C10003203 / invoice 10000

History: Eaten 3 coffee beans 1.5 hours ago. O immediately grabbed her when she had dropped the coffeee beans No v/d. Dude as normal priorNo shakingUTD preventativs and vaccineSpayedExamination: BARMm p +m, crt<2secsDental grade 1Ears cleanLNs wnl HR 104, reg, no murmurLung fields clearNad on abd palpBCA 5/9T 37.8Assessment: Disc with O toxic range is 100-200mg/kg and each coffee bean around 6g so wnl Otherwise can cause pet poison helplineTreatment: O worried and rather be safe than sorry so induced emesis Aware can cause drowsiness as can be a bit of a sedativeO happy with estimate Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Vomited up bean like material - white in colour unsure if stomach has bleached coffee beans No vomiting for 20 mins then administered marop SCMonitor closely rv if any issues    Vital Signs    

Reason: Cigarette Butt IngestionAppointment Notes: CRConsult Time: History: Possible ingestion of cigarette bud about half an hour ago prior to presentation.No CSx seenAte in the morningExamination:BARStrong pulseNo murmurNormal resp soundNo abdominal painHR: 136 RR: 36 MM: P&M CRT<2sHas been doing prayer position when inducing vomitingAssessment: Ingested cigarette bud - less likely to reach toxic dosePrayer position when awaiting induce vomiting - abdominal pain ?Plan: Revisit if noticed tachycardia/tremoring/seizuring signRevisit if notice vomiting and diarrhea sign as consistently doing prayer positionTreatment: Induce vomiting with apomorphine. No cigarette seen.Reverse with metomide.Consent has been given by the client to proceed with this treatment  -  Yes/No--- 20/10/2025 08:43:54 AM BTK:Treatment - Resolved - Follow up text sent, Hx sent to RV. BA    Vital Signs