C09992201 / invoice 10000

Appointment Notes: ECHO with VNKE emailed handout & admit + sent smsEstimate: $1025Medications: 7:30 Cardisure & Aminilyn Fasted: YES Does your pet have any food allergies or requirements?: n/a PAI bloods: YES see HX Extras: nail trimContact: 0416091010RR over the weekend : 30( resting)  / 23 ( sleep ) / 32 ( resting ) IM Pre-sedation exam: QARHR 132 grade 4 murmur LHSCRT <2 MM pink moistIncreased inspiratory sounds, nil crackles/wheezes, referred URT noisesAdomen comfortablePre-sedation bloods: Consent given - discussed with O last done 9m ago and have monitored ALP (trending down). Can do today as is on multiple meds year round and has lost weight, however no strong indication/concerns. O happy to leave to vets discretion. Macrocytic thrombocytosis - common in breedALT continues to trend down, no other abnormalities detectedIV catheter placed,  Sedate with : 0.21mL butorphanol IVSedation quality goodProcedure: Echo Verbal hand over - stable B2 MMVD w clinically insignificant tricuspid and pulmonic regurg. Final report overnight, no changes to be made. Repeat echo w clinical change or 9-12m 4:50pm SStook for walk, deficated, stool was solid and good consistency. was offered Hills ID for food, was not interested. Assessment:  Stable B2 MMVD - no immediate changes, call with final report. Home 5pm, meds as normal    Vital Signs    Weight: 10.5;