C09992776 / invoice 10000

Reason:  Recheck  History: Syringed water.Took prokolin, antinausea, panadol fineNo abdominal stretchingO has not observed diarrhea O did not try feeding so unsure about appetite.Quantity of the vomit was not a lotSaturday and tuesday 2 small vomitsScavenging saturday morning - had a proper chew and swallow of something that owner doesn't know.Examine: See smartflow.HR=PR = 60bpmRR/RE = 30MM = pink, slightly tackyCRT = 2 secondsBtemp = 37.4Demeanor: QAR brighter than yesterdayComments: no longer droolingFluids:  25    ml/hr Laboratory: PCV - 46TPP - 64Serum Colour - InitialsNa             149        (145- 157)K                3.7        (3.5-5.5)Cl               116        (105-119)CBC: wnlQPL 73U/LRadiology: Sedation: 0.06ml medetomidine / reversed w atipamazoleDescription:- no clear obstructive pattern - radioopaque structure remains on cranial abdomen Assessment: With no clear obstructive pattern and improvement in clinical picture from yesterday, FB obstruction is unlikely at this time, however unsure what the origin of the cranial abdominal opacity ddx mass? Do not need to progress to exlap today.Penny is appetant in hospital and keeping down food. Most likely suspicion of acute gastroenteritis responsive to antimicrobial therapy - cause unknownRecommend full abdo US at DB tomorrow to rule out mass - O elect to just trial AB therapy and reassess. Treatment:- 3ml pro-kolin @10AM- 1mg ondansetron PO (0.25 tab) @10AM- 120mg paracetamol PO @10am- 0.23ml amoxiclav SLOW IV (14mg/kg) @11:30am - 1mg/kg maropitant IV @12pm- 1mg/kg nexium IV @12pmPlan:Transition to oral amoxiclav at 15mg/kg - 125mg BID for 10 days, commencing tonight with dinnerDischarge home with paracetamol, ondansetron to give PRN Continue prokolin BID Discharge with catheter in place to recheck tomorrow AM, can take catheter out tomorrow if appropriate    Vital Signs