#Buprenorphine for Cats

[nyraclark01]

What Is The Use Of Buprenorphine for Cats?

The main uses of buprenorphine for cats include: 1. Pain Management: Buprenorphine is effective in providing pain relief for cats experiencing acute or chronic pain. It is often used after surgical procedures, dental surgeries, or to manage pain from injuries or medical conditions.

2. Sedation: In some cases, buprenorphine can cause sedation in cats, which can be beneficial for reducing stress and anxiety in certain medical situations.

3. Palliative Care: For cats with terminal illnesses or chronic painful conditions, buprenorphine may be used to improve their quality of life during their remaining time.

Check out the blog for more information.

[chamomeowletea]

every time i see mewtwo in any piece of media i'm like. someone get this guy a weighted blanket and a dark room STAT they look like they've had a migraine since the day they burned down the lab

[brostateexam]

Miss California updates 11/6

I didn't talk much about the stitches thing yesterday because I was too tired. I've been taking her cone off during meal times because it gets in her way and I let her groom a bit because it's an important cat behavior and she's better at it than I am using just pet wipes to try and keep her fur clean. Previously, she's shown mild interest in her incisions but I just put a hand in to block her access, and if she didn't give up after doing that twice, I put the cone back on. Largely, that's been working to redirect her to other areas that need grooming until there's nothing else she wants to do, then after she gives up her goes I put her cone back on.

Last night, she ate, went to lie down in her bed, and then went straight for her incisions, immediately biting at her stitches with her little stapler remover teeth. Not knowing what else to do and not wanting to mess with her positioning in case I messed up her still healing pelvis, I stuck my finger between her teeth and the wound.

She accidentally bit me, but immediately realized it was my finger and softened her approach. She didn't even break the skin. All in all, it went about as well as it could have, though I'm worried that she got the stitches out of one of her incisions subsequently but the light was too poor and frankly I was too tired to do more than just check and make sure there was no blood or discharge (there wasn't). I texted the e-vet some pictures (at their request) and they didn't respond so hopefully that means stuff is fine?

She seems to have diarrhea, also. So I'll call them about that because I can't tell if this is maybe a side effect of her coming off of buprenorphine or if this is actually something I should be worried about. She seems otherwise fine.

As proof: she escaped her quarters and came to find me in the kitchen, which is on the other side of the house. So she clearly isn't feeling particularly weak or lethargic.

[moorishflower]

13, 17 and 48 for the writer's ask game <3

13: Are there any tropes you used to like but don’t anymore? - Maybe college AUs? I was VERY into college AUs when I was, uh. In college. but these days they don't appeal to me as much. A good fic is still a good fic, but I don't seek them out anymore!

17: What highly specific AU do you want to read or write even though you might be the only person to appreciate it? - Hob Gadling is a veterinarian who's worn out, burnt out, slowly suffocating under the weight of his own student debt and trying to keep his techs from abandoning ship by paying them money out of his own salary. Dream is Prince of Cats and Lord of the Night, beautiful, mysterious, and has, to his horror, just been hit by a car and brought into a human office by a good Samaritan. He's fully expecting to have to fight his way out with a broken leg and multiple broken ribs, except Hob doesn't try to euthanize him, as Dream has been led to believe all humans will do. Hob splints his leg and gives him cerenia and buprenorphine and he DOES make him wear a very silly cone, but he also pets Dreams head and calls him handsome and makes him purr. Dream has the weight of responsibility of all cats upon his shoulders -- he has never purred for a human. He's entranced. He's bewitched. What follows is a magic shapeshifting cat lord attempting to court an extremely bewildered human man in typical cat fashion.

48: What’s the last fic you read? Do you recommend it? I've been rereading 'Come live with me and be my love' by @avelera which is THE comfort fic for me, as most of Avelera's stuff is! I've also read 'Relief' by @softest-punk, also highly recommended, love Hob's portrayal as a trans man, love Dream fascinated and bewitched by Hob's body in all shapes and states.

[letmeliedown]

i spent all night waiting for my cat to poop, she's been lying in the litter box again because she's having a pain flare and can't balance. she's still on double her usual steroid dose and extra gabapentin. she finally managed to go a few hours after i gave her buprenorphine (which i hesitated on because it can worsen constipation) and i'm so exhausted but too stressed to sleep

[danielnelsen]

oh my god it’s the painkillers

things aren’t going well with peach. while i think my dad’s very right to be concerned that she hasn’t eaten anything in nearly 60 hours (obviously i am too), im becoming increasingly concerned that she hasn’t slept at all in around 36 hours and prior to that she was under anaesthetic, which isn’t exactly restful, so it’s closer to 48 hrs

like dad took her back to the vet today and we’ve got injections for her painkillers now because she’s not eating, and also injections for fluids (because she doesn’t drink; she only gets water from her food), so the not eating is Bad but also kinda under management, but if she doesn’t sleep soon i’m extremely worried. dad was like ‘if she doesn’t eat by tomorrow afternoon we’ll take her back because the injections will run out’ but like. if she doesn’t sleep tonight we have GOT to take her back first thing in the morning so they can sedate her or something

[freaking-internet]

[beastlyart]

We had a drug rep come through today to promote their new transdermal buprenorphine application for pain control in cats, trade name Zorbium.

Except I am online enough to find dumb tumblr jokes about the Morbius movie indescribably funny. So now I really have to white-knuckle my way through not saying “Get Zorbed” every five minutes at work.

[theflashisgone]

Morgan is on the mend! She's drinking enough water that I'm going to stop giving subcutaneous fluids, her diarrhea is gone, she's expressing interest in leaving the bathroom, she swatted Biff for being too nosy, and most importantly, SHE ATE! Not enough yet for me to stop worrying about her, but she ate the tablespoon of salmon that I left for her, so I left some more in lieu of a midnight feeding.

[dono-harm-totonystark]

#if they growl get a muzzle#you are protecting yourself your team the owner and patient#if sedation is an option do it#dont risk getting bit if you dont have to

I feel like that's a gross oversimplification. Each animal is different. You may have a grumbly cat and cat muzzles are generally poorly tolerated. I find even throwing a towel over the cat's face is less 'homicidal inclination'-inducing than a cat muzzle. You may have a dog who is so terrified or has such bad associations that the very act of seeing/getting approached with a muzzle makes it go ballistic while it would probably actually be fine with gentle handling without it. You may have a dog with a facial conformation that renders muzzles useless (most brachys I've had don't really keep a brachy muzzle on (and not even mentioning the stress), and chihuahuas are bastards for getting out of theirs, for example).

Also, I personally dislike the idea that sedation fixes everything. Sedation isn't neutral to the body. If you have high ASA scores you may be unnecessarily putting the animal's health at risk, and you may not always be able to accurately assess ASA with a stressed animal as OP has said. For example, if you haven't been able to take bloods and check kidneys, how do you know that this old vomiting dog you're giving benzodiazepines (contraindicated in liver insufficiency) or acepromazine (metabolised by liver & kidneys and causing possibly kidney-wrecking hypotension) is actually able to metabolise it? And what if the owner simply cannot afford to sedate the animal and the procedure doesn't actually require it? (e.g. ultrasound) And don't even get me started on neurological patients, like epileptics or spinal-trauma patients whose spines may become even more unstable when you sedate them and relax the muscles holding the spine in place!

I have some genuine horror stories with vets being too trigger-happy with sedations leaving me animals that bleed for hours on end after waking up or even straight up die (bouncing back from hypotension), or are metabolising the GA for 3 days straight, or or or. And I am yet to see a study that definitively supports using sedation for mild procedures (and isn't paid for by the pharmaceutical company that makes the sedatives). All of them seem to show that it all depends on an animal.

I've had a dog who had to be muzzled and sedated to get his nails trimmed for years until I gave him some treats and very gentle approach in a quiet environment, and yes, it took a better part of an hour but I got his nails trimmed without any extra measures. I had a cat who would go absolutely manic out the back but I took bloods off of him with his owner holding and he didn't even flinch. I routinely do conscious X-rays and stitch-ups with just an opioid/anxiolytic and local anaesthesia, to good effect (I don't have the time or the staff to faff around with sedating every single thing.) I genuinely cannot remember the last time I had to actually sedate a dog with anything more than some meth/buprenorphine for anything that wasn't a genuine abdominal surgery.

And aggression isn't homogenous either. Hell, in the last week alone I have had 3 growling cats and 2 growling dog who were just. growly. All bark, no bite, let us do everything we wanted with very little handling, just grumbled all throughout it. One of them was a parvo dog who was so hypovolemic he wouldn't be a candidate for even the lightest of sedations and he was growling every time we so much as looked at him.

In total, not a lot of cats and really very few dogs are actually genuinely murderous. Most of them are just scared, and a lot of the time extra measures just add on to their fear (more people to hold, muzzling, needles etc. etc.), while a lot of the time they benefit from one-person low-stress handling with the owner present and/or a preventative anxiolytic given before the appointment and being seen during the less busy times + waiting in the car so they don't get amped up by a dozen other animals in the waiting room. So many of them act better for me because I do as much as I possibly can in the consult room without moving them around and because it's literally just. quiet.

I would highly recommend looking into trigger stacking and fear aggression triggers to minimise the need for extreme measures.

How do you get vitals on an animal that’s growling? Not like trying to attack but just making the anger noise. Like, don’t you need to have at least an idea of heart and lung sounds before sedation? Also, since animals are pissed/stressed generally, how do you know if the vitals are necessarily accurate? The critter might have a fast heart rate but is that pathological or just because it doesn’t want to be at the vets office?

Sueanoi here.

If we're sure the animal will not attack, I will keep listening until there is a quiet 1 (one) second of lung sound that I can catch.

It won't be as accurate as a calm animal. but it's still something.

Once it's established that it's likely safe for a LIGHT sedation. The animal is sedated and vitals are checked again. Most likely I will order an X-ray if the heart-lungs are the concern.

Fast heart rate isn't a big problem. We're listening to the sound of each beat of the heart. A murmur can be heard through a fast heart rate, although it's harder.

[pharmdup]

So the new onset cat was acting funny today and, while I was at work, my kid and a friend took him to an urgent care vet. He was diagnosed with feline lower urinary tract disease, which is apparently an inflammatory disorder mostly caused by stress, but could also be an infection.

He seems okay. One thing about my little family: we get early and thorough vet care. I already have an appointment to discuss behavioral healthcare for the tension between the cats. It’s in a couple weeks.

So I’m sitting down with my tea looking at my bill about the drugs he was administered today.

Lactated ringers 100mL: sure seems reasonable

Meloxicam, an NSAID: totally agree

Buprenorphine: also seems reasonable, and I’m glad he’s feeling better

Convenia? Apparently this is a cephalosporin, generic name cefovecin. Apparently it lasts 14 days after injection. And it seems to mainly cover skin infections. And apparently about 1% of cats with this diagnosis have an infection at all. But maybe feline UTIs are mostly caused by skin pathogens? I have questions.

Adequan, generic name polysulfated glycosaminoglycan. It... it seems to be a DMARD for osteoarthritis. This cat is one year old.

Huh.

Listen. Listen. I’ve got a lot of respect for vets. It sounds like such a traumatic field to be in, and emotionally I get it. You get a cat that’s relatively healthy and the owner tells you, please do what’s best. I’m not worried about money. And to treat that cat (but also a little bit to treat all of the past cats who you were forced to give less than ideal care to due to poverty and people not valuing the lives of animals enough) you give this lucky cat three different pain medications with entirely different mechanisms of action and an antibiotic that covers him for weeks. Pet owners have broken your heart. Maybe this is your only chance to help this cat.

This is a good vet, but lord, she needs a pharmacist. Someone who she has to justify the antibiotic and the DMARD to, and to maybe suggest a little steroid? Is that a thing with cats? This fictional vet pharmacist would definitely know.

That semi-nonsense med list shows a lot of heart, is all I’m saying. Now if you’ll excuse me, I’m off to see if I agree with her daily dose calculation for the meloxicam. And google how the fuck I’m supposed to give it.

[feralcat77]

Posted @withregram • @ladybug3140 911🛑911🛑911🛑911🛑911🛑. 👉👉👉👉 U R G E N T‼️‼️👈👈👈👈. 🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥ARLINGTON ANIMAL SHELTER, TEXAS. ‼️⛔️ OMG!! ANOTHER STRAY KITTEN HIT BY CAR WITH A BROKEN LEG ⛔️‼️ ‼️THIS LITTLE BABY ONLY WEIGHS 1.9lbs AND ‘HER LEG IS DANGLING’ WITH A COMPOUND FRACTURE‼️ 🆘 SHE ONLY HAS UNTIL TOMORROW, JULY 1, AT 10:00AM BEFORE THE SHELTER EUTHANIZES HER!!😭🆘 🚨🚨PLEASE PLEDGE AND SHARE TO SAVE HER LIFE!!🚨🚨. _________________________________________________ Original Facebook post: https://www.facebook.com/651154598427629/posts/1821862834690127/?d=n ‼️ IMMEDIATE MEDICAL RESCUE ‼️ This little girl has a fractured leg and needs to be tagged immediately for further medical care. Please pledge and share if you can to help her. Thank you! “Unweaned female, DSH, torti, weight 1.9 lbs, needs an approved rescue partner to tag and pick up by 10:00am Thursday 7/1/21 Vet notes: Leg is dangling with compound fracture. QAR, P is eating some wet food. Has areas of severe inflammation and dermatitis; Gave 0.07cc Conveina, 0.04 cc Buprenorphine and start on 0.07 cc Meloxicam PO SID x 5. Kitten needs immediate medical rescue by 07/01/2021.” Email nsanimalrescue@arlingtontx.org #ladybug3140 #TORTIARLNGTNTX #cats #catsofinsta #instagram #cats_of_instagram #pets #petstagram #petsofinstagram #instacat #catsofinstagram #catlover #instagramcats #instacat #savinglives #makeadifference # #savealife #rescue #adoptdontshop #savingcats #urgentcats #savingcats #savinganimals #urgentcatsxofinstagram #rescuecats https://www.instagram.com/p/CQxC0xCpY3C/?utm_medium=tumblr

[errantgoat]

okay i need to vent

my parents are probably the worst cat owners i had to deal with in my 8 year long career

and i don't mean that they don't care but they care too much about the cat’s feelings for proper treatment

i've never EVER had an owner go against my directions to this degree  

our 13 y-o Yappy the russian blue cat hasn't been feeling too well at the end of the last week, he wasn't eating at all and was lethargic so I finally managed to prompt my parents to get his blood tested for the first time ever

thyroid – ok

kidneys – on the verge but still ok

pancreas – bingo

so, there's no proper treatment for pancreatitis other than hydration, B12 vitamin injections, pain treatment, diet

my reign lasted two days

first went the pain treatment – i managed to give him exactly two shots before my parents said no because he was too out of it after buprenorphine 'and he's walking around so he's definitely not in pain, definitely'

then went the diet – even though i requested that the cat eats the food i provided, i guess my mom just thought he needs to eat it on top of everything he ate before plus some additional catfood she bought at the supermarket that he hasn't tried yet and it's unknown how his body would react to because why the fuck not

he got exactly three drips intravenously before i had to take out the catheter because... i still don't fucking know why. His leg swelled after the first day but it's only because the bandage was too tight -it went back to normal after a few hours; i've been giving him s.c drips with vit B12 from then on but the first way should've lasted for 5-7 days

and i don't fucking know -he got way better after 2-3 days of treatment only to relapse (not completely, he's still eating) and i just don't know what failed because i have no control over the treatment

the kicker is my parents won't administer the medication by themselves even though my father is a doctor and my mom works as a medical technician because they're unable to 'hurt him'

just kill me please

[cibokilley]

This tiny cat means the world to me. She’s the sweetest, most fragile cat I’ve ever met, and she snuggles like a champ, she’s a one-of-a-kind kitty and I’m not just saying that. I am in debt thanks to this cat, but y’know what? Money comes and goes. There’s only one Carmen. To me, there isn’t even a choice.

So, rather than reblog the original post which was hugelong, I’ve made a shorter version for easier viewing.

April 15th 2019

Went to see her last night, and she was improving.  She had the energy to fuss over her bandages -- the vet uses vet tape, a kind of non-sticky tape that binds to itself, to keep her IV steady on her leg, but cats tend to hate this, so she was quite put out about the whole thing. The ultrasound came back positive for a slightly enlarged liver, thus confirming the fatty liver. They're still trying to get her ketones levels down, which means she's got quite a while to spend in the ICU. I'm heading over in an hour to see her again. I'm gonna ask the doc about her prognosis. While I'm hoping this bout of diabetes will be temporary (6 months of recovery time, from what I've heard), she may turn out to be diabetic for life.   

But at least she's off the prednisone now.

April 16, 2019, 9pm

Just got back from visiting her again. Our girl is... getting better! The vet techs have told me that she's eating again, which is a GREAT sign of recovery. They had her on fentanyl as a painkiller, but after I asked for them to give her a little more -- she was curled up tight, not a good sign -- so they switched to buprenorphine, and her appetite immediately returned. With the painkillers she's also more active, and was grooming herself -- something she hasn't for a long while. Complicated story about that. Anyway, the current bill is sitting at $5170.40. The cost will continue ticking upward until she can be released. It'll be a thousand dollars per day. $6500 may not even cover this, but I'll see what I can do. Thank you, everyone who's already donated or has reblogged this fundraiser. I am in much deeper debt to your collective kindness. <3

April 17, 2019, 10am

GOOD NEWS 

Got a call this morning from the vet, and Carmen might be able to come back home either tonight or tomorrow! What this means is she will no longer have to be intently monitored in the ICU because her ketone and glucose are at safe levels now. They're still working to customize her insulin doses in order to prescribe a set amount per day, whether it's twice a day or once a day, along with a prognosis. More news after I visit her tonight. 

And yeah that’s another grand onto the current cost. 

[starkravingcat]

Acupuncture Session #1 - Shout out to @deanndoonan for letting me know that @lonestarvetcare , a new vet practice 40 minutes from us much closer than Austin). And it offers acupuncture! Tamale’s first session was Thursday and next one is Monday. I’ve never seen Tamale snap at or try to bite a tech or vet - but she did this time. So unlike her 😮 but Tamale’s past 2 weeks have been super stressful, painful and plagued by a bad drug reaction. So it’s understandable 😘 We’ve now got her on #buprenorphine for pain (thank you @furfamilylife 💙). She still can’t stand up on her own but took some steps today before falling down. She’s currently resting in my dark studio, by choice, and very sweet and purry when I check on her (opiate-high 😸🤪). Thanks friends for your love and support-it means a lot! 😻😘🐈 Happy FriYay From Tamale! . . . #TamaleCEO and #StarkRavingCat: hip toys, gifts, cards for cats/cat lovers - Handmade at #starkravingranchito in the #txhillcountry near #Austin 😸 #etsy #etsyshops 🎉 https://www.instagram.com/p/B0Gr9dOFIaO/?igshid=tjnoj1s34r49

[bloojayoolie]

Anaconda, Beef, and Butt: Romeo ld 56356, 8 Yrs 75 lbs. of cuddles Manhattan ACC Easy. soft, snuggly. happy senio gentleman! A TOTAL JOY! TO BE KILLED 4/2/19 Handsome Romeo @MACC looking for his Juliet! Mellow Romeo is friendly and respectful around CATS and is friendly with small and larger dogs! We are certain that if we grabbed the old Webster’s Dictionary and looked up the word “Joy”, that Romeo’s picture would be there. In fact, we are certain that if we looked up “generous” or “good natured” or just the word “Love” itself, he would be there. Romeo is 8 years young, a big boy with an even bigger heart, who just wants to share it with everyone he meets. He loves nothing more than a lean in or a cuddle, a butt scritch or a hug. He pulls in everyone around him, a magnet for those who want to feel wanted, loved, important and special. Because ROMEO, true to his name, will make you feel like you are the center of the universe, or at the very least, the center of his world. With Romeo, you will always feel wanted, you will always feel loved, and you will ALWAYS feel important. Don’t wait another minute to add the man of your dreams to your everyday life and make it something truly special. MESSAGE our page or email us at MustLoveDogsNYC@gmail.com for assistance saving his life. A volunteer writes: Romeo,Romeo where forth art thou?...oh, there you are, snuggled against my leg and giving me head nudges! Nothing beats a sweet, smiley senior and this handsome redhead stands out in a crowd for more than just his cuddling abilities and good looks. He can be shy at first but once he warms up he's wonderfully social and loves people and other dogs, happily bouncing around in playgroup and enthusiastically greeting pups of all sizes when out for a walk. He seems very house trained and enjoys long strolls in the park and gently eating liver treats from my hand, though he did turn his nose up at my generic beef jerky. A gentleman (of Verona) has to maintain some standards! We're told Romeo was friendly and mellow in his previous home, getting along well with fellow dogs and even behaving respectfully toward cats. Come make Romeo's acquaintance for yourself and let him charm you too. Parting may be such sweet sorrow but we'll all be smiling the day Romeo says goodbye to the Care Center and hello to his new life as a beloved family pet. MY VIDEO: Romeo is a sweet senior looking for love <3 https://www.youtube.com/watch?v=hMucU-8Rdi8 Romeo and Dutchess https://www.youtube.com/watch?v=i-h2A_yJfRc ROMEO, ID# 56356, 8 yrs old, 75.6 lbs, Unaltered Male Manhattan ACC, Large Mixed Breed, Brown / White Owner Surrender Reason: O is moving and unable to keep P in new home Shelter Assessment Rating: LEVEL 3 No children (under 13) Medical Behavior Rating: OWNER SURRENDER NOTES - BASIC INFORMATION: Romeo is a 8 year old brown and white male large mixed breed dog. Previous owner had Romeo for abut 8 years and got him from a friend. He is surrendering him today because of moving issues. Rome previously lived with 3 adults. Around strangers, Romeo is shy and it depends on who he gets along with. He may growl at certain people or will be nice to certain people. Around children, Romeo is friendly and respectful. Romeo has been around other dogs before he is friendly with both small and larger dogs. Romeo has been around cats he is respectful and friendly. He does not resource guard food bowls toys or treats. When someone unfamiliar approaches the home, Romeo will bark and will also bark if someone approaches his owner. He has not bitten another animal or person, is housetrained and his energy level is described as medium, friendly, playful and mellow. Other Notes: Romeo has received a bath from the previous owner and he enjoys it. Romeo also allows to have his nails cut and loves to be brushed as well. he isn't bothered if he is held or restrained. Has this dog ever had any medical issues? Yes Medical Notes Romeo came to ACC with a mass on his right hind leg. He has no other known concerns or issues at this time. For a New Family to Know Romeo is a Medium energy, friendly, playful and mellow dog. Previous owner's favorite thing about Romeo is that he is friendly. Romeo enjoys playing with all types of toys. He eats both wet and dry food mixed together about once a day. Romeo gets walked in the morning time, aftenoon and night. He also has been kept indoors only. Romeo does pull when he is on the leash. INTAKE NOTES – DATE OF INTAKE, 5-Mar-2019: Upon intake, Romeo had a tense body. When approached he began to growl and bare teeth. He allowed me to walk around with him on a leash but was handled into a kennel by his owner. Minimal handling. BEHAVIOR NOTES: Means of surrender (length of time in previous home): Owner Surrender (In home for 8 years) Previously lived with: Adults Behavior toward strangers: Shy, growls at some people Behavior toward children: Friendly and respectful Behavior toward dogs: Friendly Behavior toward cats: Friendly and respectful Resource guarding: None reported Bite history: None reported Housetrained: Yes Energy level/descriptors: Romeo is described as friendly, playful, and mellow with a medium level of activity. SHELTER ASSESSMENT - Date of assessment: 6-Mar-2019 Summary: Leash Walking Strength and pulling: Moderate Reactivity to humans: None Reactivity to dogs: None Leash walking comments: None Sociability Loose in room (15-20 seconds): Highly social Call over: Approaches readily Sociability comments: Stays by assessor, nudges assessor's hand with his nose Handling Soft handling: Tolerates contact Exuberant handling: Fearful Comments: Body soft at first but becomes a bit tense and displays discomfort (tail down, lip licking) with prolonged handling. Arousal Jog: Follow (loose) Arousal comments: None Knock: No response Knock Comments: None Toy: No response Toy comments: None PLAYGROUP NOTES - DOG TO DOG SUMMARIES: The previous owner of Romeo described his behavior around dogs as "friendly". Slow introductions are recommended to other calm, respectful dogs. 3/6: When introduced off leash to the female greeter dog, Romeo engages in brief running play. He later wanders the environment and sniffs. 3/11-19: Romeo greets calm female dogs politely. 3/20: Romeo is more forward when greeting, barks to solicit. 3/25: Romeo keeps only to himself. INTAKE BEHAVIOR - Date of intake: 5-Mar-2019 Summary: Tense, growled, bared teeth ENERGY LEVEL: Romeo is described as having a medium level of activity. BEHAVIOR DETERMINATION: Level 3 Behavior Asilomar TM - Treatable-Manageable Recommendations: No children (under 13) Recommendations comments: Due to being reported to growl at some new people in his previous home, we recommend an adult only home. Potential challenges: Fearful/potential for defensive aggression Potential challenges comments: Romeo is reported to be shy with new people and growl at some of them. At the care center, he has appeared timid, tensing during some interactions. Please see handout on Fearful/potential for defensive aggression. MEDICAL EXAM NOTES: 29-Mar-2019 Progress Exam SO BAR in kennel; rises from bed and comes to front of kennel to receive scratches. EN -- eyes are clear. mucoid nasal discharge bilaterally. No sneezing or coughing A CIRDC P enrofloxacin 136mg tablet -- give 2.5 tablet PO q24h x 14 days cerenia 60mg tablet -- give 1 tablet PO q24h x 4 days 22-Mar-2019 Progress Exam Patient is BAR in kennel. Prescrotal incision is CDI. 21-Mar-2019 Spay/Neuter Summary Canine neuter Pre Medication: Buprenorphine mg/mL injectable, 2.89 mL IM, once Butorphanol 10 mg/ml injectable, 0.58 ml IM, once Dexdomitor 0.5 mg/mL injectable, 0.23 mL IM, once Induction: Ketamine 100 mg/mL injectable; 0.87 mL IM, once Propofol 10 mg/ml injectable; 1.4 ml IV, once Venous access: 20 g IV placed in RF cephalic vessel. Anesthesia notes: 12 fr. ET tube placed, maintained general anesthesia throughout procedure on variable Isoflurane and O2. Size 3 L rebreathing bag. Testicular block: 1.4 ml Lidocaine + 1.4 ml Sterile water, given pre-operatively. Intraoperative fluid administration: Intraoperative IV fluids (LRS) administered at a rate of 290 mL/hr throughout procedure. NSAID: Rimadyl 50mg/mL injectable, 2.3 mL, SQ, once post operatively, for post operative pain relief. Recovery Status: Uneventful Anesthetist/Monitor: 1575/1335 Start 1.5 tablet carprofen 100 mg sid po x days as pain management Dog Neuter Was this dog a cryptorchid? no Pre scrotal Incision Spermatic Cord Ligation with: 0 PDS Sub Q closure: 2-0 PDS Skin closure? 2-0 PDS skin glue Post Surgery Note: 9:43 AM Pre Op Exam Estimated age: 8 yr Subjective: owner surrender Observed Behavior -hyperactive, friendly Evidence of Cruelty seen -none Evidence of Trauma seen -none Objective BARH mm pink P = WNL R = WNL BCS 7/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: mild dental tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated MSI: Ambulatory x 4, skin free of parasites, multiple masses over body- as previously described on intake, and additionally a pendulous dermal mass on ventral tail base U/G: scrotal tests CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal:not performed Assessment healthy multiple dermal masses appear quiet with no signs of ulcerations, infection, or trauma Prognosis: very good Assessment Plan: neuter SURGERY: Okay for surgery 19-Mar-2019 Progress Exam HX: CHECK GROWTH UNDER TAIL DOG HAS MANY GROWTHS INCLUDING L HL LATERAL THIGH - PEDUNCULATED MASS BAR H MSI- VENTRAL ASPECT OF PROXIMAL TAIL- PEDUNCULATED CYSTIC LIKE MASS EFFECT 10-Mar-2019 REQUESTING TRAZODONE TREATMENT TRAZADONE- 5MG/KG SIG: 200MG Q 12HRS INDEFINITELY 6-Mar-2019 DVM Intake Exam Estimated age: ~8yrs based on O hx. Consistent with exam. Microchip noted on Intake? scanned negative. implanted by LVT History : O surrender. O is moving and unable to keep P in new home Subjective / Observed Behavior - BAR, tense, shaking, flinching with touch. Evidence of Cruelty seen - None Evidence of Trauma seen - none Objective BCS 7/9 EENT: Eyes clear, ears have moderate brown exudate, AU; no nasal or ocular discharge noted Oral Exam: did not evaluate due to behavior. PLN: No enlargements noted H/L: No murmur ausculted; CRT < 2, Lungs clear, eupnic ABD: Non painful. Tense, difficult to palpate organs U/G: intact male. testicles are smooth and symmetrical. MSI: Ambulatory x 4, skin free of parasites; large 4 inch pink, non haired, pendulous mass along the left lateral thigh. 0.25cm pink, dermal, non haired mass along intrascapular region. 1.5inch SQ soft, freely moveable mass along the right lateral flank. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal. Assessment multiple masses throughout body overweight otitis externa Prognosis: fair to good Plan: cytology of mass along dorsal back and lateral thigh. weight loss recommended ear cleaning claro otic, AU SURGERY: Okay for surgery +/- mass removal * TO FOSTER OR ADOPT * HOW TO RESERVE A “TO BE KILLED” DOG ONLINE (only for those who can get to the shelter IN PERSON to complete the adoption process, and only for the dogs on the list NOT marked New Hope Rescue Only). Follow our Step by Step directions below! PLEASE NOTE – YOU MUST USE A PC OR TABLET – PHONE RESERVES WILL NOT WORK! * STEP 1: CLICK ON THIS RESERVE LINK: https://newhope.shelterbuddy.com/Animal/List Step 2: Go to the red menu button on the top right corner, click register and fill in your info. Step 3: Go to your email and verify account \ Step 4: Go back to the website, click the menu button and view available dogs Step 5: Scroll to the animal you are interested and click reserve STEP 6 ( MOST IMPORTANT STEP ): GO TO THE MENU AGAIN AND VIEW YOUR CART. THE ANIMAL SHOULD NOW BE IN YOUR CART! Step 7: Fill in your credit card info and complete transaction HOW TO FOSTER OR ADOPT IF YOU CANNOT GET TO THE SHELTER IN PERSON, OR IF THE DOG IS NEW HOPE RESCUE ONLY! You must live within 3 – 4 hours of NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Northern VA. Please PM our page for assistance. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a dog on the To Be Killed list, including those labelled Rescue Only. Hurry please, time is short, and the Rescues need time to process the applications.