Checklist for evaluating your pet

Answer all questions.  Circle or high light options you observe in your pet.

1)     evaluate SPIRIT (BAR) Bright?  ____Alert?  ____Responsive?  ____

2)     eye or ear discharge?  _____if yes, is there pain?  ______

3)     frequent blinking or keeping eyelids closed?  ______

4)     shaking head/scratching at ears, eyes, mouth?_______

5)     diarrhea or vomiting?_____if yes, is there blood?  ______

6)     evidence of pet consuming toxic substance?________

7)     coughing or sneezing?_____if yes, is there blood? ______

8)     straining to urinate?  _____if yes, is there blood?  ______

9)     itching?_____if yes, is there any fluid or blood?  _______

10) hair loss?  _____, symmetrical or in patches?  _______

11) change in appetite?___loss of appetite? ___excessive hunger?____

12)  

13) weight loss/gain?  ______

14) has pet urinated today?_____deficated today?_____

15) increased drinking and/or urination/defication?  _____

16) unproductive attempts to urinate?______deficate?_____

17) seizures?  _____if yes, how many?  _____ how long?____

18) change in behavior?  _____aggressive or submissive?

19) change in interaction with family members?  ______

20) weakness/incoordination? _____ can pet get up?  ______

21) mental disorientation?  ______ (BAR) listlessness? _____

22)    internal temperature  _____fever?___ over 104?____

What is the main problem? _______________________________________

Is there pain?  _____ bleeding?  _____uncontrollable body functions?  ____

Is this problem an emergency?  ___________________________________

Do I know what to do about it?  ___________________________________

Do I have the supplies and skill that I need to address the problem?  ______

Does my pet improve when I do what I feel comfortable doing?  _________

Our phone number 913-341-4372 Tuesday-Friday, 9 AM - 5:30 PM.

After hours, call your closest emergency clinic.

VSEC - 11950 W. 110^th St., Overland Park, KS 66210, Phone 913-642-9563

Mission Med Vet - 5914 Johnson Drive, Mission, KS  66202, Phone 913-722-5566

Animal Emergency Center (North)-8141 N. Oak Traffic way, Kansas City, MO

Phone 816-455-5430

Animal Emergency Clinic (Independence) – 3495 NE Ralph Powell Road, Lee’s Summit, MO

                                                            Phone 816-554-4990

If you decide to go to the ER, take this checklist and samples of any abnormal urine, stool or vomit that you can collect before you leave.  If your pet ate something you are concerned about, take the package with you.