote calm behavior. Purina Pro Plan has a line of calming probiotics for dogs and cats that can be purchased online. You may need a prescription for these medications, which can be requested through online pet pharmacies or through your primary care veterinarian.
DIET INSTRUCTIONS
No special diet is needed. However, with a decrease in activity, cutting food back by 10% is recommended to avoid weight gain. It is ok for the patient to eat when they are steady on their feet and hungry, typically in 2-4 hours.
DIET INSTRUCTIONS: CHRONIC DISEASE RECHECK
No special diet is needed.
CONTINUE with current diet until bloodwork results are received.
DIET INSTRUCTIONS: DROP OFF
No special diet is needed.
Your pet should have food removed at midnight the night prior to drop-off for sedation and anesthesia.
Your pet does not need to fast prior to sedation or anesthesia as they are too young.
Feed 1 hour prior to drop-off and time it as follows with your pet's medication:
Feed 2 hours prior to drop-off and time it as follows with your pet's medication:
Feed 3 hours prior to drop-off and time it as follows with your pet's medication:
Feed 4 hours prior to drop-off and time it as follows with your pet's medication:
Feed 5 hours prior to drop-off and time it as follows with your pet's medication:
Feed 6 hours prior to drop-off and time it as follows with your pet's medication:
Other
DIET INSTRUCTIONS: FLUTD
No special diet is needed.
Prescription urinary diet is recommended. If your cat doesn't like this brand, there are others we can try.
Increase your cat's water consumption. Ideas to try include: Use wide shallow dishes filled to the brim | Use dishes made of glass, ceramic, or stainless steel, avoiding plastic | Leave a tap dripping | Use a kitty water fountain | Place several dishes around the house, away from food, litterboxes, and busy areas | Add water to wet food or soak kibble if your cat will eat either of these
Other
DIET INSTRUCTIONS: ITCHY DOG/CAT
No special diet is needed.
We recommend a diet trial of hypoallergenic food. This requires strict adherence to a specific diet for 6 weeks, with no treats or table scraps allowed.
Fatty Acid supplement - can be helpful to strengthen skin barrier and decrease flare-ups. We recommend Eicosa3FF (available here). OTC fish oil supplements can also be used. (Aim for approximately 100mg/pound.) Give this once to twice daily with food.
Probiotics - There is some early research suggesting probiotics may help with allergies. It is safe to add an over the counter probiotic such as Culturelle to food once daily.
Other
DIET INSTRUCTIONS: LAMENESS/IVDD
No special diet is needed. However, decreasing food by 10-15% is recommended to avoid weight gain during decreased activity.
Weight loss is recommended, as excessive weight can be hard on joints long term. See https://www.petnutritionalliance.org/ for ideas to help bring the weight down.
Other
DIET INSTRUCTIONS: CANINE LOWER URINARY TRACT DISEASE
No special diet is needed.
A written prescription has been provided for dissolution diet. Start and feed exclusively as soon as you are able.
Other
DIET INSTRUCTIONS: PERIODONTAL DISEASE (SEVERE)
No special diet is needed.
Dogs and cats typically continue to eat well even with severe dental disease, but soaking kibble in water or giving wet food may be more comfortable for them until their dental procedure.
Other
DIET INSTRUCTIONS: PALLIATIVE CARE
No special diet is needed.
This condition is best managed on a tailored or prescription diet. We have a prescription on file.
Other
DIET INSTRUCTIONS: SEIZURES
No special diet is needed. While many diets will claim to help prevent seizures, there is absolutely zero evidence of this. We recommend an over the counter adult maintenance diet. Avoid grain free diets due to risk of cardiomyopathy/heart damage.
DIET INSTRUCTIONS: TRIGEMINAL NEURITIS
The most important part of this condition is supporting the dog’s eating and drinking because dehydration is the biggest concern for pets with this condition. Slurry feeding helps your pet meet their daily food and water requirements. Please see instructions below on slurry feeding. Most pets have enough tongue function that they are able to meet their nutritional needs with slurry feeding. General instructions for how to feed a slurry diet for trigeminal neuritis: - Make a slurry with a complete and balanced soft food diet like Royal Canin GI Low Fat. The ratio should be ½ cup of soft food to ⅛-¼ cup of water. Mix the food and water together with a spoon until they come together in a slurry like consistency. If using a different type of soft food or using a stew, adjust ratio accordingly. - Place the food in a wide, shallow bowl so that your pet can lap the food up with their tongue but does not try to submerge their nose in the food. - Put the feeding container on a large towel or on an easily wipeable surface. Your pet will be a messy eater while they have this condition! - Food should be divided into 3 or 4 meals as your schedule allows to support your pet’s nutritional and hydration needs throughout the day. - Be patient with your pet’s meals! They are not going to eat as well as they normally do and it will make a mess. Allow them plenty of time to eat their food and wipe any food or water off your pet after feeding to help maintain your pet’s hygiene while they are a messy eater. - Your pet may act very thirsty. If you feel like additional water should be offered to your pet, you can use a syringe with no needle (provided) to drip water on their tongue to help give the sensation of “wetting the tongue”. Please do not squirt water to the back of the mouth as there is a risk of it going into the trachea and down to the lungs. You may also offer a small amount of water in a bowl, but observe your pet drinking to make sure they don’t submerge their nose in the water. - It’s okay if your pet doesn’t finish all their slurry at each meal time. If they seem done with their food, you can refrigerate the slurry and offer it to them later in the day. The goal is to provide them as much nutritional support as possible while this condition persists.
DIET INSTRUCTIONS: CONGESTIVE HEART FAILURE
Diet is an important part of disease management. Please see the following link for further information: https://heartsmart.vet.tufts.edu/nutrition
DIET INSTRUCTIONS: FELINE URI
No special diet is needed.
Tempt your cat to eat:
Other:
DIET INSTRUCTIONS: WEIGHT LOSS
No special diet is needed.
Tempt your pet to eat:
Other:
DIET INSTRUCTIONS: PARVOVIRUS
No special diet is needed.
Pedialyte - electrolyte support. Pick this up at grocery store or pharmacy. Offer small amounts regularly, or follow instructions on bottle. You may also freeze this into an ice cube.
Karo syrup - blood sugar support. Apply a small amount to the gums every 2-4 hours if your pet is not eating or drinking.
Offer small amounts of bland diet frequently.
Other:
DIET INSTRUCTIONS: DIABETES
No special diet is needed.
Meals should be spaced out evenly, measured with a measuring cup, and given just prior to insulin administration.
This condition is best managed on a tailored or prescription diet such as Hills m/d. A prescription has been provided.
Feed an over-the-counter low-carbohydrate diet to your cat - look for wet food that has a carbohydrate percentage below 15% (below 12% if possible) on a dry matter basis.
Dogs are best managed with a higher fiber diet, such as prescription w/d.
Other:
DIET INSTRUCTIONS: CHRONIC KIDNEY DISEASE (CKD)
No special diet is needed.
This condition is best managed on a tailored or prescription diet. We have a prescription on file.
Other:
DIET INSTRUCTIONS: GI OBSTRUCTION
No special diet is needed.
Do not offer food the night after surgery. Start feeding the next day - small amounts are best, and your pet can be tempted with plain cooked chicken, tuna, or sliced turkey if needed.
It is okay for your pet not to eat right away but they should begin eating at least small amounts within 24 hours.
Other:
DIET INSTRUCTIONS: ACUTE KIDNEY INJURY
No special diet is needed.
For now, feed anything your cat is interested in. Once they are eating well, we may recommend a prescription kidney diet.
Tempt your pet to eat:
Prescription kidney diet is recommended. If your cat doesn't like this brand, there are others we can try.
Increase your cat's water consumption:
Other:
DIET INSTRUCTIONS: CYSTOTOMY
No special diet is needed.
Food and water may be offered in small amounts as soon as your pet is interested in eating. It is not uncommon for pets to be uninterested in food for 24 hours after surgical procedures.
Your pet may need a special diet to prevent the stones from coming back - discuss this with your veterinarian when the stone type is known (typically 4-6 weeks after surgery).
Other:
DIET INSTRUCTIONS: DENTAL PROCEDURE
No special diet is needed.
No raw hides or chew toys for 14 days. No playing fetch, tug, etc. or anything that involves the mouth.
No hard kibble for 14 days. Feed canned food or add warm water to dry kibble 20 minutes prior to feeding to soften the food for the first two weeks after extractions.
Other:
DIET INSTRUCTIONS: EX-LAP/GI FB
No special diet is needed.
A bland and gentle diet has been recommended (such as I/D or Z/D diet).
You may transition your pet slowly back to their regular diet after 1 week if they are doing well.
Food and water may be offered in small amounts as soon as your pet is interested in eating. It is not uncommon for pets to be uninterested in food for a while after surgical procedures, but they should be showing interest in at least a small amount within 24 hours of discharge. Your pet can be tempted with plain cooked chicken, tuna, or sliced turkey if needed.
Once intestinal plication has been performed, it creates permanent turns in the intestines, which may make your pet more likely to develop GI obstruction in the future if they eat undigestible objects, or even difficult to digest material such as grass or fibrous plant material.
Other:
DIET INSTRUCTIONS: FEEDING TUBE
Diet instructions: Diet can be refrigerated for 2 days after mixed. Mix A/D diet and water at a ratio of 2 cans A/D to 1 can water. Never use a food with any consistency that is not completely smooth and uniform. Feeding Amount: DVM ASSESS MER OF PATIENT (Not to exceed 20 mL/kg/feeding) Day 1: feed _____ mL every 6 hours. (Total: 1/3 of RER or calorie requirement) Day 2: feed _____ mL every 6 hours. (Total: 2/3 of RER or calorie requirement) Day 3: feed _____ mL every 6 hours. (Total: RER or calorie requirement) Continue at this level on an ongoing basis. As your pet begins to eat some on its own, you can decrease the volume of food at each feeding accordingly. Feeding Instructions: STEP 1: Check that the tube is in place. Remove the end of the tube from the neck wrap. Before each feeding, attach an empty syringe (10 cc) to the external feeding port and pull back on the plunger. If the tube is in place, the plunger should move back to its starting position on its own (negative pressure), and you may proceed to step 2. If the plunger does NOT move back to its starting position, DO NOT PROCEED WITH FEEDING. The E-tube may be displaced, and you should call a veterinarian for further instructions. STEP 2: Flush the tube with water. Give 10 mL of lukewarm water through the E-tube. If there is no cough, gag, retch or discomfort, prepare an extra syringe with lukewarm water to use for flushing the tube when the feeding is complete. If coughing or gagging DOES occur, DO NOT PROCEED WITH FEEDING. The tube may be displaced, and your pet needs to be brought to a veterinarian to check the placement of the E-tube. STEP 3: Warm the blended diet. Keep opened containers of the blended diet refrigerated between feedings. Before each feeding, slightly warm the expected feeding volume (see above under diet information for amount) to room temperature. The best way to warm the food is to fill the syringes with the amount of food to be fed and place them in a container of warm water or run under warm water. Due to the risk of overheating, we do NOT recommend using the microwave. If you do use the microwave, warm the food in a bowl and mix well before pulling it into a syringe. You can test the temperature on your wrist like checking the temperature of a baby bottle. The food should be room temperature to lukewarm, not hot or cold. STEP 4: Feeding. Attach the syringe to the feeding port. This will require you to remove the cap on the port, but keep the cap in easy reach. Once the syringe is attached, you will likely need to flip the tube clamp to the open position. After that is done, you can begin slowly pushing the plunger on the syringe to administer the food. It is important to feed the liquid diet slowly (i.e., each meal over 20 minutes) since the food is not going directly into the stomach but instead into the esophagus. If the pet begins to act nauseated during the feeding, it is time to stop or at least slow down dramatically. If they become too full, your pet will likely throw up! If you determine that the volume of food you are to give at each feeding consistently makes your pet nauseated, please call your veterinarian to discuss modifying the feeding schedule. STEP 4a: Medications Medications may be administered in the slurry as close to their scheduled time as possible. STEP 5: Finishing. Once the food syringe is emptied, re-close the clamp on the tube. Now, detach the food syringe and attach the extra syringe of water. Again open the clamp, and flush the E-tube with 10 mL of water. You can give the water a bit faster than you did the food. Once you are done, close the clamp, remove the syringe, and re-attach the cap on the end of the tube. Tuck the tube back into the neck wrap so that your pet can’t easily pull the tube out. Rinse out the syringes so that they are ready for next time, and you are done until the next meal. Oral Feeding If E-tube feeding is well tolerated after four to five days, begin to offer small amounts of food prior to each tube feeding in order to monitor for return of appetite. As oral feeding increases, the volume or frequency of tube feeding can be decreased accordingly. It is helpful if you can keep track of your pet’s weight at least every week while you are transitioning from tube feedings to feedings by mouth. When your pet is meeting the full minimum daily energy requirement orally, see your veterinarian about E-tube removal.
DIET INSTRUCTIONS: URETHRAL OBSTRUCTION
No special diet is needed.
Prescription urinary diet is recommended. If your cat doesn't like this brand, there are others we can try.
Increase your cat's water consumption.
SUPPLIMENTAL FEEDING INSTRUCTIONS
BLAND DIET
Highly digestible, bland diets are often well tolerated in dogs/cats. The recipe for a homemade bland diet of boiled chicken or hamburger with rice is: - Carbohydrate (cooked) / Protein ratio = 3 parts / 1 part - Carbohydrate: cooked white rice, boiled potatoes or cooked pasta - Protein: boiled skinless chicken or boiled hamburger (pouring off the fat) - Amount: Feed approximately 1 cup of this mixture per 10lbs of body weight per day Bland diet feeding instructions: Start by offering a small meal. If there is no vomiting continue to feed small meals every 4-6 hours for the first 24 hours. If there continues to be no vomiting or diarrhea, you can gradually increase the amount in each meal and decrease the frequency of the meals over the next 3-5 days until your pet is eating on their normal schedule. In 3-5 days, if your pet is still doing well, slowly transition back to regular diet. This can be done by mixing 75% of the bland diet with 25% of the regular diet on the first day and increasing the amount of the regular diet by 25% each day. Other dietary support: Fiber can be added to provide bulk and further support to the digestive system. An easy way to do this is to feed canned pumpkin - 1 tbsp/10 lbs - mixed with each meal. A probiotic can be helpful to correct GI flora (good bacteria). A daily dose of a spoonful of plain yoghurt, Culturelle, or a probiotic called ProViable (available through us) are good options.
TEMPTING YOUR PET TO EAT
Tempting a pet to eat sounds easy but can actually be quite frustrating. The following are some helpful tips to make sure you have the best chances: 1. Start by trying canned food. You can also try mixing this with some dry food to make it more flavorful. 2. Offer something that is a delicacy to your pet - dogs may be interested in a can of cat food, which is just fine for a few meals. Baby food, as long as it is meat based and does not have onions or garlic in the ingredients, can be another option. 3. It may help to run a small amount of food on your pet's gums to start their interest in food. 4. If your pet is doing a lot of lip licking or drooling, this may mean that they are nauseous. There are some medications that can be prescribed to help with nausea if this is part of their problem. 5. Some pets may wish to eat with their owners around, some may wish to eat in isolation from people or other pets in the house. 6. If there is continued lack of interest in food for a day or so, there are some medications that can be prescribed to help stimulate appetite, such as Mirtazapine or Capromorelin (Entyce). 7. Some pets may need the help of a feeding tube to get through a bout of inappetence/anorexia. This sounds scary, but can be very helpful - especially for cats who are at a higher risk of developing secondary illness that can be much more serious than whatever caused them to stop eating in the first place.
INCREASING YOUR PETS WATER CONSUMPTION
Ideas to try include: 1. Use wide shallow dishes filled to the brim 2. Use dishes made of glass, ceramic, or stainless steel, avoiding plastic 3. Add water to wet food or soak kibble if your pet will eat either of these 4. For cats, leave a tap tripping and/or use a kitty water fountain 5. Place several dishes around the house, away from food, litterboxes, and busy areas
TREATMENTS GIVEN IN CLINIC: GASTROENTERITIS/VOMITING/DIARRHEA
No treatments were performed in clinic today.
Fluids were given under the skin, which may shift or leak as they absorb.
An injection of Cerenia was given under the skin to help control nausea for 24 hours. Any vomiting during this time is concerning and should be reported to a veterinarian.
Other
TREATMENTS GIVEN IN CLINIC: MANUAL INPUT
No treatments were performed in clinic.
Other
TREATMENTS GIVEN IN CLINIC: ANXIETY
No treatments were performed in clinic.
Other:
TREATMENTS GIVEN IN CLINIC: CUTEREBRIASIS
No treatments were performed in clinic.
Injections of a steroid and an antihistamine were given to help reduce inflammation and prevent any anaphylactic reaction.
The parasite was surgically removed.
An Ivermectin injection was given to kill the parasite.
An antibiotic injection (Convenia) was given to treat infection for the next 2 weeks.
Other
TREATMENTS GIVEN IN CLINIC: ANAL GLAND ABSCESS
No treatments were performed in clinic.
The wound was shaved and cleaned.
Anal glands were expressed, flushed, and infused with a medication with steroids and antibiotics.
Other
TREATMENTS GIVEN IN CLINIC: BLACK FLY GNAT BITE
No treatments were performed in clinic.
Other
TREATMENTS GIVEN IN CLINIC: AURAL HEMATOMA
No treatments were performed in clinic.
The hematoma was drained with a needle. It is very likely to refill over time. The goal is that the bump will slowly resolve overall, but not get worse than it was when you came in today.
Your pet was sedated and a cannula was placed to allow ongoing drainage.
Other
TREATMENTS GIVEN IN CLINIC: AURAL POLYP REMOVAL
No treatments were performed in clinic.
Sedated for exam and polyp traction.
Injectable anti-nausea medication and steroids (lasts 24 hours).
Other
TREATMENTS GIVEN IN CLINIC: OTITIS/EAR INFECTION
No treatments were performed in clinic.
Ears were cleaned in clinic today.
Other
TREATMENTS GIVEN IN CLINIC: BANDAGE/SPLINT
No treatments were performed in clinic.
Pain medications were given to make patient more comfortable while the wound was shaved and cleaned and/or radiographed.
Sedation and a local anesthetic were given for surgical repair and/or debridement.
Sedation was given for fracture or dislocation alignment.
Other
TREATMENTS GIVEN IN CLINIC: CAT BITE ABSCESS
No treatments were performed in clinic.
Abscess was drained and the surrounding skin was clipped and cleaned.
A Convenia injection (antibiotic) was given in the clinic today.
A penrose drain was placed and the wound was repaired.
Other
TREATMENTS GIVEN IN CLINIC: CAT LIMP TAIL
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: CHRONIC DISEASE RECHECK
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: CONJUNCTIVITIS
The eyes were numbed - you may notice them appearing more comfortable for a few hours.
Eyes were stained - you may see bright green discharge from the eyes or nose for a few hours.
Other
TREATMENTS GIVEN IN CLINIC: CORNEAL ULCERATION
The eyes were numbed - you may notice them appearing more comfortable for a few hours.
Eyes were stained - you may see bright green discharge from the eyes or nose for a few hours.
Corneal debridement - Loose edges of corneal tissue were gently removed to encourage more appropriate healing. The defect may look larger than it did previously.
Pupil(s) were dilated with atropine - This medication is given to reduce pain in the eye. The pupil will be markedly dilated. You may notice some excessive drooling initially, as it is very bitter and drains through the nose.
Other
TREATMENTS GIVEN IN CLINIC: CRUCIATE RUPTURE
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: CUTEREBRA
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: DROP OFF
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: FELINE ASTHMA
No treatments were given in clinic.
A steroid injection was given to help your cat get faster relief.
Other
TREATMENTS GIVEN IN CLINIC: FLUTD
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: GLAUCOMA
No treatments were given in clinic.
The eyes were numbed - you may notice them appearing more comfortable for a few hours.
Eyes were stained - you may see bright green discharge from the eyes or nose for a few hours.
Other
TREATMENTS GIVEN IN CLINIC: HOT SPOT
No treatments were given in clinic.
Pain medications were given to keep him comfortable while the wound was shaved. He may be groggy/sedate, pant more than usual, have elevated 3rd eyelids, or even some soft stool. Please keep the patient away from furniture stairs while they're recuperating, and it's usually safer to let them have some space from children.
Wound was shaved and gently cleaned.
Other
TREATMENTS GIVEN IN CLINIC: ITCHY DOG/CAT
No treatments were given in clinic.
A steroid injection was given in clinic today.
A Cytopoint injection was given in clinic today.
Other
TREATMENTS GIVEN IN CLINIC: KCS
No treatments were given in clinic.
The eyes were numbed - you may notice them appearing more comfortable for a few hours.
Eyes were stained - you may see bright green discharge from the eyes or nose for a few hours.
Other
TREATMENTS GIVEN IN CLINIC: KENNEL COUGH
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: LAMENESS/IVDD
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: CANINE LOWER URINARY TRACT DISEASE
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: MASS EVALUATION
No treatments were given in clinic.
The mass was frozen with liquid nitrogen today. It will be red and inflamed for a few days, then should dry up and fall off. Repeat treatments are sometimes necessary.
Other
TREATMENTS GIVEN IN CLINIC: PAPILLOMAVIRUS
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: PERIODONTAL DISEASE (SEVERE)
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: CONGESTIVE HEART FAILURE (CHF)
No treatments were given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: POST-BITE RABIES
Rabies vaccination should be performed within 4 days of the bite incident.
A rabies vaccination was performed today. Your pet may be a bit sleepy or sore in the RIGHT hip. Please contact a veterinarian if there is any facial swelling, vomiting, hives, diarrhea, or pale gums.
A rabies vaccination was declined today.
Other
TREATMENTS GIVEN IN CLINIC: PARVOVIRUS
A rabies vaccination was performed today. Your pet may be a bit sleepy or sore in the RIGHT hip. Please contact a veterinarian if there is any facial swelling, vomiting, hives, diarrhea, or pale gums.
Cerenia injection (anti-nausea)
Ondansetron injection (anti-nausea)
Convenia injection (long-acting antibiotic)
Subcutaneous fluid administration (for hydration support)
Other
TREATMENTS GIVEN IN CLINIC: SUPPORTIVE CARE
No treatments were performed in clinic today.
Subcutaneous fluids (LRS): fluids were administered under the skin between the shoulder blades. A fluid hump is visible in this location. These fluids will be slowly absorbed over the next 24 hours. You may notice some blood-tinged fluid at the needle insertion site or notice the fluid hump to migrate – this is normal.
Other
TREATMENTS GIVEN IN CLINIC: PALLIATIVE CARE
No treatments given in clinic.
TREATMENTS GIVEN IN CLINIC: SEIZURES
No treatments were performed in clinic today.
TREATMENTS GIVEN IN CLINIC: TORN/BROKE NAIL
No treatments were performed in clinic today.
Removed torn nail.
Trimmed remainder of nails.
Other
TREATMENTS GIVEN IN CLINIC: TRIGEMINAL NEURITIS
No treatments were performed in clinic today.
Other
TREATMENTS GIVEN IN CLINIC: ULTRASOUND/ECHOCARDIOGRAM
No treatments were given in clinic today.
Your pet received a dose of trazodone, an anti-anxiety medication, while in-clinic today. You may notice your pet seems quieter or calmer than usual due to this medication. This medication typically lasts 8 hours in the system and should be worn off this evening.
Injectable sedation medications were given in clinic today
Other
TREATMENTS GIVEN IN CLINIC: FELINE URI
No treatments were performed in clinic today.
Subcutaneous fluids (LRS): Fluids were administered under the skin between the shoulder blades. A fluid hump is visible in this location. These fluids will be slowly absorbed over the next 24 hours. You may notice some blood-tinged fluid at the needle insertion site or notice the fluid hump to migrate – this is normal.
Convenia injection (antibiotic that is effective for 14 days) - given in clinic
Other
TREATMENTS GIVEN IN CLINIC: VESTIBULAR
No treatments were given in clinic today.
Fluids were given under the skin, which may shift or leak as they absorb.
Other
TREATMENTS GIVEN IN CLINIC: VOMIT WITH APO OR DEXMED
No treatments were given in clinic today.
Apomorphine IV
Dexmedetomidine IM and reversal with Atipamezaole IM
Cerenia (Anti-nausea medication) was given as an injection.
Activated charcoal was administered orally.
Hospitalization with observation and IV fluids to flush the kidneys.
Other
TREATMENTS GIVEN IN CLINIC: WEIGHT LOSS
No treatments were given in clinic today.
Subcutaneous fluids (LRS): fluids were administered under the skin between the shoulder blades. A fluid hump is visible in this location. These fluids will be slowly absorbed over the next 24 hours. You may notice some blood-tinged fluid at the needle insertion site or notice the fluid hump to migrate – this is normal.
Other
TREATMENTS GIVEN IN CLINIC: CHRONIC KIDNEY DISEASE (CKD)
No treatments were given in clinic today.
Subcutaneous fluids (LRS): fluids were administered under the skin between the shoulder blades. A fluid hump is visible in this location. These fluids will be slowly absorbed over the next 24 hours. You may notice some blood-tinged fluid at the needle insertion site or notice the fluid hump to migrate – this is normal.
An anti-nausea medication was given in clinic.
An antacid was given in clinic.
Other
TREATMENTS GIVEN IN CLINIC: DIABETES
No treatments were given in clinic today.
Other
TREATMENTS GIVEN IN CLINIC: PYOMETRA
No treatments were given in clinic today.
Other
TREATMENTS GIVEN IN CLINIC: GI OBSTRUCTION
Surgical Procedure Performed
Other
TREATMENTS GIVEN IN CLINIC: ACUTE KIDNEY INJURY
Your pet had an IV Catheter placed today that is staying in at home. It has been locked with heparin to prevent a clot from forming and to keep it flowing so we do not have to replace it tomorrow. It is very important to leave the bandage covering the IV catheter alone.
Other
TREATMENTS GIVEN IN CLINIC: ADDISON'S
No treatments given in clinic
Fluids were administered intravenously.
Other
TREATMENTS GIVEN IN CLINIC: CYSTOTOMY
Cystotomy procedure performed in clinic today.
There is a bandage on the front leg that is a “band-aid” for where the intravenous catheter was placed for anesthesia. It can be removed in 2 hours. Just find the leading edge of the bandage material and un-wrap it. If bleeding occurs just apply some gentle pressure for a few seconds or so.
Other
TREATMENTS GIVEN IN CLINIC: DENTAL PROCEDURE
Dental procedure performed in clinic today.
Pain medications given in clinic today.
There is a bandage on the front leg that is a “band-aid” for where the intravenous catheter was placed for anesthesia. It can be removed in 2 hours. Just find the leading edge of the bandage material and un-wrap it. If bleeding occurs just apply some gentle pressure for a few seconds or so.
Other
TREATMENTS GIVEN IN CLINIC: ENUCLIATION
Enucleation (eye removal) procedure performed in clinic today.
Pain medications given in clinic today.
There is a bandage on the front leg that is a “band-aid” for where the intravenous catheter was placed for anesthesia. It can be removed in 2 hours. Just find the leading edge of the bandage material and un-wrap it. If bleeding occurs just apply some gentle pressure for a few seconds or so.
Other
TREATMENTS GIVEN IN CLINIC: EX-LAP/GI FB
Exploratory laparotomy
Removal of obstruction in stomach or intestines
Removal of a portion of intestine (resection and anastomosis)
Correction of intussusception
Plication of intestines to prevent recurrence of intussusception.
Pain medications given in clinic today.
There is a bandage on the front leg that is a “band-aid” for where the intravenous catheter was placed for anesthesia. It can be removed in 2 hours. Just find the leading edge of the bandage material and un-wrap it. If bleeding occurs just apply some gentle pressure for a few seconds or so.
Other
TREATMENTS GIVEN IN CLINIC: FEEDING TUBE
Feeding tube was placed
Feeding tube was replaced
Feeding tube was removed
Feeding tube was unclogged
Pain medications given in clinic today.
There is a bandage on the front leg that is a “band-aid” for where the intravenous catheter was placed for anesthesia. It can be removed in 2 hours. Just find the leading edge of the bandage material and un-wrap it. If bleeding occurs just apply some gentle pressure for a few seconds or so.
Other
TREATMENTS GIVEN IN CLINIC: WOUND EXPLORATION AND REPAIR
Wound exploration, debridement, and repair.
Placement of a penrose drain to allow fluid drainage.
There is a bandage on the front leg that is a “band-aid” for where the intravenous catheter was placed for anesthesia. It can be removed in 2 hours. Just find the leading edge of the bandage material and un-wrap it. If bleeding occurs just apply some gentle pressure for a few seconds or so.
Other
TREATMENTS GIVEN IN CLINIC: URETHRAL OBSTRUCTION
Urethral Unobstruction - Your cat was sedated heavily and a urinary catheter was placed to flush out the obstruction in his urethra.
There is a bandage on the front leg that is a “band-aid” for where the intravenous catheter was placed for anesthesia. It can be removed in 2 hours. Just find the leading edge of the bandage material and un-wrap it. If bleeding occurs just apply some gentle pressure for a few seconds or so.
Other
OTHER TREATMENTS GIVEN IN CLINIC
TYPICAL REGULAR MONITORING FOR THIS CONDITION:
No regular monitoring necessary.
Bloodwork checks 3-4 weeks after each medication change.
Recommended lab work includes bloodwork (CBC, chemistry panel).
The most comprehensive approach to care also includes blood pressure and urinalysis measurements at these rechecks to make sure no further medication is needed.
Your pet will need a visit with a veterinarian at least every 12 months to continue medication. More frequent visits are very helpful to catch complications early on in disease treatment.
Other
TYPICAL MONITORING AND TESTING FOR ADDISON'S
RECOMMENDATIONS FOR MONITORING: CONGESTIVE HEART FAILURE (CHF)
Typical Regular Monitoring for This Condition: - Bloodwork and possibly x-rays checked 3-4 weeks after any medication change. - X-rays every 6 months on ongoing basis. - Recommended lab work includes bloodwork (CBC, chemistry panel) - The most comprehensive approach to care also includes blood pressure measurements at these rechecks to make sure no further medication is needed. - Your pet will need a visit with a veterinarian at least every 12 months to continue medication. More frequent visits are very helpful to catch complications early on in disease treatment. Notes about Rechecks: - Rechecks should be performed with your regular veterinarian to best allow for consistent ongoing management of this condition. Please let us know if there is another clinic we should forward your pet's records. - If you choose to follow up with Access, further visits must go through our regular check-in process.
RECOMMENDATIONS FOR MONITORING: CHRONIC KIDNEY DISEASE (CKD)
Regular Monitoring for This Condition: - Bloodwork or other diagnostics checked 2-4 weeks after any medication change. - Recommended lab work includes bloodwork (CBC, chemistry panel, T4) and urinalysis, especially if a urinalysis has not been performed recently. - The most comprehensive approach to care also includes blood pressure, urinalysis, and possible UP:C or urine culture measurements at these rechecks to make sure no further medication is needed. - Cats on medication for high blood pressure should be monitored every 3 months. - Your pet will need a visit with a veterinarian at least every 12 months to continue medication. More frequent visits are very helpful to catch complications early on in disease treatment. Notes about Rechecks: - Please let us know what clinic we should forward your pet's records to for ongoing care. - If you choose to follow up with Access, further visits must go through our regular check-in process.
SUPPLIMENTAL MONITORING RECOMMENDATIONS
PARVO VIRUS IMPORTANT INFORMATION
1. If a dog recovers from a parvovirus infection, they likely have strong immunity to the disease. However, we still recommend a regular vaccination schedule since the disease is so serious, there are other serious diseases included in puppy vaccines, and we are not sure how long any immunity lasts. 2. Disinfection of environment: Parvovirus exists nearly everywhere, but much higher amounts exist where there was an active infection. Unvaccinated dogs should be isolated from your pet until the infection is over. Virus will remain in the environment for: One month (indoors) 7 months (outdoors) It survives freezing so 7 months after snow, if the infection is in the winter. Your dog will continue to shed the virus for several weeks and should not be around unvaccinated dogs for at least 1 month after infection. Vaccinated dogs may catch this virus as well, but typically have less serious symptoms. To decrease the viral load, disinfecting using the following methods can be helpful after your puppy recovers: One part bleach is mixed with 30 parts water and is applied to bowls, floors, surfaces, toys, bedding, and anything contaminated that is colorfast or for which color changes are not important. At least 10 minutes of contact time with the bleach solution is needed to kill the virus. Steam cleaning is also able to kill the virus. 3. No new puppies should be introduced to the environment during the above time periods. 4. Any other dogs you have should be isolated for 14 days and observed closely for signs of parvovirus so that treatment can be initiated as quickly as possible. If no signs develop, they should be vaccinated for parvovirus.
PARVOVIRUS ONGOING CARE
Recheck instructions: Parvovirus is a very serious disease and even patients that appear to be doing well can have a sudden decline. It may also seem to improve and get worse again. If you have any concerns, your pet should be evaluated by a veterinarian as soon as possible. If your pet is doing well, you may continue with the prescribed medications. If your pet is not feeling better tomorrow, please come in for a quick recheck so we can administer further injectable anti-nausea medication. Call our front desk after open so they can arrange for a good time. Notes about Rechecks: Rechecks should be performed with your regular veterinarian to best allow for ongoing management of this condition. Please let us know if there is another clinic we should forward your pet's records.
RABIES TESTING AND REPORTABLE DISEASE INFORMATION
Rabies is a reportable disease in Minnesota, and suspected cases must be reported to the Board of Animal Health. They may contact you with further questions or recommendations.
The animal that bit your pet is not available for testing.
The animal that bit your pet is a domestic pet, and needs to be reported to Animal Control and confined for 10 days for observation.
The animal that bit your pet is available for testing. Please submit the remains to the U of MN Veterinary Diagnostic Lab (at https://vdl.umn.edu/about-us/hours-and-facilities) with the paperwork we have provided. We will contact you with the results. If the test is NEGATIVE, confinement/observation will no longer be required.
Other
SUPPLIMENTAL RABIES TESTING AND REPORTABLE DISEASE INFORMATION
Bandage Change Duration
N/A
15 min or less (1)
15-30 min (2)
30-45 min (3)
45-60 min (4)
1hr - 1 hr 15 (5)
1 hr 15 min - 1 hr 30 min (6)
1 hr 30 min - 1 hr 45 min (7)
1 hr 45 min - 2 hr (8)
Other
Followup
General Recheck
General Next Steps
ER Recommendation/Transfer
Follow Up Clinic Status
Next day drop off/recheck
Referral
Schedule Procedure
Surgical Follow-up
Tests/Samples
Other
General Recheck
Recheck if no improvement or further concerns are noted.
Recheck if no improvement is noted within 2-3 days or further concerns are noted.
Recheck if no improvement is noted within 1 week or further concerns are noted.
Recheck if no improvement is noted within 2 weeks or further concerns are noted.
Progress check with us via our Urgent Care or with your family veterinarian in 1-2 weeks.
Progress check with us via our Urgent Care or with your family veterinarian every 6 months for monitoring.
Other:
General Next Step
Next steps may include: Further diagnostics or workup
Next steps may include: Recheck exam if symptoms are unresolved
Next steps may include: Repeat diagnostics if symptoms are unresolved
Next steps may include: Sedated procedure if symptoms unresolve
Next steps may include: Diet change
Next steps may include: Other:
ER Transfers or Recommendations
Seek emergency care if your pets symptoms worsen or if you have any further concerns.
Seek emergency care if your pet can not rest comfortably or catch their breath, if they are panting, or if their gums are grey or blue.
Seek emergency care if your pet is straining and unable to produce any urine, seems painful, is vomiting, or hasn't urinated within 12-24 hours.
Seek emergency care if your pet has seizures lasting longer than 5 minutes or has more than one seizure in 24 hours.
We are recommending a transfer from our facility to an emergency facility for continued care.
Other:
Follow Up Clinic Status:
A1: Qualifies for Comprehensive Visit at Follow Up Clinic.
A2: Qualifies for Comprehensive Visit at Follow Up Clinic + Special Order Item Needed
B1: Qualifies for Recheck Visit at Follow Up Clinic
B2: Qualifies for Recheck Visit at Follow Up Clinic+ Special Order Item
C1: Resolved Concern - Ineligible for the Follow Up Clinic
Next Day Drop Off/Recheck
Recheck tomorrow if symptoms continue. Please schedule with reception.
Recheck tomorrow regardless if symptoms have resolved or not. Please schedule with reception.
Drop off tomorrow for hospitalization and continued treatment. Please schedule with reception.
Other:
Next Day Care Plan/Instructions
NEXT STEPS/RECHECK SUPPLIMENTAL INSTRUCTIONS
Schedule Procedure:
Procedure Urgency
Tomorrow
Within 2-3 Days
Within 1 Week
Next available sx slot
Standard Urgency. Quotes good for 90 days.
Surgical Follow-Up
Schedule suture removal and incision site check in 10-14 days
Progress check tomorrow if no improvement or worsening symptoms
Progress check tomorrow regardless of improvement level
Seek emergency care if any new or concerning symptoms arise
Other:
Surgical Follow-Up Supplemental
Sample/Test Requested
Sample Instructions
Drop off sample okay
Drop off sample okay - VT to collect patient update info
VT okay to collect sample w/VT office visit - UC visit not required
UC exam required with sample collection
Other
Referral
Dermatologist: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
Cardiologist: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
Ophthalmologist: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
Neurologist: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
Internist: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
Orthopedic Surgeon: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
Oncologist: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
General Practitioner: Please give us a call with your preferred provider/hospital, and we will send them your pet's records.
Referral Urgency
Emergency
Urgent (< 1-2 weeks)
Stable (> 1-2 weeks)
Chronic (> 2 weeks)
Other
Staff Communications/Instructions/Notes
CLINIC USE ONLY NOTES
Attending VT/VA
PTL
JJ
KJ
LT
RH
HP
ET
AMT
LSL
CW
AS
CAN
BD
Attending DVM
EMG
WKG
Form Completed:
(Required)
Initial/Timestamp