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Cystocentesis K4
Cystocentesis K4
Present Status
Temperature: 39.3 ºC
Heart rate: 232/min
Respiratory Rate: 56/min
Advantages & Disadvantages
Advantages
• urine is not contaminated
by miscellaneous debris
from the lower urinary Disadvantages
passage • more invasive method
• Risk of urinary tear
• May have blood
contamination
• Must have sufficient amount
of urine in bladder
Pre-Operative
Preparation
Operator Surgical Sterilization Pack (30 minutes at 60ºC)
• Surgical gown • Gloves
• Towels • Hair Cap
• Brush • Face mask
𝒎𝒈 3.8𝑘𝑔 𝑥 10𝑚𝑔/𝑘𝑔
𝒃𝒐𝒅𝒚 𝒘𝒆𝒊𝒈𝒉𝒕 𝒌𝒈 𝒙 𝒅𝒐𝒔𝒂𝒈𝒆 (
𝒌𝒈
) Ketamine: 100𝑚𝑔/𝑚𝑙 = 0.38 ml
𝒎𝒈
𝒄𝒐𝒏𝒄𝒆𝒏𝒕𝒓𝒂𝒕𝒊𝒐𝒏 ( ) Xylazine + ketamine = 0.76ml
𝒎𝒍
Anesthesia III
Maintenance Anesthesia: Ketamine (2x)
Lidocaine (2x)
Route: Ketamine: Intramuscular
Lidocaine: Topical
Dosage: Ketamine: 10 mg/kg
Since ½ of dosage = 5 mg / kg
Concentration: Ketamine:100 mg/ml
Lidocaine: 20 mg/ml
Body Weight: 3.8 kg
2.
• Stay suture was used to fixate the
skin for retraction to minimized
trauma, using silk suture.
3.
• Linea alba was incised by scalpel,
then further cut open using
sharp/blunt scissors.
4.
• Stay suture was used to fixate the
muscle for retraction to minimized
trauma, using silk suture
5.
• One finger was inserted into the
abdominal cavity to isolate the
urinary bladder
6.
• Urinary bladder was isolated
using square dressing gauze (wet
with NaCl 0.9%).
• VU was inverted 180 degree to
expose the dorsal side of VU.
7.
• Sterile syringe+needle was used to
puncture and aspirate the urine.
• A hemostat was used to hold and
stabilize the needle.
8.
• 0.2ml of antibiotic was given into the VU.
• Needle was then pulled out, a round tampoon
was used to apply pressure.
• Penicillin was given to the punctured site.
9.
• VU was returned back to its original
position.
• Urine was yellow, clear, volume= 3
ml.
10.
• Penicillin was given before closure.
• Linea alba was sutured (3-0 chromic
cat gut, simple interrupted)
11.
• Penicillin was given to muscle layer.
• Skin was sutured (silk, simple
interrupted)
12.
• Perubalsem was
given
• Gurita and e-
collar were put
on.
Monitoring
Respiratory Rate
60
30 36
15 24
0
0: 15 0:30 0:45 1:00 1:15 1:30 1:45 2:00
Time in hours and minutes (hr:min)
Monitoring
Heart Rate
225
Heart Rate (x/min)
180
180 180 180
135160 160
120 130
90
100
45
0
0:15 0:30 0:45 1:00 1:15 1:30 1:45 2:00
Time in hours and minutes (hr:min)
Monitoring
Temperature (ºC)
40
38.75 40
39
Temperature (ºC)
39 39
37.5 38
38
36.25
37
35
35
33.75
32.5
0:15 0:30 0:45 1:00 1:15 1:30 1:45 2:00
Time in hours and minutes (hr:min)
Post operation
• Ginger was monitored for 5 days, these are:
1. Breathing rate
2. Heart rate
3. Temperature
400
248
350 212
200
128
200
84
120 120
150 108
100 104 104
92 92
72 72
100 64
48 48
28
50
34 35.2 39.9 38.2 39 38 37.6 38 38 37.6 37.7 38.8 38.8 38.8
0
D1 D1 D2 D2 D2 evening D3 D3 D3 evening D4 D4 D4 evening D5 D5 D5 evening
afternoon evening morning afternoon morning afternoon morning afternoon morning afternoon
Temperature °C Respiration Rate, rpm Heart rate, bpm
Post operation
• Throughout post – operation
1. Normal excretion
2. Slightly dry defecation for the first few days, score 3
3. Normal eating
4. Normal drinking
5. Diarrhea started 3 days after surgery
Post operation Therapy