Ambulatory Veterinary Surgery

Ronald K. Fallon D.V.M. 202-288-5518

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INITIAL EXAM

ORTHOPEDIC PROCEDURES

OCD OF STIFLE

FRAGMENTED CORONOID

CORRECTIVE OSTEOTOMY

CRUCIATE LIGAMENT

CONVENTIONAL REPAIRS

TIGHTROPE

TPLO

TTA

PATELLA LUXATION

HIP DISEASE

TPO

TOTAL HIP REPLACEMENT

FHO

HIP: MEDICAL MANAGEMENT

PUBIC SYMPHODESIS

TRAUMA / FRACTURES

GENERAL SURGERY

ONCOLOGY

POST OPERATIVE CARE

TPLO POST OP INSTRUCTIONS

TPLO PHYSICAL THERAPY

TPO POST OP INSTRUCTIONS

SWIM/REHAB CENTERS

THR POST OP INSTRUCTIONS

POST CONVENTIONAL REPAIRS

PAIN MANAGEMENT

DURAGESIC PATCH

 TPLO POST SURGICAL INSTRUCTIONS

1) Your pet has an incision:
 
You should check your pet's incision daily and take notice of any changes in its appearance. A certain amount of redness and swelling are normal for many incisions, but a noticeable increase in the degree of redness, pain, swelling or discharge should be reported to your veterinarian. It mayor may not be a problem. Your pet should not be allowed to lick or chew at the skin staples. If you find it is impossible to stop your pet from doing this, you should come to the, hospital and obtain an "Elizabethan" collar, which is placed around the neck to prevent the pet from getting at the incision.

2) The skin staples can be removed in 2 weeks by your veterinarian. It is very common to see a lot of swelling and bruising of the leg for 1-2 weeks after this surgery. This will resolve by the time the' skin staples are removed.

3) Orthopedic Exercise Restriction:

Your pet needs to be confined indoors and should not be allowed to jump, run, use the stairs or "rough':"house"., When taken outdoors to urinate and defecate, your pet MUST be confined to a leash, and once body eliminations are completed, returned IMMEDIATELY indoors. If your pet is to be left alone, he/she must be confined to an area in which he/she cannot hurt him/herself, e.g.: a small room or cage. This degree of confinement is especially important during the WEEKS following surgery. It may take several days to 3 weeks before your pet begins to use the leg.

4) Give medications as directed. It is very important to give this medicine with food. If you see any vomiting, anorexia, or bloody stools, stop the pain medication immediately.

5) In 10-12 weeks, please call your doctor to schedule recheck x-rays to assess bone healing. Your pet may spend the day at the hospital and should not be fed the day of the appointment (water is ok). If the bone healing is adequate at that time, we can then slowly start exercise rehabilitation.


NOTIFY YOUR DOCTOR IF ANY OF THE FOLLOWING OCCURS:

1.   Loss of appetite for more than two days
2.   Refusal to drink water for more than one day
3.   Severe depression or weakness
4.   Vomiting more than once




5.   Diarrhea
6.   Severe pain

7.   Incisional drainage
NORMAL POST SURGICAL REACTIONS INCLUDE

1.   Moderate incisional swelling and/or redness
2.   Decreased appetite for the first 24-72 hours


3.   Moderate lethargy or depression
4.   Excessive thirst upon arrival home

CONTACT THE HOSPITAL DURING REGULAR HOURS IF YOU HAVE ANY QUESTION ABOUT WHAT IS A NORMAL REACTION AND WHAT IS NOT NORMAL.  IF YOU HAVE AN EMERGENCY, CALL AT ANY TIME!

1.        DO NOT ALLOW YOUR PET TO LICK OR SCRATCH EXCESSIVELY AT THE INCISION.   Collar if needed.

2.        DO NOT ALLOW EXCESSIVE DRINKING OF WATER UPON ARRIVING HOME.   CRUSHED ICE IS OKAY.

3.        FEED SMALL AMOUNTS OF FOOD DIVIDED OVER THE DAY INSTEAD OF ONE LARGE MEAL.

4.        DIET:     YOU MAY FEED YOUR REGULAR DIET.

5.        SUTURES/STAPLES:     INCISIONAL RECHECK  IN  10 - 14  DAYS

6.        EXERCISE:  [ X] RESTRICT TO LEASH WHILE OUTSIDE     [ X ] NO JUMPING        [   ] CRATE WHEN AWAY

                               [ X ] AVOID STAIRS AND SLICK FLOORS      [ X ] USE HARNESS OR SLING SUPPORT

                                RESTRICT ACTIVITY FOR __8-12___ WEEKS


7.        MEDICATION(S):  GIVE ALL AS DIRECTED UNTIL GONE


 Cephalexin                                        mg.    (#           )  GIVE _______ Capsules __________ times/day
   Tramadol                                        50  mg.    (#           )  GIVE _______ Tablets __________ times/day
   Glucosamine/ Chondroitin                  mg.    (#           )  GIVE _______ Capsules __________ times/day
   _____________  NSAID                       mg.    (#           )  GIVE _______ Capsules __________ times/day

SPECIAL INSTRUCTIONS:

1.    DAYS 1 - 2        ICE PACK   [ 15 MINUTES EVERY 3-4 HOURS AS POSSIBLE ]    { USE FROZEN PEAS / GEL PAC }
2.    DAYS 3 - 7        HOT COMPRESS      2-3 TIMES PER DAY.
3.    FLEX AND EXTEND THE LIMB FOR 2-3 MINUTES 2 - 4 TIMES PER DAY AS POSSIBLE.
4.    WEIGHT LOSS OF [               ] LBS.                          DIET FOOD_______________
5.    SWIM DAILY/WEEKLY AS POSSIBLE AFTER___30___POST- OPERATIVE DAYS.


                                                    FENTANYL TRANSDERMAL PATCH
   



Contact Us:  202-288-5518
       

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