C09992701 / invoice 10000

SUBJECTIVE: Bloody diarrhoea and vomiting yesterday, not eating. Previously well, diet premium puppy food (no changes), UTD vacs, unsure worming. 
O showed pics of strawberry jam diarrhoea
OBJECTIVE: BAR
Eyes and ears NAD
MMs pink and mildly tacky, CRT1s
Mildly prolonged skin tent 
CV NAD, resp NAD
Abdo palp NAD, BCS 4
Skin and coat NAD, Ms NAD
2/2 testes, no hernias 
Temp 38.2
ASSESMENT: HGE v other
PLAN: Recommended hosp for full bloods, IVFT and supportive care. Est $1200-1500 for this. O has $1000 max today, advised can leave off bloods to start with and INI will call O re doing bloods. Est for IVFT and meds $730 
Admitted
COMMENTS: 12:25pm - called O with update, advised going well and keeping food down. 6:10pm discharge confirmed. Sent picture of Cookie to O as well. SL
WEIGHT: 2.3

HISTORY: Admit for tx

IV fluids 25ml/hour

Gave IV maropitant 0.23ml and metronidazole 25mg IV

Bright and happy over day
No diarrhoea noted
Ate chicken

Repeated Metronidazole at 6pm 25mg IV

Home on prokolin 2ml BID
If diarrhoea persists use metro as well