Case log #1 Date 10/2/06 Patient ID 304187

Species/Breed Feline/DSH Age 7/7/98 Sex M/N Wt. 5.06 kg.

Diagnosis: Mild tricuspid regurgitation, rule-out (r/o) due to normal variation vs. valvular dysplasia, valvular degeneration, or right ventricular cardiomyopathy

Advanced Skills & Procedures I performed: Physical exam, history, thoracic radiographs

Advanced Skills & Procedures I assisted with: Echocardiogram

Outcome: Asymptomatic at discharge, no contraindication to anesthesia for cranial cruciate rupture.

Case log # 2 Date 10/5/06 Patient ID 304789

Species/Breed Canine/Weimaraner Age 15y Sex M/N Wt. 32.3 kg.

Diagnosis: Third degree atrioventricular block with VVIR pacemaker

Advanced Skills & Procedures I performed: Physical exam, history, pacemaker interrogation

Advanced Skills & Procedures I assisted with: Pacemaker reprogramming

Outcome: Discharged with pacemaker in VVIR mode, changes made:

Ventricular lead settings:

Amplitude: 2.5V, decreased from 5V

Pulse width: 0.4ms, decreased from 0.5ms

Sensitivity: 4.0mV, increased from 2.8mV

Battery life remaining: 48 months

Case log #3 Date 11/30/2006 Patient ID Misty Allen-Payton

Species/Breed Feline/DSH Age 7y Sex M/N Wt. 5.25 kg.

Diagnosis: Immune Mediated Polyarthritis, Bartonella

Advanced Skills & Procedures I performed: Intravenous catheter, induction of general anesthesia, intubation, radiographs, capnometry, oximetry, Doppler blood pressure, analgesia post procedure

Advanced Skills & Procedures I assisted with: Joint taps

Outcome: Resolved post treatment with azithromycin

Case log #4 Date 12/13/2006 Patient ID Dixie Sibert

Species/Breed Canine/West Highland White Age 4y Sex F/S Wt. 6.6 kg.

Diagnosis: Portosystemic shunt with post surgical decompensation and seizures

Advanced Skills & Procedures I performed: Intravenous catheter, induction STAT venous blood gases, dextrose bolus and CRI, blood pressure, serial venipuncture, placed urinary catheter, administer enemas, Propofol® CRI, thermal support

Advanced Skills & Procedures I assisted with:

Outcome: Owners elected humane euthanasia

Case log #5 Date 06/03/2008 Patient ID Vayda #13677

Species/Breed Canine/Shih Tzu Age 10y Sex F/S Wt. 5.7 kg.

Diagnosis: Inflammatory Bowel Disease

Advanced Skills & Procedures I performed: Preanesthetic examination, developed and implemented anesthetic plan, endoscopy set up for colonoscopy/gastroscopy and cleaning endoscopy equipment, fixation and submission of biopsy samples

Advanced Skills & Procedures I assisted with: Endoscopy (gastroscopy) biopsy sampling

Outcome: Discharged awaiting biopsy results

Case log #6 Date 06/20/2008 Patient ID Alisha Galvin

Species/Breed Canine/Shih Tzu Age 11y Sex F/S Wt. 7 kg.

Diagnosis: Chronic bronchitis with bronchiectasis and fibrosis

Advanced Skills & Procedures I performed: Theophyline levels, pre and post serum bile acids (SBA), cystocentesis, culture and cytology handling and submission.

Advanced Skills & Procedures I assisted: Transoral wash (TOW), Bronchoscopy.

Outcome: Euthanized

Case log #7 Date: 1/21/2008 Patient ID: Crunchy, # 12345

Species/Breed Feline/ DSH Age 19 years, 2 months Sex MC Wt: 4.5 Kg

Diagnosis: Nasal Lymphoma

Advanced Skills and Procedures I Performed: aseptic placement of IV catheter for administration of anesthesia induction agent, Propofol 10mg/ml concentration (4mg/kg IV, total dose administered 1.6 cc IV) followed by intubation with endotracheal tube. Maintained anesthesia with Isoflurane (1.5%) and O2 1L/min for rhinosocopy and radiation therapy; anesthetic monitoring with pulse oximetry and endtidal CO2; phlebotomy for "SNAP" FIV/FELV tests; administration of 800cGy megavoltage radiation bilaterally from cranial nasal planum to caudal extent of orbits and encompassing full width of described area using plan constructed by board-certified radiation oncologist; client education on radiation therapy side effects.

Advanced Skills and Procedures I Assisted With: set up equipment for rhinoscopy and biopsy procedure; transferred patient to ICU for recovery and took dictated medical orders for overnight hospitalization; oversaw handling of biopsy samples for proper packaging and delivery to outside histopathologist

Outcome: after initial diagnosis and only one radiation treatment, the owner discontinued therapy due to financial constraints. Pet is currently seeing RDVM for follow-up and is receiving only prednisone from RDVM at 2mg/kg/day PO (9kg compounded as a syrup) as therapy for his lymphoma. Pet is reported to be stable, with moderate appetite.

Case log # 8    Date:    2/10/2010        Patient ID:       Nod

Species/Breed:             Feline/DSH    Age:     11 yrs.             Sex:      M/N     Wt.      8.3kg.

Diagnosis: Seizures, Craniectomy: Left Occipital Meningioma.

Advanced Skills & Procedures I performed: Anesthetic plan & implementation: Premedication: hydromorphone. Induction: diazepam, propofol given IV. Fentanyl CRI: 3-5mcg/kg/hr X 36hrs (Skill 12, 13, 14). Monitoring: HR, ECG, SPO2, ETCO2, RR, NIBP, & Temp. Post-op pt anxious & restless, decreased fentanyl CRI to 3mcg/kg/hr: pt relaxed and sleeping (Skill 31). Anticonvulsant therapy: levetiracetam (12.5mg/kg) 100mg PO TID, clonazepam (0.01 mg/kg) 0.125mg PO BID & diazepam CRI (0.3mg/kg/hr) calculated & ready if needed for seizures (Skill 9, 10, 11).

Advanced Skills & Procedures I assisted with: Sample collection & submission for histopathology (Skill 16). Proper pt handling: quietly & gently, minimal restraint, nothing around neck and avoid raising pt’s blood pressure (Skill 23).

Outcome: Great recovery: patient seizure free with normal mentation at 3 & 6 month rechecks.