C09989126 / invoice 10000

Reason: Coughng As If She Has Something Stuck. Also ShakinAppointment Notes: intermittantly  jcHistory: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Reason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:    Vital Signs    

Reason: Vaccination 3rd ? NgAppointment Notes: ------- Sms reply: NHistory: Due 3rd vaccBAR and DUDE at homeExamination: Attitude: BARBCS: 4/9CVS: HR: 120;no obvious murmurs; MM: Pink, Moist; CRT: <2s Respiratory rate, effort and sounds - normalEyes & Ears: No inflammation/dischargeOral Exam: teeth clean, no gingivitisAbdo: Soft and comfortable on palpationNeuro: Normal mentation; No evidence of neurological issuesMusculoskeletal: No obvious lameness or joint swellingsSkin: No parasites or inflammation noted; folliculitis still present over shoulders and dorsum. Has resolved over faceAssessment: Ok to have 3rd vaccTreatment: VANGUARD C4 BN: 7044-00302Consent has been given by the client to proceed with this treatment  -  Yes Plan:Ensure monthly NGS    Vital Signs    Weight: 7.4;       

Reason: Drop Off Has Eaten Some Prime100 Plastic 10cm  JcHistory: Presenting for eating plasticHappened about 30 minutes agoRecommended to present for induction of vomittingGiven 0.7ml redivomVomitted up food and plastic within 5 minutesGiven 0.7ml maropitant sc to stop vomittingSent homeWill be sedate for a few hoursCan have dinner as normal this evening    Vital Signs    Weight: 7.3;