C09994105 / invoice 10000

Reason: KAH - Possible Snake Bite    Vital Signs    

Reason: KAH - Possible Snake BiteSHIFT CHANGE: 2100-0700VET: Dr Megan MartinsASSESSMENT: BAR, extremely anxiousVitals WNLNo ataxia, PLRs palpebrals and gag all WNLSedation for blood draw:0.1 mg/kg butorphanol IV1.5 mcg/kg dexmedetomidine IV (later reversed with atipamezole equal volume IM)O2 support while sedated via maskDIAGNOSTICS:CK 125PT 12.0 secTREATMENT:Metoclopramide 0.5 mg/kg IV during sedationCLIENT COMMUNICATION:Called and left voicemail @ approx 2330 - bloods WNL, asymptomatic for snake envenomation. PLAN:Discharge in AM if still asymptomatic    Vital Signs    

HISTORY:REFERRING CLINIC: KAHAES VET: Lisel Nichols REASON FOR REFERRAL: Referred for possible snakebite Owner visualised snake striking at dog but not sure if made contact - dog offleashRELEVANT HISTORY ONLY: Referred for possible snakebite Owner visualised snake striking at dog but not sure if made contact - dog offleashDIAGNOSTIC SUMMARY: CK WNLPT WNLMEDICATION PLAN - WHEN LAST GIVEN & WHEN DUE NEXT: NoneEXAMINATION: Mentation: QAR Cardiovascular: NSF Respiratory: NSF Abdo: Soft comfortable Musculoskeletal: NSF Neurological: NSF Eyes/Ears/Skin: NSF Urogenital: WNL Lymph nodes: No enlargement Hydration/volume status: Euhydrated PROBLEM LIST: - Possible snake envenomationASSESSMENT: Stable, comfortableNo signs of envenomationPLAN:  Home if bloods normal - discharge from AESCOMMS:Est $800-7000 depending on how dog goes    Vital Signs    Weight: 1;