C10000864 / invoice 10000

Reason: Emesis Appointment Notes: Special payment terms exist, Overdue remindersAte half a bottle-pack of chewing gum w/ xylitol sweetenerConsumed in last hour or soEmesis: apomorphine dissolved in saline & given SCLarge amount of vomitus, partially-/un-digested biscuits & large number of chewing gum piecesFull packet 64g, 15% xylitol by weight (9.6g), half packet eaten 4.8g, toxic dose for Knox 2.8gGiven largely successful emesis then unlikely to be enough absorbed to cause issues Charcoal unhelpful for xylitol absorptionOffered O we could do IVFT & dextrose Tx but probably not needed in this case, also givn  Knox's temperament a hospital stay is probably not advised unless neededO happy with this, will monitor for the rest of the weekend    Vital Signs    Weight: 28;