• In the morning there is usually a technician that is already finishing cleaning most of the cages by the time I come in, but I was able to clean the last cage in the morning before Derwin finished. It was a cage with three kittens that were boarding till someone adopted them. Derwin placed the kittens in a small cage out in the waiting room while I cleaned the cage. First I took out the litter pan and checked for any urine and feces, Derwin told me I needed to note the color and consistency of the feces. I checked and the feces were firm and brown.
After noting the urine and feces I threw away the litter and placed the litter pan in the sink. Also took any dirty towels or blankets and placed them in the hamper to be washed. I want back to the cage to wipe off any organic debris and scattered litter with a paper towel. Next I took the disinfectant that the clinic uses which is chlorhexidine and sprayed it all over the inside of the cage and the bars. I left the disinfectant on for about five minutes before whipping it off. Once as it was time to wipe it down I started from the ceiling of the cage and worked my way down.
Making sure I wiped down the whole cage; after I placed a new blanket and a new litter pan with fresh litter. Finally I filled one bowel with water and another bowl with dry kitten food and placed it in the cage. After I was done cleaning and setting up the cage I went to go get all three kittens and one by one placed them back into the cage. They were very sweet kittens and were easy to handle. • In the morning I helped Patty with pre-operative blood work on patients that were going into surgery.
I previously discussed how I perform a spun PCV and record total protein in journal five. First blood sample was of a kitten that was getting neutered, Patty had already pulled blood and handed me the micro-hematocrit tubes to spin down. The PCV was 35% and the total protein was 6. 7g/dl, which was within normal range for a cat. I told Patty my results and she recorded the information into the computer. She also hands me a blood sample of a dog that was having a dental, I went ahead and spun down micro-hematocrit tube.
The PCV was 49% and the total protein was 6. g/dl, which was within normal range for a dog. . I told Patty my results and she recorded the information into the computer. • I also attempted to take blood from the medial saphenous vein on a cat that needed pre-operative blood work before going into surgery. I was unable to get blood from the vein so Patty intervened to help me pull the blood. She hands me the tubes, but for this blood work we needed a CBC and chemistry test. There are two types of pre-operative blood work, for younger and healthy patients we just do a PCV and TP.
But for sick patients or patients five years and older we do a CBC and chemistry test. I previously discussed how I perform a CBC and chemistry panel in journal ten. I went ahead and performed the CBC and chemistry panel and all values came out normal. After, I went into the patient’s medical records and transferred the information into the patients chart. • Later on I helped Mark expressed anal glands on a Yorkie mix. His anal glands were moderately full; they came out to be a light brown color and a liquid consistency. I previously discussed how I express anal glands in journal eight.
After I helped Adriana do TPR and pull blood on a Labradoodle that needed blood work to be sent out to test for heartworms. I previously discussed how I obtain a TPR in journal six and how I pull blood from the cephalic vein in journal seven. Honey Bells temperature was 102. 3 F, HR 125, and RR 16. They usually pull blood from the jugular but this time I decided to pull blood from the cephalic vein since I needed more practice pulling blood from this vein.
After I pulled the blood I placed it in a red top tube and filled out the appropriate Antech forms. In the afternoon I helped Dr. Robins restrain a cat in right lateral recumency for an ear swab and to pull blood from the medial saphenous vein. I previously discussed how I restrain a cat in lateral recumency in journal eight. • After the Dr. Robins hands me the ear swab samples and asked me to make an ear cytology. I previously discussed how I set up ear cytology and identified elements in ear cytology in journal five. After looking at both left and right ear samples I concluded that both sides had +3 yeast (Malassezia pachydermatis).
I tell Dr. Robins my findings and record the results in the patient’s medical record. • I also helped Dyana restrain a dog in lateral recumbency to have his nails trim. We didn’t need to put the dog in this position but Dyana thought I should practice on a dog holding him in this position. I first made sure the dog was close against my body in standing position, then I reach across the dogs back and took hold of the foreleg and hind leg closes to my body. Taking a hold of these legs throws the dog off balance and is unable to get back up.
As I gradually lift the legs I let his back slowly slide against my body until he was laterally on the floor. After I placed my index finger of each hand between the two legs being held down and held pressure on the side of the dog’s neck with my forearm to immobilize his head. After I properly restrained the dog Dyana was able to trim his nails. • Later on in the afternoon I did two appointments from start to finish. • My first appointment was on a Havanese named Mambbo that came in because he was limping on his left leg.
I asked the owner when he started limping. She told me that his limping might have started a month ago but that it started to get better weekly from there. I had a look at the dog walking in the exam room and he is clearly limping on his left rear leg. After that I ask her the usual questions, if she has been eating and drinking normally, any diarrhea or vomiting? She responds telling me no that other than his leg he’s been great. After asking her all the appropriate questions I brought Mambbo to the back for his weight, TPR, and fecal.
I made sure to gently pick him up on his right side, even though he wasn’t showing signs of pain. • I weighed Mambbo on the scale and it reads 17. 6 pounds. I previously discussed how I obtain a TPR in journal six. Cathy temperature was 100. 9 F, HR 120, and RR 16. • I previously discussed how I obtain a TPR in journal six. • I previously discussed how I collect fecal samples in journal five. • After everything in the back was done, I gave Mambbo back to his owner and told her that the doctor will be coming in shortly. • After I went to go get Dr.
Robins and told her that her patient was ready and told her the same information that the owner had told me. Dr. Robins and I then proceeded to go into the exam room. I restrained Mambbo while Dr. Robins did the whole physical exam and checked her left rear leg. She also had a look at Mambbo while she was walking and concluded that he has a luxating patella. She prescribes Carprofen and told the owners that he is not allowed to jump up and off furniture and to bring him back for a recheck. I went to set up the prescription with the label and bottle and handed it to Dr. Robins.
I stayed with the patient and client till the appointment was finished. Afterwards I cleaned up the room for the next appointment. • My final appointment was on a geriatric domestic shorthair cat named Pashmina that came in because of an upper respiratory problem and large amount of nasal discharge. I first asked the owner when she started having the nasal discharge. She told me that Pashmina has been suffering with her upper respiratory problem for about a year now and that the nasal discharge was getting worse. I have a look at the discharge and it is a yellow colored mucous.
The owner also tells me that she was previously an outdoor cat for many years but just recently decided to keep her inside to watch over her. After that I ask her the usual questions, if she has been eating and drinking normally, any diarrhea or vomiting? She responds telling me no that her appetite and stool has been normal. After asking her all the appropriate questions I brought Pashmina to the back for her weight, TPR, and fecal. • I weighed Pashmina on the scale and it reads 9. 6 pounds. I previously discussed how I obtain a TPR in journal six.
Pashmina temperature was 102. 7 F, HR 200, and RR 35. • I previously discussed how I obtain a TPR in journal six. • I previously discussed how I collect fecal samples in journal five. • After everything in the back was done, I gave Pashmina back to her owner and told her that the doctor will be coming in shortly. • After I went to go get Dr. Robins and told her that her patient was ready and told her the same information that the owner had told me. Dr. Robins and I then proceeded to go into the exam room. I restrained Patti while Dr.
Robins did the whole physical exam and checked her nasal discharge. Dr. Robins took a sample of the nasal discharge using a culturette to be sent out to a lab. Dr. Robins has been working with this patient for a while so she already knew the rest of his medical history. Pashmina had scar tissue in her sinuses that were causing the buildup of mucus which was causing constant congestion; her lungs sounded clear, it was just this discharge that was blocking her air way making it a bit harder to breath. This was a very complicated case, but Dr. Robins prescribes Zymox otic (Hydrocortisone 1. %) and Cefpodoxime and to bring her back for a recheck.
I went to set up the prescription with the label and bottle and handed it to Dr. Robins. I stayed with the patient and client till the appointment was finished. Afterwards I cleaned up the room for the next appointment. • For any patient that comes in we always do TPR’s, record weight, and collect a fecal sample. I would say I helped around eight dogs and four cats. Dove Videos Urinalysis preparation In the urinalysis video I noticed that Magen said there are three parts to a urinalysis, when there are actually four parts.
There is the specific gravity, dip stick, and microscopic finding, but she forgets to mention the macroscopic findings, which includes making note of the color, transparency, and odor of the urine. When performing a urinalysis you first mix the urine and note the color, transparency, and odor. Then with a drop of urine place it onto the refractometer and read your specific gravity, after you are done using the refractometer you rinse it off with distilled water. Next is the dipstick reading, use a pipette and place one drop of urine on each reagent pad.
Remove the excess urine and wait 30 seconds before reading your results. When you are done recording your results, spin down the urine in a centrifuge. After the tube is done spinning, decant the supernatant so that you’re left with a pellet. Flick the tube to mix up the sediment and place a drop of the mixture onto a slide. You can look at the urine with or without a stain, but the stain may lead to an artifact of excess bacteria or debris. After, look at it under a microscope and record your findings. Corrected WBC Count
The CBC machine will usually read a nucleated red blood cell as a WBC which leads to a false reading. When you are doing your hand differential and you see more than five NRBC per 100 WBC then you need to correct your WBC count. You do this by taking the number of NRBC you saw per 100 WBC and add that to 100. After you take that answer and divide it by 100. Then with that answer you multiply it by your total WBC count and you get your corrected WBC count. With this corrected WBC count number you multiply that by your percentages and you get your true absolute numbers.
