Surgical Information Packet (Page 2 of 4) in pdf

PRE-ANESTHETIC BLOOD TESTING INFORMATION FORM

(PLEASE READ CAREFULLY)

Our greatest concern is the well-being of your pet; therefore, a full physical examination will be performed before putting

your pet under anesthesia. However, there are certain conditions that are not detected without pre-anesthetic blood

work. Test results will provide evidence of pre-existing conditions, establish baseline data & offer you peace of mind. A

Pre-Anesthetic Blood Profile is required for animals over 5 years of age but strongly recommended for all pets

undergoing anesthesia to maximize patient safety.

The Pre-Anesthetic Blood Profile helps alert our surgeon to the presence of dehydration, anemia, infection, diabetes,

kidney and/or liver disease, which could complicate the procedure. These conditions may not be detected without a pre-

anesthetic blood profile. These tests are similar to those your own physician would run if you were to undergo anesthesia.

In addition, these tests may be useful in the future if your pet’s health changes, allowing, more accurate diagnoses and

treatments. This test can be done at our clinic on the morning of surgery.

The Surgical and Anesthesia Consent Form offers pre-anesthetic blood work. This includes:



CBC: PCV (Anemia), White Blood Cell Count (Infection) & Red Blood Cell Count (Anemia/Bleeding Disorder),

Platelet Count (Clotting Disorder)



Profile: BUN and Creatinine (Kidney), ALP and ALT (Liver), Glucose (Sugar), Total Protein (Dehydration), and

Electrolytes (Imbalances).

For feline patients, the triple test is recommended which tests for Feline Leukemia, Feline Infectious Viremia and

Heartworm. We highly recommend this test be performed on all feline patients at least once in their lives because these

diseases can affect your cats longevity & ability to recover from surgery. If your cat goes outside, we recommend

administering the Feline Leukemia vaccine as well. Please ask us if you would like to learn more about Feline Leukemia,

Feline Infectious Viremia and/or Heartworm.

We realize surgery and anesthesia are scary for both the owner and the patient and we attempt to make surgery day as

safe and comfortable for all involved. The physical examination and blood work done prior to any surgical procedure

allows us to best minimize anesthetic and surgical risks and maximize patient safety.

Potential Surgical Complications

Canine and Feline Spay

●Bleeding ●Reaction to Anesthesia ●Infection ●Recurrent Heat ● Urinary Incontinence ● Weight Gain ● Suture Reaction

Canine and Feline Neuter

● Bleeding ● Reaction to Anesthesia ● Infection ● Scrotal Swelling ● Suture Reaction

Feline Declaw

● Bleeding ● Reaction to Anesthesia ● Infection ● Limping/Lameness ● Regrowth of Nail

Tumor/Lump Removal

● Bleeding ● Reaction to Anesthesia ●Infection ● Swelling and Drainage ● Suture Reaction

If you have any questions about the scheduled procedure, please do not hesitate to discuss any aspect of the upcoming

procedure with our staff.

CLIENT INITIALS______________

Surgical Information Packet Page 2