C09998901 / invoice 10000

Reason: Ate ChoclateSubjective:- Owner reports chocolate ingestion approximately 80-100 grams of milk chocolate from a 250 gram bar- Estimates consumption of approximately one-third of the chocolate barHistory:- Previous experience with similar treatmentObjective:- Weight: 9.6 kilograms- Temperature: 39.5°C (elevated, possibly related to chocolate toxicity)- All other organ systems normalAssessment & Plan:1. Recent Chocolate Ingestion (1 hr ago)Client Communication: Discussed with the owner that 80g would cause none to mild clinical signs but 100g would cause Mild GI signsOwner consented emesisTreatment:Administered (0.04mg/kg)  0.07 mls of Apomorphine 5mg/ml intramuscularly (counselled on potential risk of aspiration pneumonia if vomiting occurs)Vomited after 1 minuteVomitus: light brownish substance  high likely to be chocolateGiven 0.7mls Metoclopramide SC as anti-nausea    Vital Signs    Weight: 9.6;       MMColour: pink;       Temperature: 39.2;       HeartRate: 160;       BodyScore: 7/9;       PainScore: 0;       CRT: 1-2;       

Reason: Poss Ingested ChocolateHistory:One of the 4 dogs ate a whole block of health lab assorted chocolate. O happy to induce vomiting of all 4 dogs to see who it was. All dogs remain asymptomatic. 0.05mg/kg apomorphine IM x 2Vomiting induced. Chocolate in vomitus. 0.3mg/kg metoclopromide IM. See d/c letter attached to Abby file.    Vital Signs    Weight: 8.8;