C09993959 / invoice 10000

STUMB STULDReason: Possible Rat Sak Ingestion Appointment Notes: Looked to have eaten something blue/green on a walk, unsure if he spat it out or not.Consultation Time: 8:44amHospital Time Period: History:Presenting complaint:ingested suspected rat bait out the front of the IGA on a walk this morning 15 minutes before arrival Known scavanger Ate a 10c sized piece of rat bait, O saw Lenny spat most of it outLast normal: this morning EDDU: normal Vomiting/diarrhea: none observedLast eaten: this morning -- freeze dried diet Pre-existing conditions: none Medications: none Allergies: none Vaccination: due in 2 months Parasite control: none Travel history: none Diet: usually on a raw diet Potential toxin exposure: rat bait Other pets: 2 other dogs Regular vet: visiting vet in werribee Objective:BARTemp:  not taken - not tolerated          MM:   pink and moist           CRT: <2 seconds            HR:   112          FP:  strong and synchronus            RR: sniffingBCS:    4/9                Wgt:    8.8kg Pain Score (CSU):   0/4CV:  no murmurs or arrhythmias detected   RESP:   normal BV sounds, no crackles or wheezes ascultated           GIT:   tense on palpation, uncomfortable in cranial abdomenU/G:  full exam not performedNeuro:  full exam not performed, BAR M/S:  ambulating normally, full exam not performedInteg:  clean coat, no external parasites noted, no inflammation or redness, ears not inflamed, no dischargeOphth:  full exam not performed, eyes clear and bright with no dischargeLNs: peripheral LN not enlarged and are bilaterally symmetricalAssessment: Problem List:1. Rait bait injestion - ddx: rotenticide poisioning Options Offered to Client:1. Induce emesis 2. Check clotting factors in 2-3 days O elected option 1 todayTreatment plan: O consented to inducing emesis on arrivalInduced with apomorphine 1/2 6.5mg tab dissolved and administered transmucosally via the gums - multiple vomitus with a small amount of blue material appreciatedMetoclopramide 0.5mg/kg SQ  	Plan: Induced emesis and check PT in 2-3 days Communication: Explained that Lenny vomited and seemed to have a small amount of the rait bait described. Lenny is doing well and is bright and happy.O advised to get Lenny rechecked in 2-3 days to assess clotting factors (PT) at any vet as she is travelling. Advised of the risks of waiting any longer than 2-3 days and the signs to look out for if Lenny develops a clotting disorder (collapse, laboured breathing, ecchymosis, pale gums or petechiae, distended abdomen, haematochezia or haematemesis, epistaxis. Etc). Explained to O to treat Lenny with great caution for the next 3 days - no running, jumping, rough play, etc    Vital Signs