C09992783 / invoice 10000

Appointment Reason: Revisit consultation, Appointment Notes: +/- admit for further fluids / treatment Appointment Reason: Revisit consultation, Appointment Notes: +/- admit for further fluids / treatment possible small amounts reflux last night  - unsettled - recommend admit for further fluids and pain relief Medication: cerenia 4/3 @ 8pm, paracetamol liquid 4/3 @ 8:20am, buprenorphine 4/3 @ 6:00pm discharge  18:20 Reason: hospitalisation day 28amSubjective: Objective: HR 160 RR panting - anxious Temp 38.4Assessment:  mild abdominal pain Plan: admit IV fluids and pain relied and omeprazole prior to discharge IVFT re commenced Hartmanns @ 24ml.hr IVC patent and checked @ 08:20IV Buprenorphine given 0.4ml slow IV @ 08:2010:45 - Food and water offered (BBQ Chicken)- not interestedClient Communication: owner rang @2pm, was given update by AWAHosp exam @4pm - BAR, anxious, HR 144, RR panting, MM pink/moist, IV patent, abdo soft and not painful, taken to toilet outside and urinated.Still has not eaten any food offered (MJA) 18.00 given Omeprazole 5mg PO IVFT ceased - TVI 222ml - leave IVC in to revisit in AM    Vital Signs    MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Temperature: 38.4;       CRT: 1-2;