Tabel standar pemeriksaan Medis yang harus dilakukan pada Individu Harimau

Spesies : Pantera tigris sumatrae, nomor hewan

tanggal 08 februari 2012 personil

BKSDA Aceh
Lokasi ______________________________X ____________________ Y ________________ Tipe penangkapan /hewan
Tingkahlaku
A g r e s s i v e
Jeratkaki: (lingkaran) LF RF LR RR Jelaskan kondisi / luka
obat

vial #

ml

mg/m1

mg

waktu

Lokasi
injeksi

komentar

Domitor

14:15

IM

ketamin

14:15

IM

Botasil
shotopen
ketamin

15:17

IM

hematopan

15.28

IS

biosalamin

15:29

IS

Anti sedan

15:31

waktu rilis /sifat ___________________________________________________________________________________________

umur 3thn jenis kelamin jantan Wt. ______ Total panjang____ panjang kepala
dada

_________. Panjang ekor_____tinggi bahu: cakar____ ___

lingkar kepala

. lingkar leher

lingkar

pergelangan tangan ____________

kaki Belakang: panjang kaki Total __________________ lebar kaki total____ pad length_____pad width
kaki depan : panjang kaki total _____ lebar kaki total _________ pad length ____ pad width ______ panjang telinga: tengkuk___back

betina: puting 1 __________ w _ laktasi? Y/ N

Sebelumnya telah bereproduksi? Y/N penjelasan:

Tags or Marks: (circle) new previous telinga kiri_____ telinga kanan_____

Tattoo: number________ lokasi______________________________

kehausan gigi:

(circle)

light medium heavy Describe _______________________________

panjang taring (cm): UL _______ LL ______ UR _________ LR

Ectoparasites/lokasi _________________________ dikoleksi? Ya/tidak

Kondisi fisik (circle) poor_fair_good_verygood_excellent jelaskan __________________________________

Radio transmitter: frequency ________ number___________ circumference draw distinctive mark:
Koleksi sampel: parasit _____ darah __ bulu ___ jaringan_____
Photos: wajah: left__ _____ right ____ front __ teeth ___ bodyVideo
tanda yang membedakan / karakteristik ________________________________________________________

FISIOLOGI

waktu

respirasi

pulsus

14:31

14 /menit

temperatur

Untuk komentar dan catatan tambahan :

39

F/C

seizure

komentar

ANESTHESIA RECORD
tanggal:

Accession #: ......
Species:

Status kesehatan:

Pantera tigris sumatrae

Sex: female 0 male CI unknown

Birthdate or age:

........ ............

Fasting Time:

Housenarae. ............................................................ Tattoo: ....................................

T a g / B a n d :

O t h e r

d a t a :

calm
active
excited

o
o
o
o

Depressed
Alert
Aggressive
apprehensive

Demeanor:

Body Condition:
Body Weight:
O actual O estimate

Physical Status:
o
o
o
o
o

O bese / Fat
O Good
O Fair /Thin
O Poor / Emaciated
Tracheal Tube Size:

Class I - normal health

Class II - mild disease
Class III - severe disease
Class IV - chronic severe disease
Class V - may not survive anesthesia

dosis

Obat yg
diberikan

1,2 cc
1,5 cc
5 cc
0,7 cc
10 cc
15cc
15cc
1 cc

Domitor
ketamin
Botasil
ketamin
shotopen
hematopan
biosalamin
Anti sedan

Jumlah
mg / ml /%

Rute
pemberian

.....

O Normal
O Abnormal

kg

Waktu
Success of
pemberian delivery

Inj. IM
Inj.IM

14:15
14:15

Inj.IM

15:17
15:23
15.24
15:24
15:25

Inj.SC
Inj.SC
Inj.IM

Waktu efek awal:

Time of eternal / lateral recumbency:

Anesthetic recovery:

o < 8 hours
o 8-24
hours
o 24-48 hours
o > 48 hours

Immobilizing Conditions:
O free ranging
O isolated
O arge exhibit, cage or pen
O in group
O small exhibit, cage or pen
O squeeze cage
Environ. Temp.: ...... C
O manual restraint for drug administration Humidity: ...... ...%

Activity:
o
o
o

. .

Normal
Abnorma
l

Anastesi komplikasi :

O no
O yes

Recovery Data:
Time: .: stage :..
Time :..:... stage:..

Effect
(stage)

Waktu
Bottle
menimbukan #
efek
14:31
14:31
15.31

Anastesi ranting :
O excellen
O good
O fair
O poor
Veterinarian :..
Recorded by novan, sapta, sapto

Data
fisiologis
Time taken
14:31
14:55
15:02
15:08
:
:
:

Bload sampel
data
Body
temp
39 oC
39 oC
39 oC
39 oC

Heart
rate
67
48
48
50

Resp.
rate
14
6
8
8

pO2

Time taken

Hematology

:
:
:
:
:
:
:

OEDTA-liquid
OEDTA-dry
OHeparin-liquid
Oheparin-dry
Ooxalate
O
O.

Time
Other
chemistry
of
sanples
effect
O serum
Yes/No
O plasma

Catatan :
....
......
....
......
.....
Dose:
P or T: Preanesthetic dose
I : Immobilizing dose
S Supplemental dose
. or R : Antagonist dose
0: Other drugs

Route
P: Polesyringe
B: Blowdart
D: Capture dart
H: Handsyringe
0: Oral
F: Facemask
T: Endotracheal tube
V: Venous catheter

M: intramuscular
V: intavascular
P: intraperitoneal
S: subcutaneous

Success of delivery :
C: Complete
P: Partial
N: None

Effect (depth of anesthesia)

0: no drug effect
1: light to mild sedation
2: heavy sedation
3: light anesthesia
4: surgical anesthesia
5: extensively deep anesthesia
6: dead (died under anesthesia)

CATATAN ANASTESI
Doses
Class
1,2 cc
1,5 cc
5 cc
10 cc
15cc
15cc
0,7 cc
1 cc

Obat yg diberikan

Konsentrasi

Domitor
ketamin
Botasil
shotopen
hematopan
biosalamin
ketamin
Anti sedan

Rute
pemberian
IM
IM
IM
IM
IM
IM
IM
IM
IM

Waktu
pemberian
14:15
14:15

Delivery
succes

effect
sedatif
sedatif

Time of
effect
14:31
14:31

Bottle
number

vit
vit
sedative
antidot

15:31

Data Fisiologi
Time
14:22
14:31
14:51
14:54
14:55
14:59
15:01
15:02
15:08
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__

Body temp
39
39
39
39
39
39
39
39

F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C
F/C

heart Rate
- / menit
67 / menit
/ menit
/ menit
/ menit
48 / menit
/ menit
48 / menit
50 / menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit
/ menit

Resp. rate
18
14
2
4
8
6
4
6
4
8

/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit
/menit

02 sat
-

%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%

Tekanan Darah
Systolic/ Diastolic/Mean
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______
________/_________/_______

CATATAN :
.
.
.

Standar Pemeriksaan Umum Kesehatan Individu Satwa untuk proses Identifikasi

1. Sampel bulu/rambut :
2. Darah antikoagulan dan serum (darah beku): pemeriksaan terlampir
3. Preparat ulas/bloodsmeer:
4. Pemeriksaan parasit ;

Ectoparasit: Tidak ada

Internaparasit: Pada kotoran ditemukan jenis cacing Taenia sp, dan dilanjutkan dengan pemeriksaan
secara mikroskofis (hasil pemeriksaan terlampir)

5. Berat badan (Kg)

6. Data Kondisi Tubuh:

Panjang dari hidung sampai pangkal ekor (cm);

Lingkaran leher (cm);

Lingkaran kepala (cm);

Lingkaran dada (cm);

7. Panjang Taring:

Atas (cm);

Bawah cm);

8. Menyususi/Bunting;
9. Pengambilan gambar samping kiri dan kanan
10. Gambar gigi
11. Panjang dan lebar telapak kaki depan:

Panjang (cm);

Lebar (cm);

Panjang dan lebar telapak kaki belakang:

Panjang (cm);

Lebar (cm);