C09988489 / invoice 10000

History: Ongoing soft poos since going home. Diagnosed with campylobacter and clostridium infection on faecal testing last week.Tonight 8 vomits, later with blood. Owner mentioned that was fed some grated cheese for the first time before vomiting started. Appetite was quite reduced yesterday as well.Examine: QARMM pink tacky cRT<2sHeart no murmur or arrhythmiaComfortable on abdominal palpationOne vomit in treatment room- white foamPulses strong and synchronousObjective: HR 96RR 28RE normalBT 37.8Assessment: Suspect dietary intolerance to cheese vs campylobacterOngoing soft stoolsTreatment: Maropitant 1mg/kg SC @ 2am100ml hartmann's SC @ 2amPlan: Sucralfate 0.5g PO q8h for 5 daysOmeprazole 10mg PO q12h for 5 daysReturn tomorrow if no improvementMessage left in RKC folder whether to start azithro or other treatment for campylobacter given ongoing soft stoolsClient Discussions: Offered hospitalisation for IVFT and monitoring. O declined for now    Vital Signs    

    Vital Signs    Weight: 8;