C10001255 / invoice 10000

Reason: Admit - IV Fluids, Meds, BloodsAppointment Notes: Est $700-900 + $250 for bloods according to RA. Given estimate verbally over phone to Odette. EBHistory: No v+ since visit yesterday. Not eating much at all in the last 24 hours. Multiple d+ through the night. Small amount of blood in stools last night and this morning. Lots of mucus in stools this morning. Examine: QAR, BCS 5/9 Mm pink and dry. About 5 % dehydrated. DG 1/4 HR 92 RR 36 T 38.7Abdo palp no obvious pain. Rectal palp empty. No mucus or blood. Plan: Admit to hospital for IVF, pain relief, blood test and supportive care. Laboratory: In house chem 10, procyte, SDMA, lyte4 and CRP: All wnl. CRP 2.9 mg/L. Treatment: Buprenorphine 0.26 ml IV @10:40 amCerenia 0.4 ml IV @ 10:30 am.Started on IVF (hartmanns) @20 ml/hr at 10:40 am.Offered RC sensitivity. Didn't eat. Telephone Call/ Text:: Updated O @12:30 pm with blood results and plan for the day. Keep in hospital until close to closing time to get more fluids in. Treatment: Mirtazapine 3.75 mg PO @ 1:30 pm. Metomide 0.4 ml IV at 1:30 pm. Plan: TGH @ 3:20 pm. Switch to GI diet for next 1-2 weeks (RC sensitivity, hypoallergenic, hills i/d)Submit faecal sample for PCR +FF ($350) INI in next 24 hours.    Vital Signs    Weight: 3.98;