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Anesthesia

Sx Protocol:

Weight: {=kg2.2}lbs / {formtext: name=kg} kg

Pre-surgical Basic Data Base:

  • {formtoggle: default=yes}Blood Glucose {formtext}mg/dL{endformtoggle}
  • {formtoggle: default=yes}PCV {formtext} 62%{endformtoggle}
  • {formtoggle: default=yes}Total Solids {formtext}{endformtoggle}

Surgical Treatments:

  • IV catheter gauge & location: {formtext}ga {formtext: name=Location}

Antiemetic agent(s):

  • {formtoggle: default=yes}Cerenia (1mg/ml) (10 mg/kg) {=kg1/10}ml {formmenu: default=IV; SC} {formtext: name=Cerenia Location}{endformtoggle}
Pre-medication agents:

  • {formtoggle: default=yes}Methadone {formmenu: name=MethDose; 0.1; default=0.2; 0.3}mg/kg (10 mg/ml) {if: MethDose == 0.1} {=kg0.1/10} {elseif: MethDose ==0.2} {=kg0.2/10} {elseif: MethDose == 0.3} {=kg0.3/10} {endif}ml {formmenu: default=IV; IM} {formtext: name=Methadone Location}{endformtoggle}
  • {formtoggle: default=yes}Butorphanol {formmenu: name=TorbDose; default=0.2; 0.3; 0.4}mg/kg (10 mg/ml) {if: TorbDose == 0.2}{=kg0.2/10} {elseif: TorbDose == 0.3} {=kg0.3/10} {elseif: TorbDose == 0.4} {=kg0.4/10}{endif} ml {formmenu: default=IV; IM} {formtext: name=Butorphanol Location}{endformtoggle}
  • {formtoggle: default=yes}Dexmedetomidine {formmenu: name=DexMedDose; 0.001; 0.002; 0.003; 0.004; default=0.005; 0.006; 0.007}mg/kg (0.5 mg/ml) {if: DexMedDose == 0.001}{=kg0.001/0.5} {elseif: DexMedDose == 0.002}{=kg0.002/0.5} {elseif: DexMedDose == 0.003}{=kg0.003/0.5}{elseif: DexMedDose == 0.004}{=kg0.004/0.5}{elseif: DexMedDose == 0.005}{=kg0.005/0.5}{elseif: DexMedDose == 0.006}{=kg0.006/0.5}{elseif: DexMedDose == 0.007}{=kg0.007/0.5}{endif}ml {formmenu: name=DexRoute; default=IV; IM} {formtext: name=DexLocation\ }{endformtoggle}
  • {formtoggle: default=yes}Midazolam {formmenu: name=MidDose; 0.2; default=0.3; 0.4}mg/kg (5 mg/ml) {if: MidDose == 0.2} {=kg0.2/5} {elseif: MidDose == 0.3} {=kg0.3/5} {elseif: MidDose == 0.4} {=kg0.4/5}{endif}ml {formmenu: default=IV; IM} {formtext: name=Midazolam Location\ }{endformtoggle}
  • {formtoggle: default=yes}Acepromazine {formmenu: name=ACEDose; 0.01; default=0.02; 0.03}mg/kg (10 mg/kg) {if: ACEDose == 0.01} {=kg0.01/10} {elseif: ACEDose == 0.02} {=kg0.02/10} {elseif: ACEDose == 0.03} {=kg0.03/10}{endif}ml{formmenu: default=IV; IM} {formtext: name=ACE Location\ }{endformtoggle}
Induction:

  • {formtoggle: default=yes}Alfaxalone {formmenu: name=AlfDose; 2; default=3; 4}mg/kg (20 mg/ml) {if: AlfDose == 2} {=kg2/20} {elseif: AlfDose == 3} {=kg3/20} {elseif: AlfDose == 4} {=kg4/20}{endif}ml IV {formtext: name=Alfaxalone Location\ }{endformtoggle}
  • {formtoggle: default=yes}Propofol {formmenu: name=PropDose; default=4; 5; 6}mg/kg (10mg/ml) {if: PropDose == 4} {=kg4/10} {elseif: PropDose == 5} {=kg5/10} {elseif: PropDose == 6} {=kg6/10}{endif}ml IV{formtext: name=PropLocation}{endformtoggle}
  • {formtoggle: default=yes}Midazolam {formmenu: name=MidDose; 0.2; default=0.3; 0.4}mg/kg (5 mg/ml) {if: MidDose == 0.2}{=kg0.2/5}{elseif: MidDose == 0.3}{=kg0.3/5}{elseif: MidDose == 0.4}{=kg0.4/5}{endif}ml IV{formtext: name=Midazolam Location\ }{endformtoggle}
  • {formtoggle: default=yes}Ketamine 1 mg/kg (100 mg/ml) {=kg1/100} ml IV{endformtoggle}

Intra-Op Medications:

  • {formtoggle: default=yes}Lidocaine {formmenu: name=LidocaineDosage; default=2; 3; 4; 5} mg/kg (20 mg/ml) {if: LidocaineDosage == 2}{=kg2/20} {elseif: LidocaineDosage == 3}{=kg3/20} {elseif: LidocaineDosage == 4}{=kg4/20} {elseif: LidocaineDosage == 5}{=kg5/20}{endif} ml {formtext: name=Location of Block\ }{endformtoggle}
  • {formtoggle: default=yes}Bupivacaine 2 mg/kg (5 mg/ml) {=kg2/5} ml {formtext: name=Location of Block\ }{endformtoggle}
  • {formtoggle: default=yes}Clindamycin (injection) 10 mg/ml (150 mg/ml) {=kg10/150}ml IV should never be administered undiluted as bolus. Dose should be administered by IV intermittent infusion over at least 10 to 60 min.{endformtoggle}


ET tube size: {formtext: name=ET Tube Size} Inflated {formtext: name=#cc} cc


Maintenance:
  • Isoflurane and Oxygen used throughout anesthesia


Fluids:

  • Fluid Rate: {formmenu: name=FluidRate; 3; default=5; 10}ml/kg/hr {if: FluidRate == 3} {=kg3} {elseif: FluidRate == 5} {=kg5} {elseif: FluidRate == 10} {=kg10}{endif} ml/hr of {formtext: name=Fluid Type} ran throughout surgery
  • {formtoggle: default=yes}Canine Shock Bolus:1/4 rd Shock Bolus: {=kg2.210} ml given {formmenu: name=DTimes; default=1; 2; 3; 4} for total of {if: DTimes == 1} {=kg2.2101} {elseif: DTimes == 2} {=kg2.2102} {elseif: DTimes == 3} {=kg2.2103} {elseif: DTimes == 4} {=kg2.2104}{endif}ml{endformtoggle}
  • {formtoggle: default=yes}Feline Shock Bolus:1/3 rd Shock Bolus: {=kg2.210} ml given {formmenu: name=CTimes; default=1; 2; 3} for total of {if: CTimes == 1}{=kg2.2101}{elseif: CTimes == 2}{=kg2.2102}{elseif: CTimes == 3}{=kg2.2103}{endif} ml{endformtoggle}

Extubation:
  • Fully deflated @ {formtext: name=Time of Extubation\ }{formmenu: AM; default=PM}

Post-Op Management/Medication:
{formtoggle: default=yes}Canine NSAIDs:{endformtoggle}

  • {formtoggle: default=yes}Rimadyl (Injection): Rimadyl ({formmenu: name=RimDose; 2; default=4}mg/kg) {if: RimDose == 2}{=kg2/50}{elseif: RimDose == 4}{=kg4/50}ml{endif} SC {formtext: name=RimLocation}{endformtoggle}
  • {formtoggle: default=yes}Rimadyl (Oral): Rimadyl ({formmenu: name=RimaDose; default=25; 75; 100}mg) (2 mg/kg) {if: RimaDose == 25}{=kg2/25} tablets PO q 12 hours for 4 days total of {=kg2/2524} tablets. Please start tomorrow evening with food. {elseif: RimaDose == 75}{=kg2/75} tablets PO q 12 hours for 4 days total of {=kg2/7524} tablets. Please start tomorrow evening with food. {elseif: RimaDose == 100}{=kg2/100} tablet PO q 12 hours for 4 days total of {=kg2/10024} tablets. Please start tomorrow evening with food. {endif}{endformtoggle}
  • {formtoggle: default=yes}Meloxicam (Injection): Meloxicam 0.2 mg/kg (5 mg/kg) {=kg0.2/5}ml IV or S.C.{formtext: name=MeloxLocation}{endformtoggle}
  • {formtoggle: default=yes}Meloxicam (Oral): Meloxicam 0.1 mg/kg ({formmenu: name=MeloxDose; 0.5; default=1.5\ } mg/ml) {if: MeloxDose==0.5}{=kg0.1/0.5} ml by mouth every 24 hour for 4 days a total of {=kg0.1/0.54} ml. {elseif: MeloxDose==1.5}{=kg0.1/1.5} ml by mouth every 24 hours for 4 days a total of {=kg0.1/1.54} ml. {endif}{endformtoggle}
  • {formtoggle: default=yes}Galliprant (Oral): Galliprant ({formmenu: name=GallDose; 20; 60; 100}mg) (2 mg/kg){if: GallDose == 20}{=kg2/20} tablets PO q 24 hours {elseif: GallDose == 60}{=kg2/60} tablets PO q 24 hours {elseif: GallDose == 100}{=kg2/100} tablet PO q 24 hours {endif}{endformtoggle}
{formtoggle: default=yes}Feline NSAIDs:{endformtoggle}

  • {formtoggle: default=yes}Onsior (Injection):Onsior (2 mg/kg) {=kg2/20} ml SC {formtext: name=OnsiorLocation}{endformtoggle}
  • {formtoggle: default=yes}Onsior (Oral): Onsior 1 tablet (2.5 to 6 kg) - Please give 1 tablet by mouth every 24 hours for {formmenu: name=DaysofOnsior; default=2; 3; 4; 5; 6} days, total of {if: DaysofOnsior == 2}{=12} {elseif: DaysofOnsior == 3}{=13} {elseif: DaysofOnsior == 4}{=14} {elseif: DaysofOnsior == 5}{=15} {elseif: DaysofOnsior == 6}{=16} {endif} tablets. Please start TOMORROW EVENING with food.{endformtoggle}
  • {formtoggle: default=yes}Onsior 2 tablet (6.1 to 12 kg) - Please give 2 tablet by mouth every 24 hours for {formmenu: name=DaysofOnsior; default=2; 3; 4; 5; 6} days, total of {if: DaysofOnsior == 2}{=22}{elseif: DaysofOnsior == 3}{=23}{elseif: DaysofOnsior == 4}{=24}{elseif: DaysofOnsior == 5}{=25}{elseif: DaysofOnsior == 6}{=26}{endif} tablets. Please start TOMORROW EVENING with food. {endformtoggle}
  • {formtoggle: default=yes}Meloxicam (Injection): Meloxicam 0.2 mg/kg (5 mg/kg) {=kg0.2/5}ml IV or S.C.{formtext: name=MeloxLocation}{endformtoggle}
  • {formtoggle: default=yes}Meloxicam (Oral): Meloxicam 0.05 mg/kg ({formmenu: name=MeloxDose; 0.5; default=1.5\ } mg/ml) {if: MeloxDose==0.5}{=kg0.05/0.5} ml by mouth every 24 hour for 4 days a total of {=kg0.05/0.54} ml. {elseif: MeloxDose==1.5}{=kg0.05/1.5} ml by mouth every 24 hours for 4 days a total of {=kg0.05/1.54} ml. {endif}{endformtoggle}

{formtoggle: default=yes}Opioids:{endformtoggle}

  • {formtoggle: default=yes}Butorphanol (injectable) {formmenu: name=ButorphanolDose; 0.1; default=0.2; 0.3; 0.4; 0.5} mg/kg (10 mg/ml) {if: ButorphanolDose == 0.1}{=kg0.1/10} {elseif: ButorphanolDose == 0.2}{=kg0.2/10} {elseif: ButorphanolDose == 0.3}{=kg0.3/10} {elseif: ButorphanolDose == 0.4}{=kg0.4/10} {elseif: ButorphanolDose == 0.5}{=kg0.5/10} {endif} ml {formmenu: default=IV; IM; SC}{endformtoggle}
  • {formtoggle: default=yes}Buprenorphine (injectable) {formmenu: name=BuprenorphineDose; 0.01; default=0.02} mg/kg (0.3 mg/ml) {if: BuprenorphineDose == 0.01}{=kg0.01/0.3} {elseif: BuprenorphineDose == 0.02}{=kg0.02/0.3} {endif} ml {formmenu: default=IV; IM}{endformtoggle}
  • {formtoggle: default=yes}Simbadole (injection) 0.24 mg/kg (1.8 mg/ml) {=kg0.24/1.8} ml SC. Pain relief last for 3 days.{endformtoggle}
  • {formtoggle: default=yes}Methadone (injection) {formmenu: name=MethadoneDose; default=0.2; 0.3; 0.4; 0.5} mg/kg (10 mg/ml) {if: MethadoneDose == 0.2}{=kg0.2/10} {elseif: MethadoneDose == 0.3}{=kg0.3/10} {elseif: MethadoneDose == 0.4}{=kg0.4/10} {elseif: MethadoneDose == 0.5}{=kg0.5/10}{endif}ml {formmenu: default=IV; IM; SC} {endformtoggle}

{formtoggle: default=yes}Antibiotics:{endformtoggle}

  • {formtoggle: default=yes}Convenia (injectable) 8 mg/kg (80 mg/kg) {=kg8/80}ml S.C. this antibiotic last for 2 weeks.{endformtoggle}