C09981014 / invoice 10000

Reason:  
History: 
Diagnosed with hypothyroidism 3-4 weeks ago


Current medications: 
Levothyroxine sodium 0.3mg SID
Tacrolimus 1 drop into each eye BID

Examine: 
Mentation: 
Body condition score: 
MM:                CRT: 
HR:                RR: 
LN: 
Temperature: 

Ocular: L eye surgery
Oral/Dental stage:
Ears: 
Cardiovascular: 
Respiratory: 
Gastrointestinal: 
Integumentary & lumps (measurement, location):
Musculoskeletal: 
Urogenital: 
Neurological: 

Problem List:

Assessment: 

Treatment: 

Plan: 

On-going medications required: Y/N (use prescription tab for further supply):

Followup: 

Reason: Courtesy phone call 
Nurse: JC
History: monitor drinking (see prev notes)
     Demeanour: BAR
     Eating/ Drinking: Normal and excessive drinking + still.
     Toileting: Normal

Assessment:
Yesterday drank 1.5L over 12 hours (500ml between 6-10am, 700ml at 6pm and 350mls overnight)
Today has drank 1L so far. 
Hard restricting water especially in such hot weather for his breed. 
Discussed asking for Animalius advise on this? O was advised unable to advise until consultation. 
Told O to contact us any time.
Next Appointment: Waiting for animalius referral (likely March time)

O called today to ask how much is too much water for p to be drinking (only able to get appt at Animalius in March and o worried about what to do in interim but doesn't want referral for other specialists) - spoke to MA who advised anything more than 90ml/kg is considered excessive (approx. 1.2L per 24 hours for Angus) - o advised he has already drank over 600ml since 8am (approx. 6/7 hours ago) and wondering if she should limit access to water. Discussed again with MA, advised to offer p 1.5L max over 24 hours, split into 3 lots of 500ml and measure exactly what p is drinking. CC logged for Saturday to discuss jk