C09987347 / invoice 10000

Appointment Notes: VA report on file MAG  Maddie (Dog) - Consultation [Clinician : Dr Steph Crocker(No Preference)] - Possible pancreatitis Emergency vet night before and bloods taken and pain meds and anti nauesea givenWeb BookingClient name: Josephine FearContact number: 0413147098Email address: josiehavenofear@hotmail.comPatient name: MaddieAppointment Notes: VA report on file MAG  Maddie (Dog) - Consultation [Clinician : Dr Steph Crocker(No Preference)] - Possible pancreatitis Emergency vet night before and bloods taken and pain meds and anti nauesea givenWeb BookingClient name: Josephine FearContact number: 0413147098Email address: josiehavenofear@hotmail.comPatient name: MaddieHx: went to eva overnightyesterday vomited multiple timesslept ok urinated this am not eaten this am - offered chicken drank lectade on her own this am after syringing it last night Medications: lectade, cerenia, panadol (due this am), buprenorphine last night CE: bar, anxious  HR: 140RR: panting T: 38.82CRT/MM: p<2s moist BCS: 6/9 Dent /4: 1Eyes: nEars: nOral:mild tartar, moist gums LN: nCV: n r&r, no hm or pulse deficits Resp:clear lung fields GIT: tense but reasonably comfortableUG: nMS: nSkin: nNeuro: nAssessment: stable overnight, likely pancreatitisno further vomiting Plan:  disc. admit for continued IVFT + pain relief vs monitor at home with oral cerenia and a buprenorphine injection todayelected to hospitalisepanadol 0.9ml po at 8:20ambuprenorphine 0.42ml IM at 8:25am22 G IVC to R) cephalic Hartmanns commenced @ 46ml/hr @ 08.35Admit for IVFT - hartmanns 2x maintenance continued pain reliefhome with cerenia - due this evening Offered chicken @ 10:00Hospital exam @ 11:50 (MJA)MM pink slightly tacky CRT < 2secRR panting, HR 144Toileted outside - nil resultHas not touched chickenClient update 1:40pm - O called and spoke with SAB Seems a bit brighter on fluids, no further V+/D+ , not interested in  eating here, taken out for a walk. Confirmed 6:20pm d/c with ERO.update 3:30pmmoist gumstense on abdo palpation - very stressed not eating - too stressed?buprenorphine prior to dischargecontinue with oral cerenia tonight and paracetamol tonight  1700 - toileted - passed Urine outside.BAR very anxious whining. Not touched food.IVFT continues Gums pink/moist HR 1541800 -Buprenorphine 0.42ml I/M Fluid therapy ceased TVI 424ml Recheck: tomorrow for reassess +/- admit for further IV fluids / treatment     Vital Signs    Weight: 6.3;