C10000365 / invoice 10000

******************DAY SHIFT UPDATE****************
PROBLEM LIST:
Anaemia 
IBD 
Possible GI polyp 
Post blood transfusion 3/3/26

CLINICIAN: Dr L Pinfold 

EXAMINATION:
U+, F+ black, hard stools, B-, V-
IV fluids running at 18ml/hr 

BAR HR = 160 RR = 28 MM = pale pink CRT < 2 secs Temp = 38.2 

Heart - grade 2/6 systolic murmur 
Chest - sounds clear 
Abdo - comfortable on palpation 

DIAGNOSTIC TESTS:
You may view the images on Purview, our cloud-based PACS server, via this link:  

ASSESSMENT:
Anaemia - stable 
IBD 
Possible GI polyp 
Post blood transfusion 3/3/26 

TREATMENT: 
Removed IV fluids 
Prednisolone 5mg - Give 1 tablet PO BID - due this evening 
Losec 10mg - Give 1/2 tablet PO BID - given this morning 
Gabapentin 100mg - Give 1 capsule PO BID - given this morning 
Mirtazapine 1.88mg - Give 1 capsule PO SID - held this morning 

PLAN:
Offered fresh food and water - eating hills z/d very well 
Recommend to repeat in house PCV/TP every 24 hours - due this evening 
Awaiting blood donor cat - blood typing results from lab 

CLIENT COMMUNICATION: 
LP phoned owner and discussed progress this morning. Explained that Fitzy is reasonably stable this morning. He is not interested in eating. Owner will come in for a visit at 1.30pm to try and tempt him to eat. Owner will also source other friend's cats for possible blood transfusion. 

OWNER UPDATED re ACCOUNT: Yes 
CURRENT ACCOUNT BALANCE: $3249.79

******************NIGHT SHIFT UPDATE****************
CLINICIAN: Abby Taylor
EXAMINATION:
QAR. Mm pale, CRT <2s. HR 160, gr II murmur present.

DIAGNOSTIC TESTS:
PCV 14 TS 76
K+ 2.5 L Glu 8.6 H Lac 2.95 H Urea 3.,4 L Crea 85 L

ASSESSMENT:
No evidence of ongoing GI bleeding - PCV stable, melaena resolving
Appetite improving
Marked hypokalaemia

PLAN:
Attempted to replace IV line for IVFT supplementation but Fitzy not tolerating it. Given eating consistently well overnight decided not to replace.
Commence oral supplementation of K+ whilst appetite increasing. 
If PCV holding and still bright and eating tomorrow, discharge into Os care pending medicine review.
Appt booked with medicine dept on Thurs.