C09997867 / invoice 10000

Reason: Has Eaten Diabetes MedicationHISTORY:  Mallow ingested 1.5 tablets of 2mg Glimepiride at 09:30 this morning.Mallow has been bright, alert, and responsive (BAR) and acting normally since ingestion.No vomiting, collapse, or abnormal quietness reported.Current meds: noneVaccination: Up to dateParasite Prevention: Not mentionedPre-existing conditions: noneAccess to toxins eg. Rodenticide: Glimepiride 3.5mg (0.16mg/kg) @ 0930EXAMINATION:Body Condition Score: 6/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: HR 120 bpm, cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): Gr 1- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes within normal limitsEyes: NSFDemeanour/Behaviour: very BAR, bouncy, puffyPROBLEM LIST:Glimepiride ingestion 0.16mg/kgDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Concern for hypoglycaemia following glimepiride ingestion.DIAGNOSTICS:Blood glucose:   - 11:00 - 5.8 mmol/L   - 1330 - 5.0 mmol/L   -  1600 - 6.0 mmol/LASSESSMENT:Concern for hypoglycaemia following glimepiride ingestion. Emesis not induced given rapid absorption of medication. Animal Poisons Hotline contacted - no previous cases of this medication intoxication reported. Pharmacist consultation advised monitoring given 24-hour duration of action. Literature suggests hypoglycaemic episodes typically occur after exercise in humans.TREATMENT:  Nil indicated at this time.Observations and blood glucose monitoring every 4 hours recommended.PLAN:Hospitalisation and transfer to emergency overnight for observation - owner has elected JCU. Blood glucose monitoring every 4 hours.Keep quiet to minimise exercise-induced hypoglycaemia risk.CLIENT COMMUNICATION:Owner to transfer Mallow to JCU for overnight monitoring.Owner will collect Mallow at 16:00.Ate 140g G/Int tin (126kcal)Verbal handover to JCU Vet @ 1430 - Dr Jaime Ridley. Estimate of <$500 given unless any episodes of hypoglycemia noted.Laboratory:  Type:             Test:  Results:--- 06/03/2026 14:39:25: Emailed JCU full history. JK    Vital Signs    Weight: 25.5;