C09989085 / invoice 10000

Reason: Not EatingAppointment Notes: Booked Online: 05/03/2026 01:52:20 AMBooking Type: UnwellBooking Notes: Running nose, not eatingOwner Name: Claire  LinOwner Email: ClaireBear16888@gmail.comOwner Mobile Number: 0433500001Owner Promo Code: 4122Pet Name: YukiPet Species: CatWeb BookingClient name: LinContact number: 0433500001Email address: ClaireBear16888@gmail.comPatient name: YukiHistory: History of polycystic CKD On telmisartin, amlodipine, phosphate binders, marop and mirtazipine and has had a renal diet Last 2 days hardly eating anythingVery lethargicNo vomiting Has had a congested nose the last 3 days and some sneezing Utd with vaccines Drinks a decent amount, mostly from the tap and large urinations. No obvious blood. No stranguria Examination: QARMm sl tacky, grey pink colour with visible ulcerations today. Unable to check tongue. Some tartar build up on teeth but no gingivitis. Nose congested, yellow crusted discharge from mostly L nostril Eyes and ears clearBCS 4/9. HR 124, reg, no murmur. Lung fields clearOn abd palp, large hard mass where kidney is on the R side, taking up majority of the abdo Lethargic in cons Mild skin tent T 37Laboratory: Assessment: Dehydrated, congestion, uraemic ulcers, large mass on kidneyTreatment: Disc on palliative care currently, due DPO next week Concern re progression of disease and pain levels with mouth too Disc admit for 24-48h hosp and IVFT but warned not a treatment, will only help short term vs trial giving marop inj as o hasn't been able to give medication recently, convenia for ulcers and URT infection and bup as pain relief. Aware limited options for pain relief with kidney disease, aware can cause some sedation Warned must rv earlier if deterioration, warned risk of sudden death Concern re further tests won't change outcome unfortunatelyTaken treat in cons well, adv o to allow her to eat whatever she wants now in this end stage to ensure nutrition Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Nurse: -vaccination UTD-heartworm -worming -flea/ticks    Vital Signs    Weight: 2.6;       HeartRate: 124;       DentalGrade: 2;       Temperature: 37;       CRT: <2;       MMColour: grey pink ;       BodyScore: 4;