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2025-177 | Problems | Notes | Costs | |||||||||||||||||||||||||||||||||||||||||||||||||
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2025-08-15 18:27 RE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Food: 160g clean meat SQ fluids: LRS 50ml Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM Metronidazole: 1.7ml (10 mg/ml soln) PO until 2025-08-21 (50mg/kg PO, will need to recalcuate with weight change) Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ Meloxicam: 1.12 ml (1.5 mg/ml soln) PO
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2025-08-15 10:35 RE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
NPO BAR, no leftovers, one pellet, normal mutes
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2025-08-14 18:52 RE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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2025-08-14 17:48 KT | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Food: 83g clean meat SQ fluids: LRS 50ml Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ Meloxicam: 1.12 ml (1.5 mg/ml soln) PO Wound care/bandage change: flush - being careful not to get feathers wet, then apply SSD, cover with tegaderm+telfa. Use SSD
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2025-08-14 12:06 SAK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
======= TREATMENT PLAN ======= Food: 80g clean meat BID SQ fluids: LRS 50ml SID Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23 Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will need to recalcuate with weight change) Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ Meloxicam: 1.12 ml (1.5 mg/ml soln) BID PO Wound care/bandage change: flush - being careful not to get feathers wet, then apply SSD, cover with tegaderm+telfa. Use SSD ==============================
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2025-08-14 09:13 SAK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Food: 80g clean meat Metronidazole: 1.7ml (10 mg/ml soln) PO until 2025-08-21 (50mg/kg PO, will need to recalcuate with weight change) Meloxicam: 1.12 ml (1.5 mg/ml soln) PO No leftovers No pellet Urates/Feces Present
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2025-08-13 16:10 SAK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Food: 80g clean meat Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ Meloxicam: 1.12 ml (1.5 mg/ml soln) PO
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2025-08-13 11:10 RE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Food: 82g clean meat SQ fluids: LRS 60ml Metronidazole: 1.7ml (10 mg/ml soln) PO until 2025-08-21 (50mg/kg PO, will need to recalcuate with weight change) Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ Meloxicam: 1.12 ml (1.5 mg/ml soln) PO BAR, no pellet, normal mutes, no leftovers
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2025-08-13 11:10 RE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
======= TREATMENT PLAN ======= Food: 80g clean meat BID SQ fluids: LRS 50ml SID Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23 Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will need to recalcuate with weight change) Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ Meloxicam: 1.12 ml (1.5 mg/ml soln) BID PO Wound care/bandage change: flush - being careful not to get feathers wet, then apply SSD, cover with tegaderm+telfa. Use SSD ============================== changed fluids
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2025-08-13 08:15 RE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
======= TREATMENT PLAN ======= Food: 80g clean meat BID Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23 Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will need to recalcuate with weight change) Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ Meloxicam: 1.12 ml (1.5 mg/ml soln) BID PO Wound care/bandage change: flush - being careful not to get feathers wet, then apply SSD, cover with tegaderm+telfa. Use SSD ============================== switched to oral meloxicam
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2025-08-12 17:06 RE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Food: 80g clean meat Meloxicam: 0.34 ml (5 mg/ml (Injectable)) SQ (switch to oral once eating)
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2025-08-12 12:26 SAK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Food: 80g clean meat SQ fluids: LRS 80ml until 2025-08-13 Metronidazole: 1.7ml (10 mg/ml soln) PO Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ Meloxicam: 0.34 ml (5 mg/ml (Injectable)) SQ (switch to oral once eating) Wound care/bandage change: flushed wounds with LRS, then apply SSD, covered with tegaderm+telfa.
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2025-08-11 18:58 SAK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Did not feed in PM. Will start food on 8/12 am.
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2025-08-11 18:54 AMS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
======= TREATMENT PLAN ======= Food: 80g clean meat BID SQ fluids: LRS 80ml BID until 2025-08-13 Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23 Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will need to recalcuate with weight change) Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ Meloxicam: 0.34 ml (5 mg/ml (Injectable)) BID SQ (switch to oral once eating) Wound care/bandage change: flush - being careful not to get feathers wet, then apply SSD, cover with tegaderm+telfa. Use SSD ==============================
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2025-08-11 18:24 AMS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Treatments given: SQ fluids: LRS 50ml SQ L inguinal Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM Ivermectin inj 1% : 0.03ml (10 mg/ml) SQ Metronidazole: 1.7ml (10 mg/ml soln) PO Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ Wound care/bandage change: applied SSD, covered with tegaderm+telfa AMS
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2025-08-11 17:35 AMS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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2025-08-11 17:29 AMS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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2025-08-11 17:22 AMS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Weight: 1677 grams, BCS: 1.5 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: QAR Posture: standing Comments: able to run away quickly, not able to fly - suspect because arrow was hindering wing movement Vital stats Heart rate: 200 Oral cavity: thickened saliva, mm pale Choana: clear Glottis: clear Beak: wnl Cere/nares: some dirt present in nares Crop: empty Feather quality: adequate Integument: heavy louse infestation Wings: small wound at medial R carpus from the arrowhead protruding from the chest Wings - Range of motion: wnl Wings - Patagium: wnl Legs/Feet: arrow going through the soft tissues cranial to the R stifle and inguinal web Legs/Feet - Range of motion: left wnl Legs/Feet - Plantar surface: wnl Legs/Feet- Talons: wnl Neurologic: no obvious deficits Ceolom: palpates wnl Vent: wnl Droppings: watery Uropygial gland: DNE Other observations: intact arrow with entrance just cranial to the right stifle, passing through the right pectoral muscles, the keel, and exiting the left pectoral muscles, taking a cranial trajectory Problem list: shot by arrow - large contaminated wounds Assessment: will need imaging to determine what structures are affected and whether treatment should be pursued, if so, we will likely progress directly to surgery Plan: take directly for CT imaging; gave meloxicam 0.24ml SQ based on estimated weight ~1200g; AIL spray applied Prognosis: Unknown
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Version 4.0.4 - 4.1.13 | Sat Aug 16 03:00:15 2025 |