C09994196 / invoice 10000

Reason: L4 Ingested Foam Ear BudHISTORY:Presented for ingestion of foam earbuds in the last 2 hoursOtherwise well and no concerns prior to incident Current meds: nilProphylaxis: unkown Pre-existing conditions: nil Access to toxins eg. Rodenticide: noneTRIAGE:HR: 120RR: 17Temp: not taken Mm: pinkCrt: <2sMentation: BARPain Scale (0-4): 0/4Hydration status (%): euvolemicEXAMINATION:Body Condition Score: Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):  - Abdominal: no detectable pain on abdominal palpation, normal gut soundsUrinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:Foreign body ingestion DIAGNOSTICS:Nil ASSESSMENT:Niko presented for recent ingestion of foam earbuds. These present a foreign body risk if not emesed. Once emesis performed and earbuds recovered there is no risk ongoing. TREATMENT:Emesis - Apomorphine 0.06mg/kg SC (total vol 0.37ml)  - Metoclopramide 0.5mg/kg SC (total vol 0.61ml) following emesis.PLAN:- Sent home to return to normal diet from tonight and normal activity level from tomorrow- owner expressed concerns regarding ingestion of foreign bodies in the future, recommended ensuring toys are large enough not to be swallowed. If more concerns recommended consulting with primary care veterinarian ------------------------------------------------------------------------------------------------------------------------------------DISCHARGE INSTRUCTIONSPlease read through the following instructions to help guide your pet’s recovery. Do not hesitate to contact us at any time if you have any concerns or questions, and please let your vet or our client care team know if you have any questions about this information before you take your pet home today. Post Emesis   Your pet has been administered a medication to induce vomiting (emesis) to try and remove a suspected object (earbuds) from the stomach. They have also been administered an anti-nausea medication to reduce the risk of further vomiting.  Monitoring at home: * It is possible that your pet may have a further vomit, if this does occur it is likely to occur within 15-30 minutes of discharge. * The medications administered may also cause some sedation for up to an hour and should be closely monitored for the first few hours once at home. * It is not recommended to feed your pet within the first 2 hours after having induced vomiting. * If there is continued vomiting, your pet becomes dull or lethargic or there are any other concerns, please contact the Perth Veterinary Emergency or your primary care veterinarian immediately.   Recheck: We recommend a recheck with your primary care veterinarian within 48 hours to monitor your pet’s condition.   If your pet's condition is not improving or if other problems develop, please call your primary care veterinarian or if it is outside their normal working hours, please call Perth Vet Emergency.  Thank you for trusting our team with the care of your pet    Vital Signs    Weight: 6.1;