C09985781 / invoice 10000

Reason :2nd Puppy Vaccine Team Consult
Nurse:  EF
Hx Concerns : Vomited in car on way here - suspect motion sickness. Otherwise no concerns

Discussed :
- Vaccinations
- Worming
- Heartworm
- Fleas
- Desexing (Print handout, Ideal age for desexing is 12 months depending on size. Sexual maturity is around 9 months if pets come into season, desexing can be booked 3 months after the season has finished)
- Microchipping (check details are up to date, if not sms link to update details)
- Nutrition and feeding
- Behaviour/Training 
(print development chart HO DOG - Puppy Development to discuss. Offer PPS Class)
- Dental Care
- Grooming
- Exercise
- Toilet training
- Council registration
- Pet Insurance  
- Has Puppy Pack been given today Y Bill if given

Worming product used and last given : home with nexgard spectra sample (give tomorrow given today's vomit)
Flea Treatment used and last given: as above
Heartworm Treatment used and last given :  as above
Dental Score :  Puppy/4
Body Condition Score:  3 /5

Vaccine given today - C5 with ***INJECTABLE KC*** - will need booster at 16 week vaccination
Batch number/exp - C3 DHP  2526208, exp 09-2027
Batch number/exp - Injectable KC     2526207, 04-2027.

Ex : BAR, MM pink and moist. CRT 1-2 seconds
1. Eyes : NAD 
2. Ears : NAD 
3. Mouth : NAD good occlusion
4. Heart : NAD no murmur or arrhythmia heard
5. Respiratory/Nasal : NAD lung fields clear
6: Abdomen : NAD soft, comfy. No umbilical hernia
7. Musculoskeletal : NAD 
8. Neuro : NAD 
9. Urogenital : NAD 2x testes descended
10. Rectal/Anal glands: not examined  
11. Skin : NAD 
12. BT : not taken
13: Behaviour issues: WNL
14: Lymph nodes: WNL

Assessment : fit for vaccination
Discussed motion sickness. Too young for 8mg/kg PO cerenia dose (needs to be 16 weeks at least). Try 4-6 hour fasting prior to travel, water access, placement in low less mobile space. Given VCA motion sickness handout. 
If still an issue at 16 week vaccination can then trial cerenia use

new pup  from Bacxhus marsh
another dog at home not very interested iin him 
got him on Sunday 
EDDU normally
fed  with optium puppy transitioning to rc canine  wet , optimun dry 
carte trained
Reason :Annual Health Check Team Consult
Nurse: {__}
Hx Concerns : {__}

Worming product used and last given :  drontal every 2 weeks tille3 month
Flea Treatment used and last given: {__}
Heartworm Treatment used and last given : {__}
Current Diet given daily : {__}
Current dental products used : {__}
Any dental recommendations given : {__}
Dental Score :   normal bite /4
Body Condition Score:  {__} /5


Ex : 
1. Eyes :NAD
2. Ears :NAD
3. Mouth :NAD
4. Heart :NAD
5. Respiratory/Nasal :NAD
6: Abdomen :NAD
7. Musculoskeletal :NAD
8. Neuro :NAD
9. Urogenital :NAD
10. Rectal/Anal glands: not examined
11. Skin :NAD
12. BT :normal
13: Behaviour issues: no
14: Lymph nodes:NAD

Assessment :all ok
Recommended Products: {__}
Goals: {__}