C09999026 / invoice 10000

Reason: Ate Rat SackConsultation Time: 19:00History: Rat bait kept in shed at home, Frankie got into shed this morning and sprinkled rat bait over lawn. Access was at 9.30AM this morning, O's think unlikely both dogs would have had prior access but not 100% certain. Tonight, Alfie is passing green faeces but otherwise his normal self. Frankie is not passing green faeces and is her normal self. O warns Alfie can be snappy and to muzzle. Subjective: Muzzled for exam, nervous boy Objective: Temp   not attempted          MM     pink (o lifted lip)          CRT     n/a         HR  140           FP SSP BCS:   5/9                       Wt: 25.7  kgPain Score (CSU):   0/4CV:  NAD    - no murmurs or arrhythmias noted, synchronous with pulse    RESP:   NAD - no audible crackles or wheezes, normal resp rate and effort           RR 28GIT:   comfortable on abdo palp, did not do rectal exam U/G:  NADNeuro:  anxious M/S:  Not assessed Integ:  NAD- no visible petechiae or ecchymoses Ophth:  NADLNs: NADProblem List:Rodenticide ingestionAssessment: As aboveP is already passing green faeces Options Offered to Client:Start vitamin K Treatment:Nil Plan:Vitamin K 75mg PO BID- dispensed 5 day courseO to collect MORE vitamin K from RV before these tablets finish. Min of 3 week course, before then waiting 48 hours and checking PT/APTT    Vital Signs