Recommendation:
{formtoggle: name=Rabies VX; default=no}Discussed medical and legal importance of Rabies vaccine. {endformtoggle}
{formtoggle: name=DA2PP; default=no}-Discussed importance of DA2PP vaccine. {formtoggle: default=yes}Discussed importance of administering DA2PP every 3-4 weeks until 16 weeks.{endformtoggle} {formtoggle: name=Walking Outside; default=no}Discussed not allowing pet to walk outside, meet other unvaccinated dogs, dog parks and high traffic areas where other dogs may be until the completion of the DA2PP vaccine. {endformtoggle}{endformtoggle}
{formtoggle: name=Lepto; default=no}-Discussed importance of Leptospirosis vaccine.{endformtoggle}
{formtoggle: name=Lyme; default=no}-Discussed importance of Lyme vaccine. {endformtoggle}
{formtoggle: name=Influenza; default=no}-Discussed importance of Canine Influenza vaccine. {endformtoggle}
{formtoggle: name=Bordetella; default=no}-Discussed importance of Bordetella vaccine.{endformtoggle}
-Discussed vaccine reactions with owner.
{formtoggle: name=HW/FT; default=no}-Discussed importance of monthly administration of heartworm, flea and tick prevention. Recommended {formmenu: default=Simparica Trio; Heartgard/Nexgard; Revolution (Topical)}{endformtoggle}
{formtoggle: name=4DX; default=no}-Discussed importance of yearly test for heartworm and tick-borne illnesses. Recommended Snap 4DX.{endformtoggle}
{formtoggle: name=4DX @ 7 Months; default=no}-Discussed importance of yearly test for heartworm and tick-borne illnesses starting at 7 months. {endformtoggle}
{formtoggle: name=Concerns ; default=no}-Discussed owner concerns regarding {formtext}{endformtoggle}
Diagnostics:
{formtoggle: default=yes}-None{endformtoggle}
{formtoggle: name=4DX; default=no}-Snap 4DX (IH): {formtext}{endformtoggle}
Treatment:
{formtoggle: name=Rabies VX; default=yes}-Rabies - SC - Right Rear Leg - Next due {formmenu: default=in 3 weeks on {time: MM/DD/YYYY;shift=+21D}; in 1 year on {time: MM/DD/YYYY;shift=+365D}; in 3 years on {time: MM/DD/YYYY;shift=+1095D}} Tag Number: {formtext: name=Tag Number}{endformtoggle}
{formtoggle: name=DA2PP; default=no}-DA2PP - SC - Right Front Leg - Next due {formmenu: default=in 3 weeks on {time: MM/DD/YYYY;shift=+21D}; in 1 year on {time: MM/DD/YYYY;shift=+365D}; in 3 years on {time: MM/DD/YYYY;shift=+1095D}}{endformtoggle}
{formtoggle: name=Lepto; default=no}-Leptospirosis - SC - Right Front Leg - Next due: {formmenu: default=in 3 weeks on {time: MM/DD/YYYY;shift=+21D}; in 1 year on {time: MM/DD/YYYY;shift=+365D}}{endformtoggle}
{formtoggle: name=Lyme; default=no}-Lyme - SC -Left Front Leg - Next due {formmenu: default=in 3 weeks on {time: MM/DD/YYYY;shift=+21D}; in 1 year on {time: MM/DD/YYYY;shift=+365D}}{endformtoggle}
{formtoggle: name=Influenza; default=no}-Influenza - SC - Left Rear Leg - Next due {formmenu: default=in 3 weeks on {time: MM/DD/YYYY;shift=+21D}; in 1 year on {time: MM/DD/YYYY;shift=+365D}}{endformtoggle}
{formtoggle: name=Bordetella; default=no}-Bordetella - Oral - Next due in 1 year on {time: MM/DD/YYYY; shift=+365D}{endformtoggle}
{formtoggle: name=Medication; default=no}Medication:
{formtoggle: name=Simparica; default=no}Simparica Trio: Give one chewable tablet by mouth once monthly for heartworm, flea and tick prevention.{endformtoggle}
{formtoggle: name=Heartgard; default=no}Heartgard Plus: Give one chewable tablet by mouth once per month for heartworm prevention.{endformtoggle}
{formtoggle: name=Nexgard; default=no}Nexgard: Give one chewable tablet by mouth once per month for flea and tick prevention.{endformtoggle}
{formtoggle: name=Revolution; default=no}Revolution: Part the hair on the back of the neck and apply the entire contents of one ampule to skin once monthly (every 30 days) for the prevention of heartworm, intestinal parasites, and fleas.{endformtoggle}
{endformtoggle}
Plan:
{formtoggle: default=yes}-Please return in {formtext} for {formtext: name=Next Step} as a {formmenu: default=Doctor's Appointment; Nurse Appointment}{endformtoggle}
{formtoggle: default=yes}-Please continue to administer heartworm, flea and tick prevention on a monthly basis. {endformtoggle}
Vaccine Reaction Monitoring:
-Your pet received a vaccination today, and it is recommended that they are monitored carefully for the next few hours. Common normal responses to a vaccine include: soreness at the injection site, sleepiness, and a decrease in appetite lasting approximately 24 hours. These are all common and are not a cause for concern.
-Rarely, pets may experience an allergic reaction to a vaccine. Signs of an allergic reaction may include facial swelling, hives, vomiting, diarrhea, severe pain, or severe lethargy. If you notice any of these signs, please call us immediately or have your pet re-evaluated.
-If you believe your pet is experiencing an emergency after we close at 8PM, please contact/go to the nearest 24-hour emergency hospital. Some are listed below:
Blue Pearl Brooklyn - 190 3rd Avenue, Brooklyn NY 11217 - (718)596-0099
Veterinary Emergency and Referral Group (VERG) - 196 4th Avenue, Brooklyn NY 11217 - (718)522-9400
Veterinary Emergency Group (VEG) - 87 Kent Avenue, Brooklyn NY 11249 - (917))423-6444