C09988191 / invoice 10000

HISTORY:Oakley is a 1yo ME Nova Scotia Duck Tolling Retriever presented for ingesting an underwear. Specific History Questions:- Vomiting: Nil v+/r+- Mentation/Behaviour: Energy levels normal- Defecation: Nil d+- Urination: U+ wnl- Diet & Appetite: Appetite normal- Drinking: Drinking normally Current meds:- nilProphylaxis: unknownPre-existing conditions:- nil, healthy priorToxins: nil access to known toxins including cycads, lillies baits, molds, medications or other known toxic plants Triage:HR: 120RR: 20Temp: 38.2Mm: pink and moistCrt: <2Mentation: BAR EXAMINATION:Body Condition Score: 4/9Hydration status (%): clinically euhydratedPain score: 0/4Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: Mentation appropriate. Plr positive , menace positive, palpebral positive . No abnormal strabismus or nystagmus positional or otherwise noted. Normal facial sensation and motor. Normal facial symmetry. Full exam not performed.Musculoskeletal: ambulating normally x4, nil back/neck painGastrointestinal:- Oral: NSF, dental score 2/4- Abdominal: comfortable- Rectal: neUrinary: nsfReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: WNL on palpationEyes: NSF PROBLEM LIST:Underwear ingestionDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS: -DIAGNOSTICS: -ASSESSMENT:Oakley is recovering well from sedation. The reversal agent has been administered and they are bright, alert, and responsive.MANAGEMENT PLAN:- Discharge to owner's care.- Monitor for any further vomiting after returning home.- Feed a bland diet of chicken and rice for the next 24 hours.TREATMENT (Fluid Therapy & Medications refer to Smartflow):-Apomorphine 6.5mg tablet x 1-Metoclopramide 1mg/kg SQPLAN:No food for the next two hours. Feed a bland diet of chicken and rice. Monitor at home. No further follow-up scheduled unless concerns arise.CLIENT COMMUNICATION:Discussed post-sedation care with the owner. Advised that Oakley has been given a reversal agent. Instructed to withhold food for two hours. Explained that one more episode of vomiting on the way home would be acceptable, but to contact us if vomiting continues at home. Recommended feeding a bland diet of chicken and rice. The owner understood the discharge instructions.    Vital Signs