Thank you for confirming that they did NOT reverse the domitor.....it is completely reversible.
The Acepromazine could have easily dorked her to the moon and back if the domitor was not reversed prior to discharge and if she had ANY degree of underlying heart, liver, or kidney disease that was subclinical at the time of sedation.
If aspiration is a worry, than simple chest films should be performed without sedation. A quick lateral chest view should suffice.
Please note that using Domitor and Acepromazine in a Giant Breed dog could potentially accelerate any UNDIAGNOSED cardiovascular irregularities. Meaning, if your pet had any degree of undiagnosed/subclinical heart disease, that using these medications without the proper monitoring, reversal, and recovery protocol could have precipitated an episode of congestive heart failure. It is pertinent that the determination of whether she has aspiration pneumonia or pulmonary edema 2' to congestive heart failure be made immediately, as the therapy is obviously going to be quite different between the two etiologies.
Metacam should never be used if underlying kidney disease is possible or if pre-operative bloodwork has not been done to verify renal status. Metacam can and does cause GI symptoms and can precipitate kidney failure if used without caution.
I think the place to start is to get your chest xrays done and see where to go from there. Oral antibiotics should be fine for her if she is not vomiting. She may also take Pepcid and Cerinia in capsule form for vomiting if needed once daily by mouth.
Your original question has been answered, the consult has now turned into something entirely different from the original question list price.
I wish you the best of luck with your pet.
Please remember to PRESS ACCEPT so that I can be compensated for my time and professional recommendations concerning your pet.
Dr . Jodi Lynn Smith