C09987403 / invoice 10000

    Vital Signs    

CHF spoke to owner - Ginger has been acting very strangley the past couple of days, not eating even after ondansetron, very weak and "spaced out"- Discussed gingers condition, sadly we suspect a cancer that has originated or spread to the kidneys and is rapidly reducing kidney function, this has a very poor prognosis- o understands, would like to do IVFT and symptomatic care to see how he resonds regardless, aware it would take a miracle for him to have a meaninful and lasting responseAdmitted for IVFT~10% dehydrated- started on 10.7mls/hrObjective:QAReyes: sunkedNose: nsfMouth: dry mm, CRT ~1.5LN: nsfchest sounds: HR 156, RR 28Abd: prominent intestines, cannot palpate a bladderMedications:- 5mg prednisolone in am- maropitant slow IV Urinalysis:Usg - 1.013Pro - 1+Blo - 2+ ph - 6.5 Plan:Discuss QOL at discharge, if owner committed to taking Update JC: - Discussed likely diagnosis at discharge - Recommended humane euthanasia in next day or two; other option would be referral to specialist hospital - Discussed euthanasia  here vs at home with home euthanasia service     Vital Signs    Weight: 2.2;