C09993621 / invoice 10000

05/03/2026 Reason: still vomiting 

History: 
loose bowel for a week, vomitng daily for more than a week, at least twie a day
last vomit has flakes- blood tinged
Has en feeding rice, chicken and carrot last few days
Normal dry food- royal canin
tend to chew on rocks

Examination: BAR
HR:120/min NSR
Temp: 37.8
mm: pink
Eyes/Ears:
Teeth:0/4
Abdomen:tense
Musculoskeletal:NAD
Other: 

DD-
Gastroenteritis
Dietary indiscretion
Obstruction unlikely but can be rule out

Treatment:
Methadoen 0.32ml IM
Prevomox 0.67 ml s/c

Plan: admit for x rays


05/03/2026 CPLI = Normal 

-Mick

05/03/2026 Blood hemoconcentration
Globulin marginally low

Start on IV fluid @ 9.30am 34ml/hr



05/03/2026 Sedation Medetomide 0.07ml IV 

Good sedation

DV and bilateral abdominal x rays taken
Feces in colon
No gas build up or obstructive pattern in intestine

Pantaprazole 6.7mg slow IV given
Start IV metronidazole 10mg/kg 

05/03/2026 Spoke to Madison, cost updated

05/03/2026 9am 
HOSPITALISATION: bloods / xray / +/- u/sound / +/- ex lap
Temp: 37.8
HR: 120
RR: 
MM: pink
CRT: 
Demeanor: BAR

Eating: x
Drinking: x 
Urine: x
Faeces: x 
Vomit: x

Bladder check: 
Walked: 

IVFT: hartmann's 34ml/hr
Meds: Prevomax sc, meth IM

Bloods drawn. CPLi = normal


05/03/2026 HOSPITALISATION: 10:30am
Temp: 
HR: 104
RR: 20
MM: pink
CRT: <2
Demeanor: QAR

Eating: x
Drinking: x 
Urine: x
Faeces: x 
Vomit: x

Bladder check: x
Walked: x

IVFT: hartmann's 34ml/hr TI = 49ml
Meds: 14ml metronidazole slow iv, 0.83ml Pantoprazole


05/03/2026 2pm obs
HOSPITALISATION:
Temp: 37.9
HR: 112
RR: 24
MM: pink
CRT: >2s 
Demeanor: BAR 

Eating: i/d low fat stew - ate willingly ~ 2 tablespoons
Drinking: avialable
Urine: ++, good stream
Faeces: nil
Vomit: nil

Bladder check: 
Walked: yes, good ambulation, steady

IVFT: 34ml/hr hartmanns TI = 143ml
Meds: 


05/03/2026 BAR
T 37.8
mm-pink CRt <1sec
RR 20/min
Abdomen- comfortable
Total fluid  218ml