C09984139 / invoice 10000

Reason: Pancreatitis POMHistory: POM - overnight care for pancreatitisFull Hx see last visitExamination: Mentation: BARHR:  90 	RR: 42   MM:   Pink 	CRT:   <2s	FP:   Strong and SynchronousT:  ntEYES:   Normal conjunctiva, sclera, and cornea; lens clear; nil discharge E/N/T:   Nil lesions/ discharge notedCVS:   No murmur or arrhythmia, pulses strongRESP:    Normal BV sounds bilaterally, normal resp effortGIT:   Soft and Comfortable, no masses palpatedRECTAL:   Not performed. U/G:   Bladder soft + comfortableMSK:   Ambulating x4, no overt abnormalitiesNEURO:   Normal mentation, normal gait; full exam not performed SKIN:   Skin tent WNL, NSFLN:   Peripheral LN palpate WNL Laboratory: no further diagnostics performedAssessment: Pancreatitis - responding well to treatment, eating wellTreatment: - Fent patch 12.5mg - active at 1am 4/2- Ondansetron IV --> TGH on 4mg waferPlan:To go home for continued monitoring O aware to watch for further vomiting, inappetance or lethargy & represent to AEC or PCV if worriedFent patch to be removed 7/3Discussed diet including avoidn high fat diet & treats. Rec feeding I/d low fat or reach out to VNG pets for home made recipes    Vital Signs    Weight: 5;