C09970876 / invoice 10000

Reason: A/h Ate GrapesAppointment Notes: fjHistory: O found a small packet of ransacked sultanas. Suspects Leo has got into them.Weighed pack and no different. O is unsure how many eaten, if any. Could have been any time in the past 12 hoursAdvised mechanism of toxicity for grapes/sultanas/rasins etc is not exactly known. The concern is affecting the kidneys. There is no documented 'safe number' As few as 6 grapes has caused toxicity in the past.GivenExamination: nad, unremarkable, growling. Size 4 muzzle to inject.Assessment: vomit induction just in case it's helpfulTreatment:Vomit induction: 0.24ml apomorphine SCVomit details:  Reversal 1.2ml Metomide SCPlan: monitor and run screening organ function / renal bloodwork in a few daysOs have not had success with Pre visit premeds in the pastO can muzzle and I feel with muzzle, covered eyes with towel/eye massage we should be able to get blood from one of the legs in consult.Pt is insured. Os reliable. Process GapOnly in the morning and call O to pay remainder.    Vital Signs    Weight: 23;