C09977854 / invoice 10000

Appointment Notes: Overdue remindersHistory:Malvern vet clinic reg vet Due for beransa Storms last week - stressed & panting, pacing, shaking Confused / cognitive dysfunction Continued on friday despite storms stopping Air show sunday triggered herThen she calmed the following day On tacrolimus & courses of zydax in addition to beransa Lumpectomy 2 weeks ago at reg vet on bottom - no medication after this & recovered well Sometimes reaction to meloxicamArthritis flares with her pacing etcUsually pants when painfulHas a safe space at home if she settles No V+ or D+, not really eating as much because shes stressed Examination:BAREyes both pannusEars cleanMouth many broken teeth ? Tartar ++ Thoracic ausucltation NADAbdominal palpation NADMSK arthritis & muscle atrophyIntegument thin greyhound coat, healthy Plan:Gave 15mg beransa (828810 exp10/26) SQ Gabapentin for light sedation & neuropahtic pain relief to manage stress & pacing PRN, particularly at night time - big discussion on this & potential side effects.    Vital Signs    Weight: 26;       BodyScore: 3/9;