C10002708 / invoice 10000

DISCHARGE NOTES PROBLEM LIST FROM PHYSICAL EXAMINATION: -Fed sardines on Friday evening. Both dogs unwell. Coco started vomiting this morning-Diarrhoea on rectal examination   ASSESSMENT: open diagnosis - would require further testing. Suspect gastroenteritis secondary to dietary cause. However cannot rule out other causes such as foreign body obstruction, pancreatitis etc Vomiting can be  caused by many different things – some much more serious than others. The causes of vomiting can be broken down into two groups – gastrointestinal, which includes stomach and small intestines and extra gastrointestinal, which includes all other organs. Gastrointestinal causes include infection (gastroenteritis, parvovirus), parasites (hookworm), a dietary indiscretion (eating something they shouldn’t have) or a blockage in the stomach or intestines that won’t allow anything to pass. Non gastrointestinal causes include kidney disease, liver disease, pancreatitis or endocrine diseases such as diabetes, addisons disease and cushings disease, or even cancer. Blood tests, along with an abdominal ultrasound and radiographs will help to determine if it is primary gastrointestinal or other organs are involved. If these tests show that there is no obvious underlying cause, this is great news for your pet. Most commonly the vomiting can be attributed to eating something they shouldn’t and they respond very well to supportive therapy. Treatment includes intravenous fluid therapy to rehydrate, pain relief and anti-nausea medications.       DIAGNOSTICS AND MANAGEMENT: For further investigation;PCV/TP and blood gas to assess acid-base and electrolyte status and guide fluid therapy  Abdominal ultrasound Faecal testingIntravenous fluid therapy  Pain relief  Anti-nausea medications  PLANAntiemetic and probiotic dispensedTo reassess with GP vet  SPECIFIC HOME CARE INSTRUCTIONS  Exercise: In order to facilitate your pets recovery, strict rest is recommended until they are back to full health and then gradually reintroducing walks.    Diet: A bland diet of chicken and rice is recommended until all gastrointestinal signs have resolved. Once your pets vomiting has stopped your pet can return to their normal diet.   Medications: Maropitant 1mg/kg SC @ 0730Medications to go home with1. Pro-Kolin + Probiotic Paste 30mLPlese give 3ml orally morning and night What to look for at home: 1. If your pet shows any signs of vomiting, is inappetant or generally lethargic please re-check with Animal Emergency Services or your regular veterinarian as soon as possible.  2. Regardless of how your pet is doing, it is recommended that they have a check up with your regular veterinarian in 3 days.  Thank you for trusting Animal Emergency Services with the care of Coco.    Vital Signs    

Reason: V+, licking lips, shaking WRHISTORY:Current meds:Prophylaxis:Pre-existing conditions:Access to toxins eg. Rodenticide:TRIAGE:HR:RR:Temp:Mm: Crt:Mentation:Pain Scale (0-4):Hydration status (%):EXAMINATION:Body Condition Score: Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):  - Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: no detectable abnormalities, faeces:  Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:DIAGNOSTIC/MANAGEMENT PLAN:DIAGNOSTICS:ASSESSMENT:TREATMENT:PLAN:CLIENT COMMUNICATION:------------------------------------------------------------------------*REVISED ASSESSMENT:*PATIENT UPDATE:- Stable/Improved/Deteriorated: - E/D/D/U/V:*TREATMENT SUMMARY:*OWNER COMMUNICATION:*FINANCIAL UPDATE:*ONGOING EST:*PLAN:1. 2. 3. 4. (COPY HANDOVER NOTES INTO SMARTFLOW NOTES)For last medications given please refer to the attachment "Hospital Flow Sheet" accompanying the history.Smartflow Sheet Checked by If you have any questions regarding the case between 9am and 6pm (Mon-Fri) please call the Underwood and Jindalee Clinical Support Line on 07 3147 8746 otherwise our hospitals during after hours.---------------------------------------------------------------------------------------------------------CLIENT DISCHARGE NOTESPRESENTING CONCERNS:PROBLEM LIST FROM PHYSICAL EXAMINATION AND HISTORY:ASSESSMENT:DIAGNOSTICS/MANAGEMENT:PLAN:Medications for Administration at Home:Name          Dose              Frequency   number dispensed    Next DueSPECIFIC HOME CARE INSTRUCTIONS:The Animal Emergency Service advises a reassessment with your regular vet within 48 hours to monitor your pets progress.  If your pet's condition deteriorates or they become flat or lethargic, go off their food and water, develop vomiting or diarrhoea or if you have any concerns please contact the Animal Emergency Service or your primary vet immediately.If your pet is going home and has a pressure wrap over where an IV catheter was placed please remove it within 20 minutes of leaving the hospital.Thank you for trusting the Animal Emergency Service with the care of your pet.DISCHARGE NOTES PROBLEM LIST FROM PHYSICAL EXAMINATION: -Fed sardines on Friday evening. Both dogs unwell. Coco started vomiting this morning-Diarrhoea on rectal examination   ASSESSMENT: open diagnosis - would require further testing. Suspect gastroenteritis secondary to dietary cause. However cannot rule out other causes such as foreign body obstruction, pancreatitis etc Vomiting can be  caused by many different things – some much more serious than others. The causes of vomiting can be broken down into two groups – gastrointestinal, which includes stomach and small intestines and extra gastrointestinal, which includes all other organs. Gastrointestinal causes include infection (gastroenteritis, parvovirus), parasites (hookworm), a dietary indiscretion (eating something they shouldn’t have) or a blockage in the stomach or intestines that won’t allow anything to pass. Non gastrointestinal causes include kidney disease, liver disease, pancreatitis or endocrine diseases such as diabetes, addisons disease and cushings disease, or even cancer. Blood tests, along with an abdominal ultrasound and radiographs will help to determine if it is primary gastrointestinal or other organs are involved. If these tests show that there is no obvious underlying cause, this is great news for your pet. Most commonly the vomiting can be attributed to eating something they shouldn’t and they respond very well to supportive therapy. Treatment includes intravenous fluid therapy to rehydrate, pain relief and anti-nausea medications.       DIAGNOSTICS AND MANAGEMENT: For further investigation;PCV/TP and blood gas to assess acid-base and electrolyte status and guide fluid therapy  Abdominal ultrasound Faecal testingIntravenous fluid therapy  Pain relief  Anti-nausea medications  PLANAntiemetic and probiotic dispensedTo reassess with GP vet  SPECIFIC HOME CARE INSTRUCTIONS  Exercise: In order to facilitate your pets recovery, strict rest is recommended until they are back to full health and then gradually reintroducing walks.    Diet: A bland diet of chicken and rice is recommended until all gastrointestinal signs have resolved. Once your pets vomiting has stopped your pet can return to their normal diet.   Medications: Maropitant 1mg/kg SC @ 0730Medications to go home with1. Pro-Kolin + Probiotic Paste 30mLPlese give 3ml orally morning and night What to look for at home: 1. If your pet shows any signs of vomiting, is inappetant or generally lethargic please re-check with Animal Emergency Services or your regular veterinarian as soon as possible.  2. Regardless of how your pet is doing, it is recommended that they have a check up with your regular veterinarian in 3 days.  Thank you for trusting Animal Emergency Services with the care of Coco.    Vital Signs    Weight: 7.4;