Ambulatory Veterinary Surgery

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


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                       5.           Diarrhea
2.          Refusal to drink water for more than one day                6.           Severe pain
3.          Severe depression or weakness                                  7.           Incisional drainage
4.          Vomiting more than once

 

NORMAL POST SURGICAL REACTIONS INCLUDE

1.           Moderate incisional swelling and/or redness                3.          Moderate lethargy or depression
2.           Decreased appetite for the first 24-72 hours                 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.

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 AS NEEDED

                               RESTRICT ACTIVITY FOR _________ WEEKS

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

             Cephalexin _________                          mg.  (#         )      Give ____capsules ___3___times per day until gone

             Cephalexin _________                          mg.  (#         )      Give ____capsules _______times per day until gone

             Glucosamine/ Chondroitin _____            mg.  (#         )      Give ____capsules _______times per day until gone

             __________________   NSAID               mg.  (#         )      Give ____capsules _______times per day until gone

 

 

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.
5.    SWIM DAILY/WEEKLY AS POSSIBLE AS POSSIBLE AFTER________POST- OPERATIVE DAYS.

 

FENTANYL TRANSDERMAL PATCH:    CLIENT INFORMATION

              (Remove Duragesic Patch After 5th Day)


Your pet is going home with a Fentanyl Transdermal Patch.   This patch contains a potent pain-relieving drug which will be slowly absorbed through the skin and make your pet more comfortable for 3 to 5 days.

 

It is important to know that this drug has different effects in people than in dogs and cats.   The side effects of this drug in people include respiratory depression (inability to breathe), which can result in serious illness or death.   Therefore, we urge you to keep your pet away from children until the patch is removed and disposed of properly.


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WARNING:

Do not expose the patch site to direct external heat sources such as heating pads, electric blankets, heat lamps, heated waterbeds, fireplaces, etc.    Heat around the patch may increase the amount of drug that your pet receives and could be harmful or fatal.

MORE INFORMATION:

Pet Poison Helpline:   800 213-6680


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