C09972153 / invoice 10000

Reason: May Have Chewed Asthma Inhaler SymbicortAppointment Notes: Not showing any symptoms but SSO had a look & ingredients inc a BronchodilatorsHistory: Found a chewed up asthma inhaler/ filast turbulaher (budesonide and eformoterol) Thinks maybe it was axel but brought their other dog as well No pre-existing medical condition Examination: BAR, nice doggo, MM pink and moist, CRT 1 sec HR heart auscultation normal, no murmur, normal rhythm and rate, strong pulse quality RR lung auscultation normal, panting T WNL BCS 5/9 Laboratory: BP readings Performed by: TSPosition:StandingCuff site:R forelimb Equipment used: suntechSize of cuff: 5Stress assessment:RelaxedAll BP measurements (mmHg): 148/ 84 (103) 150/82 (101) HR 91, 85 ECG normal regular rhythmEPOC PH 7.338 L PCO2 37.7 L PO2 42.6 H HCO3 20.3 normal Ca 2+ 1.45 mild H Creatinine 117 H --> acidosis but no metabolic or respiratory contribution, mild hyperCa, creatinine mildly elevated (pre-renal, renal) PCV/TP 42/66 Assessment: Owner called poison hotline Budesonide --> GI signs Eformoterol --> similar effect as salbutamol, peripheral vasodilation resulting in hypotension, reflex tachycardia, arrhythmias Treatment: Admit axel for supportive care + monitoring + repeat EPOC- consented 1. Hartmann's 83ml/hr with 3% dehydration plan 2. Check vitals 3. Repeat EPOC after 6 hours on fluids --> depending on results, continue hospitalisation 4. Diazepam or midazolam if tremors, agitation noted 5. Monitor for any GI signs 6. Tachycardia develop --> propanolol Consent has been given by the client to proceed with this treatment  -  Yes Plan:--- 25/02/2026 14:00:14 JMH:EPOC repeat PH normal PCO2 35.3 mild L Ca 2+ normal Creatinine 93 normalCalled amy because rachel (amy's sister) is away. Normalised bloods. No cardiovascular or GI signs observed. Happy to continue observation at home.TGH for continued care. Call if any concerns.    Vital Signs    Weight: 29.4;       HeartRate: 104;       RespirationRate: pant;       CRT: 1;       MMColour: pink;       Temperature: 38.6;