C09988198 / invoice 10000

Reason: Our Vet TransferAppointment Notes: Shadow Atkins, potential transfer called GX @ 2.10pmHistory: Seen by Our Vet Shellharbour Tuesday morning for inappetence (24hrs) and suspected 2 vomits (has 4 cats at home), was tacky on physical exam. Treated w prevomax & lectate. Represented this morning (Wednesday) as still not interested in food, no further vomiting, still bit lethargic. Admitted for the day for IVFT, bloods, abdo u/s & UA. See attached history, summary:Mild lymphopenia, low normal K 3.5 (3.5-5.8), rest wnl Abdo u/s had few non-specific findings (hypoechoic area of liver, hypoechoic areas of L kidney), sediment in bladder Bacteria on UA, culture sent, commenced empiric clavHad prevomax 5pm, buprenorphine @12pmExamination: BARBCS 6/7MM pink/moist, CRT 1.5s, skin tent normalHR 200, pulses strong/synchronous,Resp rate 32, normal effort Abdo palp soft & comfortable LNs nadMSK nad Temp 38.3BP 153/102 (115), 152/85 (105)Laboratory: Epoc PH 7.35HCO3 25.1 HBE -0.5 H Ca++ 1.36 HAssessment: LethargyinappetenceVomiting? UTI Treatment: Admit for ongoing supportive care:1. IVFT - Hartmanns @ 14ml/hr 2. amoxyclav 125mg PO BID O to be updated in morning, to discuss if staying another 12hrs vs transferring back to reg vet vs dischargeAdv $900-1100 for first 12hrs, $700-900 q12hrs thereafterPlease call Nick 0433646896--- 04/03/2026 22:37:47 ESX:Assessed 9hrs post buprenorphine, comfortable so held rpt bup.--- 05/03/2026 02:30:27 SBT:Urinated + small amount of soft defecation. No vomiting or regurgitation. Abdomen remaining comfortable Eating some wet food when handfed but not interested out of bowl (also attempted on a plate, again no interest)T 39.5 at 2am--- 05/03/2026 06:36:10 SBT:Continued to eat dine food (now eating off of licky matt / plate - does not seem to like bowls?!). No vomiting or regurgitation. Client Communication:ST Nick at 640am - advised settled and comfortable overnight. Eating small amounts - initially only hand fed but then once we realised he didnt like the bowls eating off of a licky matt! Advised would still recommend another 12hrs of care - Nick confirmed had made arrangements with RV to get back there for 9am. Will come and pick up to transfer back at 830Referring vet: Emailed 650am    Vital Signs    Weight: 6.37;