Vets

Patient

preparation.

We kindly ask that any patient requiring our services be dropped off at your clinic early in the morning on the day of the procedure.

We will provide procedure consent forms for you to download and print and have the owner sign on admission.

We also have a form, which you can direct pet owners to, that has information on what to expect from their end.

We will call your clinic on approach, providing 15-30 minutes notice to enable adequate patient preparation to begin. We kindly ask that sedation is administered and hair is clipped prior to our arrival to facilitate sufficient examination time.

For procedures requiring assistance, we kindly ask that one of your members of staff be available to assist for the duration of the procedure.

Should you have any further queries regarding patient preparation, please call us on 03 9005 0323 or email us at info@insightmvd.com.au

Fasting
Ultrasound
Endoscopy
Other
Sedation Guide

Fasting

Fasting is required for all procedures. This will enable safe sedation or anaesthesia with reduced risk of aspiration pneumonia.

6hrs

12hrs

For mature dogs and cats, withhold food for 12 hours and water for 6 hours.

4hrs

6hrs

For puppies and kitten less than 6 months, withhold food for 6 hours and water for four hours

6hrs

12hrs

1/2 dose

For diabetic patients, fasting is still required and a half insulin dose recommended.

For pregnant bitches and queens undergoing a pregnancy ultrasound, fasting is not required

Ultrasound

Sedation
Bladder
Shaving
Coagulation Testing

Sedation

Recommended for most ultrasound procedures except echocardiograms. Sedation may interfere with accurate echocardiographic measurements and is only necessary when there is poor patient compliance. Sedation is essential to the patient permit safe and pain free aspiration. Light to moderate sedation is adequate in most cases, except for highly anxious, fractious or aggressive animals. For these cases, heavy sedation or general anaesthesia may be necessary.

Please see sedation guide. We kindly ask that sedation be performed prior to our arrival into your clinic to facilitate maximum time being devoted to the ultrasound examination.

Bladder

A full urinary bladder permits the most accurate assessment of the bladder wall and its contents and also safe sampling of urine if required. Please aim for patients to have a full bladder prior to abdominal ultrasounds.

Shaving

Abdominal ultrasound

The hair should be shaved from the xiphoid process to the caudal abdomen (pelvis/pubis), up to the hypaxial muscles/lateral spinal processes on each side and should include the last 3-4 ribs.

Right Lateral

Left Lateral

Echocardiogram (heart ultrasound)

A window on both the left and right side should be shaved. This window is generally just behind the point of the elbow in a relaxed standing position. The window should extend from cranial to caudal: 4th-8th rib. Dorsally it should extend up to the CCJ and ventrally towards the sternum. In cats it is recommended to join the clips ventrally in the midline from both sides to create one large rectangular window.

As a guide, the precordial thrill should be palpable in the centre of the shaved window.

Left Lateral

left-lateral

Left Lateral

Right-lateral

Right Lateral

Coagulation testing

An automated and manual platelet count along with assessment of secondary haemostasis (ACT or PT and aPTT) must be done and normal prior to performing any fine needle aspiration on animals with cholestatic liver disease or hepatic lipidosis or prior to a any Tru-cut biopsy.

Endoscopy

Fasting
Coagulation Testing

Fasting

For upper GI endoscopy/gastroscopy, it is vitally important to withhold food for 12 hours to enable adequate visualisation of the entire gastric mucosa and for passage of the endoscope through the pylorus into the duodenum.

For lower GI endoscopy/colonoscopy, apart from the fasting requirements for general anaesthesia, no additional patient preparation is necessary. Under anaesthesia, a gentle warm water enema will be performed prior to the endoscopy to permit adequate visualization of the colonic mucosa.

Coagulation testing

An automated and manual platelet count along with assessment of secondary haemostasis (ACT or PT and aPTT) must be done and normal prior to performing rhinoscopy and nasal biopsies

Other

For any specific patient preparation query you may have in relation to other procedures, please call usĀ 03 9005 0323 or email us info@insightmvd.com.au.

Sedation Guide

Please use this as a guide only.

Ultimately the patient is under your Veterinary care and your Veterinarians need to be comfortable administering this. Feel free to utilise our guide or perform sedation utilising medications your Veterinarians are most comfortable with.

DOGS

Heavy Sedation

  • Butorphanol 0.1mg/kg
  • Medetomidine 0.03mg/kg

Mild Sedation

  • Butorphanol 0.1mg/kg
  • Acepromazine 0.01mg/kg
CATS

Heavy Sedation

  • Butorphanol 0.3mg/kg +
  • Medetomidine 0.1mg/kg or
    Ketamine 5mg/kg

Mild Sedation

  • Butorphanol 0.3mg/kg
  • Acepromazine 0.01mg/kg

Get in touch

Staff pets HALF PRICE

Phone

03 9005 0323

 

Email

enquiry@insightmvd.com.au

 

Hours of Operation

Monday – Friday: 8am – 6pm
Saturday and Sunday: Emergencies Only