C09996420 / invoice 10000

Injection of pentosan 0.2ml, ketamine 0.04ml and 0.2ml water for injection to dilute given SQ through mesh in carrier with nurse covering front with towel - given injection in rump.F3 booster got missed before cattery, requires booster.Nobivac Tricat: Batch 2509302, Exp: 03/2028 given SQ, next due in 1 yearNiramine 0.5ml given SQ

Subjective:Owner reports Marvin was a bit stressed this morning when she had to catch him for the carrier - going well with gabapentin 100mg in the evneings.Presented by: NikkiObjective:Current medication: gabapentin 100mg last night, and 200mg this morningNil examination attempted todayAssessment:Okay for pentosan/ketamine injectionPlan:Injection of pentosan 0.2ml, ketamine 0.04ml and 0.2ml water for injection to dilute given SQ through mesh in carrier with nurse covering front with towel - given injection in rump - no hissing and seemed quite relaxedScript written for gabapentin 100mg in the evenings and 50mg in the morningsDiscussed adding in gabapentin for the mornings as well. Owner happy with progress, can book in for vaccs in 2 weeks and booster 1 month after (no consult fee with the vacc as has been examined recently and quite stressy - prioritise injections).

Subjective:Owner managed to get the gabapentin in last night and this morning - only managed to get one capsule and a quarter but seems very relaxed compared to before.Presented by: NikkiObjective:Current medication: gabapentin 100mg last night, and 125mg this morningDemeanour: QAR - covered with towel in carrierEyes: goodEars: cleanHR: 180bpmRR: 30bpmThoracic auscultation: NADOral exam: DGS 1, pink mm, crt <2s - used syringe to lift lips, minimal examinationLymph nodes: NADAbdomen: NADReproductive: NADSkin: NADGait/limbs: minimal examinationHissing at the end - owner weighs at home regularly.Assessment:Healthy on examinationPlan:Great progress with gabapentin - owner very pleased with this, can use gabapentin 50mg BID as pain relief as well.