C10004038 / invoice 10000

Reason: NPC- Breathless Cough Since After V+ Yesterday MorHistory:Had a dental with extractions 5days ago, was giving meloxicam even prior to that for IVDD. Was also given gabapentin but isnt using thatWas eating fine but last night v++ large pile of vomit, this am didnt want to eat (offering her soaked kibble)but continued to dose her with meloxicam despite not eating. Today flat and multiple coughing episodes, though no coughing seen for last 2 hours. O thought she felt hotMedications -Examine:BAR, keen to eat steamed chicken in consult roomMms pink, sl tackyExtraction site healing wellHr 100Rr 28 normal lung sounds, no cough on tracheal palpationT=38.7Cr abdo palpation tense, sl groanMildly reactive to pressure on lumbar spineAssessment:  ? Gastro upset from meloxicam use?Treatment: Stop using meloxicamDisp panadol instead (+/- use gabapentin as well)Cont softer food for a few more daysPrevomax 0.6ml s/cTemgesic 0.25ml s/cPlan:  Rv if v+ or inappetance continues    Vital Signs    Weight: 5.5;